Eldercare · From The Financial Advocate
The Financial Conversation About Cognitive Decline Nobody Wants to Have
There's a topic that belongs in almost every retirement planning conversation and appears in almost none of them.
By Colin Meeks, CFP®
July 8, 2026
There's a topic that belongs in almost every retirement planning conversation and appears in almost none of them: cognitive decline. Not dementia, necessarily. The gradual, natural reduction in financial decision-making ability that can begin in our fifties and escalate quietly from there.
It's not comfortable to plan for. It touches identity, independence, and fears most of us would rather not examine. So it gets skipped, and the skipping has a cost: major financial decisions, estate questions, and healthcare costs often land in people's eighties, right when they're also managing health challenges and grief.
What the people who handle this well do differently
They don't assume it won't happen to them. They make decisions early, while capacity is unquestioned, that shrink the burden on future decision-making. In practice, that looks like three moves:
- Simplify before it's urgent. Consolidate scattered accounts, streamline income sources, and eliminate complexity that made sense at 60 but creates risk at 80.
- Get the documents right while capacity is clear. Powers of attorney, healthcare directives, and trust structures need to exist and be current before they're needed. We don't draft them; we make sure they exist, get funded, and match the plan. Our eldercare planning work starts here constantly.
- Name your person. A family member, attorney, or advisor who knows the full picture and has authority to act. Then, hardest of all, have the explicit conversations while they're still easy to have.
None of this is about losing control. It's the opposite: deciding now how future decisions get made, while you're the one deciding.
If this is a gap in your plan
It's one of the most worthwhile ones to close, and closing it takes one planning conversation, not a crisis. We'll help you simplify the picture and coordinate the documents with an attorney you trust.

About the author
Colin Meeks is a CERTIFIED FINANCIAL PLANNER™ and the owner of Maryland Financial Advocates in Parkville, MD. He's been in financial planning since 1994 and writes The Financial Advocate newsletter and podcast. More about Colin

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