In this article, Addressing Capacity, Dr. Mark Lachs notes that 40-50% of people over 85% have some form of cognitive impairment.

In one example, a woman refuses to admit caretakers to her home. “What if there’s a fire?” she’s asked.

If she says, “I’m willing to take the risk,” she may just not be aware of what’s going on.

If she says, “I’ve lived a long life and I am willing to take that chance to maintain my privacy and independence. I can wear  a life alert pendant.”

Dr. Lachs notes that people have the right to make that choice. I wish more doctors did.