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Medical Oncologist

Why Not Choose Death?

 

New Jersey may soon vote whether to give doctors the legal authority to prescribe medications for terminal patients to take, if they wish, to commit suicide.  Incredibly, the macabre name of this bill is the “Death with Dignity Act.”  As an oncologist, as the first hospice certified physician in the state, as a caregiver who has sat at the final bedside of thousands, let me declare emphatically - There is no dignity in death.  Death is dead.  Death is not an action or process.  Life is the process and there can only be dignity while we live.  As long as our focus is on getting to death by the quickest route, we risk depriving the living of the opportunity to live with dignity.

The NJ Home News Tribune (Sunday 11/25/2012) presented four excellent views on whether this bill should receive our support.  Reduced to each argument's essence these opinions are: 

  • Rev. Bill Neeley (Unitarian): Choosing the time of one’s death, especially if one is suffering and terminally ill, is a matter of personal freedom and for intellectually intact patients should be an option.
  • Rev. Michael Manning (Catholic): Only God can chose the time of death, the bill threatens the physician-patient relationship and may be a slippery slope.
  • Roseann Sellani (RN, JD): Having this choice would improve honest communication about end-of-life between patients and doctors and give a vital freedom.
  • Donald Pendley (Hospice): The bill devalues the importance of life and distracts from efforts to provide pain and symptom control. 

What is being said, in other words, is that because doctors communicate badly, or at least insufficiently, about end-of-life issues, and because doctors provide erratic and often inadequate comfort care for terminal patients, that patients should be given the freedom, and assistance, to die.  In addition, this argument hinges on the concept that for large numbers of patients, quality, near the end-of-life, is not possible.  Therefore, this bill deems it reasonable to turn to your doctor and say, “listen, I do not believe you can help me live, why don’t you just help me die.”

This logic is flawed and places patients in great danger.  The first error is to assume that doctors do not and cannot communicate well about dying.  There is no doubt this is an area where the physician-patient relationship often breaks down, but there is also no doubt that it is an increasing focus of education and learning.  Medical students now routinely take classes in end-of-life care, physicians are much more focused on the skills necessary and the specialty of Palliative Care, for which communication is a core skill, is exploding.  For most patients and families, basic information about their situation relieves much suffering and confusion.  Doctors can do better.  We must demand it. 

The idea that most patients experience uncontrollable suffering at the end of their lives is without foundation.  With proper palliative care more than 90% of pain can be controlled, we can relieve anxiety (i.e. fear), shortness of breath, depression and most other symptoms.  In fact, recent data shows that many terminal cancer patients not only live better, but longer, receiving hospice care rather than active chemotherapy.  This bill deprives patients of these highly effective techniques by giving up and says to the physician there is no need to offer quality care, death will do. 

Is suicide an individual freedom?  That is an ethical question far above my pay grade.  However, that is not the freedom proposed.  What is proposed is “physician-assisted suicide.”  That involves two people and their relationship and I have absolutely no doubt that the relationship will be corrupted.  Having been involved in such interactions every day for decades, if the active reach for death is on the table, the physician-patient relationship will never be the same.  Physicians and patients already struggle with end-of-life communication; I cannot imagine that trust will improve with the addition of assisted suicide.  The motivations of patient, family and physician will be suspect, tainted and goals distorted. 

The physician-patient relationship by definition focuses on life, and the end of our lives is still about life, not death, and can be lived with quality.  To undermine the foundation of the physician’s role is to deprive the patient and family of that opportunity.  If we truly wish suicide to be a realistic alternative then perhaps someone else, like perhaps funeral home directors, should do it.  At least that relationship is clear.  Why does that sound ridiculous?  Because funeral homes are about being dead and doctors are about being alive.  Why don’t we just keep it that way?

 

As published in Sunrise Rounds.

 

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Uncle Moe

2:14 pm on Tuesday, December 4, 2012

James is a typical muderous technocrat. I bet he can't wait for Obama's death panels.

Monk

8:48 pm on Tuesday, November 27, 2012

So, how does this fit in with Obama's death panel? I mean, Obamacare's death panel? Will doctor's be forced to participate? Is this just an extra-late-term abortion? What would Marcus Welby, MD do?

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ralebird

2:38 am on Wednesday, November 28, 2012

There are no death panels, but don't let your ignorance get in the way of a good rant.

