Are Mail Order Abortions Coming?

Abortion clinics have been closing at a record pace. Since 2011, at least 162 abortion clinic have shut or stopped offering the procedure while just 21 have opened. Five states now have just one abortion clinic still open.

New pro-life laws regulating safety and standards are part of the reason but as feminist Madeleine Schwartz writes, even in liberal states “the combination of the economic difficulties of operating a clinic, a generally hostile atmosphere and declining demand means that many clinics are shutting down.

It should be no surprise that telemedicine medical abortion has also become appealing to Planned Parenthood because it reduces the cost burden of the clinics.

Not to mention that abortion has also become increasingly concentrated among the poor with 49% of aborted women patients having a family income below the federal poverty level.

MEDICAL ABORTION AND TELEMEDICINE

Although abortion was legalized in 1973, it wasn’t until 2000 that the U.S. Food and Drug Administration (FDA) approved the first oral abortion drug mifepristone (also known as RU-486) for medical abortions within 7 weeks of pregnancy (In March 2016, the FDA changed its guideline to allow medical abortion up to 10 weeks into pregnancy.)

Back in 2000, the “early abortion” procedure involved 3 clinic visits. The first session was with a doctor and taking the mifepristone dose to stop the progesterone necessary to establish and maintain the attachment of the unborn baby and placenta to the womb.  Two days later and if still pregnant, the expectant mother had to return to the clinic for the dose of misoprostol to cause expulsion of the preborn baby. Two weeks after the first clinic visit, the mother must return to the clinic to confirm that the pregnancy was ended.

In 2008, a Planned Parenthood affiliate in Iowa initiated the first formal telemedicine abortion program in the U.S. for abortion clinics not regularly staffed by a physician. In this situation, a physician in another location reviews prior labs and imaging to estimate the length of pregnancy and potential contraindications before speaking by a webcam to the pregnant woman.

The doctor is never physically present. Instead, he consults with the pregnant woman via the webcam about her medical history and tests, explains the procedure and then remotely activates a drawer that opens to dispense the abortion pills.

Now rates of medical abortions rival surgical abortions in the U.S.

However by citing safety concerns, 37 states currently require clinicians who perform medication abortions to be licensed physicians and 19 states require that the clinician providing a medication abortion be physically present during the procedure, thereby prohibiting the use of telemedicine to prescribe medication for abortion remotely.

NOW MEDICAL ABORTIONS BY MAIL?

A new study has been started in 4 states (Hawaii, New York, Oregon and Washington) to allow women to terminate a pregnancy by telemedicine and mail-order drugs.

Although the telemedicine medical abortions by email are touted as especially a boon for women in rural areas without a close abortion clinic, the process does not allow women to avoid the doctor’s office entirely. Using a video hookup on a home computer, a woman first consults a physician (or other clinician such as a nurse practitioner) at one of three participating abortion clinics who evaluates her medical history, explains how to take the abortion pills and what to expect. The woman then must get medical tests including ultrasound and blood work at a medical facility.

The study is being conducted by Gynuity Health Projects in the hope that good results will encourage the FDA to stop restrictions on mifepristone in pharmacies.

IS MEDICAL ABORTION EVEN PHYSICALLY SAFE?

The list of contraindications for medical abortion include ectopic pregnancy, chronic adrenal failure, chronic corticosteroid use and blood clotting problems. If tests do not reveal such problems or if a pregnant woman does not know or tell the doctor about certain conditions, the results could be deadly.

Complications of medical abortions include infection, heavy or prolonged bleeding in an estimated 1% of women and in an estimated 2% to 5% of medical abortions, the unborn baby is not completely expelled from the womb. When the unborn baby is not completely expelled, a surgical abortion is done to prevent infection or other problems

In December 2014, the University of California-San Francisco (UCSF) released an extensive study on Medicaid abortions in California. While its press release was titled “Major Complication rate after Abortion is Extremely Low”, Stanford University Ph.D. Michael New and his team found something quite different when they analyzed the data. They found that the study confirmed the finding that telemedicine abortions have “four times more risk of complications”.

A NURSE’S PERSPECTIVE

Although Planned Parenthood calls medical abortion “similar to a miscarriage”, it’s not.

