End-of-Life Choice, Palliative Care and Counseling

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Apr 19, 2013Healthcare Decisions Procrastinators Day

Did you miss it?

Tuesday was National Healthcare Decisions Day—a day to think about and put into words the kind of treatment you want at life’s end, and to share your choices with the people who need to know them.

The tragedy at the Boston Marathon diverted most of our attention that day, and our thoughts are with the city and its people.

Sadly, the event underscores two things about the healthcare planning process. 1) So many things can happen to cause us to delay putting our wishes in writing, and 2) We can never be sure when those wishes may suddenly be relevant in a medical crisis.

But guess what? Today is National Healthcare Procrastinators Day. A do-over for everyone who had the best intentions on Tuesday, but find their wishes still unexpressed on Thursday.

Don’t put off this essential task—and responsibility—any longer. With a few clicks and a little typing or handwriting, you can give yourself and your loved ones the blessing of making your wishes clear and known.

Everything you need is just a click away on Compassion & Choices’ website:

  • Click here for other useful tools to help you consider and choose the care you want—or don’t—should you ever be unable to speak for yourself in an emergency.

Okay, “National Healthcare Procrastinators Day” is a figment of my imagination. But the urgency of putting your wishes in writing is all-too-real. Don’t put off till tomorrow what you can easily do today. Give your wishes the formality they need to come true.

Sincerely,
Mickey MacIntyre
Chief Program Officer

Apr 17, 2013Huge Victory: Aid in Dying Preserved in Montana

by Compassion & Choices staff
April 17, 2013

Choice at life’s end scored a major victory yesterday! The Montana Senate defeated a bill to criminalize aid in dying, which was made legal by the 2009 state Supreme Court ruling in Baxter v. Montana.

As a Compassion & Choices supporter, you share credit for this impressive win. We prevailed against anti-choice zealots who worked for more than three years to undo the landmark Baxter ruling and quash the right of terminally ill Montanans to die with dignity on their own terms.

Make no mistake: This is a resounding victory for Compassion & Choices, our supporters in Montana and across the country, and for the principle of self-determination. Please take a few moments to savor it and the extraordinary effort that made it possible.

1) The Montana Senate actually reversed course to defeat HB505. We called it the “Physician Imprisonment Act of 2013″ because it would have incarcerated doctors for up to 10 years for providing aid in dying to terminal patients. Once predicted to pass, the bill was defeated instead, by a bipartisan vote of 27-23.

2) The Senate vote was the direct result of sustained on-the-ground activism by Compassion & Choices Montana. For more than two years, this dynamic campaign fielded staff and volunteers to alert residents to the threat of HB505. Its multi-tactical campaign included:

• an education drive that reached tens of thousands of Montanans in all corners of the state and encouraged them to telephone their legislators and otherwise make their voice heard;
radio and print ads urging Montanans to contact their legislators to oppose the bill;
outreach to newspaper editorial boards and other opinion leaders, and an aggressive letter-to-the-editor campaign;
mobilization of doctors to publicly oppose the bill and affirm their support for the practice of aid in dying;
in-person lobbying of lawmakers in Helena and their home districts;
social media and other efforts to spread the word and summon voters to action.

3) A high point in our campaign came when long-time supporter Dr. Eric Kress, a family physician at Western Montana Clinic, publicly disclosed that he had written aid-in-dying prescriptions for three of his patients since the 2009 Baxter decision.

Dr. Kress narrated our radio ad, appeared in print ads, authored a powerful op-ed for The Missoulian newspaper and delivered courageous testimony before the Senate Judiciary Committee. We cannot overstate the importance of his eloquent and persuasive support, and the influence it had on lawmakers and the public alike.

4) We backed up our advocacy with a poll of Montana voters, which confirmed that 73 percent opposed HB505 and 67 percent were less likely to vote for a legislator who supported it.

5) The victory maintains Montana’s status as the third state where aid in dying is expressly legal. That status was the direct result of Compassion & Choices’ landmark Baxter v. Montana lawsuit, which confirmed that physician aid in dying did not violate state public policy in Montana.

