Our Lady of Soccorso

ACA DEATH PANELS RETURNING

The Process for How to Properly Die in America
Camille Giglio
September 18, 2014

If the death and dying crowd has its way, in the future, on your child’s 18th birthday he or she will celebrate the event with a trip to a doctor’s office to have The Conversation on how and when to properly end one’s life, and California Medi-Cal may well pay the doctor for having the conversation.

This little paragraph was removed from the Affordable Care Act when Sarah Palin labeled it Death Panels, but now it is appearing in state legislation.

In California this plan is already formulated in legislation and on Governor Brown’s desk awaiting his signature. It is AB 2139 by death and dying advocate Assemblywoman Susan Eggman, entitled Patient Notification.

The bill calls for using Medi-Cal to pay a doctor for discussing end-of-life treatment when a patient receive a diagnosis of a chronic or terminal illness. It further requires the doctor or health care person, to hand the patient a POLST Palliative Care only form along with instructions in how to fill it out.

My local newspaper carried an article today entitled “Earlier, better care urged for end of life.” The article is a report on an Institute of Medicine paper which includes the suggestion that one should begin having discussions with family and doctor beginning at age 18 on the subject of how to best plan for your end of life.
 
http://www.mercurynews.com/health/ci_26551763/national-institute-medicine-report-recommends-ways-improve-end

The reporter writing the story, Lisa Krieger is an activist in the death and dying lobby and is once again using the freedom of the press to tout her own agenda. Two years ago the San Jose Mercury News allowed publication of a 10 part series written by Krieger, on the Cost of Dying.  This was followed by several appearances in the area touting the Physician Orders for Life-Sustaining Treatment, or, the POLST form.

The article quotes a Dr. Philip Pizzo, former dean of Stanford University’s School of Medicine and co-chair of the report, as saying: “It is our hope that this report will lead to improvements in end-of-life care and the experience of dying for all.”

Have they found some way to return someone from the grave to tell us how wonderful it was to die by a government approved and funded process?

The report continues by recommending that federal and state governments and private insurers create financial incentives for patients and clinicians (note: it’s clinicians, not doctors) to discuss end-of-life matters, document patient preferences, and provide appropriate services and care.”

They further recommend not only having this conversation once, but several different times at “milestones” of life, i.e., getting a driver’s license, turning 18, leaving home or marrying.”

I can just picture this:  Husband and wife are celebrating their second anniversary. Husband says to wife, I know what let’s do tonight. Let’s have over that celebratory drink, that Conversation about dying?  I’d throw him out of the house.

A Dr. Miller  of San Francisco’s Zen Hospice declares that “there is unnecessary and gratuitous suffering.”  He’s actually talking about “futile care.” This is an accepted term in certain Medi-Cal circles meaning that there are some patients for whom it is a waste of time and money to even think about curative care for someone’s illness. They are too old, too ill, too low-income, too unessential to society, etc.

Following the 1973 Roe v Wade Decision and debates on who was going to pay for these approved abortions, Then first time Governor, Jerry Brown, declared that California would pay for all its abortions which our state has continued to do. Now, Second-Time around Brown, is saying that, according to AB 2139, California taxpayers will pay the doctors to have the end-of-life conversation.

Seems like Brown is in a rut, doesn’t it? California like so many states is actively planning everyone’s life for them.  Not everyone who gets conceived is allowed to be born. Not everyone who becomes a parent will be encouraged to actually raise their child. The school will do it for them beginning at least by age 3. There is a mandatory kindergarten-before-first-grade bill also awaiting the Governor’s pleasure, AB 1444 by outgoing Assemblywoman, Joan Buchanan.

California follows the national Nutrition for all legislation and school children are instructed in eating healthy. The Common Core process Trains students for workforce placement when they graduate. And, now, we are all to be instructed by professionals in how best to die.

Now, it’s not your kids or your neighbors  being monitored by government lackeys, its you.  Do you want government bureaucrats planning your after retirement years?

