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We don't have money to move. We barely scrape by and get county benefits in our state.

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What type of help do you wish to have? Funds to move your in-laws in with you, or you both in with them? More information would give more context.
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Yes, call and report that your in-laws are seniors in need of assistance, and ask them to visit and do an evaluation.
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You say that they are both quite ill, and I am curious to know if this is an illness, such as dementia, in which mental capacity is diminished, or if this is illness that is physical with a whole lot of limitations of mobility and etc.?
It makes a difference in the parents' capacity to manage their own care decisions.

I think that you are going to need to make a trip-- if hubby cannot and you are the only living relative, that may mean YOU making the trip-- to assess the situation.
Once there you will know whether it is an immediate call to APS and guardianship of the state requested, or whether your in-laws are capable of handling these calls out to local councils on aging for options themselves.

The one thing I would suggest you NOT do (because I don't see how physically, mentally, emotionally or realistically you manage) is to take on any POA or guardianship.
In this instance it is going to have to move on to state management in a way it would were there NO CHILDREN AT ALL, because quite honestly if the children are out of commission before the parents, that is sort of the case.

This is not so unusual an occurrence as you might imagine. My partner and I have raised, between us, two girls each. And for any number of reasons EACH of the four, not retired or almost so, is more out of commission than WE are, as bad luck would have it.
There would be no way they COULD take on our care no matter what intentions were (though that is also something we would not want).

I wish you the best. I am so sorry.
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There are no other children or family nearby?

I live in NJ in the southwest part. I would call Adult Protection Services in their County. Explain that you have 2 elderly vulnerable adults living alone. They will go in and investigate. Your in-laws will either be set up with resources or placed. The State can take over their care. They will have a guardian assigned to them. Once placed, all their needs will be met.

In my County, Office of Aging, APS, and Disabilities are now combined.
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