medical ethics

The Choice Was “Comfort Care” or a Trial of Life

nancyvalko culture, education, end-of-life, inspiration, medical, medical ethics

In a November 19, 2025, article by Kevin Reece titled “”Micro-preemie’ born at less than one pound thrives after state-of-the-art careMicro-preemie’ born at less than one pound thrives after state-of-the-art care”, he describes a mother’s dilemma when Annie Babcock gave birth to a daughter at just 24 weeks gestation:

“Annie Babock was in trouble. The baby she was carrying had been diagnosed with intrauterine growth restriction and Annie, her pregnancy at just 24 weeks gestation, was diagnosed with preeclampsia and placental abruption. 

Her doctors in Bedford delivered a sentence she will never forget.

“They said we can either deliver here and do comfort care and let the baby pass, or go to Texas Health in Fort Worth and do a trial of life.” (Emphasis added)

THE PARENTS CHOOSE THE TRIAL OF LIFE

“Nora Babcock was born March 10. She weighed 13.1 ounces and was just 10.5 inches long – roughly the size of a soda can. Rushed into the Neonatal Intensive Care Unit at Texas Health Harris Methodist Fort Worth, Nora would need prolonged respiratory assistance and a delicate procedure to repair a heart defect. It would be 10 days before Annie Babcock was able to hold her. 

“It was terrifying,” Annie Babcock said. 

“It was our first bonding experience, but it sure was scary,” she said of holding her tiny daughter while the infant was supported by multiple wires, monitors, and tubes.

EIGHT MONTHS LATER

“She came home July 10,” Babcock said. “So we’ve been in the NICU more days than we’ve been out of the NICU.”

Nora weighs 10 pounds now and is, according to her doctors, the picture of health.

“It was a huge shock when they said she was going to be born at 24 weeks,” Babcock said. “I had no idea a baby less than a pound could be born and also live. It was terrifying, but also like miraculous.”

“You look at her now, and it’s hard to even think about that,” Owen Babcock said of his daughter’s precarious start at life.

“When she was born so small I didn’t think she could live,” Annie Babcock said. “And the nurses are like, no, she’s going to thrive.”

A DOCTOR SPEAKS

“A case like Nora is still quite rare, mostly because of her size,” said Dr. Megan Schmidt, neonatologist at Pediatrix Neonatology of Texas and Texas Health Harris Methodist Fort Worth Hospital. 

Nora is considered a “micro-preemie” – a baby born before 26 weeks gestation or less than 2.2 pounds.

You’re really battling against nature,” Schmidt said. “And trying to get this body that is not ready to be in this world and be in the outside world, you’re trying to force it to stay in this outside world and to function. It takes highly highly specialized care to even be able to have a chance to have these babies survive.”

“These sorts of things and these innovations that have been developed over the last 10-plus years are things that are making big changes for our babies now,” Schmidt said. “We couldn’t have done these things as early as 30 years ago that we can do now. So there is hope.”

The Parents Speak

“Just the advancements that have been made over the last decade are incredible,” said Owen Babcock.

Owen and Annie Babcock will tell you they have taken a “ridiculous” amount of pictures. They were also allowed to keep Nora’s first blood pressure cuff – barely big enough to fit on an adult finger.

“I think of this little fighter who was ready to come into the world too soon, but she was ready to come fighting, and she never gave up,” Annie Babcock said while looking at the handprints and footprints the hospital gave them – the footprint barely the size of an adult thumb.

“I will tell her she’s the strongest person I’ve ever met in my whole life,” Annie Babcock said when asked what she will tell her daughter when she is older. “I really hope she’s a neonatologist someday. I’m trying to manifest it.”

There is a photo wall in the Babcock’s dining room that includes the phrase – “I still remember the days I prayed for the things I have now.” After their ordeal, they are truly thankful

“I can’t thank Dr. Schmidt enough for just believing in her and not like never giving up hope,” Annie Babcock said.

Hope that they want other parents of preemie babies to know is possible for them too.

“What they do as their work,” she added, “it’s amazing.”

CONCLUSION

This story is heartwarming but also disturbing.

The choice between “comfort care” and more aggressive care can mean life or death for any critically ill person of any age. Families deserve ALL pertinent information and options!

New Dementia Directive Developed to Avoid Late-Stage Dementia

nancyvalko advance directives, Alzheimer's, assisted suicide, Cancer, culture, dementia, end-of-life, euthanasia, food and water, law, medical, medical ethics

In the September 25, 2025, issue of the Journal of Law, Medicine and Ethics, there is a shocking article titled “New VSED Advance Directive: Improved Documentation to Avoid Late-Stage Dementia.” VSED means voluntary stopping of eating and drinking.

