Lifecare Enriched
Military and Veteran Advance Directives


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Background:
There are are 1.4 million active duty soldiers in the United States, and an additional  26.4 million Veterans -- about 12.7% of the total adult population.  Most of these individuals are eligible to receive medical care through Military health care services and the Veterans Administration health care system.

Because medical care for these individuals is being provided throughout large inter-state systems, national guidelines as found in the "Code of Federal Regulations" (CFR) and the "United States Code" (USC) have been used to design universally applicable advance directives.  

The USC and the CFR specify that they provide "statutory and regulatory guidelines for [all] the executive departments and agencies of the federal government" (see CFR, GPOAccess.gov). Further, both codes specifically address advance directives, and recognize that individuals under the care of military and veterans' health systems may relocate frequently and thus need directives that retain validity in a wide variety of locations and care settings.

To this end, the CFR specifies that any code-compliant advance directive "...will be recognized throughout..." all applicable federal systems (§17.32(h)).  In like manner, US Code allows the creation of an advance directive that is "exempt from any requirement of form, substance, formality, or recording under the laws of any state, commonwealth, territory, district, or possession of the United States" (§1044c(a)).  In short, it remains valid regardless of where the individual resides.

However, when invoked and applied, the documents must be followed in accordance with "the law of the state that gives effect to the expressed wishes in the advance directive" (CFR, §17.32(a)(iii)) (i.e., the state of current residence), and shall then "be given the same legal effect as an advance medical directive prepared and executed in accordance with the laws of the State concerned" (US Code, §1044c(a)). 

Based upon these codes and regulations, Lifecare staff have designed both active Military and Veterans advance directives which consequently retain validity regardless of moves between facilities throughout the federal system, as well as in any civilian care setting to which they may be admitted.  

About Content-Enriched Military and Veterans Directives
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More than a decade of research has gone into designing the decision-making content of all Lifecare advance directives.  This is especially important in Military and Veterans care systems, where end-of-life decision-making delays and other unnecessary court demands and involvement can be especially burdensome to all involved.  By providing members of the armed forces with the Lifecare advance directive, they will be able to thoroughly address all advance planning issues found to be important to the public through painstaking and lengthy research. 

Obtain the Military and Veterans directives through the "Ordering" page of this website. 


The Veterans "Representative" Directive
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There may be circumstances where a Veteran has previously declined the opportunity to complete an advance directive, or where he or she has completed only a very narrow, content-limited state advance directive that does not fully address all advance planning needs.  Should the individual later lose decision-making capacity, current practice is to turn to surrogate decision-makers such as family or even court-appointed guardians or conservators. 

The Lifecare "Veterans Representative Directive" has been designed to facilitate comprehensive and early (preemptive) advance planning in these difficult situations.  Also crafted by way of applicable codes and regulations, this post-competence advance planning document can greatly expedite quality family/surrogate decision-making -- often reducing or eliminating altogether the need for court involvement or oversight -- facilitating timely treatment decisions, and in many other ways alleviating or preventing the many burdens and delays that might otherwise occur. 

Obtain the Veterans Representative Directive and supporting documents through the "Ordering" page of this website, as located within the "Professional Resources" section of the shopping cart.

BULK ORDERING RATES:  The Shopping Cart section of this website lists the prices for single-copy downloads or single-copy softbound documents.  However, bulk- rate orders can considerably lower the cost, if ordered in large enough quantities (depending upon current printing costs and shipping rates).  Contact Lifecare staff to discuss current quotes and options. 


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