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To: don-o; Ohioan from Florida; Goodgirlinred; Miss Behave; cyn; AlwaysFree; amdgmary; angelwings49; ...
The NYT cannot stand the thought of an abortuary being shut down.

Thread by don-o.

Taking Fight Back to Wichita, Doctor Seeks Abortion Clinic

Not long ago, Dr. Mila Means, the physician trying to open an abortion clinic in this city, received a letter advising her to check under her car each morning — “because maybe today is the day someone places an explosive under it,” the note said.

snip

But Dr. Means is certainly not the ideological warrior many expected to fill his void. She said her decision to start performing abortions was as much about making money for her struggling practice as about restoring access to a constitutional right.

snip

She looked at the finances of her solo family practice and figured she might be the poorest doctor in the state. Though she lives modestly, she has had continuing problems managing money: her credit card companies have taken her to court, and her checks occasionally bounce. Determined to work alone, she did not have enough patients to cover the bills.

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


58 posted on 07/10/2011 11:22:24 AM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: Ohioan from Florida; Goodgirlinred; Miss Behave; cyn; AlwaysFree; amdgmary; angelwings49; ...
The culture of death thinks that we would be okay with them killing the sick and disabled if we just "understood" why they were doing it.

Two threads by me.

Let disabled people choose death, says MSP (Scottish Parliament)

People born with disabilities who ‘lose the will to live’ would be eligible to end their lives under controversial new legislation proposed for the Scottish Parliament.

This is the second attempt by Margo MacDonald MSP to legalise assisted suicide. Her first bill was roundly rejected by the Scottish Parliament.

But the Independent MSP now intends to table a new bill which critics have branded “utterly irresponsible”.

Dangers

Mrs MacDonald has also suggested that people suffering from chronic conditions, but who do not have a terminal illness, should be able to get medical help to end their lives.

And she suggested that people who become disabled should also be able to opt for an assisted suicide.

However, a spokesman for the Roman Catholic Church in Scotland warned: “This dramatic widening of the terms of the euthanasia debate highlights its terrible dangers. Yet it is the inevitable slope down which we would slide if we allow doctors to kill their patients.

Kill

“The scale of innocents who could be killed in Scotland would be massive if the disabled, people with chronic but not life-threatening conditions and those simply tired of life become part of the pool of candidates for death.”

But Mrs MacDonald said: “If their regime is acceptable to them and they’re enjoying their life, even with the limitations that they may have to put up with, nothing changes. The legislation is only enabling and if they don’t want to enable it, they don’t.

“But for people who are born with a disability, if they get to 16 or 18, or whatever we settle at, why should they be treated with any less respect for the decisions they make”.

Pressured

Last month a new survey by a leading disability charity said that changing the law to legalise assisted suicide would result in disabled people being pressured to kill themselves.

Scope’s survey revealed that 70 per cent of those with a disability felt that such a change would create pressure for disabled people to “end their lives prematurely”.

And more than a third expressed concern that they would personally experience such pressure.

_________________________________________________

U.S. Catholic bishops misunderstand our death-with-dignity laws (Barf Alert!)

The U.S. Conference of Catholic Bishops’ policy on physician-assisted suicide, approved at their national meeting in Bellevue last month , is the latest move by Roman Catholic leaders to intervene in Americans’ personal health care decisions.

The eight-page policy, which the bishops passed 191-1 at their annual spring meeting, is full of inaccurate and misleading statements about the Death with Dignity laws in Washington and Oregon and the policy positions of the laws’ supporters. It ignores 14 years of experience in Oregon and two years in Washington. The head of Compassion & Choices, the main group supporting those laws, criticized the bishops' policy statement as “full of reckless, unsubstantiated accusations.”

The bishops’ statement warns that the voter-approved Death with Dignity laws — which allow terminally ill, mentally competent adult patients to receive medications from their doctor to end their lives — essentially legalize murder. And it makes the stunning claim that U.S. leaders of the Death with Dignity movement in effect advocate ending the lives of people who have not sought help in dying.

“A society that devalues some people’s lives, by hastening and facilitating their deaths, will ultimately lose respect for their other rights and freedoms,” the bishops said. “Taking life in the name of compassion also invites a slippery slope toward ending the lives of people with non-terminal conditions.”

The new policy, “To Live Each Day with Dignity,” is the U.S. church’s first official policy on aid-in-dying, which also is legal in Montana under a 2009 Montana Supreme Court ruling. The policy follows increasingly aggressive efforts by the bishops to require Catholic health care facilities and providers to insert and maintain feeding and hydration tubes in terminally ill patients — even those who have written advance directives stating they don’t want them. 

The bishops also have cracked down on Catholic hospitals that performed tube-tying operations for women who are not going to have more babies. Last year, a bishop expelled St. Charles Medical Center in Bend, Ore., a century-old hospital founded by nuns, from his diocese for refusing to stop performing tubal ligations.