The authors state:

“People use advance directives to express preferences that direct their future care when they lack decision-making capacity. One form of advance directive, a “dementia directive,” records preferences about living in various stages of dementia. This is important because many Americans want to avoid living with advanced progressive dementia. Unfortunately, traditional advance directives cannot dependably achieve this goal. In contrast, some dementia directives can achieve this goal by directing cessation of manually assisted feeding and drinking. (Emphasis added)

We proceed in six stages. First, we review the prevalence of advanced dementia. Second, we identify the disadvantages of another option for accomplishing the goal of not living into advanced dementia, preemptive VSED. Third, we distinguish notable court cases where dementia directives were unsuccessful. Fourth, we review nine prominent dementia directives, noting how the Northwest Justice Project’s Advance Directive for VSED remedies those shortcomings. Fifth, we review this directive’s legal status. Sixth, we articulate its ethical justification.”

CONCLUSION

I have had a lot of experience caring for people with Alzheimer’s, both personally and professionally. I have written several blogs over the years, such as “Five Things my Mother (and Daughter) Taught Me about Caring for People with Dementia” (2016), Marketing Death and Alzheimer’s Disease (2019), and Alzheimer’s Association Ends Agreement with Compassion and Choices, Marketing Death and Alzheimer’s Disease (2023). In 1988, I wrote an op-ed published in the St. Louis Post-Dispatch titled “FEEDING IS NOT EXTRAORDINARY CARE– DECISION IN THE NANCY CRUZAN CASE ADDS TO THE LIST OF EXPENDABLE PEOPLE“

I remember when my mother was first diagnosed with Alzheimer’s and thyroid cancer. She needed a tracheostomy (a tube in her windpipe), but was able to eat by mouth.

I was shocked when one doctor asked if we wanted her fed, and I responded angrily, “She gets up and eats ice cream out of the refrigerator! Do you want me to tackle her?!”

Of course, I knew what he meant, but he got the message.

Eventually, my mother died peacefully in her sleep at a nursing home after enjoying a meal and laughter with the whole family. It was the kind of death she told me she wanted.

Unfortunately, my younger brother developed Alzheimer’s and diabetes and was critically injured in a fall down the stairs last October. I was able to calm him and carefully feed him.

The doctor recommended a feeding tube to ensure he was getting adequate nutrition, especially for his diabetes.

However, a palliative care team was called in and disagreed with the doctor, telling my sister-in-law that my brother was not going to get better anyway.

I explained to the family that a small feeding tube was available and comfortable, but the family rejected that option.

It took several long days for him to die.

No wonder assisted suicide is being considered for Alzheimer’s patients!

New York Times: A PUSH FOR MORE ORGAN TRANSPLANTS IS PUTTING DONORS AT RISK

nancyvalko advance directives, assisted suicide, brain death, brain injury, civil rights, euthanasia, law, media, medical ethics, organ donation

A bombshell article in the July 20, 2025, New York Times titled “A Push forA Push for More Organ Transplants Is Putting Donors at Risk More Organ Transplants Is Putting Donors at Risk” states:

“People across the United States have endured rushed or premature attempts to remove their organs. Some were gasping, crying or showing other signs of life.” (Emphasis added).

and:

“Organ transplantation had another record year in 2024. That’s great news for all the recipient patients. But there is increasing scrutiny on the costs of the regulatory incentives pushing this success. An alarming number of donors were still alive as transplantation began. “ (Emphasis added)

The next day, the US HHS (Health and Human Services) published a report, “HHS Finds Systemic Disregard for Sanctity of Life in Organ Transplant System,” that reported:

“The U.S. Department of Health and Human Services (HHS) under the leadership of Secretary Robert F. Kennedy, Jr., today announced a major initiative to begin reforming the organ transplant system following an investigation by its Health Resources and Services Administration (HRSA) that revealed disturbing practices by a major organ procurement organization.

Our findings show that hospitals allowed the organ procurement process to begin when patients showed signs of life, and this is horrifying,” Secretary Kennedy said. “The organ procurement organizations that coordinate access to transplants will be held accountable. The entire system must be fixed to ensure that every potential donor’s life is treated with the sanctity it deserves.” (Emphasis added)

HRSA directed the Organ Procurement and Transplantation Network (OPTN) to reopen a disturbing case involving potentially preventable harm to a neurologically injured patient by the federally-funded organ procurement organization (OPO) serving Kentucky, southwest Ohio, and part of West Virginia. Under the Biden administration, the OPTN’s Membership and Professional Standards Committee closed the same case without action.

Under Secretary Kennedy’s leadership, HRSA demanded a thorough, independent review of the OPO’s conduct and the treatment of vulnerable patients under its care. HRSA’s independent investigation revealed clear negligence after the previous OPTN Board of Directors claimed to find no major concerns in their internal review.