Years ago, I had a miscarriage at 10 weeks with complications. I had a doctor who knew my medical history before he gently told me that my baby had died in my womb. When I had complications at home during my miscarriage, he met me in the emergency room and took care of the problem. It was my doctor who reassured me when I was hospitalized overnight. That kind of physical and emotional support is not possible with a medical abortion from a clinic.

Now imagine a young woman afraid to tell anyone she is pregnant and who visits an abortion clinic to get the abortion pills. Will anyone be with her or even know when she goes home and experiences what Planned Parenthood says is “kind of like having a really heavy, crampy period” with large clots and that “(a)ny chills, fevers, or nausea you have should go away pretty quickly”? Will she recognize the signs of a complication? Will anyone follow up if she doesn’t return to the clinic to be checked after the abortion?

There is a big difference between medical abortion and miscarriage physically, emotionally and spiritually because abortion is NOT health care.

My Trip to Georgetown University: The Inspiration of a New Generation

I was honored to be asked to give a talk at the annual Cardinal O’Connor Conference On Life at Georgetown University in Washington D.C. on January 28, 2017, the day after the annual March for Life. To be honest, I believe that I received more from the conference and students than I could ever contribute!

The title of my talk was “Killing or Caring? A Nurse’s Professional and Personal Journey”. I spoke about the progression of the Culture of Death through 4 professional and personal stories from abortion through assisted suicide. My stories included my 1982 fight to save the life of my newborn daughter with Down Syndrome and a severe heart defect against some lethal medical discrimination based on her disability. The second story was about how a young man in a car accident in the early 1970s “miraculously” recovered when we nurses refused to give up after the doctor initially predicted that the young man would at best be a so-called “vegetable” if he lived. The third story was about my daughter who died by suicide in 2009 at the age of 30 using an assisted suicide technique she read about and the tragedy of suicide contagion when assisted suicide is normalized and even glamorized. My last story was how I was almost fired from my ICU unit when I refused to participate in a withdrawal of treatment/terminal sedation euthanasia.

I was so moved by the enthusiastic response of the students to the message that the Culture of Death cannot be ignored or tolerated because evil will always expand until we stop it by demanding the recognition that every life is valuable and worthy of protection. I also loved getting a chance to talk to so many of the students after the talk. They inspired me!

Even on my trips to and from Georgetown University, I met two other inspiring young people. One was a lovely young African-American woman seated next to me on the flight to Washington, D.C. She told me about her career as a police officer patrolling the toughest area in Oakland, California. She also spoke about her passion to help the community and how she embraced the challenges of her choice. Who could not be inspired by that?

The Uber driver who drove me to the airport after my talk was similarly inspiring. It turned out that he was a young nurse who emigrated here from Ethiopia last year and was now studying for his national nursing exam to practice in the U.S. His story was fascinating and when he learned I was a veteran nurse, we had a wonderful discussion about nursing as a great career.

CONCLUSION

We sometimes hear the pessimistic opinion that our next generation is self-absorbed and only interested in money and the next cultural fad.

Based on my experiences in Georgetown, I think that our next generation may prove to be one of the best!

Emergency re-post: Write to Your Legislators in Congress Now!

On January 21, I wrote the following post (see below) to encourage all assisted suicide opponents to contact their own state’s legislators with instructions on how to find your state’s legislators and how to contact them.

There are only 30 legislative days (not calendar days but rather official working days for Congress which are impossible to predict) to contact your own state’s legislators to support a house and senate resolution bill disapproving the D.C. assisted suicide law before it automatically takes effect. The bills are S.J.Res. 4 for the Senate and H.J.Res.27 for the House and both are titled “Nullify District of Columbia Assisted Suicide Law”. You can also find and contact your legislators at those links.

It does not matter if your state has already approved assisted suicide or not. This is a way to let your legislator know you oppose it and this can educate him or her on what a constituent actually wants.

If you can, tell your story about why you oppose legalizing assisted suicide. Speak from your heart. It could be as simple as “I am a senior citizen and I fear giving doctors the right to kill”. Shorter messages are actually more likely to be read.

Thank you.

Nancy Valko RN ALNC

Urgent: Will Congress Stop the Washington D.C. Assisted Suicide Law in Time? Write Now!

