If there was no power of attorney both the family members would have to make a joint decision and if they could not agree then it could be made up to the attending physician to make the best choice for the patient. Also, if there was no power of attorney the state could get involved as well and appoint a guardian or conservator to oversee the patient's estate. These can be difficult times and individuals do fight over situations like this. When a power of attorney or will is not in place or there is no one to make decisions for a patient the doctor does have the last say in the best interests of the patient. Mr. Warden was in a bad place with two children who didn't visit nor really seemed to care as to what happened to him. It is possible that all that was wanted was his assets now. Deciding to put a DNR in place in his state of life was a good idea but why let your loved one get to the point where he was alone.