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~Barb~

8:27 am on Wednesday, November 28, 2012

When politically-appointed and politically-motivated Margaret Sanger desciples (The Independent Payment Advisory Board) are determining which medical procedures are covered and which ones are not...you indeed have a death panel.

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marylou

8:45 am on Wednesday, November 28, 2012

Barb,HMOs have been doing that for years.

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Pundit

9:07 am on Wednesday, November 28, 2012

~Barb~ are you advocating no controls on medical costs? Doctors are allowed to preform procedures without regard to the effectiveness of the procedure or the cost? Charlatans and Quacks will love you.

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~Barb~

9:30 am on Wednesday, November 28, 2012

Pundit: I'll take the advice of my doctor over that of a DC bureaucrat any day.

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BN

9:33 am on Wednesday, November 28, 2012

The nine most terrifying words in the English language are, 'I'm from the government and I'm here to help.'

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Katy Lake

9:59 am on Wednesday, November 28, 2012

Obamacare provides for an "Independent Payment Advisory Board" which will ration medical care, and that means older and sicker people will be denied treatment that an unelected bureaucrat decides on. HMO decisions can be appealed (and a majority that are appealed are granted); there IS no appeal from the Obamacare Death Panels, oh, wait, the "Independent Payment Advisory Board" that RATIONS healthcare.

A good article on how Obamacare's healthcare rationing board will work: http://www.forbes.com/sites/scottatlas/2012/10/21/ipab-president-obamas-nice-way-to-ration-care-to-seniors/

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marylou

12:41 pm on Wednesday, November 28, 2012

Yes,Katy,you can appeal an HMOs decision.Good luck with that.The fact is that 1 reason our healthcare costs are so high is because doctors order expensive tests when they aren't necessary,often to avoid being sued.Does every headache merit an MRI to rule out a brain tumor? I worked with a woman a few years back who demanded an MRI because her broken ankle still hurt 2 weeks after she broke it.And she got it.

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Joe R

4:38 pm on Tuesday, December 4, 2012

There are no death panels. But having 48.8 million uninsured (US Census) is a type of death panel. According to a recent Harvard study, about 42,000 Americans die each year due to a lack of health insurance.

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Katy Lake

5:31 pm on Tuesday, December 4, 2012

Stop lying, Joe. I'll repost this since you didn't read it the first time. Maybe you can find someone literate to break it down so you can grasp Obama's death panels.

"Obamacare provides for an "Independent Payment Advisory Board" which will ration medical care, and that means older and sicker people will be denied treatment that an unelected bureaucrat decides on. HMO decisions can be appealed (and a majority that are appealed are granted); there IS no appeal from the Obamacare Death Panels, oh, wait, the "Independent Payment Advisory Board" that RATIONS healthcare.

A good article on how Obamacare's healthcare rationing board will work: http://www.forbes.com/sites/scottatlas/2012/10/21/ipab-president-obamas-nice-way-to-ration-care-to-seniors/ "

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Donald

6:03 pm on Tuesday, December 4, 2012

Actually, it is the foregoing poster that may require some assistance in understanding the "Independent Payment Advisory Board." Independent, nonpartisan PolitiFact considered similarly deceptive claims made by rejected presidential candidate Mitt Romney and, after a detailed analysis, concluded such assertions are "mostly false," saying:

"OUR RULING

When Romney was talking about the Independent Payment Advisory Board and Medicare, he said, Barack Obama 'put in place a board that can tell people ultimately what treatments they're going to receive.'

He avoided the more inaccurate and harsher wording of some other critics, who have falsely described the board as 'rationing' care. But Romney’s claim can leave viewers with the impression that the board will sit around a table and talk about whether grandpa can get his bypass or not, and that’s not the case.

The board can reduce how much the government pays health care providers for services, reduce payments to hospitals with very high rates of re-admissions or recommend innovations that cut wasteful spending. And there are questions about whether that could lead to different treatment decisions, but Romney's comments give a misleading impression. We rate his statement Mostly False."

By the way, it was Paul Ryan -- whose moral muse regarding an individual's rights is Ayn Rand -- who similarly suggested cutting more than $700 billion from Medicare payments made to health-care providers and hospitals.

Maryann Campling

8:55 pm on Tuesday, November 27, 2012

It's about time......death with dignity. We are kinder to our pets that we are to human beings.

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BN

9:35 am on Wednesday, November 28, 2012

And what if your doctor screws up and misdiagnoses you?