January 21, 2017 nancyvalko assisted suicide, Compassion & Choices, law, medical ethics,

Washington D.C. Mayor Muriel Bowser  quietly signed an assisted suicide bill into law on December 19, 2016 after a majority of the city council voted for it.

Under the U.S. Constitution, the Congress has exclusive legislative authority over the District of Columbia. Congress has just 30 legislative days to review a law of the District of Columbia once it is passed by the city government. Resolutions of disapproval must be passed by both houses and be signed by the president to block a D.C. law.

In a race against time, the first step  to block the assisted suicide law was taken January 12, 2017 by Sen. James Lankford (R-Okla.) who introduced introducing a resolution in the Senate that opposes D.C.’s  “Death With Dignity Act”.

A companion resolution was introduced in the House by Rep. Brad Wenstrup (R-Ohio) and Rep. Jason Chaffetz (R-Utah) also said that he would push to block the law.

COMPASSION AND CHOICES HAS ALREADY STARTED A LETTER WRITING CAMPAIGN TO LEGALIZE ASSISTED SUICIDE IN WASHINGTON, D.C.

In a message to assisted suicide supporters, Compassion and Choices claims that “more than 2400 supporters” have “sent more than 7,000 messages to members of Congress”.  The organization also emphasizes “the importance of including your personal testimony” as “often the most effective way to change the minds of lawmakers”.

HOW TO CONTACT YOUR CONGRESSMAN OR CONGRESSWOMAN TO OPPOSE  ASSISTED SUICIDE IN WASHINGTON, D.C.

The National Right to Life Committee has a website link   to “Nullify District of Columbia Assisted Suicide Law” to contact your Senators and a separate link to contact your House representative(s). Enter your zip code in the box provided and you will be taken to a list of your congresspersons and a form you fill out to send an email to those representatives or senators with your comments.

HOW TO WRITE COMMENTS

Keep your comments respectful  and address the points that most move you. If you have a personal story about why you are against assisted suicide, write it as clearly and concisely as possible.

PROBLEMS WITH THE ASSISTED SUICIDE BILL

While many legislators (as well as the public) are persuaded by the “safeguards” to support assisted suicide laws, the Washington D.C. bill has many of the same problems with “safeguards” that other assisted suicide bills have. (For example, see my blogs “The slippery Slope-Tactics in the Assisted Suicide Movement” and “Pain and ‘Choice’“.)

In the D.C. assisted suicide law, such problems include:

1.The extraordinary immunity protections against civil, criminal liability or professional  disciplinary actions for doctors who participate in “good faith compliance” with the law.

  1. Protection from life or annuity insurance problems due to suicide (“Neither may a qualified patient’s at of ingesting a covered medication have an effect upon a life, health, accident, insurance, or annuity policy”)
  2. Minimal reporting requirements and secrecy in public records (“The Department will generate and make available to the public an annual statistical record of information collected”) Emphasis added.
  3. Require mental health evaluation only for the purpose of determining if the person is mentally capable to make the decision to end his or her life. (“‘Counseling’ means one or more consultations as necessary between a state licensed psychiatrist or psychologist  and a patient for the purpose of determining that the patient is capable and not suffering from a psychiatric or psychological disorder or depression causing impaired judgment.”)

CONCLUSION

There are many reasons to oppose legalizing assisted suicide including risk for elder abuse, discrimination against people with disabilities and/or terminal or chronic conditions, the destruction of the most basic rule of medical ethics to not kill patients or help them kill themselves, suicide contagion, etc.

Assisted suicide, legalized and approved by society, is a manifestation of despair and abandonment-not empowerment. We cannot afford to be bystanders while others like Compassion and Choices continue to demand that we all accept legalized assisted suicide as a constitutional and civil right.

 

 

Dr. Anne Bannon, Hero For Life

anne-reading

Dr. Anne Bannon “reading” her old pro-life insert. June 2016.

My friend and hero, Dr. Anne Bannon, died at the age of 89 on January 30, 2017.

Dr. Anne Bannon became a pediatrician decades ago at a time when women were usually discouraged from entering the almost exclusively men’s profession of medicine. But feisty and stubborn, Dr. Anne persevered to become a great doctor and the Chief of Pediatrics at City Hospital in St. Louis.

When the 1973 Roe v. Wade Supreme Court decision to legalize abortion came down, Dr. Anne was surprised and horrified. She went on to found Doctors for Life here in St. Louis.

