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AMA acts on Terry Schiavo - inspired policy
Chicago Sun Times ^ | June 21, 2005 | LINDSEY TANNER

Posted on 06/22/2005 1:25:39 AM PDT by FairOpinion

The politicization of Terri Schiavo prompted the American Medical Association on Tuesday to adopt policy opposing any legislation that presumes patients would want life-sustaining treatment unless it is clear that they would not.

Tuesday's action at the annual meeting of the nation's largest doctors group also reaffirms existing AMA policy that says it is ethical in some cases to discontinue life-sustaining treatment if it is in the patient's best interests.

(Excerpt) Read more at suntimes.com ...


TOPICS: Culture/Society; Extended News
KEYWORDS: dimwits; emoteathon; emotionsrunamok; euthanasia; euthanesia; fairopiniondisruptor; health; hysterria; ikantthinkstrait; medical; schiavo; schindler; terri
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To: ClancyJ

PRAY!!!!!!!!


141 posted on 06/24/2005 6:18:35 AM PDT by Halls
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To: Goodgirlinred
I currently work with the disabled..

Where do you work?

It sounds like you would fit well at the Clearwater hospice..

I hear they have a few openings for nurses that are willing to follow their "policies".

142 posted on 06/24/2005 8:19:13 AM PDT by Earthdweller (US descendant of French Protestants_"Where there is life, there is hope"..Terri Schindler)
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To: ClancyJ; Halls

Halls said it all. Pray.

Here is a different take from Cheryl Ford:

AMA Doctors Oppose Legislation Protecting Disabled Patients

by Steven Ertelt
LifeNews.com Editor
June 21, 2005
Chicago, IL (LifeNews.com) -- The American Medical Associated yesterday adopted a resolution opposing any legislation that would make sure disable and incapacitated patients are not refused lifesaving medical care.

After the starvation and dehydration death of Terri Schiavo, some states are looking at proposals to make sure food and water are not removed from patients who can't make their own medical decisions and have not previously asked that they be deprived such care.

However, the AMA says it will oppose any legislation making that kind of determination.

Many of the doctors attending the group's annual meeting in Chicago said they don't want government to get involved in the doctor-patient relationship, according to an AP article.

Dr. Michael Williams, a Johns Hopkins Hospital neurologist who sponsored the measure, told the Associated Press that, while Terri's "circumstances were heart-wrenching and compelling, they're so rare that they're not a good basis to revise existing law."

"I wish there had not been politics involved in it, and I hope there won't be in the future should similar cases arise," he said.

But others say making sure patients don't become victims of euthanasia, like Terri, is critically important.

Nancy Valko, of Nurses for Life and a leading monitor of end-of-life issues, says the need for the legislation the AMA opposes is great because many hospitals are adopting "medical futility policies." She indicates doctors and hospital officials are more quick to give up hope on treating a patient and deny further lifesaving medical treatment.

Also on Tuesday, the AMA reaffirmed existing policy saying it is ethical in some cases to stop life-sustaining treatment if the doctor believes it is in the patient's best interest.

Because of the kind of policies the AMA favor, some who specialize in monitoring euthanasia issues say patients should make their medical requests known now to prevent winding up in a situation similar to Terri's.

Wesley Smith, a leading pro-life attorney who specializes in bioethics issues, says people should make their wishes known beforehand.

"I think people need to create advanced directives in which they say, 'I don't want to be dehydrated to death and have my food taken away if I become cognitively disabled,'" Smith explained.

"We always hear about doing away with treatment, but they can also be used proactively to say, 'Look, don't take any actions to intentionally kill me,'" Smith concluded.
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Fight4Terri @aol.com

Theresa Marie Schindler
December 3, 1963 ~ March 31, 2005
Light a candle For Terri at her online Memorial Website
Memory-of.com - Memorial website in memory of Theresa Schindler (1963-2005)
http://theresa-schindler.memory-of.com/about.aspx

Visit: www.fight4terri.blogspot.com

Cheryl Ford, RN (Fight4Terri@aol.com) is not affiliated with any other group and works to protect the rights of the disabled community.