These policies matter because the bishops oversee more than 600 Catholic hospitals and hundreds of Catholic nursing homes, assisted living centers, and hospices.

Some Catholic ethicists and administrators in Catholic health facilities have expressed concerns about the bishops’ aggressive new mandates. One worried Catholic hospital administrator who didn’t want to be named criticized the bishops’ 2009 ethical and religious directive requiring Catholic health facilities to provide feeding and hydration tubes to patients with chronic and irreversible conditions — including persistent vegetative state, massive stroke, and advanced Alzheimer’s disease. The administrator told me the directive is a “slippery slope” that could lead to widening disregard for patients’ end-of-life wishes.

But there is growing pressure on everyone within the Catholic establishment to hew to the party line. A new article in Crisis Magazine by Cardinal Newman Society president Patrick J. Reilly called out prominent theologians at four major Jesuit universities who have supported the physician-assisted suicide movement. These professors “have done more than betray the Catholic Church,” Reilly wrote. “When professors deny the truths of faith and disregard the common good — especially of those whose lives are snuffed out prematurely — they violate the mission of a Catholic university.”

Barbara Coombs Lee, president of Compassion & Choices, a national group that supports and monitors patients using the Death with Dignity laws, blasted the bishops’ statement on physician-assisted suicide and what she called the church’s McCarthyesque attack on Catholic dissenters. “It’s one thing to state your position based on your religious beliefs, and quite another to falsify, bully, sanction, lobby, and impose that religious belief on others,” she said in a written statement. “The bishops misstate our work, our beliefs, our mission and 14 years of Oregon experience with aid in dying. That experience shows better end-of-life care, more choice, and more peaceful deaths.”

The bishops’ statement on physician-assisted suicide claims leaders of the aid-in-dying movement support “ending the lives of people who never asked for death, whose lives they see as meaningless or as a costly burden on the community.” But the Washington and Oregon laws spearheaded by Compassion & Choices set out a detailed procedure allowing only terminally ill patients to ask a physician to prescribe the lethal medication; that doctor and a second doctor independently determine whether the patient likely has less than six months to live, is mentally competent, and made the request voluntarily.

At a June 15 news conference in Seattle, Coombs Lee stressed that Compassion & Choices opposes providing aid-in-dying to anyone who doesn’t meet the legal criteria. “A bright line separates assisting suicide, which is a felony, from the medical practice of aid in dying,” she said. “To blur that line does a grave disservice to terminally ill patients.”

The bishops also claim that people with chronic illnesses or disabilities which are life-threatening only if they don’t receive treatment could qualify for lethal prescriptions under the Death with Dignity laws. “Thus the bias of many able-bodied people against the value of life for someone with an illness or disability is embodied in official policy,” they said.

There’s no evidence for that assertion. The Oregon and Washington laws define a qualifying terminal disease as “incurable and irreversible.” Dr. Tom Preston, medical director of Compassion & Choices of Washington, said Compassion & Choices would never consider working with patients whose condition could be reversed or effectively treated except to advise them they didn’t qualify under the law.

Another unfounded argument by the bishops is that offering terminally ill patients the option of assisted suicide undermines effective pain management and palliative and hospice care. In fact, studies show that the overall use of hospice care increased in Oregon to one of the highest rates in the country after the Death with Dignity law took effect in 1998. In Washington and Oregon, more than 80 percent of patients who received lethal prescriptions and died in 2010 were enrolled in hospice — far higher than hospice participation rates nationally. “We insist on good comfort care,” Preston said.

The bishops further contend that terminally ill people seeking aid in dying commonly suffer from mental illness such as depression, and that Death with Dignity laws and proposals ignore this issue. “Even a finding of mental illness or depression does not necessarily prevent prescribing the [lethal] drugs,” they said.

Supporters of aid in dying do worry about clinically depressed patients receiving lethal prescriptions. But Dr. Linda Ganzini, a psychiatrist at Oregon Health & Science University who has consulted on dozens of Death with Dignity cases and has studied the issue, told me her experience is that most people who want assisted suicide do not have depression or another mental health condition that would affect their decision. And if either of the two physicians who independently evaluates each patient’s eligibility thinks there is a possible mental health issue, that doctor must order a psychological evaluation. Under the Oregon and Washington laws, patients cannot receive a lethal prescription if their judgment is found to be impaired.

Finally, the bishops argue that dying patients’ pain can be alleviated through competent medical care, freeing them to focus on “the unfinished business of their lives, to arrive at a sense of peace with God, with loved ones, and with themselves.” In contrast, they said, assisted suicide “results in suffering for those left behind — grieving families and friends, and other vulnerable people who may be influenced by this event to see death as an escape.”