One of her biggest projects was yearly producing and paying for a multi-page insert into the St. Louis Post-Dispatch (see picture), a newspaper that strongly supports legalized abortion and now assisted suicide.

Dr. Anne’s insert was full of facts but perhaps most importantly, it also listed the names of doctors against abortion. Every year, she would personally call every doctor she could and ask them if they opposed abortion and would agree to be listed in the insert. Despite the effort involved, Anne refused any help in contacting these doctors.

Every year, the list of doctors was long and it took courage for these doctors to agree to be listed. My own obstetrician-gynecologist told me that he received calls from other doctors who told him that they would never refer another patient to him if he continued to be listed in the insert. My doctor refused to be intimidated and he told me that publicly standing up for life was more important than possibly hurting his practice. In the end, his practice wound up even stronger.

DR. ANNE AND I

I was introduced to Dr. Anne in 1982 when my daughter Karen was born with Down Syndrome and a severe heart defect. I told her about several doctors who tried to undermine our decision to have our daughter medically treated exactly the same as any other child with a heart condition.

Of course, Dr. Anne was supportive and in 1983, even introduced me to Dr. C. Everett Koop, then Surgeon General under President Ronald Reagan, so that I could tell him my story and advocate for a national hotline that parents of newborns with any disability  could call to find resources to help their children.

Dr. Anne recognized that legalized abortion was leading to increasing acceptance of deliberate death decisions for born people, especially the disabled. Never married with no family nearby, she asked me to be her durable power of attorney for health care because she wanted truly ethical health care in case she became unable to speak for herself.

Several years ago, Dr. Anne developed dementia, probably Alzheimer’s, and was in a nursing home on Medicaid. By the time she died, she was in the late stages and unable to walk or even speak clearly  most of the time. But she was excited and delighted when we, her friends, visited her in the nursing home even when she could not remember our names. We were her St. Louis family and we loved her.

Dr. Anne fractured her hip last Saturday night and needed surgery. She did well in surgery but suddenly became critically ill at the end of the surgery . But, to the doctors’ surprise and just when they were ready to give up, Anne suddenly got better. She was taken to intensive care on a ventilator and unconscious but stable. Anne’s famous fighting Irish spirit came out one last time and we were proud of her.

Dr. Anne was in critical but stable condition and apparently in a coma when we called a wonderful local priest to give her the Catholic Sacrament of the Anointing of the Sick, previously known as Last Rites or Extreme Unction. According to one friend and the doctor attending, her face seemed to soften during the sacrament and she even blinked and put her tongue out. That in itself was amazing.

After the sacrament, her vital signs immediately started to drop and despite an increase in her medications, Dr. Anne died peacefully and in no distress a few hours later. We knew she wanted the sacrament and I believe that she hung on until she received it.

As a former hospice nurse, I have often seen this kind of hanging on by dying patients until an important matter was resolved.

So, to the end, Dr. Anne was still teaching about the value of all life.

Rest in peace, Dr. Anne Bannon!

Urgent: Will Congress Stop the Washington D.C. Assisted Suicide Law in Time? Write Now!

Washington D.C. Mayor Muriel Bowser  quietly signed an assisted suicide bill into law on December 19, 2016 after a majority of the city council voted for it.

Under the U.S. Constitution, the Congress has exclusive legislative authority over the District of Columbia. Congress has just 30 legislative days to review a law of the District of Columbia once it is passed by the city government. Resolutions of disapproval must be passed by both houses and be signed by the president to block a D.C. law.

In a race against time, the first step  to block the assisted suicide law was taken January 12, 2017 by Sen. James Lankford (R-Okla.) who introduced introducing a resolution in the Senate that opposes D.C.’s  “Death With Dignity Act”.

A companion resolution was introduced in the House by Rep. Brad Wenstrup (R-Ohio) and Rep. Jason Chaffetz (R-Utah) also said that he would push to block the law.

COMPASSION AND CHOICES HAS ALREADY STARTED A LETTER WRITING CAMPAIGN TO LEGALIZE ASSISTED SUICIDE IN WASHINGTON, D.C.

