Some states, such as The Netherlands and the UK have made provision for power of attorney or 'living wills' that permit people to stipulate how they want to dispose of property and what medical treatment they authorize in the event of their disability. In Ireland the Alzheimer Society of Ireland have campaigned for and instrumental in getting Enduring Power of Attorney and are actively working for the provision of living wills. States vary greatly in laws that determine the degree of individual consent required for treatment or hospitalisation, which can be a serious issue for people with dementing illnesses. In Finland, for example, people have the right to refuse treatment or a particular procedure until they reach the point, defined by law, where they qualify under mental health legislation. Other states have no such definition.
States also vary in degree of access of medical records for patients and their families.
As a result, the type and level of care available is extremely uneven. Issues that mitigate equity across member states are geographical, historical and socio-economic in nature. Ageism is also cited as a source of inequity. In many countries, the needs of older people receive less attention and fewer resources than those of younger people. Utilitsation is also more difficult for older people, particularly immigrant populations who may not understand what services they are entitled to or how to access them.