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mtwnres

4:50 pm on Wednesday, November 28, 2012

BN - That's why you get multiple opinions.

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Project Bluebeam

7:46 pm on Wednesday, November 28, 2012

Yeah, like Obamacare will let you get a 2nd opinion.

Pundit

8:57 pm on Tuesday, November 27, 2012

Part 1 of 2. Doctor your expertise is in medicine and not understanding the suffering of your patients and family. Today’s medicine can prolong life but it also can prolong death.
I know firsthand what it is like to see a much loved family member on a hospital bed comatose and with no chance of recovery. She had been diagnosed with adenoid cystic carcinoma on the left side of her skull, next to the eye. After a fourteen hour operation she then underwent radiation treatments. I did not know until later when the autopsy reported that her brains had been burnt and destroyed by this series of radiation treatment. The portion of her brain not destroyed by the radiation was the portion that controlled involuntary actions - like the beating of the heart. The radiation did successfully eradicate her cancer and thus guaranteed her a long life but unfortunately as a comatose vegetable.
I stopped listening to the doctor’s promises that things would soon turn around after about a year of more surgery after surgery (eight in all). The doctors wanted to determine why she was comatose – it could have been 1 of 3 problems. By this time my family and I were emotionally and physically destroyed. I could not subject her to another surgery; I could not put her to the knife once more. I refused to allow them to operate a 9th time.

Pundit

8:58 pm on Tuesday, November 27, 2012

Part2 of 2. I looked into death with dignity. I followed the Nancy Curzon case. I learned people mortally ill died a natural death after they stopped eating back in the time before the introduction of intravenous therapy and the feeding tube. I then went before a panel of doctors at the hospital and requested for the intravenous to be removed. After much discussion they agreed. I was there when she died a natural death. I rejoiced because she was finally free and with our families who had gone before. Someday we will be together again.
I do not fear death. I do fear being stuck eternally on a hospital bed because a doctor thinks it is better to suffer endlessly. Today’s medicine can prolong life but it also can prolong death.
PS: For anyone undergoing radiation treatment, I urge you to continue. What happened with us was unfortunate but we warned it was high risk. If your doctor recommends radiation, do it.

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Katy Lake

10:02 am on Wednesday, November 28, 2012

Not getting nutrition or hydration isn't "dying a natural death." Stopping extraordinary care in the face of a hopeless disease, when you are at the end of possible means of a cure, is one thing. Purposely starving or dehydrating any human being is murder.

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Pundit

11:11 am on Wednesday, November 28, 2012

Katy Lake - before the recent invention of intravenous and feeding tubes, all those who died because of an illness left them incapable of eating or drinking water were murdered? Our great-grandparents were murderers for watching helplessly as the life seeped out of their dying loved ones? Are you not aware that one of the signs of the dying process is for the person to stop eating and drinking water: a natural death which dates back to the times long before we even lived in caves.

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Katy Lake

3:54 pm on Wednesday, November 28, 2012

IV drips were used at the beginning of the 20th century; feeding tubes were invented in 1951. The fact remains, Pundit, that they DO exist. To not use them is murder.

Do you have the same attitude towards people with cerebal palsy and other congenital illnesses that make eating by mouth impossible? Do you want them dead, too?

When someone stops eating and drinking, that could be a sign of impending death or a sign of illness. But when they can't feed themselves and YOU decide to cut off their food and water, you're contributing to their death.

That's murder. And from what I've seen, you don't even remotely resemble God.

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Pundit

4:37 pm on Wednesday, November 28, 2012

Katy Lake - Do you realize there was a time before beginning of the 20th century? Well, it does not matter. I would enjoy discussing death with dignity with you if you could better control your emotions. Your comments "Do you want them dead, too?" and "you don't even remotely resemble God" is offensive. I could easily attack your character but I rather discuss death with dignity with dignity. Of course I have the advantage of having to make end of life decisions twice.

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Pundit

9:48 pm on Wednesday, November 28, 2012

Really, really, you make no more sense than Katy Lake’s rant about the mass murders by communist atheists while she ignores the mass murders by Christian Adolph Hitler. You two seem to be way stressed out for me to write a response. So I am going watch some television instead.

Uncle Moe

10:03 pm on Tuesday, November 27, 2012

Radiation actually makes the brain fall apart etc. Cancer "cures" are actually carcinogens themselves. Even the poor saps administering chemo are coming down with cancer. Time to dump this junk and approach natural, safe cures like cannabis and graviola, not this fearmongering.