In a message to assisted suicide supporters, Compassion and Choices claims that “more than 2400 supporters” have “sent more than 7,000 messages to members of Congress”.  The organization also emphasizes “the importance of including your personal testimony” as “often the most effective way to change the minds of lawmakers”.

HOW TO CONTACT YOUR CONGRESSMAN OR CONGRESSWOMAN TO OPPOSE  ASSISTED SUICIDE IN WASHINGTON, D.C.

The National Right to Life Committee has a website link   to “Nullify District of Columbia Assisted Suicide Law” to contact your Senators and a separate link to contact your House representative(s). Enter your zip code in the box provided and you will be taken to a list of your congresspersons and a form you fill out to send an email to those representatives or senators with your comments.

HOW TO WRITE COMMENTS

Keep your comments respectful  and address the points that most move you. If you have a personal story about why you are against assisted suicide, write it as clearly and concisely as possible.

PROBLEMS WITH THE ASSISTED SUICIDE BILL

While many legislators (as well as the public) are persuaded by the “safeguards” to support assisted suicide laws, the Washington D.C. bill has many of the same problems with “safeguards” that other assisted suicide bills have. (For example, see my blogs “The slippery Slope-Tactics in the Assisted Suicide Movement” and “Pain and ‘Choice’“.)

In the D.C. assisted suicide law, such problems include:

1.The extraordinary immunity protections against civil, criminal liability or professional  disciplinary actions for doctors who participate in “good faith compliance” with the law.

2. Protection from life or annuity insurance problems due to suicide (“Neither may a qualified patient’s at of ingesting a covered medication have an effect upon a life, health, accident, insurance, or annuity policy”)

3. Minimal reporting requirements and secrecy in public records (“The Department will generate and make available to the public an annual statistical record of information collected”) Emphasis added.

4. Require mental health evaluation only for the purpose of determining if the person is mentally capable to make the decision to end his or her life. (“‘Counseling’ means one or more consultations as necessary between a state licensed psychiatrist or psychologist  and a patient for the purpose of determining that the patient is capable and not suffering from a psychiatric or psychological disorder or depression causing impaired judgment.”)

CONCLUSION

There are many reasons to oppose legalizing assisted suicide including risk for elder abuse, discrimination against people with disabilities and/or terminal or chronic conditions, the destruction of the most basic rule of medical ethics to not kill patients or help them kill themselves, suicide contagion, etc.

Assisted suicide, legalized and approved by society, is a manifestation of despair and abandonment-not empowerment. We cannot afford to be bystanders while others like Compassion and Choices continue to demand that we all accept legalized assisted suicide as a constitutional and civil right.

Could St. Louis Become a Sanctuary City for Abortion?

The St. Louis Planned Parenthood became the last abortion clinic in Missouri in November, 2015 after an abortionist lost her “refer and follow” hospital admitting privileges in Columbia, Mo.

Now two St. Louis aldermen in partnership with NARAL Pro-Choice Missouri started an effort  in December 2016 to “make the city a sanctuary for reproductive rights, i.e. abortion, by adding “reproductive health decisions” to the city’s anti-discrimination ordinance.

Their new bill, BB 203, adds “reproductive health decisions”, defined as “any decision related to the use or intended use of a particular drug, device, or medical service, including the use or intended use of contraception or fertility control or the planned or intended initiation or termination of a pregnancy” to the already protected categories of race, color, religion, sex, age, disability, marital status, familial status, sexual orientation, gender identity or expression, national origin or ancestry, or legal source of income.

Penalties under the current Civil Rights Enforcement Agency ordinance include up to $500 in fines and up to 90 days in jail but already a veteran pro-life activist was arrested on New Year’s Eve morning at the clinic and charged with alleged “domestic terrorism”.

In addition, as Samuel Lee of Campaign Life Missouri points out about BB 203: “There are no exemptions for churches, religious organization or for any person with a conscientious objection.”