6) The victory also underscores the growing level of public willingness to take personal action to defend the right to death with dignity, and to oppose zealots who seek to pass draconian laws like HB505 and use misinformation, scare tactics, moral judgments and other means to deny people their most sacred rights at life’s end.

Special thanks goes to the thousands of Montanans who took action to defeat HB505, and to hundreds of Compassion & Choices Montana volunteers who worked the phones, knocked on doors, talked to neighbors and loved ones, and otherwise devoted themselves to make sure that truth and reason prevailed.

Without our shared commitment, HB505 would be law today. The fact that it isn’t is a true testament to the leadership of Compassion & Choices Montana and the dedication of our wonderful supporters.

BCL and JG Sign

Apr 15, 2013Bill to Imprison Doctors for Aid in Dying Defeated in Montana Legislature

CONTACT: Sean Crowley, 202-550-6524, seancrowley57@gmail.com
Jessica Grennan, 202-699-2738, JGrennan@compassionandchoices.org

Senate Reverses Course from Last Week

(Helena, Mont. – Apr. 15, 2013) The nation’s leading end-of-life choice advocacy group, Compassion & Choices, praised the Montana Senate today for reversing course and rejecting a House-passed bill that would imprison doctors for up to 10 years if they provide aid in dying to terminally ill patients. The 27-23 bipartisan vote against the so-called Doctor Imprisonment Act, HB505, came after both Democrats and Republicans spoke out against the legislation. Just last week, the Senate voted 31-17 to approve a motion to “blast” the legislation out of committee to the Senate floor.

“This bipartisan vote is a win for Montanans and the doctors who honor the wishes of their terminally ill patients by supporting their choice to die with dignity on their own terms,” said Compassion & Choices President Barbara Coombs Lee, a nurse and physician assistant for 25 years before becoming a private attorney and a Chief Petitioner of the first-in-the nation 1994 Oregon Death with Dignity Act. “The legislature did the right thing by honoring the wishes of the vast majority of Montanans who don’t want the government dictating their medical treatment at the end of their lives. Today’s vote is in line with the national trend to approve aid in dying, not criminalize it.”

If HB 505 had become law, it would have gutted a 2009 Montana Supreme Court ruling in Baxter v. Montana, a case brought by Compassion & Choices. The court confirmed it does not violate state public policy in Montana for a physician to provide aid in dying to a mentally competent, terminally ill adult.

“If HB505 had passed, I could have gone to prison for providing the medical care my terminally ill patients request,” said Dr. Eric Kress, a family physician at Western Montana Clinic, who has written aid in dying prescriptions for three patients since the Baxter decision. Kress narrated a statewide radio campaign opposing HB 505, appeared in print ads featuring quotes from other doctors opposed to HB 505 and authored an oped opposing HB 505 published last week in The Missoulian. “The overwhelmingly positive public support I have received has strengthened my resolve to ensure this right is never taken away.”

In contrast to Montana, efforts promoting patient choice at the end-of-life are underway in numerous other diverse states, including Kansas, Massachusetts, New Hampshire, New Jersey, and Vermont. In February, the Vermont Senate gave final approval to a “Death with Dignity” bill that would protect doctors from criminal or civil liability when treating terminally ill patients who choose to end their lives.

A national poll last May by Republican pollster Frank Luntz showed 84 percent of voters agree that: “How a terminally ill person chooses to end his/her life should be an individual decision and not a government decision.”

A poll of 605 likely Montana voters conducted this month by Global Strategy Group shows 73 percent of them oppose HB 505, including 81 percent of Democrats, 74 percent of Independents and 64 percent of Republicans. The poll also reveals that 67 percent of voters will be less likely to vote for a legislator who supported HB 505, including 53 percent who said they will be much less likely. Nearly seven out 10 voters (69%) support allowing a mentally competent adult who is dying of a terminal disease and in extreme pain to choose to end his or her life in a humane and dignified way, including 48% who strongly support such a choice.

Apr 12, 2013It’s Your Choice to Make

My name is Aimee.  I’m 40 years old, and I have the breast and ovarian cancer gene. At 35, my life changed dramatically: Cancer was no longer something that I knew other people had. It became something with the potential to end my life, or at the very least dramatically alter its course. And it did. Luckily I’m not facing death today, but that is only because I made the choice to have a hysterectomy and a double mastectomy, which I’m sure lengthened my body’s life. In typical “Aimee fashion,” I explored my options and made my decision. That was the best decision for me.

