Who is granted power if I did not create a power of attorney?

The short answer is whoever the local Pennsylvania Orphans’ Court decides to put in charge of your financial and health care decisions should it be deemed necessary, which may not be the person you would have chosen. Failing to create power of attorney can have many unintended consequences. No one likes to think about if or when there comes a point in life where they could become incapacitated, but a Financial Power of Attorney and Health Care Power of Attorney are crucial documents that should be included in every estate plan.