Contact Governor Brown to urge a veto of AB 2139.

END-OF-TERM LEGISLATIVE REPORT

or Goodbye independence, hello bureaucracy
Camille Giglio
 

Walnut Creek, Ca 9/2/14. The major headline in the Sunday Contra Costa Times for 8/31/14 proclaims, Bipartisanship dominates 2014 legislative session. This might be true if by bipartisanship one means that the few Republicans in office either voted for everything the Democrats wanted or didn’t vote at all.

The over all figures comprising the state budget were agreed upon a month or two ago. What transpired this month was the areas and programs, aka special interests, that would be fed and sustained on the budget, er, your tax dollars.

What isn’t mentioned in the articles is the increased and expanded amount of centralized government control over human lives being assumed by the bureaucrats.

The news tells you of the groundbreaking agreement to “save” the aspiring new taxi services but fails to tell you of the 8 health related bills which will sharply increase the cost of fees, licenses, insurance and training of staff especially targeting smaller, independent and private residential care facilities for the elderly and disabled.

These higher costs of doing business could well bring about the demise of the private sector care facilities resulting in pushing seniors into for-profit facilities or any care facility receiving government funding and subsidies and operating under government prescribed “best practices” services to this cohort of consumers.

No one ever says who is best served by best practices, but one suspects that it is not the consumer of the services.

Every bill mentioned in this article is awaiting the Governor’s signature. He has until 9/30/2014 to sign or veto every bill before him.

The New York Times for August 30, 2014, carries an article by Pam Belluck entitled:

Coverage for End-of-Life Talks Gaining Ground. http://www.nytimes.com/2014/08/31/health/end-of-life-talks-may-finally-overcome-politics.html?_r=0.

This article discloses that Colorado and Oregon have recently begun covering “advance care planning” discussions and paying doctors to have The End-of-Life-planning Conversation with their patients. This request for payment and subsequent legislation coming from the A.M.A. itself.

The article quotes a Dr. Barbara Levy, chairwoman of the A.M.A. committee that submits reimbursement recommendations to Medi-Care: ‘We think, she says, it’s really important to incentivize this kind of care.’ “ She means planning for the date of ending your own life, otherwise known as a Third Way or pathway to suicide.

Nonsense, the AMA is coming up with creative ways to regain the funding for care lost through federal and state reductions in cost of care payments to doctors while the legislators, at the same time, are kowtowing to their death and dying lobby friends.

Often several bills with small variances on the same subject are submitted by legislators, i.e. End-Of-Life Care and the facilities designed to provide that care. The legislators intend for the citizens to view these as individual bills, but, in reality they must be viewed together. Seen in the light of a group of bills on the same subject one can then understand that they constitute a major inroad of government oversight into an otherwise private sector activity.

Even if only one bill gets signed by the Governor, the intent of every bill can be written into the state code and plans for implementation. We citizens have no way of controlling that. There is wide allowance for individual interpretation.

There is already discussion in California about including federal Palliative Care funding in Medi-Care and into California’s Medi-Cal.

California Assembly bill 2139 by Susan Eggman entitled End-Of-life Care: Patient Notification. This bill mandates that doctors actually place a POLST form into the hands of patients with a terminal illness. Previous legislation in 2008 which gave state acknowledgement to the POLST form is the basis for this.

Senator Lois Wolk, an avid promoter of palliative-procedures-only had a bill in this term, SB1357, which, thankfully died, entitled: Physician Orders for Life Sustaining Treatment Form - POLST. This would have created a state POLST Registry Act requiring the state to develop a statewide registry to collect, collate and distribute information about POLST signers. It died early in the session, but this is the projected future and Wolk or others after her will continue to find creative ways to get these things passed.

Several bills have tried to create a general emergency Medi-Cal directory. This bill would have just added a POLST registry to the general registry.