Furthermore, he lists some possible acts that could be considered unlawful “discrimination” if BB 203 becomes law:

  • A Catholic hospital refusing to lease medical office space to a doctor who wants to perform abortions.
  • A doctors’ medical group rejecting as an employee, a physician who wants to prescribe abortion pills to his or her patients.
  • A property owner declining to lease office space to the CEO of Planned Parenthood.
  • The Archdiocese of St. Louis or Catholic Charities (at least as applied to their City of St. Louis employees), failing to include in their employees’ health benefit plans, coverage for abortion (at any time for any reason throughout pregnancy), contraception, sterilization or artificial reproduction.
  • A pastor in a pro-life church demoting or reassigning the youth minister because he encouraged and paid for his girlfriend’s abortion, because that is an “adverse employment action” (as defined in the bill) against the employee.
  • A maternity home, pregnancy resource center, Catholic Charities agency, etc., firing a counselor or social worker who referred a client for an abortion.
  • A mom or dad to denying parental consent for their minor daughter to get an abortion, because the parent would be “interfer[ing] with any person in the exercise or enjoyment of, or on account of his having exercised or enjoyed, rights granted and protected by this ordinance.”

Perhaps not surprisingly, Planned Parenthood’s new efforts to pass such an ordinance come after much bad publicity for the St. Louis Planned Parenthood clinic, including multiple safety violations discovered by Operation Rescue and 60 ambulance responses to the Planned Parenthood clinic since 2009 and observed by pro-life activists at the clinic.

.Archbishop Robert J. Carlson of St. Louis is also speaking out against BB 203 and states that  “the Archdiocese of St. Louis cannot and will not comply with any ordinance like Board Bill 203 that attempts to force the Church and others to become unwilling participants in the abortion business. There is no room for compromise on such a matter.”

Instead, Archbishop Carlson proposes that “St. Louis should be a sanctuary for life and compassion, especially compassion for mothers and their developing children.”

We must continue to challenge Planned Parenthood’s desperate efforts to shield its abortion business whenever and wherever such efforts occur.

Rest in Peace, Nat Henthoff

The famous writer and intellectual Nat Henthoff died January 7, 2017 at the age of 91.

Wesley Smith wrote a wonderful tribute to this self-described “Jewish, atheist, civil libertarian, left-wing pro-lifer” in an article titled “Nat Henthoff, Memory Eternal”  for the National Review.

I knew Nat for many years. He was a wonderful man with a great sense of humor and a great intellectual with expertise in many areas including journalism, jazz and law. He was also proud of being a total Luddite and insisted that I send him all my articles by snail mail instead of email-which drove me crazy!

I was honored when he quoted me in his 2003 article “The Culture of Death” in the Village Voice but I was embarrassed when he sent a photographer from the newspaper to take my picture for the article.

I now treasure that article.

Rest in peace, Nat. We miss you  and we will never forget you!

The Slippery Slope-Tactics in the Assisted Suicide Movement

I first saw this tactic  in the mid-1980s when Missouri was considering a “living will” law to allow a person to refuse “death prolonging procedures” if a person became terminally ill and unable to speak for himself or herself.  Some of us warned about a broader agenda, citing court cases involving feeding tubes and seriously brain-injured but non-terminally ill patients like Paul Brophy and Claire Conroy in New Jersey and Massachusetts . In  response, “right to die” activists (as they were known then) added the ”safeguard” of not allowing the withholding of food and water to the Missouri law  and the bill was passed.

Not surprisingly, Missouri soon faced the Nancy Cruzan case  involving the withdrawal of a feeding tube from a non-terminally ill young woman in a so-called “persistent vegetative state”.  Soon after that,  a Missouri Designated Health Care Decision Maker Act was passed that would allow a person to designate someone to make health care decisions (or a relative if there is no document) including withholding or withdrawing of feeding tubes when the person was incapacitated whether or not they were terminally ill or even in a so-called “vegetative state”.

Now, over 30 years later, we have legalized physician-assisted suicide in several states and the District of Columbia and the former “right to die” groups are now known as Compassion and Choices.

TODAY’S SLIPPERY SLOPE TACTICS

In a December 2016 commentary article titled “End of Life Liberty in DC” for a publication supported by the University of Pittsburgh School of Law, lawyer and long-time assisted suicide activist Kathryn L. Tucker surprisingly criticizes the new assisted suicide law quietly signed into law by the mayor of Washington, DC. this month.

While most people might believe that passage of yet another assisted suicide law would be cause for celebration for assisted suicide activists, Ms. Tucker is unhappy with the so-called “safeguards” in the DC law-just as “right to die” activists were with Missouri’s “living will” law.