At 40, I doubt my attitudes about personal autonomy and decision-making will change; in fact, I’m more passionate than ever about opening pathways for patient choice. Because when faced with the most difficult medical decision of my life, I knew it was my choice to make. I’m so thankful that I had medical providers who understood that. And, I’m so grateful that I have been surrounded by people who were willing to listen, support my decisions and see me through. To those folks, I say thank you. I look forward to returning that favor of unadulterated respect for personal autonomy.

On April 16, we celebrate patient choice with National Healthcare Decisions Day. If you haven’t made such decisions yet, please take a moment to talk with your family about your values, your priorities and your preferences; and while you’re at it, ask them about theirs. I have had the good fortune to face these decisions with time and the support of my loved ones, and it has made all the difference.

Do it now! Don’t delay!

Do you have your own experience of medical decision-making you’d like to share? Join the conversation. Compassion & Choices is actively moving the message of patient choice forward. Contact us at 800.247.7421 to find out how you can help.

Apr 11, 2013Bill to Imprison Doctors for Aid in Dying Gets Preliminary Approval from Montana Legislature Gov. Bullock Urged to Veto Bill Opposed by 73% of Montanans

Contact: Sean Crowley, seancrowley57@gmail.com
202-550-6524

by Compassion & Choices staff
April 11, 2013

(Washington, D.C. – Apr. 11, 2013) The Montana Senate today gave preliminary approval to a House-passed bill to imprison doctors for up to 10 years if they provide aid in dying to terminally ill patients, despite a new poll showing nearly three-quarters of state voters oppose the legislation. Last week, the Senate Judiciary Committee failed to approve the bill, HB505, but today the Senate approved a motion to “blast” it out of committee to the Senate floor by a 31-17 vote. This procedural vote means that unless some senators change their minds on the 2nd or 3rd and final reading of HB 505, it will become law unless Gov. Steve Bullock vetoes the bill.

“We urge Montana senators who voted ‘aye’ to reverse course. This draconian bill would punish doctors for practicing good medicine and giving their suffering patients choices at the end-of-life,” said Compassion & Choices President Barbara Coombs Lee, a nurse and physician assistant for 25 years before becoming a private attorney and a Chief Petitioner of the first-in-the nation 1994 Oregon Death with Dignity Act. “If they decide to defy the will of Montana voters, we urge Gov. Bullock to correct their error and veto this bill.”

A poll of 605 likely Montana voters conducted last week by Global Strategy Group shows 73 percent of them oppose HB 505, including 81 percent of Democrats, 74 percent of Independents and 64 percent of Republicans. The poll also reveals that 67 percent of voters will be less likely to vote for a legislator who supported HB 505, including 53 percent who said they will be much less likely. Nearly seven out 10 voters (69%) support allowing a mentally competent adult who is dying of a terminal disease and in extreme pain to choose to end his or her life in a humane and dignified way, including 48% who strongly support such a choice.

If HB 505 becomes law, it would gut a 2009 Montana Supreme Court ruling in Baxter v. Montana, a case brought by Compassion & Choices. The court confirmed it does not violate state public policy in Montana for a physician to provide aid in dying to a mentally competent, terminally ill adult.

“If HB505 passes, I will be thrown in prison. The government will strip away a right that the citizens of Montana now enjoy,” said Dr. Eric Kress, a family physician at Western Montana Clinic, who has written aid in dying prescriptions for three patients since the Baxter decision. Kress authored an oped published Sunday in The Missoulian about treating terminally ill patients in agonizing pain.

In contrast to Montana, legislative efforts promoting patient choice at the end-of-life are underway in numerous other diverse states, including Kansas, Massachusetts, New Hampshire, New Jersey, and Vermont. In February, the Vermont Senate gave final approval to a “Death with Dignity” bill that would protect doctors from criminal or civil liability when treating terminally ill patients who choose to end their lives. A national poll last May by Republican pollster Frank Luntz showed 84 percent of voters agree that: “How a terminally ill person chooses to end his/her life should be an individual decision and not a government decision.”