143 posted on 06/24/2005 8:19:57 AM PDT by 8mmMauser (www.ChristtheKingMaine.com)
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To: Goodgirlinred
GG..I was mistaken about your position about Terri when I posted last. Geez..I'm sorry.

We do have to be careful about defending this AMA "ruling" because I believe there are a large number of doctors that are members and will adhere to their crazy policies.

144 posted on 06/24/2005 8:36:13 AM PDT by Earthdweller (US descendant of French Protestants_"Where there is life, there is hope"..Terri Schindler)
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To: Earthdweller

Great - glad you noticed that. I was looking back to see where you got that she was "for" pushing some along.

She appears to be the kind of nurse we would wish.


145 posted on 06/24/2005 8:50:10 AM PDT by ClancyJ (Life is a God-given inalienable right to all Americans - not just the chosen ones.)
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To: Earthdweller; Goodgirlinred

The AMA - is that a voluntary organization that doctors choose to join or is it "the physician organization that all join".

How much power do they exert? Are they the final determiner of policy for all the hospitals, specialty boards, etc.?

Because, it they are not, I would expect many doctors would no longer want to be affiliated with them.


146 posted on 06/24/2005 8:52:55 AM PDT by ClancyJ (Life is a God-given inalienable right to all Americans - not just the chosen ones.)
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To: ClancyJ
That's what I get for not reading down the thread before I post.

Don't know how many doctors are members but for those members they have to adhere to policies to get the "perks".

I'll see what I can find out about the percentage of MDs on their roster.

147 posted on 06/24/2005 9:04:40 AM PDT by Earthdweller (US descendant of French Protestants_"Where there is life, there is hope"..Terri Schindler)
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To: Earthdweller

I will too.


148 posted on 06/24/2005 9:15:52 AM PDT by ClancyJ (Life is a God-given inalienable right to all Americans - not just the chosen ones.)
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To: ClancyJ
Not finding good links so far.

The general consensus is about two out of three MDs. (the good guys are out numbered?) If the demographics I found are correct there are approx one million US Physicians with 700,000 being members of the AMA

That would make it closer to three out of four. Let me know if you find something more concrete, I don't have much time today. Thanks.

149 posted on 06/24/2005 9:56:18 AM PDT by Earthdweller (US descendant of French Protestants_"Where there is life, there is hope"..Terri Schindler)
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To: ClancyJ
Found something of interest in my search..

Would physicians give aid-in-dying if it were legal?

http://www.togopeacefully.com/DOCTOR.html

....survey of Wisconsin physicians which found that 27% of them said they would be willing to perform euthanasia if it were legalized. Catholic and fundamentalist physicians were less likely to be willing. Family and general practice physicians were most willing ....

In 1995, the Center for Ethics in Health Care at the Oregon Health Sciences University in Portland surveyed 2,761 of the state’s physicians after Oregon voters passed Measure 16 allowing physician aid-in-dying. Dr. Lee reported the following numbers:

73% believed that terminally ill persons have the right to suicide;

66% believed that physician assisted suicide is ethical;

60% believed that physician assisted suicide should be legal;

46% would be willing to comply with a patient’s valid request;

21% had been asked for a lethal prescription in the past year;

7% had written a lethal prescription before Measure 16 passed.

Dr. Bachman reported that of 1,119 Michigan physicians surveyed in 1994 and 1995 40% favored a law permitting physician-assisted suicide. When asked if they themselves would be willing to participate in physician assisted suicide or in voluntary euthanasia, 52% said they would not, 13% said they might participate only in assisted suicide and 22% said they might participate in both.

The July 14, 1994, New England Journal of Medicine contained a “Special Article” entitled, “Attitudes Toward Assisted Suicide and Euthanasia Among Physicians in Washington State.”