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~Barb~

8:37 am on Wednesday, November 28, 2012

Time for the government to stop interfering in our lives. People who sell raw milk are not criminals, nor are those of us with organic gardens. But we keep electing people in bed with Monsanto and Big Pharma. Monsanto poisons us with GMO's while Big Pharma is in the process of shutting down or taking over the supplement industry. If people just knew how they are poisoning themselves with the processed food we eat, there would be no need to pollute our lungs with cannabis to combat cancer.

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bayboat

9:55 am on Wednesday, November 28, 2012

Uncle Mo ..If you think smoking a joint and eating graviola will cure cancer, you better plan your funeral early.

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Joanne

7:13 pm on Thursday, November 29, 2012

Uncle Moe you have the real answer. THANKS

Monk

5:42 am on Wednesday, November 28, 2012

Allowing a natural death is 100% different from hastening death via poison or physical harm. Doctors should not be involved or implicated in causing death. James is correct. If hastening death is to become tolerated, let funeral directors handle it.

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Pundit

8:16 am on Wednesday, November 28, 2012

Terri Schiavo died from a natural death; but, Congress, the Bushes, the Catholic Church and many others tried to prevent her from dying. There were a number of actions filed and legislation written to prevent her feeding tube from being removed. Thankfully the Supreme Court ruled in her favor.
After making my decision, I faced resistance from the hospital staff. But the autopsy later proved there was never a reason for recovery. I do not believe her doctors were motivated by money because they were sincere in their belief that they could find a cure for her. But there has to be a point of saying it is too much; in her case the hospital bills came close to the coverage limit of a million dollars.
James is sincere in his belief but he is also wrong. He cannot accept that his skills to cure are limited because modern medicine is truly not advanced. In 100 years from now our medicine will be seen as barbaric. Uncle Moe is off the wall with his silly advice but I can understand where he is coming from. Many of us are scared of languishing helplessly in a hospital bed. When it is my time, I will probably turn down surgery. I have no plans of ever entering a hospital as a patient.

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Katy Lake

10:03 am on Wednesday, November 28, 2012

Pundit, depriving any human being of food or water isn't "natural." It's murder.

Maryann Campling

6:49 am on Wednesday, November 28, 2012

My heart breaks for everyone who has seen a loved one die by inches....been there; done that. There is a standing joke with my friends that I will leave my "estate" to whomever pulls the plug on me! I am not afraid to die, but terrified to be kept alive when the inevitable is on the horizon. On a cynical note, although I am sure that there are many dedicated medical professionals who ethically deal with this issue, however, the hard truth is that there is an enormous amount of money to be made on end of life care...The largest percentage of health care dollars are spent there; I don't advocate pushing old, sick people off of the cliff, but I am a realist.....sometimes it's all about the money....and playing on the emotions of the family! We all need a Living Will.

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Tom Cular

7:10 am on Wednesday, November 28, 2012

Maryann, I think you're correct about large sums of money being involved. For my wife's last eight days In JSUMC the total bill was about $68,000. That was basically for palliative care, she recieved wonderful care to keep her pain free, but it is a lot of money for eight days of pain meds and nursing care.

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Katy Lake

10:07 am on Wednesday, November 28, 2012

Maryann, suppose my Living Will says I want to be kept alive at all costs, no matter what the expense? You OK with that?

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mtwnres

4:36 pm on Wednesday, November 28, 2012

Katy - I'm fine with it as long as you pay for it.
If my living will calls for food and water to be withheld, are you Ok with that? Or do you need to check with your god first ?

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Katy Lake

6:19 pm on Wednesday, November 28, 2012

mtwnres, of course I'm fine with you dying. Anything I can do to help?

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mtwnres

9:39 am on Thursday, November 29, 2012

Katy - wouldn't god be angry with you for making comments like that ?
Typical of the "religious".
Go to church on sunday to ask god to forgive you for being a b*tch all week.

George Clark

10:20 am on Wednesday, November 28, 2012

the doctor is a paid consultant and the customer is always right. if you don't like his advice, doctor shop till you do. isn't that what we do now? Find doctor kevorkian quietly and do what you think is best with your life and or death. Such depression, pain and family hurt that goes along with terminally ill patients can't be calulated by the healthy doctors or people putting our two cents in that haven't been there. who are we to deny some one the freedom to end ones own life? If doctors don't want to get involved in it, they can opt out. It shouldn't be taken or done lightly and all options with a good chance should be tried first. But some of the attempts at a cure seem to just do more painful damage and prolong a more miserable slow death, in my opinion.

