I think that there are going to be families who have been completely wiped out financially by having to support a PWME regardless of whether it is spent on medical treatment or "just" the costs of having another mouth to feed, clothe and put a roof over their heads. Families can get alientated against members who don't even make financial demands on them. Then again there are wealthy families with money who can finance the treatment of their loved ones. It may mean that when they pass away there is less money to be inherited by the PWME who may still be very sick then. On the other hand it would be galling for a PWME to stand back, sick and in need of help and watch wealthy caregivers spend that money on cruises, clothes, meals out, gambing or whatever the well off spend money on now-a-days. It's even going to cause arguments in less well off families. What should be the distribution of family money on PWME? It's going to vary in each household. It is up to each PWME and their family to gauge what is a fair amount to be spent on their medical care. Even rich families can be hard and mean to their own. The alienation can occur even when their is money, if the person in control of the money doesn't want to spend it on a sick relative. Vli will know if their family is spending more than they can afford to spend.