Daniel N. Steven is an attorney licensed in Maryland and the District of Columbia. with many years of experience in complex estate planning and Elder Law. He is rated by Martindale-Hubbell as an AV Preeminent 5.0 out of 5 rated attorney. For Baby Boomers and their parents, the evolution of Elder Law from niche status to a whole practice arena is an important development. This evolution is largely the result of the advancement of medical science that has extended life spans well into the 80s and 90s. This extension has had myriad consequences, many of them unforeseen -- extended life can be true golden years, or it can be a misery of dementia, dependence and family financial ruin.Fifty years ago, estate planning was concerned primarily with dispositive wishes and tax deferral or avoidance; today, we are concerned not only with those issues but with planning for long-term health care, health care decision-making; planning for incapacity, Medicare and Medicaid planning, retirement benefits, and special needs trusts.