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KC

12:56 am on Thursday, November 29, 2012

Doctor shopping is a pretty darned complicated endeavor in this era where you are lucky if you find one specialist in driving distance that is part of the list of preferred providors. Most of us are over an insurance barrel. Our medical care has been rationed since before Obama was a gleam in anyone's eye. To blame all this on him is ridiculous. Our corporate culture gives us cancer and makes us pay for the cure. They make out financially on both ends. Doctors that are good are rare. They do exist.

I have spoken

11:26 am on Wednesday, November 28, 2012

I'm sorry if I'm offening people with my opinion, BUT....Dr Kevorkian was a good man and had a needed purpose. If I was sick and dying I would want to end my life on my terms. Yes pain can be managed but would I want to be a zombie? No. Why quality of life is at zero, then it's time to go if the patient feels it's time to go. I have discussed this with family member and we are all in agreeance. If it was me the onlt option I would have is to shoot myself (leaving a mess and heartship for family members) OR jumping off the Verrazzano (no mess, just heartship). I am all for this bill and I hope that our elected officials will see clear to vote YES for this much needed law.

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Katy Lake

3:58 pm on Wednesday, November 28, 2012

I think it's a personal decision. The one thing I don't want anyone in a position of power to do is to be making the decision for someone else! If the sick person has made it clear they don't want to be offed, then let them live until nature takes its course.

I've been around a lot of sick people who eventually died, including a few who said they wanted to commit suicide if they were in a bad way. Without exception, every one of them, when push came to shove and WHEN their pain was adequately controlled, changed their mind. They did NOT want to die, if they could tolerate the pain.

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Joanne

7:30 pm on Thursday, November 29, 2012

I agree with you. Please let this law pass.

Monk

1:03 pm on Wednesday, November 28, 2012

Everyone is entitled to their opinion, but the collective religious/philosophical tradition of a culture carries more weight. Taking one's life is always an option, but if the society at large is not ready to condone that decision or be implicated in it, why should it? Medical ethics will always be catching up to medical advances. Clearly, not everything that is possible is ethical. Adapting timeless ethical principles to changing circumstances will always result in philosophical schisms. Then throw in a few unscrupulous lawyers to really screw things up.

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George Clark

1:32 pm on Wednesday, November 28, 2012

yes, we hypocrits would like to live in a perfect make believe world of religion or philosophy. For one to make the argument that religion or philosophy has a role to play in this is a bad idea. We are the same people that throw out everything rational or religious daily to get what's coming to us. what we've earned. all religion, as currently "practiced" hasn't a leg to stand on and should avoid being seen for the sad joke it has become. that goes for philosophy as well. we are still a bunch of neanderthals or actually worse, cause we killed off most of them long ago. lol. mankind will find a true religion and philosophy to live by after it again brings itself to the brink of extinction for not evolving fast enough. I hope and pray

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Monk

2:59 pm on Wednesday, November 28, 2012

I honestly do not understand your hostility toward religion and philosophy. What do you call the basis for your thoughts and actions? Do you at least see the importance of some norms for thought, belief and action? Are you just lashing out because you had some bad experience? What's the matter, George?

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Pundit

4:51 pm on Wednesday, November 28, 2012

Monk why does the collective religious/philosophical tradition of a culture carries more weight? Throughout history important scientific and cultural advances have been blocked for fear of upsetting religious tradition.

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Monk

6:10 pm on Wednesday, November 28, 2012

Don't draw the wrong conclusion, Pundit. The collective religious/philosophical tradition of a culture carries more weight because that's how society/civilization works. I think anyone in a Giant's jersey who walked into a Philadelphia sports bar and announced, "The Eagles suck", would understand the weight of culture pretty fast. But culture is not static either. I'm just saying that swimming against the stream of culture doesn't get one very far, and seems rather foolish. I guess that's why sub-cultures and alternative cultures exist.

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Katy Lake

6:22 pm on Wednesday, November 28, 2012

George is just pushing his own religion. Nothing is worse than an atheist fundie!

Mike Corbally

2:32 pm on Wednesday, November 28, 2012

Someone in late stages ALS or a comparable disease should not be told what they should or shouldn't do by anyone!

