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Surveys of physicians (N = 81) and attorneys/guardians (N = 23) in Massachusetts reveal that unrepresented adults experience prolonged hospital stays (66%), delays in receiving palliative attention (52%), delays in treatment (49%), as well as other negative consequences. Physicians say guardianship is many useful in solving issues linked to care changes, hospital treatment, well being, housing, finances, and protection. But, experiences with guardianship tend to be varied, with delays often