Gifting all assets to a son to avoid Medicaid spend down is generally not a good idea and should only be considered after consulting an Elder Law Attorney. There are better estate planning options available that allow a parent to receive benefits from their assets during their lifetime while also qualifying for Medicaid to pay for long term care. An experienced Elder Law Attorney can create a customized plan to help qualify for benefits while preserving assets and ensuring quality of life. Before taking any action, a comprehensive analysis by a qualified attorney is recommended.