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A public guardianship system is essential to providing surrogate decision-makers for our most vulnerable adults – those who (a) lack capacity, (b) do not have a family or friend who can serve as a surrogate and advocate, and (c) do not have means to pay a private guardian. Massachusetts does not have a comprehensive public guardianship system. This project aims to describe what happens in Massachusetts to adults in these situations. Our hope
is that an understanding of the current approach and its consequences will provide evidence to support future solutions.

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