The results: of the 1,355 eligible physicians who received our questionnaire, 938 (69%) responded. Forty-eight percent of the respondents agreed with the statement that euthanasia is never ethically justified, and 42 percent disagreed. Fifty-four percent thought euthanasia should be legal in some situations, but only 33% stated they would be willing to perform euthanasia. Thirty-nine percent of the respondents agreed with the statement that physician-assisted suicide is never ethically justified, and 50 percent disagreed. Fifty-three percent thought assisted suicide should be legal in some situations, but only 40 percent stated that they would be willing to assist a patient in committing suicide.

A January 1988 poll of 7,000 physicians in Colorado polled by the Center for Health Ethics and Policy at the University of Colorado found that 14% have helped patients stockpile lethal doses of drugs; 60% had had patients for whom euthanasia would have been justified if legal; 35% would have injected a lethal drug dose had such a practice been legal.

A sample of 600 physicians in California in 1988 found that 95% of them who have been asked to hasten death agreed that such a request can be “rational.” Nearly 23% said they had already helped people die, some of them have aided three or more patients to die. Forty percent said they thought other doctors hastened the death of some patients despite the legal prohibition.

The American Journal of Respiratory and Critical Care Medicine reported in February, 1996, that a survey of 879 doctors in adult intensive care units throughout the United States found that 96% of the doctors had discontinued medical treatment by either withdrawing or withholding treatment with the expectation that the patient would die as a result. Of the total, 85% had done so at least once in the last year.

Dying Well Network knows physicians in the Spokane, Washington area who are willing to aid terminally ill persons to hasten death, but does not connect terminally ill persons with these courageous physicians. Persons seeking aid-in-dying are directed to their own physicians.

Ninth Circuit Court of Appeals Judge Reinhardt noted,

The Oregon AMA refrained from taking a position on a successful ballot initiative to legalize physician assisted suicide because its membership was sharply divided on whether to back or oppose the measure. Many more doctors support physician-assisted suicide but without openly advocating a change in the legal treatment of the practice. A recent study of Oregon physicians found that 60% of those who responded believed that physician-assisted suicide should be legal.

150 posted on 06/24/2005 10:43:07 AM PDT by Earthdweller (US descendant of French Protestants_"Where there is life, there is hope"..Terri Schindler)
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To: Earthdweller

Wow, we are in trouble.

And, the God-complex that plague physicians lends itself to them thinking they know the answers to all.


151 posted on 06/24/2005 10:54:38 AM PDT by ClancyJ (Life is a God-given inalienable right to all Americans - not just the chosen ones.)
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To: ClancyJ
What is even more amazing is that they know they are playing God.

A JAMA (Journal of American Medical Association) study found that 48% of seriously ill patients wanted to "use all available treatments no matter what the chance of recovery,"

compared with 31% of patients who disagreed, also found that among physicians, only 7% agreed with the pro-treatment position, compared to 81% who disagreed.

152 posted on 06/24/2005 12:27:13 PM PDT by Earthdweller (US descendant of French Protestants_"Where there is life, there is hope"..Terri Schindler)
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To: Goodgirlinred

Why should we require all this folderol to prevent medical murders? Even Terri at least got a show trial purporting to prove she wanted it. These wonderful docs don't even want that much.


153 posted on 06/25/2005 1:39:10 AM PDT by HiTech RedNeck (No wonder the Southern Baptist Church threw Greer out: Only one god per church! [Ann Coulter])
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To: HiTech RedNeck
That is the reason we should all, when we are well and strong, should write a Medical Directive. It is very simple. You can get a form online I believe. Then get it notarized. That is what my late husband and I did before he was even diagnosed with cancer. That saves everyone all the hassle and agony of decision making. They know what you want done and your wishes are followed.
154 posted on 06/25/2005 6:15:05 AM PDT by Goodgirlinred ( GoodGirlInRed Four More Years!!!!!)
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To: Goodgirlinred

Well if everyone involved is of good will, your wishes may get followed, but throw a stinker with a Philadelphia lawyer into the mix and all bets are off.