HRSA examined 351 cases where organ donation was authorized, but ultimately not completed. It found:

  • 103 cases (29.3%) showed concerning features, including 73 patients with neurological signs incompatible with organ donation.
  • At least 28 patients may not have been deceased at the time organ procurement was initiated—raising serious ethical and legal questions.
  • Evidence pointed to poor neurologic assessments, lack of coordination with medical teams, questionable consent practices, and misclassification of causes of death, particularly in overdose cases. (All emphasis added)

Vulnerabilities were highest in smaller and rural hospitals, indicating systemic gaps in oversight and accountability. In response to these findings, HRSA has mandated strict corrective actions for the OPO and system-level changes to safeguard potential organ donors nationally. The OPO must conduct a full root cause analysis of its failure to follow internal protocols—including noncompliance with the five-minute observation rule after the patient’s death—and develop clear, enforceable policies to define donor eligibility criteria. Additionally, it must adopt a formal procedure allowing any staff member to halt a donation process if patient safety concerns arise.

Secretary Kennedy will decertify the OPO if it fails to comply with these corrective action requirements [PDF].

HRSA also took action to make sure that patients across the country will be safer when donating organs by directing the OPTN to improve safeguards and monitoring at the national level. Under HRSA’s directive, data about any safety-related stoppages of organ donation called for by families, hospitals, or OPO staff must be reported to regulators and the OPTN must update policies to strengthen organ procurement safety and provide accurate, complete information about the donation process to families and hospitals.

These findings from HHS confirm what the Trump administration has long warned: entrenched bureaucracies, outdated systems, and reckless disregard for human life have failed to protect our most vulnerable citizens. Under Secretary Kennedy’s leadership, HHS is restoring integrity and transparency to organ procurement and transplant policy by putting patients’ lives first. These reforms are essential to restoring trust, ensuring informed consent, and protecting the rights and dignity of prospective donors and their families.

HHS recognizes House Committee on Energy and Commerce Chairman Brett Guthrie’s (KY-02) bipartisan work to improve the organ transplant system and looks forward to working with him and other issue-area champions in Congress to deliver reforms.” (All emphasis added)”

CONCLUSION

As I wrote in my October 18, 2022, blog “PLEASE READ BEFORE YOU AGREE TO BE AN ORGAN DONOR”:

“But are ethical lines being crossed in the zeal to obtain organs to transplant?

While most people presume that organs can be removed and transplanted only after “all efforts to save your life have been exhausted” and brain death has been determined, that presumption is no longer necessarily true. (Emphasis added)

Now, organ donation can occur with a person who is in a coma and considered close to death but who does not meet the criteria for brain death. In those cases, an organ donor card or relatives who have agreed to withdraw a ventilator (a machine that supports or maintains breathing) and have the person’s organs removed for transplant if or when the heartbeat stops. This was called DCD or donation after cardiac death until some doctors found that the stopped heart could be successfully restarted it in the patient receiving the transplant!

Now, that ethically questionable procedure is called donation after circulatory death (also DCD) since circulation stops when the heart stops.

If circulation does not stop within 60 minutes, the organs are deemed to be too damaged for transplant and the patient dies without donating organs.

IT GETS WORSE

A September 29, 2022, article in Medpage titled “No Brain Death? No Problem. New Organ Transplant Protocol Stirs Debate-Is it ethical to pull the plug in patients who aren’t brain dead, then restart their hearts?” reported on a new procedure to get more organs:

“With little attention or debate, transplant surgeons across the country are experimenting with a kind of partial resurrection: They’re allowing terminal patients to die, then restarting their hearts while clamping off blood flow to their brains. The procedure allows the surgeons to inspect and remove organs from warm bodies with heartbeats.” (Emphasis added)

The article also said that this new procedure is being criticized by doctors like Dr. Wes Ely and the American College of Physicians, who warned that the procedure raises “profound ethical questions regarding determination of death, respect for patients, and the ethical obligation to do what is best.”

and

“PRESUMED CONSENT AND LAW

Another problem is “presumed consent,” which is the assumption that everyone is willing to donate his/her organs unless there is evidence that they would not want to donate. Illinois narrowly avoided a “presumed consent” statute a few years ago in which people who didn’t want to donate had to file an opt-out document with the Secretary of State. (Emphasis added)

Some countries already have “presumed consent” laws, most recently in England, which states:

“it will be considered that you agree to become an organ donor when you die, if:

  • you are over 18;
  • you have not opted out;
  • you are not in an excluded group”

Even more horrifying, there have also been proposals to link organ donation and assisted suicide as “a potential solution to the organ scarcity problem”. Countries like Belgium and the Netherlands already allow this.