Maryann Campling

4:26 pm on Wednesday, November 28, 2012

To Tom C. my sincere condolences on the loss of your wife. I experienced the same things when my Mom and Dad died...they were both strong, vital people who never feared death and giving the DNR order was done out of love and compassion. And to Katy L. I guess some folks so fear death that they would actually request to be "kept alive"....not living, but alive. If that is their wish, so be it. The cost could be astronomical, but so infrequent (I believe) that it wouldn't make a tremendous difference in the financial bottom line.

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Katy Lake

6:25 pm on Wednesday, November 28, 2012

Maryann, what makes you think that people who are dying want to live just because they're afraid to die? Living is GOOD. It's much more natural to fight to live than to voluntarily flicker out.

I'd never presume to judge anyone's quality of life. It is, after all, THEIR life. If what you think is merely existing makes them happy, it's not up to you or me to judge it.

You'd be amazed at how many people who are on their deathbeds FIGHT to stay alive. I think the human spirit fighting to live is awe-inspiring. You may have a different take on it.

George Clark

5:53 pm on Wednesday, November 28, 2012

monk, nothings the matter. we are just where we are supposed to be. I'm pointing out that religions, all of them, have been utter failures as far as eye can see. you have bloody holy lands with crusades of all types. we still have the sunday masses gathering around violent blood sport still as if in rome. the jews have taken up the pharoah's greed creed after supposedly exodusing the pyramid scheme only to do unto others as they didn't want done unto them? it would appear by their silence against violent jihad that the Muslims have taken the sword for their cross forgetting tho shall not kill. All religions have been turned against one another deliberately because it keeps us all fighting and divided to be so easily conquered. But you all know that already. dah. hindus fight muslims muslims fight jews and christians. jews conquer behind the scenes as their book says to. so called christian nation conquers all. all our relgiions have made nothing but false prophets of us all. I'm the biggest hypocrit so let me be the first to admit it. in the end we will get the true message of our God. again, I can only pray that it comes painlessly, but we've got to fulfill the good book? shalom to all.

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Katy Lake

6:29 pm on Wednesday, November 28, 2012

George, you don't have to go as far back as the ancient Egyptians for genuine mass murder. I'm just finishing reading yet another book on Soviet Communism, where the state religion was atheism. It's astonishing how may tens of millions were murdered by Lenin, Stalin, etc. They did it all in the name of their religion, which is the same apparently as yours.

I know atheists who are fine with my religious beliefs, or pretty much anyone's. That's because they think it's a personal decision, but they also don't believe God exists. Therefore, they don't hate what isn't THERE.

That at least makes sense. If you really think there's no such thing as God, why do you hate Him so much?

Olive Soup

7:18 pm on Wednesday, November 28, 2012

I'm sorry I missed the part about Rev. Bill Neeley's and
Rev. Michael Manning's medical backgrounds. Can someone please forward that link? I love how Manning calls it a "slippery slope", insinuating that doctors are going to start intentionally killing healthy patients. You know what's a slippery slope, Mike? Adult males recruiting little boys to "help" them with their jobs on Sundays.

Maryann Campling

7:57 pm on Wednesday, November 28, 2012

If some folks want to be kept alive until they are just a mass of protoplasm, that's their choice....for whatever reason, even if it means "fighting to stay alive." Folks who want to die with grace and dignity should be allowed to go gently into that good night. Several years ago, my best friend's Grandad was in a nursing home, the old gentlemen was in diapers, mostly unconscious, had no idea who he was when he was conscious, had tubes in every orifice of his body....he was 96 and had lived a good life. The family questioned the medical staff about the old gent's quality of life and was assured that he was still viable. My friend, who as an alcoholic in early stages of recovery, and therefore dedicated to truth at all costs said "the only reason you are keeping him alive is because you are sucking $8,000 a month from his bank account! It was great....they started stuttering and stammering and were filled with righteous indignation. My friend was absolutely right, but I guess not too many people ever challenged them. The old gent died a week later. Thank God, no one should have to go that way.

George Clark

8:29 pm on Wednesday, November 28, 2012

katylake, I'm no atheist nor do I hate God. I'm just trying to bring him back to life or at least my life. It's so hard to do in this world tho. Kate, do you think God is working out for the "greatest" nation the world has known? I don't see that happening so is our God dead? Or have we all just changed him into the almighty dollar? If we are just repeating history, then we don't have a pleasant future ahead. say some prayers and when they don't work ride into your holy land, where ever that maybe, upon your arse and demand change from sea to shining gallillee.