155 posted on 06/25/2005 6:20:01 AM PDT by HiTech RedNeck (No wonder the Southern Baptist Church threw Greer out: Only one god per church! [Ann Coulter])
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To: Earthdweller
Thank you. No, I would never condone starving or dehydrating a patient. I also would never carry out such an order. It is a criminal act as far as I am concerned.

Sometimes the body is no longer able to tolerate tube feedings. My late father was such a case. He had an advance directive and our doctor removed the feeding tube without consulting my mother first. She feels to this day that my father was starved to death. However, our doctor left the IV's in. (I was hundreds of miles away in a cancer treatment center with my late husband who was having experimental treatment hoping to bring him into remission.)

I asked Mama last week end if there was a reason. Was Daddy regurgitating the feedings? She said yes. I told her that Daddy would have aspirated the feedings and gotten aspiration pneumonia from that. She said that was what our doctor told her. Daddy had Alzheimer's and he had had a massive stroke. Our doctor told her Daddy did not starve to death, that he still had IV's in. I know he had vitamins in the IV's. However, that does not replace food. He was trying to make it easier for Mama, I feel sure. However, he did all that he could do to take care of my Daddy and see that his last days were as comfortable as possible. He kept him hydrated and gave him as much sustenance as possible through the IV's.

Daddy was still conscious. Mama got to spend time with him, so did my girls and my grandchildren. I got to take care of him before I had to go with my husband to the cancer treatment center. (I did my Daddy's bedside care in the hospital when needed just as I did all of my husband's bedside care in the hospital.) Daddy passed away while I was in Little Rock where the cancer treatment center is.

So, I believe that no matter how debilitated the patient, there is quality of communication and love between family members and the patient. That should never be taken away by any court.
156 posted on 06/25/2005 7:00:05 AM PDT by Goodgirlinred ( GoodGirlInRed Four More Years!!!!!)
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To: Hildy
You people will never be satisfied because you have a psychotic condition where you think people are out to kill you.

Psychotic is an understatement. Doctors could never actually know more than they do. Doctors only spent 12+ years in college...

157 posted on 06/25/2005 7:09:05 AM PDT by billbears (Deo Vindice)
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To: Earthdweller

Since my husband died of cancer, I no longer work. I have kept up my license, though. I will either volunteer for hospice or volunteer in our local Christian Free Clinic.

All hospices are not like the one where Terri was kept. The only one where I have been is where one of my sister-in-law's best friends spent her last couple of weeks. She had ovarian cancer, which she had fought for several years. She hung on long enough to see her son graduate from high school. I believe she was 47 years old when she died.

This hospice is a beautiful place, very serene. The patients have beautiful views of the outdoors. Those who are able can sit outside in the beautiful gardens. Teresa could not. She had hospice nurses and volunteers at home up until just before she died. At that point, she needed around the clock care and needed to be in the hospice. She died very peacefully there with her family by her side. She was not starved nor was she dehydrated.


158 posted on 06/25/2005 7:10:42 AM PDT by Goodgirlinred ( GoodGirlInRed Four More Years!!!!!)
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To: ClancyJ

I don't know if they have to belong or not. I get the Virginia Nurses' Association Newspaper, but I am not a paying member. That may just go along with my license since I am licensed in Virginia. I get some American Nurses' Association Literature, but I am not a member. I wonder if these are simply representative bodies for nurses and the AMA is a representative body for doctors for the political arena and one can join or not join as one chooses? I don't think a doctor or a nurse has to follow anything other than the oath they took when they became a doctor or a nurse. I know I don't, other than the rules of my employer if I am employed.


159 posted on 06/25/2005 7:16:26 AM PDT by Goodgirlinred ( GoodGirlInRed Four More Years!!!!!)
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To: Earthdweller
I really was not defending the ruling. I was trying to make sense of it, I guess. I was defending all of the hardworking, honest doctors that I know and with whom I have worked.
160 posted on 06/25/2005 7:19:17 AM PDT by Goodgirlinred ( GoodGirlInRed Four More Years!!!!!)
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