Ms. Tucker now complains about the “many burdens and restrictions imposed” by these “safeguards” which, ironically, are added by assisted suicide activists themselves when they  “routinely face arguments of insufficient ‘safeguards’”.  Ms. Tucker lists some of these so-called “burdens and restrictions”:

  • Patients electing AID (aid in dying, the activists preferred term for physician-assisted suicide) must make at least three requests, two oral and one written.
  • The requests must be witnessed.
  • A second opinion confirming diagnosis and prognosis is required.
  • A mental health specialist must be consulted if the attending or consulting physician has concerns regarding the patient’s ability to make an informed decision.
  • A minimum fifteen-day waiting period must elapse between the two oral requests.
  • Physicians must collect and report a vast amount of demographic data on who chooses AID and why.

Ms. Tucker claims these so-called burdens and restrictions “impose heavy governmental intrusion into the practice of medicine, which is concerning because it creates barriers to patient access and to physician participation.” (Emphasis added)

Instead, Ms. Tucker proposes another, more expansive statute without the usual so-called “safeguards” that would provide:

a clear safe harbor (i.e. immunity) for physicians to practice aid in dying in conformity with standard of care. This reflected a positive step in the direction of normalizing AID within the practice of medicine. Medicine is not routinely governed by statute but, rather, by the type of care that a competent health care professional would render in similar circumstances —referred to as standard of care or best practice. (Emphasis added)

In other words, Ms. Tucker is proposing a policy that makes assisted suicide simply normal medical care with special protections against criminal, civil or disciplinary actions for doctors who participate even though such immunity is not given for other medical practices.

CONCLUSION

Ms. Tucker and other are deadly serious about this. When Vermont passed its assisted suicide law in 2013, the law contained a “sunset” provision that would end “nearly all regulation” after the first three years. Fortunately, this was repealed in 2015.

However, assisted suicide activists will not give up on this as Compassion and Choices makes clear:

We firmly believe — and experience demonstrates — that working within healthcare systems to normalize medical aid in dying will ensure fewer people suffer at the end of their life. (Emphasis added)

As Ms. Tucker demonstrates, assisted suicide advocates will promise anything to get assisted suicide laws passed but it appears that they will never be satisfied until assisted suicide becomes a private and unfettered practice using well-funded groups like Compassion and Choices as the potentially taxpayer-funded “experts” in charge of policies, referrals, training and education.

Just in Time for Christmas-Room at the Inn

In a wonderful, uplifting opinion article titled “Room at the Inn”  in the Wall Street Journal on December 19, William McGurn wrote about  the Good Counsel home in the Bronx , now part of a network of six such homes that offer help to homeless pregnant women.

It all started when Chris Bell, a husband and father himself, went to his parish priest in 1985 complaining that no one was doing anything for homeless pregnant women. The priest replied in effect “Hey, pal, what about you?

With the help of that priest, the first Good Counsel home started shortly thereafter. The home not only provides a safe, warm environment for the mother and baby (and even siblings) until birth but also “lets them stay a year afterward—to finish school, train for a job and learn how to care and provide for their babies.” Mr. Bell takes no government money.

The first Good Counsel home was started in a former convent in Hoboken, New Jersey that was part of the parish where singer Frank Sinatra was baptized. When a news article about the home and its financial struggles was published, Good Counsel home received a surprise check for $10,000 from Mr Sinatra himself.

William McGurn notes that this Christmas, Good Counsel’s women known that there will not be many presents under the tree:

But there will be joy. Because Good Counsel is about life, and hope, and respect. As well as the promise that, with love and hard work, happy endings are still within reach even for those who have made some bad decisions.

And especially at Christmastime, Good Counsel wants that troubled young pregnant woman who thinks she’s all alone to know: There’s always room at this inn

It is often said that the pro-life movement is just an anti-woman political movement to deny  women the “choice” of abortion. Personally, I have found the pro-life movement to be one of the greatest volunteer movements ever, committed to people and principles.

CONCLUSION

Here in St. Louis, we have Our Lady’s  Inn that has long offered the same kind of help as Good Counsel.

Is there a similar kind of place in your area? If so, consider supporting it or volunteering. If you don’t know, check with your church, local Birthright  or Heartbeat International’s Worldwide Directory of Pregnancy Help.

Even a small donation would be a wonderful way to celebrate the true meaning of Christmas!