CONCLUSION

Organ donation can truly be “the gift of life”, and innovations such as adult stem cells. The donation of a kidney or part of a liver by a living person generally poses no ethical problems and holds much promise to increasingly meet the needs of people with failing organs. I have a grandson whose life was saved by a stem cell transplant, and another relative who has had 2 kidney transplants.

Personally, I have offered to be a living donor for friends, and my family knows that I am willing to donate tissues, such as bone, corneas, and skin, that can be used after natural death.

Everyone can make his or her own decision about organ donation, but we all must have the necessary information to make an informed decision. (Emphasis added)

MY “WORST” PATIENT

nancyvalko culture, faith, medical ethics, nursing, pro-life

I was a newly divorced mother of three young children when I returned to nursing to support our little family.

I had been a happily stay-at-home mom for years until my husband had a mental breakdown, took all our money, and fled the state after one of our children died, but I was grateful to find a job on an oncology unit and some childcare.

I was a little nervous about being a working nurse again, but when I started my first day back, I was startled by loud shouting from a patient’s room, even through the door was closed.

I asked what was going on and the other nurses told me that the patient was abusive and shouting all the time, even though he didn’t seem in pain.

The other nurses said they had all agreed to change nurses every day because he was so nasty and they told me I was going to be assigned to him later.

I read the man’s chart and talked to the man’s doctor to ask him what was going on. I was shocked when the doctor said he thought the man was “evil”! I asked the doctor “Like Hannibal Lecter in the movie Silence of the Lambs?” He said yes and I felt a cold chill.

So I made a plan.

When my turn came up to care for the man, I asked to have him all week on the night shift. “No problem!”, the other nurses said.

The first night, the man didn’t sleep and kept shouting loudly. He ignored my questioning so I sat next to his bed and tried to understand what he was shouting.

I discovered that he was enraged and cursing God Himself. I listened quietly until he stopped.

After a while, I held his hand and every time he started to yell again, I replied “God still loves you” over and over until he eventually he fell asleep,

This went on night after night until one night he stopped and slept through the night.

The next day, he woke up and said he wanted to take a walk so I took him to the hallway just as the day shift came in.

The man smiled at them and said “Good morning, ladies!” Everyone was stunned but his whole attitude changed from then on.

Weeks later, I met a student nurse who asked how he was doing. She said she had made a big mistake with his portacath IV access and had to have it replaced surgically. She was devastated but when she apologized, he told her not to worry and that he was fine.

The student told me that she was the nicest patient she ever had!

I told her my story and said that sensitively caring for the most difficult patients can be the greatest reward of all!

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“Suicide Helpline” in Canada Suggested Euthanasia for a Person with Disabilities

nancyvalko assisted suicide, Compassion & Choices, culture, drug addiction, education, euthanasia, law, medical ethics, mental health, nursing

In a stunning article on Ales Schadenberg’s May 31, 202 blog titled “Suicide helpline suggested euthanasia for my disabled friend”, Meghan Schrader, a disability justice advocate and scholar, warns that “it is best to nip the USA assisted suicide movement in the bud and not let that movement get its foot in the door” and tells the story of her Canadian friend “Amy”. (Emphasis added)

Ms. Schrader writes that Amy reached out to her for help after Canada legalized euthanasia for disabled people in 2021.

“Amy had endured child abuse, which left Amy with PTSD and physical injuries that caused severe chronic pain. As an indigent disabled person Amy was unable to access thorough medical treatment for these disabilities, so even though Amy wanted to live and was deeply offended by Canada’s decision to expand euthanasia to people with disabilities, Amy’s suffering was so great that Amy thought constantly of dying by “MAiD” (Medical Aid in Dying).”

“However, when Amy called a mental health and suicide crisis support hotline for poor people and asked the operator for help fighting against these thoughts, the operator said, “Well, MAiD is a legit and legal option. Maybe it’s something you should consider. The medical system seems to be failing you. And you are never going to get the opiate pain medication that you think you need.” (Emphasis added)”

“With help from about ten different people, including the Euthanasia Prevention Coalition, Amy was eventually able to take a train four hours away from home and show up in the emergency room of a hospital that opposes “MAiD” and specializes in chronic pain and mental illness. Amy finally received excellent care. Although Amy sometimes still has symptoms of chronic pain and PTSD and life is still often quite a struggle, Amy’s symptoms are manageable and Amy is not planning to die by “MAiD.” It was my honor to attend Amy’s Zoom birthday party recently.

But thanks to Compassion and Choice’s friends in Canada and the systemic ableism that is enabling their cause, the Canadian medical system would have killed Amy before providing adequate medical treatment or support.”

