Compassion in Dying      End-of-Life Choices 
 

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OUTREACH / PARTNERSHIP COMMITTEE

Our Partnership Committee has become fully active, already reaching out to like-minded organizations.

VISION: Believing that the individual has the right and the responsibility to choose the manner of her/his death, Compassion & Choices would like to partner with other groups interested in end-of-life issues to establish common ground for understanding and achieving death with dignity.

SITUATION ANALYSIS: To avoid competition and misunderstanding among groups interested in end-of-life issues, we would like to establish criteria for a good death.

PLAN: For purposes of information-gathering, members of C&C will meet with representatives of different groups to discuss the following issues relative to a good death:

  • Achieve pain management
  • Arrange for patient participation in treatment
  • Prepare patients for death (resolving conflicts, saying goodbye, tying up loose ends, spending time with friends and family)
  • Establish networks of support (doctors, nurses, social workers, chaplains, pharmacists)
  • Arrange for grief and/or legal counseling
  • Find ways for C&C and other groups to work together
  • GROUPS TO CONTACT: National C&C, hospices, hospitals, ACLU, AARP, Colorado Bar, Funeral Consumer Agency, Final Exit, Association of Grief Counselors, Regis School for Nursing, Center for Ethics and Humanities. If readers wish to suggest other groups, please contact the editor at newman36@comcast.net.

    MARKETING COSTS: $2,000 for printing materials, meetings, lunches

    STAFFING: Volunteers

    SCHEDULING: Meeting once monthly, we will collate material, write reports, meet with executives from the targeted groups, and make plans to utilize information.

    MEMBERS: Marilyn Amer, Nancy Bale, Mary Hoagland, Wye Hale-Rowe, Ray Hockedy, Peter Mayerson, MD, Adele Phelan, Helen Voorhis

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    THE LEGAL CENTER FOR PEOPLE WITH DISABILITIES AND OLDER PEOPLE

    Ray Hockedy and Mary Hoagland had a  cordial meeting with Marianne Harvey at The Legal Center for People with Disabilities and Older People (455 Sherman, Suite 130, 303.722.0300, x215)

    Their mission is protection and advocacy for people with disabilities and the elderly including:

    o Developmental disabilities and special education
    o Mental illness
    o People with HIV
    o Work training for Social Security recipients
    o Traumatic brain injury

    “Elder” is defined as anyone 60 and older
    The organization has existed since 1976
    They are part of a national network and are authorized under law
    They can investigate abuse and neglect
    They have nine attorneys on their staff
    The second office in Colorado is in Grand Junction
    They contract with the State Department of Human Services for The Colorado Long-Term
    Care Ombudsman program
    Most clients are low income and on a Medicaid waiver
    80% of their funding is federal; 20% is private
     
    Marianne knows Virginia Fraser and has heard of Hemlock. She seems to personally be supportive of our cause. Concerning our issues and legislation, Marianne would take direction from her board but she thinks they would remain neutral or silent. It was recommended that we contact Julie Reiskin, an individual with the Colorado Cross Disability Coalition. We will issue a follow-up report.

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    ACLU

      Mary Hoagland and Ray Hockedy met with Cathy Hazouri at ACLU in Denver.

    Cathy just attended an ACLU national meeting in Seattle and went to a session given by Peter Goodwin, MD.  She saw a physician’s order for life-sustaining treatment (not a legal document) and felt that it was somewhat flawed.

    Cathy suggested we meet with the disability community, a group which she sees as our main opposition.  Her suggestion is that we approach this as a life choice to be made by a terminally ill person, not euthanasia decided upon by someone else. 

    She indicated that the ACLU views us in a positive manner and looks at our issue of individual choice at the end of life as a civil liberty, something which should not involve government or churches.  Note that a civil liberty is something that is in the U.S. Constitution (although not necessarily recognized), whereas a civil right is in a statute.


    Cathy is aware of SB 102.
    (SB 102 states that a health care provider cannot be charged with manslaughter if a patient dies as a result of medication if the purpose of that medication was pain relief).

    She is not aware of any end-of-life issues that the ACLU has taken to court but would let us know if any comes to mind.

    Cathy and the ACLU generally support us in our efforts, and she is considering whether she will write an article for our next publication.  Also, she may mention us in the next publication from the ACLU in Denver.  Note that our cause is not a high priority issue with ACLU.  However, if we brought a case to their attention, the ACLU would consider providing legal assistance.  Also, Cathy will contact us if she sees something at ACLU which she considers as our issue.


    The last time ACLU Denver worked on an issue that was related to end of life was in the 2006 legislative session and they actively opposed SB158 and were successful is getting it stopped in committee.  Their summary is on their web site, www.ACLU-CO.org.

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    AARP

    Mary Hoagland and Ray Hockedy have met with the Colorado CEO of AARP. The following summarizes what occurred at their meeting with Jon Looney (AARP state director) and Jim Dolbier, a volunteer. Both provide leadership in their volunteer efforts within our state.

    We discussed our agenda; Jon stated that AARP does not take a stance on aid-in-dying but does advocate having a living will and durable power of attorney.

    He asked us to note that AARP policy is set completely at the national level.

    AARP in Colorado has volunteers to lobby for their bills in the state legislature.

    We asked if C&C could advertise in their mailing; Jon did not know but suggested that our national leadership communicate with their national leadership on this issue.

    Also, Jon suggested that perhaps our national leadership could propose an article to AARP’s national leadership concerning issues about death and dying.  This is one way that we could, perhaps, get some exposure in their mailing (which is the largest in the U.S. at over 35 million members)

    Jon stated that individuals representing the Catholic Church have told him that AARP supports physician assistance in dying since they do not take an active stance opposing it.

    Jon would look at any legislation we proposed at a state level dealing with advance directives and see if AARP could support it.

    AARP’s agenda does not presently include being secure in having options in dying.

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    HOSPICE

    Marilyn Amer and Peter Mayerson, MD, visited two hospices:

    Namaste: staff meeting (20 persons in attendance) Director: Jan Bezuidenhout

    Denver Hospice: Bev Sloan, CEO and Gary Graham MD, Medical Director

    Those with whom we met were welcoming and interested in what we are doing and why we are there. We established a relationship based on common interest in end-of-life care and shared information, referrals, and philosophies.

    Neither hospice was into physician-assisted dying, per se, but rather in keeping patients comfortable (palliative care).

    There were diverse opinions of staff. Those against physician aid in dying felt that the process of death had a "majesty" which had to be respected. "Let it happen without artifice," e.g., no feeding tubes, no ventilators, et cetera.) The focus was on acceptance and a peaceful death.

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