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Katy Lake

8:45 pm on Wednesday, November 28, 2012

Geez, George, you sure are bitter. I pity you. No wonder you post on a column having to do with the merits of suicide! I can see where you're coming from!

Uncle Moe

8:40 pm on Wednesday, November 28, 2012

Look at all of the contradictions in the bible etc. It's all make believe, for sure. I feel bad for the elderly and kids that are scared into it. Even if it is, just going to church or being good to get into "heaven" just to save your self is hypocrisy. Thanks to Christianity, we've had the dark ages and all other religions have brought us perpetual war and hate. Let's just do away with all false religions and call it a day.

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Katy Lake

8:47 pm on Wednesday, November 28, 2012

Thanks to communism, we had a 100 million plus dead in the 20th century. I know, Moe, one person's death is a tragedy, a million is a statistic (Uncle Joe Stalin's quote.)

Why don't you just toke up and leave the heavy philosophical lifting for the adults?

The Governor

11:16 pm on Wednesday, November 28, 2012

Uncle Moe is right- Katy Lake, thanks to Corporatism in the US, we have millions dead in the middle east for Bush + Obama's OIL dollars, justified by the 9/11 false flag.

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KC

1:09 am on Thursday, November 29, 2012

Katy seems to know it all, but she doesn't.

George Clark

8:22 am on Thursday, November 29, 2012

katy calls me bitter? I type this crap with a smile. she seems to really love that capitalism more then her God tho, she keeps defending it and not him. Actually, by taking capitalism so much to heart, she's actually denying and or defying most l of God's commandments. I know you all will all love that truth of mine but it is my truth as far as I can see it.

Laura

10:05 am on Thursday, November 29, 2012

Katy Lake sounds angry and bitter towards anyone who doesn't seem to agree with her. Maybe she should stop reading all those books about communism- sounds like it's poisoning her mine!

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Head

10:17 am on Thursday, November 29, 2012

I hate when a mine is poisoned. You have to completely evacuate and seal all entrances.

Oh wait, she said mine, not mind?

Okay then, still the same answer.

Laura

12:57 pm on Thursday, November 29, 2012

Haha Head-I noticed that too late and for some reason can't delete it.

Monk

1:16 pm on Thursday, November 29, 2012

A number of commentors are critical of prolonging life by extraordinary means, but that is no argument for directly causing death.

George, to say, "religions, all of them, have been utter failures", is too sweeping a statement. What is your criteria? Religions are all practiced by fallible humans. So, there will always be failures. And religions make progress, too. The Crusades are a matter for historians, not for honest religious critics. Some Southerners are still fighting the Civil War, and some critics of religion are still harping on historical events for which the religion itself has formally, publicly expressed deep regret.

Olive Soup

8:34 pm on Thursday, November 29, 2012

Monk - Believing in anything on insufficient evidence is NEVER a good thing. I know of no society in human history that ever suffered because its people became too desirous of evidence in support of their core beliefs.

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Monk

5:25 am on Friday, November 30, 2012

Too sweeping to say "Believing in anything on insufficient evidence is NEVER a good thing", Olive. That would seem to prohibit many admirable commitments people have made throughout history. People can eschew God and religion all they want, but when they turn around and pursue something secular with great commitment, only the object of the commitment is different. They are still trekking into the unknown on faith.

George Clark

8:47 am on Friday, November 30, 2012

monk, religion, as far as I can tell, was and is always a pact between us sinners saying we'll still try to live together without killing each other or judging each other worthless then life or at least a decent one. Today and as always it's being used for exactly the opposite purpose ie all religions have failed because they have been deliberately turned against one another because we don't get the real message or at least don't want to really live by it. But we will die because of not living by it, as is always the case. That's not bitter or dark but just the facts. your books all say so, so don't blame me for writing them back to you. olive, all societies have suffered for not being desirous enough for the obvious evidence that supports the fact that our free for all to take as much as one can get regardless of how or whom it hurts, even if it devastates one's own society, is forever destined to fail in the horrors of war, disease, famine etc.. etc.. it's happened before and always will if we keep denying the evidance of it.

Tamara Winfrey

12:11 pm on Friday, November 30, 2012

The horrifying alternate reality where Nazi Germany won is no longer spec fic. It's here.