She ends by stating:

“I’ve read statements from proponents of recent assisted suicide bill’s saying that their supporters are “real people with grief and loss, not hypothetical scenarios.” Well, Amy and Rachel are not hypothetical scenarios, they are my friends. I’ve read statements describing myself and other disability rights movement opponents of assisted suicide as “abusive, bullying and cruel.” (Emphasis added)

But I can think of few things more abusive, bullying and cruel than for a suicide prevention hotline operator to tell a caller to go ahead and be killed. I don’t want to live in that world, and like others in the disability justice movement, I won’t be quiet while the proponents lay the scaffolding for that to happen.

I’m sorry if that makes me cruel.”

CONCLUSION

As I wrote in 2015:

“In 2009, I lost my 30 year old daughter Marie to assisted suicide after using an assisted suicide technique after a 16 year battle with addiction.

Marie’s suicide hit our family, her friends, and her therapists like an atom bomb. We had all tried for years to help her, with periods of success. Suicide was always our greatest fear, and we made sure she was armed with crisis helpline numbers and our cell phone numbers at all times. I trust in an all-merciful God Who loves my daughter as much as I do, and I don’t regret one minute of those 16 years of trying to save her.

Both personally and professionally, as a nurse, I’ve cared for many suicidal people whose lives were saved. It’s a myth that suicidal people are destined to commit suicide eventually, and studies have shown that only 10 percent (or less, according to some studies) complete a suicide.1 I’m still determined to save vulnerable people from suicide, regardless of their age, socioeconomic status, or condition. Giving up hope is not an option.

Not surprisingly, since suicide contagion is a recognized risk factor for suicide, one of Marie’s close friends became suicidal on the first anniversary of her suicide but was saved. Is it really just a coincidence that Oregon, which doesn’t include assisted suicide in its suicide statistics, now reports a suicide rate that’s 41 percent above the national average?4“

But the “assisted suicide/ euthanasia” machine still rolls on in the US.

The Patients Rights Action organization keeps track of states with bills to legalize assisted suicide and those states that defeated assisted suicide. (see state status updated 5/29/2025)

Please check the status in your state and take the necessary action.

We cannot become like Canada!

FEEDING IS NOT EXTRAORDINARY CARE– DECISION IN THE NANCY CRUZAN CASE ADDS TO THE LIST OF EXPENDABLE PEOPLE

nancyvalko assisted suicide, brain injury, conscience rights, disability, education, end-of-life, euthanasia, food and water, futility, law, Living wills, medical, medical ethics, nursing, pro-life

Before the famous Terri Schiavo food and water case gained national attention 20 years ago, Dr. Harvath and I wrote this Op-Ed in the St. Louis Post-Dispatch (no longer online) about the Nancy Cruzan casw, an earlier case of withdrawing food and water from a “so-called “vegetative state”‘ My family was furious when it was pusblished and told me that I was being “mean” to the family.

Unfortunately, such removal has become common and even recently, has resulted in a brother’s death.

Not surprisingly, so-called “assisted suicide” is now allowed in many states and countries

Nancy Valko, RN

Here is our op-ed:
Friday, August 12, 1988
FEEDING IS NOT EXTRAORDINARY CARE– DECISION IN THE NANCY CRUZAN CASE ADDS TO THE LIST OF EXPENDABLE PEOPLE

By Susan Harvath and Nancy Guilfoy Valko                                                                    

Just a few years ago the Missouri Legislature passed a ”living will” law that specifically excluded food and water from the kinds of care that may be withdrawn from a patient. In 1984, the National Conference of Catholic Bishops stated that legislation should ”recognize the presumption that certain basic measures such as nursing care, hydration, nourishment and the like must be maintained out of respect for the human dignity of every patient.”

Therefore, it is hoped that the Missouri Court of Appeals will overturn the recent Circuit Court decision that would deny tube feedings for Nancy Cruzan, a severely disabled woman cared for at the Missouri Rehabilitation Center. The anguish felt by the Cruzan family, which initiated the suit, is understandable. However, directly causing the death of an innocent person – even for reasons of mercy – violates that person’s basic human rights.

The Cruzan case is perceived by many to be an issue of allowing a person to die. Cruzan has been categorized by some experts as being in a ”persistent vegetative state,” an unfortunate and imprecise term at best. However, she is not dying or brain-dead. Rather, she is severely disabled from brain damage and needs no special technology to survive. Withdrawing her feeding tube would not ”allow” her to die – it would ”force” her to die. She would not die from her injuries, but rather from starvation and dehydration.

Also, starvation and dehydration cause a protracted, agonizing death in a fully conscious person. Some experts have stated that Cruzan would feel no pain if her feedings were stopped. Yet Cruzan’s nurses have testified that she has cried, smiled and even laughed in response to stimuli.

