This book examines the widespread and growing phenomenon of mentally competent senior citizens living in self-imposed squalor and refusing help, whether from health care professionals, government, or family. At this juncture of medicine and law, many families have experienced frustration, embarrassment, and heartbreak. The book also explores associated ethical questions, arguing that society can address the problem while respecting individual legal autonomy. For the theorist, this work provides the first in-depth treatment of legal and political theory questions undergirding the issue of self-neglect by seniors. It also underscores the importance of limited government, the necessity of granting American citizens their individual rights, and the critical need to stop classifying self-neglect as abuse. For students, scholars, health care and geriatrics practitioners, social workers, lawyers, and those directly affected by the problem-family, friends, and social work professionals.