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The parent is 300+ lbs, has many ailments including type 2 diabetes, swelling, on set Alzheimer's.

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The government steps in. After their assets are depleted, they will be cared for through Medicaid.
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The parent would go into a nursing home. If there's no money for a nursing home then the adult child would have to apply for Medicaid on behalf of the parent. To do this the adult child needs Power of Attorney.
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