But Tony Rizzo of Puyallup, a self-identified Roman Catholic, said he “respectfully disagrees” with the bishops based on his and his wife Joyce’s experience at the end of her three-year battle with cancer. At Compassion’s June 15 news conference, Rizzo described how his wife of 43 years was suffering “excruciating” pain, despite her pain medication. She asked for and received a lethal prescription under the Death with Dignity law, and used it to end her life last September. 

“Joyce was facing a painful and difficult death, and there was absolutely no hope,” he said through tears. “She obtained the peaceful, dignified death she desired. The whole family supported her decision. I shudder to think of the pain she would have experienced without the medication and without that choice, which the bishops would deny her.”

It would appear that the bishops need to take off their black robes, visit a hospice or hospital ICU, and silently watch and listen to expert staff work with terminally ill patients.

"We will not be silent.
We are your bad conscience.
The White Rose will give you no rest."

59 posted on 07/10/2011 11:27:52 AM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: wagglebee

Is there a thread about this yet? I’m not able to post one, but I hope somebody will.

http://www.foxnews.com/health/2011/07/08/doctors-keeping-very-sick-babies-off-life-support

Doctors Keeping Very Sick Babies Off Life Support

A study of babies in intensive care suggests that doctors are getting better at recognizing situations where infants are sure to die or have severe brain damage — and are often holding back on life support when that’s the case.

The findings “reflect increasing awareness by the medical community of the need to limit interventions of minimal or very questionable benefit, and particularly if those interventions potentially include significant pain or suffering to the patient,” said Dr. Renee Boss, a neonatologist at Johns Hopkins Hospital in Baltimore, who wasn’t part of the new research.

Over the past 30 years, Boss said, doctors have gotten better at keeping very premature babies and babies with severe birth defects alive.

But more recently, those survival rates have flattened out — possibly because “the treatments that we have now simply have reached their maximum potential for increasing survival,” Boss told Reuters Health, forcing doctors and families to address cases where survival, or survival with a positive outlook, doesn’t seem likely.

About six of every 1,000 infants die in the U.S. before their first birthday — with more than half of those deaths coming in the first 28 days.

For the new study, Julie Weiner and her colleagues from Children’s Mercy Hospital in Kansas City, Missouri, looked back on the medical records of all infant deaths in their neonatal intensive care unit over a 10-year period.

Those included just over 400 deaths, of more than 7,000 intensive care admissions. The majority of deaths occurred in babies with major birth defects, including heart problems, and those born very premature — at 32 weeks or earlier. In general, any baby born before the 37th week of pregnancy is considered premature.

But the researchers were more interested in how those babies died — whether it was while doctors were trying to save or prolong their lives, or whether babies had been taken off ventilators, feeding tubes, and other life support when doctors realized there was nothing more they could do.

Over the study period, which ran from 1999 through 2008, less than one in five of the deaths happened while doctors were trying to perform CPR to keep infants alive.

About 60 percent of infants died when doctors took them off ventilators or otherwise stopped giving life support, and the remaining 20 percent occurred when medical staff withheld life-prolonging treatment altogether.

Deaths that happened when doctors decided not to start giving treatment became more common over the course of the study, rising by about one percent each year. That was especially true in the very premature group, according to findings published in the Archives of Pediatrics & Adolescent Medicine.

That result “makes us think that maybe we’re better recognizing futility of care and providing a better and better situation for these babies that are dying anyway,” Weiner told Reuters Health.

Dr. William Meadow, a neonatologist at the University of Chicago Medical Center, pointed out that these patterns might look different at another intensive care unit.

For example, at his hospital, most very sick babies who are in “stable” condition — meaning they aren’t obviously dying while on life support, but might have extensive brain damage — don’t have that care taken away.

He said that’s because poor, religious parents at his hospital seem to be more okay with the idea that their child might survive, though remain very impaired.

In those types of cases, “it’s a reflection mostly of parent preferences,” Meadow told Reuters Health.

“Decisions to withdraw or limit care are easier for doctors and families alike when the baby is actively, critically ill despite interventions,” Boss agreed.

In sick but stable babies, “it can be a little harder to find the point at which you say, ‘Nothing more can or should be done,’” she said.

The study also suggested that parents have become more involved in discussing end-of-life options.

“We’ve seen an increasing recognition that parents (and) family members should have a very central role in these decisions,” Boss said. In these cases, she added, “most parents do want to participate to some degree in decision-making.”

“For parents it’s overwhelming anyway to be in the (neonatal intensive care unit), and to have an infant that is dying — nobody expects to have a baby that’s going to die,” Weiner said. “Our hope when we do provide end-of-life care is trying to provide compassionate loving, care to ... our families and our dying neonates.”


60 posted on 07/10/2011 11:32:47 AM PDT by BykrBayb (Somewhere, my flower is there. ~ Þ)
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