“Child-free people tend to have really strong bonds with their nieces and nephews, and in many cases, it’s the nieces and nephews who step up as caregivers,” says Joy Loverde, author of Who Will Take Care of Me When I’m Old? Another option is lining up an aging life care professional, Loverde adds. These providers, sometimes called geriatric care managers, can help clients access caregiving and other services. Whomever you land on, approach them to decide, together, whether they are suitable and willing to serve as your proxies. “If you don’t appoint somebody, the state or health care organizations are making decisions for you,” Zigmont warns.