Monk

4:00 pm on Friday, November 30, 2012

What's especially sad for me is when someone turns away from religion after barely scratching its surface. And everyone can only just scratch its surface. I probably have more reason to turn away from my religion than many, but I know it is deeper and broader than any disappointment I've experienced. I'll stick with it as long as I am of sound mind.

The same goes for living. Life is deeply meaningful at every stage. Snuffing it out prematurely is simply dropping out. It's just tragic, that's all. Suicide is certainly not something we should promote, in my opinion.

Christopher

1:57 pm on Saturday, December 1, 2012

SO happy to come across this article, as I had no idea this bill was being considered. I think it's a great idea and hope it passes.

Steve

3:32 pm on Saturday, December 1, 2012

Ayn Rand -- influential philosopher, as well as moral compass for numerous conservatives, including Governor Romney's running mate, Paul Ryan -- urged the full legality of both suicide and drugs as individual rights. Hear her own words: http://www.youtube.com/watch?v=kh7Bg-mKKCY

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Monk

6:29 pm on Saturday, December 1, 2012

Suicide just seems like such an admission of failure or hopelessness. The sometimes hard, but always rewarding, task is to find meaning in life. At the least, make a little effort, please.

I wouldn't assume that Paul Ryan or numerous conservatives subscribe to every Ayn Rand thought.

To involve other people, especially physicians, in one's suicide is really, really perverse.

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Katy Lake

12:48 pm on Sunday, December 2, 2012

Steve, so what? Ayn Rand was also an atheist. Paul Ryan is not. Ayn Rand certainly isn't the first person to come up with free market economics!

It's possible to agree with some of a philosopher's tenets without buying the whole thing, lock, stock and barrel. I know you guys can't conceive of such a thing as individual thought. You swallow ALL of the left's hate filled agenda without a second thought...or for that matter, an initial thought.

BN

12:30 pm on Sunday, December 2, 2012

If those who want to choose suicide are allowed that option, then at least allow those who oppose it to document in our records that it isn't an option and shouldn't even be discussed.

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Katy Lake

12:44 pm on Sunday, December 2, 2012

BN, people who want to "die with dignity" by committing suicide CAN do it quite easily right now. They don't need any changes in the law.

But that's not what they're about. They want to extend the suicide pact to everyone, and eventually to people who cost too much money to keep alive.

Mark my words. It's NEVER just what they say it's about - there's always an ulterior motive.

Christopher

5:49 pm on Tuesday, December 4, 2012

"Suicide just seems like such an admission of failure or hopelessness."

No. In these situations can be a bold, courageous, and powerful way to seize control of your own life and choose your destiny. It's a choice that should be afforded to any terminally ill patient who is capable of making a sound decision.

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Eggs-n-Toast

6:50 pm on Tuesday, December 4, 2012

Well Said Christopher! Well said.

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Monk

10:32 am on Wednesday, December 5, 2012

Boldly and courageously seize control of your own life ... and commit suicide? It still sounds like an acceptance of failure or hopelessness.

Kate is right. There is nothing to prevent a person from committing suicide at present. So, why is legislation being proposed?

And there is certainly no call for bringing suicide under the aegis of healthcare.

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Katy Lake

11:05 am on Wednesday, December 5, 2012

Monk is correct, and he says it well. Suicide is an admission of failure, except for the mentally ill, who at least have an excuse. The suiciders who want to kill sick people usually have an ulterior motive. Many times it's to get their hands on the sick person's money (they consider it to be a "waste" if you spend your own money staying alive), or they're truly lunatics and think that people are a cancer on Mother Earth and the fewer of them, the better.

Of course, they never, ever, EVER volunteer to remove themselves from the planet. It's always someone else they say needs to die, and the sooner the better.

They are different from the mentally ill who for emotional reasons commit suicide - but they are unhinged, nonetheless.

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Steve

11:09 am on Wednesday, December 5, 2012

Christopher is right. He says it better.

mtwnres

10:54 am on Wednesday, December 5, 2012

@ Monk - failure ? How is dieing a failure ? Everyone dies.
Some of us just don't think laying around for months ( or years) pumped up on pain meds is any way to live waiting for the inevitable.

I certainly hope you are never in the situation to go through it, or watch someone go through it. But you might have a different opinion if you do.

"There is nothing to prevent a person from committing suicide at present"

Really ? Announce your plans to commit suicide and see what happens.
Or have a family member sitting by (maybe to comfort you in your last moments) while you do it and see the legal nightmare they end up in afterwards.

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