The possibility of pain during the length of time before death occurs has led some to propose lethal injections as a more ”humane” way to cause death than starvation. The passive euthanasia of withdrawing feeding logically leads to active euthanasia by injection or other means. Both are unacceptable.

A recent trend has been to classify tube feedings as medical treatment. However, unlike other medical treatments, denial of food from any person (sick or healthy, in or out of coma) will always result in that person’s death.

Ethically, treatments may be withdrawn if they are useless or burdensome to the patient. However, tube feedings are not excessively expensive or burdensome to the patient and do maintain life and prevent the discomfort of hunger and thirst. In deciding what treatment may ethically be withdrawn one must be careful to judge the treatment itself, not the ”quality” of the patient’s life. A person’s limitations do not decrease a person’s humanity or worth.

In the past few years, we have seen many court cases similar to Cruzan’s in other states. Some have involved people less severely disabled than Cruzan. A recent case in North Dakota resulted in a judgment that even feedings by mouth may be stopped. In most cases, it is not the patient who requests that feedings be stopped but rather a third party, usually a family member. Often, as in the Nancy Cruzan case, there is no clear and convincing evidence that the patient would even want the feedings stopped.

Some courts have gone even further and have stated that third parties do not need the approval of a court before a patient’s food and water is withdrawn unless there is disagreement, for example, among family members. This trend has unfortunate implications for all people with mental impairments.

There is a vast difference between not prolonging dying and causing death. In the last two decades, we have seen killing promoted as a humane and compassionate response to unwanted unborn children, newborns with handicaps, and the terminally ill. Let us not add a new category of people (the non-dying, severely disabled) to the list of expendable human lives.

Nancy Guilfoy Valko, R.N., is co-chairperson, and Sue Harvath is program director of the St. Louis Archdiocesan Pro-Life Committee.

Shocking New York Times Article Shows Planned Parenthood in Crisis

nancyvalko abortion, culture, law, medical ethics, Planned Parenthood, pro-life

In a shocking February 15, 2025, New York Times article titled A Crisis at Planned Parenthood: What to Know, author Katie Benner writes that “Planned Parenthood clinics around the country are facing complaints of substandard health care and poor morale amid chronic funding problems, a New York Times investigation found.” (Emphasis added)

She also writes that:

“While Planned Parenthood is synonymous with abortion, the organization also provides basic health care to millions of​ Americans who have few other options. Financial strains now undermine those services.

A New York Times review found that the clinics have been in decline for decades, undermined by structural and political headwinds and left to make do as national leaders prioritized the fight for abortion rights over finding a more sustainable way to fund health care. (Emphasis added)

Planned Parenthood’s health care operation has shrunk from a high of 5 million patients served across 900 clinics in the 1990s to 2.1 million patients and 600 clinics today, with staff members complaining that patient care is compromised by low salaries, chronic understaffing, high turnover, inadequate training and aging facilities.” (Emphasis added)

Katie Benner also writes: “Here are four takeaways from the reporting:

“Planned Parenthood may need structural reform

Few people outside the organization understand that there is a significant difference between the Planned Parenthood Federation of America, the national office that most people associate with the brand, and the 49 Planned Parenthood affiliates located across the country. The national office does not provide health care. Rather, it funds legal, political, and public opinion work that supports abortion rights. The clinics are run by the affiliates, which are stand-alone nonprofit organizations.

The affiliates have been buffeted for years by political challenges that hurt their ability to raise the money necessary to cover procedures that patients cannot afford.

For the past two decades, leaders say they had to prioritize the fight for abortion rights over clinics because the political fight was fundamental to the organization’s ability to operate. They argue that the organization managed to deliver quality health care, despite increasing financial constraints. Yet clinics have degraded over time.” (All emphasis added)

Clinics nationwide face financial problems

“While affiliates in more liberal states like New York and California have had an easier time fund-raising than their counterparts in states with a strong anti-abortion sentiment, rising health care costs and the lingering effects of the pandemic have taken a financial toll on all clinics. Planned Parenthood of Greater New York — one of the few places where abortion is still legal up to 24 weeks — said that a budget shortfall would force it to restrict later-term abortion services, effectively implementing a 20-week abortion ban. (All emphasis added)

Planned Parenthood of Northern California made a hard funding choice “last March when it ended a prenatal care program that served 200 to 250 low-income women a month. And Planned Parenthood of Northern New England expects to run an $8 million deficit over the next three years.

While affiliates in more liberal states like New York and California have had an easier time fund-raising financial toll on all clinics. Planned Parenthood of Greater New York — one of the few places where abortion is still legal up to 24 weeks — said that a budget shortfall would force it to restrict later term abortion services, effectively implementing a 20-week abortion ban.

