Twenty-five years ago, when Ted Kuntz, a family therapist in Vancouver, British Columbia, was preparing his will, he went around to family members and close friends asking if — in the event of his and his wife’s death — they would be willing to serve as a guardian for their son Josh, now 28, who has a severe cognitive disability and requires continual care. “Everybody said no,” recalled Kuntz. “They said the responsibility was too overwhelming, and they couldn’t imagine taking it on.”

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