My step-dad had 50% POA until 10/14/15, when his 50% was given to my sister. He is now refusing any/all requests we are making for her care, and is now pursuing legal action against us ... because he doesn't want to spend any more of "his" money on her care.
For health insurance, she has Medicare. A private health insurance policy was recently canceled per "counsel" of his attorney as being duplicative to Medicare (he claims; we doubt).
My mom suffers from PSP ... Progressive Supranuclear Palsy. Very rare condition. The brain slowly deteriorates impacting the speech center and that of muscle control. Cognitively, she is much more aware than her communication or motor skills can convey. Makes this element VERY difficult. (It took her over 30 minutes to sign the DPOA because she insisted on signing her name vs. making an "X"). She has already lived beyond the targeted range for this particular type of PSP, so we're all in the dark, even the doctors, about her lifespan. Given the exponential decline in her health, we all feel the end is near, so we're not talking about the complete depletion of the IRA. We're talking, at most, 2 more years.
From a financial standpoint, we want to increase the caregiver coverage from 8 hours/day to 12. The biggest obstacles are eating and bedtime. Apart from that is the underlying attitude my step-dad has. He's worn out, we get that. But he is also 75% deaf in one ear (and refuses to get a hearing aid), has autism, and is extremely self-centered. This latter condition overrides and "trumps" a LOT of the decision-making we try to make.
However, when you write that he doesn't want to spend any more of HIS money, I'm confused. Who really is handling your mother's financial affairs? It should be you and your sister, pursuant to the DPOA.
There's another issue and that's her physical situation. Is she in hospice, and if so what's the prediction for her lifespan? What are her physicians predicting as longevity, and what kind of care is it that you and your sister want to implement to which you stepfather objects? And why is he paying for the care when you and your sister have financial authority under the DPOA? Does your mother have independent funds of her own?