Planned Parenthood of Northern California made a hard funding choice last March when it ended a prenatal care program that served 200 to 250 low-income women a month. And Planned Parenthood of Northern New England expects to run an $8 million deficit over the next three years.” (All emphasis added)

Patients have felt the effects

“Patients and employees said that clinics are operating like “ a conveyor belt” for patients, leading to botched IUD placements and abortions, patients prepped for the wrong procedures, and other errors, according to legal filings, complaints and interviews. (All emphasis added)

Planned Parenthood has been accused of improperly implanting a birth control device and causing nerve damage; inserting an IUD in a woman who was four months pregnant, and failing to upload sexually transmitted infection test results into charts, leading patients to wrongly believe that their results were negative.”

Employees are feeling the pressure

“Employees said there has been constant pressure to more than double the number of patients seen from the present 2.1 million, to help bring in more revenues, with management asking staff to see more than four patients an hour. That is in line with a trend in health care, widely unpopular with both patients and doctors, to keep primary care visits to about 15 minutes. But clinic staff members said that they needed more than 10 to 15 minutes to care for patients who often face literacy and language barriers or face social ills like housing insecurity, abuse and poverty.

Staff members who have decried the conditions are beginning to unionize to push back on demands that they say undermine Planned Parenthood’s mission.”

CONCLUSION

Although abortion is supposed to be only about a woman’s right to choose, the repercussions for all involved are devastating. Abortion is not the answer and we all need to offer help and support to desperate women and their families.

Trump Pardons 23 Pro-Life Activists the Day before the March for Life

nancyvalko abortion, end-of-life, medical ethics, mental health, nursing, Planned Parenthood, pro-life, suicide

In a January 23, 2025 article in the New York Post titled “Trump pardons ‘peaceful’ pro-lifers imprisoned for protesting outside abortion clinics” states:

” President Trump pardoned nearly two dozen pro-life activists Thursday who were convicted under a federal law of illegally trying to block abortion clinic entrances or otherwise keep women from undergoing the procedure.

The pardons, Trump said in the Oval Office, will go to 23 “peaceful protestors” who were prosecuted under the Biden administration. He did not reveal the names of those who will be pardoned. 

“Twenty-three people were prosecuted who should not have been prosecuted. Many of them are elderly people. They should not have been prosecuted,” the president said. “This is a great honor to sign this.”

The Freedom of Access to Clinic Entrances (FACE) Act, enacted in 1994 by former President Bill Clinton, prohibits use of physical force, threat of physical force, or physical obstruction to injure, intimidate or otherwise interfere with “any class of persons [in] obtaining or providing reproductive health services.”

The law also has the same stipulations allowing free access to places of worship — but conservatives say Democratic administrations have been more interested in prosecuting abortion clinic obstruction.”

MY FIRST TIME AT AN ABORTION CLINIC

I was a new nurse when Roe v Wade legalized abortion.

I was shocked and saddened while my other medical colleagues thought this was great.

“What would you do if you found out you were pregnant?”, they asked.
I told them I would have the baby and consider adoption. They thought that was crazy.

I later joined the St. Lous Archdiocese Pro-Life Commitee, the first in the US, and donated items to the Birthright organization that offers “free, confidential resources to any woman regardless of age, race, circumstances, religion, marital status or financial situation.”

In 1987, I was invited to join a group holding signs outside the Planned Parenthood Clinic in St. Louis offering information and help to the women entering. I was nervous walking with my then 2-year-old daughter but there were strict rules about staying on the sidewalk and I was relieved to see the signs with phone numbers and offers to help the women entering the clinic.

But suddenly my 2-year-old daughter dropped my hand and ran to play on the grass in front of the clinic. I panicked, picking her up and running to the sidewalk. I had heard that we could be arrested. Luckily, we weren’t.

CONCLUSION

I am glad President Trump pardoned those peaceful pro-life people but being pro-life is about more than picketing.

Every pro-life person I know is also a person who reaches out to anyone in need.

I know I have been blessed by helping single moms in difficult circumstances, families caring for children with disabilities, people considering suicide, women regretting their abortion, older people facing their impending death, and others.

Being pro-life is not just about ending the horror of legalized abortion but rather about cherishing and caring for all lives!

That is why I am so proud of the National Association of Pro-life Nurses’ button that simply says “I care”.

Hawaii Doctor Investigated for Assisted Suicide Murder

nancyvalko assisted suicide, conscience rights, culture, end-of-life, law, medical ethics

A January 8, 2025 news article in the Hawaii Free Press titled “Hawaii Doctor under Investigation for Murder in Woman’s Assisted Suicide Death” reveals that authorities are investigating a doctor for murder after police say he administered assisted suicide drugs to a woman.

