I would also look into your state's Medicaid program to be sure MIL isn't giving up resources that would be well spent on herself as opposed to accepting whatever Medicaid will provide. If the kiddies accept her gifts and spend or invest the money in ways where it would be forever unavailable for her care, and if Medicaid in your state doesn't do a good job of providing what she needs, then the kiddies would have to be shot in the kneecaps!
Very good point -- and a good Elder Care Lawyer with the MIL as the client would simply not let this happen. This is a quality of care concern that's especially significant in some areas of the country depending on the nature of MIL's long term care. I learned some of this in exploring care options for my mother in New York and Virginia. In New York City, many of the desirable
assisted living facilities will only take private-pay patients or have a limit on the number of Medicaid patients they will accommodate. (However, almost all
nursing home care facilities in NYC will take Medicaid patients with few restrictions on number of beds.) This basically means that if someone would be better off in an assisted living facility in New York City, there's a big difference in quality of care depending on whether you're paying for that with your own resources or with Medicaid. Essentially you better have some resources available to you if you want the more desirable assisted living facilities in NYC (and once you run through those recources, Medicaid will kick in and virtually all of these facilities won't kick the out the Medicaid patient that was originally a private-pay patient -- might mean a slight down-sizing of services). With nursing home care facilities, whether you have your own resources or are relying on Medicaid doesn't make a big difference for the most part. The top-rated nursing home care facilities in NYC have Medicaid patients primarily.
In northern Virginia, I was pleasantly surprised that lots of good facilities, both assisted living and nursing home care, take Medicaid patients with few restrictions on number of beds available for them.
The point of gifting is not to make your family member any worse off as a result of the gift -- it should be care neutral to the donor! Liquid assets should remain available for the long term care needs of the donor, especially if the most desired care facility or care giving will only take private-pay patients -- let's say MIL might be best served by a home care program with a private nurse and that this can only be accomplished by private-pay. Gifting assets might essentially take away that option and that would be so wrong, and someone's some knee-caps would need to be broken.