Pain and “Choice”

It was 1969 and I was fresh out of nursing school when I was assigned to a patient I will call “Jenny” who was thirty two years old and imminently dying of cancer. She was curled up in her bed, sobbing in pain and even moaned “just kill me.” The small dose of Demerol I injected into her almost non-existent buttocks every four hours “as needed” was not helping. I reassured Jenny that I was immediately calling the doctor and we would get her more comfortable.

However, I was shocked when the doctor said no to increasing or changing her medication. He said that he didn’t want her to get addicted! I told him exactly what Jenny said and also that she was obviously very close to death so addiction would not be a problem. The doctor repeated his no and hung up on me.

I went to my head nurse and told her what happened but she told me I had to follow the doctor’s order. Eventually, I went up the chain of command to the assistant director of nursing and finally the Chief of the Medical Staff. The verdict came down and I was threatened with immediate termination if I gave the next dose of Demerol even a few minutes early.

I refused to abandon Jenny so for the next two days before she died, I spent my time after my shift sitting with her for hours until she fell asleep. I gave her whatever food or drink she wanted. I stroked her back, held her hand and told stories and jokes. I asked her about her life. I did everything I could think of to distract her from her pain and make her feel better. It seemed to help, although not enough for me. I cried for Jenny all the way home.

And I was angry. I resolved that I would never watch a patient needlessly suffer like that again.

So I educated myself by reading everything I could about pain medicine and side effects. I also pestered doctors who were great at pain control to teach me about the management, precautions and rationale of effective pain management. I used that knowledge to advocate and help manage my patients’ pain as well as educating others.

I was delighted to see pain management become a major priority in healthcare and even called “the fifth vital sign” to be evaluated on every patient. I saw new developments like nerve blocks, new drugs and regimens to control pain and other techniques evolve as well as other measures to control symptoms like nausea, breathlessness and anxiety. Now we also have nutritional, psychological and other support for people with terminal illnesses and their families.

Best of all was that I never again saw another patient suffer like Jenny despite my working in areas such as ICU, oncology (cancer) and hospice.

TWENTY-FOUR YEARS LATER

When my oldest daughter was 14, she attended a public high school where the science teacher unexpectedly started praising the infamous Dr. Jack Kevorkian and his public campaign for legalized assisted suicide and euthanasia.  Kevorkian’s first reported victim was Janet Adkins, a 54 year old woman with Alzheimer’s in no reported physical pain who was hooked up to a  “death machine” in the back of a rusty van. Mrs. Adkins was just the first of as many as 130 Kevorkian victims, many if not most of whom were later found to have no terminal illness. Kevorkian escaped prosecution-even after he harvested a victim’s organs and offered them for transplant-until the TV show 60 Minutes aired Kevorkian’s videotape showing him giving a lethal injection to a man with ALS (Lou Gehrig’s disease). Shockingly, Kevorkian served only 8 years in prison before he was paroled and eventually became a media celebrity peddling assisted suicide and euthanasia.

My daughter, who never before showed any interest in my speaking and writing on the topic of assisted suicide, now stood up and peppered her teacher with facts about Kevorkian. The teacher asked her where she learned her information and she answered “From my mom who is a cancer nurse”.

Sarcastically, he responded “So your mother wants to watch people suffer?” My daughter responded “No, my mother just refuses to kill her patients!” End of discussion.

CONCLUSION

But not the end of the story. Tragically, we now have legalized assisted suicide in several states and serious efforts  to expand it to include people without physical pain but with conditions like Alzheimer’s, mental illness or other psychological distress as well as even children.

As Wesley Smith recently and astutely observed :

 Moreover, the statistics from Oregon and elsewhere show that very few people commit assisted suicide due to physical suffering. Rather, the issues are predominately existential, such as fears of being a burden or losing dignity

The public is being duped by groups like Compassion and Choices that campaign for legalized assisted suicide on the alleged basis of strict criteria for mentally competent, terminally ill adults in unbearable physical pain to freely choose physician-assisted suicide with (unenforceable) “safeguards”.

The emerging situation throughout the world is more like Kevorkian’s dream of unfettered and universal access to medical termination of the lives of “expendable” people. How much easier is that when people with expensive mental health problems, serious illnesses or disabilities can be encouraged to “choose” to be killed?