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Each country has different laws and policies regarding pauper deaths. And in some countries, the policies change by province, state, or county.

If an individual dies in the states and their nursing home care was paid for by a combination of social security and social services, then, provided no family members attempt to manage, control, schedule, book, or otherwise plan, the deceased's death would be taken over by the county, where they would arrange a pauper's funeral, paid for through a final Social Security payment, plus any additional benefits which may be available through benevolent funds, etc. There may also be military benefits available, or even pension benefits, depending on the deceased's history.

However, if there are family members wishing to honour the deceased's life, then there may be the opportunity for a collective contribution from the family towards an absolute minimal funeral. Cremation, rather than a burial, collecting the cremated remains in the receptacle provided by the crematory, rather than purchasing an urn, direct Nursing Home to Crematory, with no use of chapel, funeral director costs, or other facilities, will all serve to provide the most basic of requirements. Then, after collecting the cremated remains, hold a private family service of 'strewing' where the cremated remains are scattered in a forest, or a field, or even used for the planting of a rose bush or similar in memory of the deceased.

Laws regarding the handling of bodies vary widely by region. The nursing home may be able to offer some advice. But on the very same hand, it is not unheard of for a nursing home to have a 'hefty and vibrant' relationship with certain funeral directors, whereby they receive commissions or honorariums for each 'referral' they make.

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Q: Who pays for funeral expenses if the deceased has nothing she lived in a nursing home on ss?
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