Under Hawaii’s assisted suicide law passed in 2018, patients who have been approved for “assisted death” are required to self-administer the lethal dose of drugs.

The newspaper states:

“In this case, the 73-year-old doctor allegedly broke the law and assisted his 88-year-old patient in taking the lethal medication on October 9, 2024. According to the police report, at one point the woman was starting to choke and motioned for the doctor to stop — but he continued, causing her death. After an autopsy, the Medical Examiner’s Office ruled the death a homicide. According to Island News, the doctor is being investigated for second-degree murder, but as of yet no charges have been filed.” (All emphasis added)

In his January 4, 2025 Medical Futility blog titled “MAID Noncompliance Leads to Murder Investigation, assisted suicide supporter Thaddeus Pope, JD.Phd. states:

“All U.S. MAID laws require that the patient self-administer the medications (typically DDMA-Ph). When someone else administers the medications, that is not MAID. Instead, that is assisted suicide which remains criminally prohibited in all U.S. jurisdictions including those that permit MAID. ” (Emphasis added)

CONCLUSION

A report released in February 2024 showed that 166 people had died by assisted suicide in Hawaii since its legalization in 2018. According to KTVZ, this is the first homicide investigation related to the OCOCA.

Suicide- medically assisted or not- is never a death with dignity for anyone!

One In Four Brain Injury Patients Who Appear Unresponsive Respond Covertly

nancyvalko assisted suicide, brain injury, culture, disability, education, food and water, futility, medical ethics, vegetative state, ventilators/life support

Back in May, I wrote the blog “New Study: Brain-injured patients who died after life support ended may have recovered” about a 7 1/2 year study of 1392 traumatic brain injury patients in ICU at 18 US trauma centers.

The researchers designed a mathematical model to calculate the likelihood that life-sustaining treatment would be discontinued “based on demographic, socioeconomic factor and injury characteristics” and then “paired patients continuing on life-sustaining treatment to individuals with similar moded scores but for whom life-sustaining treatment was stopped.”

They found that of the survivors who did not have life-sustaining treatment withdrawn, “more than 40% recovered at least some independence.” (Emphasis added)

This led one researcher to conclude that:

““Predicting who will recover following severe traumatic brain injury, and to what degree, can be challenging. Yet, families are often asked to make decisions about continuing or withdrawing life support, such as mechanical breathing, within just 72 hours of the injury,” Bodien said.

“This decision is based largely on whether the clinical team believes that recovery is possible,” she added. “It is unknown whether some people who died because life support was discontinued could have survived and recovered had life support been continued.” (All emphasis added)

NEW STUDY

Now a newer study, published in August, states that one in Four Brain Injury Patients Who Appear Unresponsive Respond Covertly | MedPage Today, finding that functional MRI and EEG tests can detect awareness in coma or vegetative states.

The authors explain that:

“Cognitive-motor dissociation — a phenomenon that occurs when patients who appear unresponsive perform cognitive tasks that can be detected on functional MRI (fMRI) or electroencephalography (EEG) — occurred in one in four people with severe brain injury, a prospective cohort study found.”

The study evaluated 241 unresponsive patients with brain injury who were given verbal commands, such as to imagine playing tennis or opening and closing their hands.

Of these, 60 patients (25%) repeatedly showed brain activation on fMRI or EEG indicating they were covertly following instructions, reported Nicholas Schiff, MD, of Weill Cornell Medicine in New York City, and co-authors in the 

Cognitive-motor dissociation was associated with younger age, longer time since injury, and brain trauma as an etiologic factor. In total, 11 patients with cognitive-motor dissociation were assessed with fMRI only, 13 were assessed with EEG only, and 36 with both techniques.

“This research shows that a substantial fraction of apparently unresponsive, severely brain-injured persons are aware and can engage in sustained cognitive activity,” Schiff told MedPage Today. These findings importantly point to the need to establish infrastructure to evaluate patients and to begin efforts to test possible therapies to help them.” (All emphasis added)

CONCLUSION

I have worked with brain-injured patients for decades both as a nurse and as a volunteer and I personally saw many amazing recoveries or improvements despite dire predictions and/or recommendations of life support removal.

One of the most amazing cases was a woman with disabilities whose husband wanted to remove life support as the doctors recommended.

As she personally told me, she frantically tried to move her hands to protest but her gestures were seen as seizures and she was given sedatives.

She persisted until finally, one nurse said she might be trying to tell us something and gave her a paper and pencil.

The patient wrote d-i-v-o-r-c-e.

She not only lived but became active in the disability community fighting assisted suicide!