Talk to you father, surely you can get him to spend what he has to help with his care AND management. You cite social security, but what about retirement savings, pension, real estate (like his old home)? And what does he need done that you can not provide with his income and assets? I mean, what can you provide for love? Certainly getting out of bed doesn't cost you anything, meal prep is not an extra burden, set one more plate. Does he really need 24/7 help, or can you still go to your job, and assist him? You could bankrupt him in favor of Medicaid, then your state would carry the financial burden so you wouldn't feel the need to help your own father. Or you could pay the $4500 a month or more cost of shelfing your father into a assisted living home where they could care less about helping him because they are to busy counting the profits they make so you just wait for him to die. I think the answer lays somewhere between you negotiating with him, and cutting ties with a dead man walking, and the real reason you may cast him aside.