AB 1570, Assemblyman Wes Chesbro, (D), Residential Care Facilities for the Elderly, mandates expanded hours of training of facility employees before they can work with residents. The bill is vaguely worded and could be used to train employees and others working with the elderly to promote the agendas of elder care special interest groups. Chesbro is a supporter of POLST.

Senate bill 1004 by Ed Hernandez, Health Care Palliative Care, mandates the state Department of Health Care Services to establish protocols to guarantee that patients under the age of 21 become entitled to enter into Hospice managed care plans including palliative only types of care.

Will there be a future court case, as in abortion, mandating that minors have the right to sign their own end of life plans?

Minors can now get abortions, contraceptives, mental health counseling and treatment without parental knowledge or approval.

Assemblyman John Perez’s bill, AB2399, Organ donations, seeks to authorize the right of certain agencies to swipe a driver’s license to register organ donors thereby shortening the time it takes to notify organ donation transport teams of available organs.

Anyone of age to obtain a driver’s license is authorized to sign up to be an organ donor.

If organs are to be fresh and quickly available speeding up the process of recognizing donors quickly will be created. There is a lot of money to be made in organ transplants.

Palliative care or the removal of curative medicines and regimens including food and water are now being referred to as Palliative Medi-Cal Care. This PMC has, largely through legislation, shoved itself into the Medi-Cal field though there is nothing Medi-Cal about this act of removal of curative care. Palliation of pain and discomfort is a wonderful boon to medicine, but when it supplants nutrition, hydration and medicines with little more than morphine, and substitutes doctors for teams of social workers, religious and mental health counselors who counsel acceptance of the inevitable, then that is tantamount to planning for and executing suicide by Medi-Cal fiat.

Assembly bill 2198 by Marc Levine, Mental Health Professionals and Suicide Prevention. The bill is awaiting the Governor’s action to either sign or veto.

The title of this bill would create the assumption that the author is anxious to prevent suicide, especially by youth. However, his bill calls for 15 or more hours of continuing education in suicide assessment, management and treatment. This isn’t prevention of suicide. This is creating a workforce employment program for professionals to help prepare the way for the patient to accept suicide under the guise of gaining control over one’s health care.

AB 357, Richard Pan, Medi-Cal Children’s Health Advisory Panel. Renames the current Healthy Families advisory Board, turning it into a 15-member Medi-Cal Children’s Advisory Panel, an independent, statewide advisory body tasked with advising the bureaucrats on what health care is best for its youthful citizens.

Section 1, subsection (b) is worth noting. “Children’s health coverage should encompass more than just treatment of diseases and illnesses, but also cover services and care to promote healthy development and well-being, identify and intervene in problems early on, and prevent chronic disease. (Planned Parenthood thinks pregnancy is a chronic disease. The LGBT lobby thinks those opposed to their lifestyle are mentally disturbed. The ACLU believes that those espousing a Christian faith have something wrong with them.

Your calls and emails to the Governor’s office needed now to urge his veto on all the bills mentioned.
Phone (automated) 926-445-2841. email: governor@govmail.ca.gov.

“Good Luck,” She said, to the Pregnant young Woman

Camille Giglio
August 22, 2014

Concord: Today while standing with the prayer group in front of Concord Planned Parenthood, a young woman obviously looking for the abortion entrance, was told by one of the employees to go around to the back. Her parting words to this young woman were: “Good Luck.”

As I continued to stand there I noticed a sign on a metal pole in the ground on the Planned Parenthood property. It was a city ordinance sign which read: No Smoking.

The horrible incongruity of it all really struck me. The city is quite willing to develop programs and laws to insist that people stop harming themselves by smoking, but they support this center’s killing of babies.

The elected officials of California make big pronouncements about increasing access to jobs and better educational opportunities while, at the same time, their legislation suppresses jobs through rigid and expensive demands, especially upon the private industry. Their educational policies are dumbing down the human intelligence and creating a world of mindless unquestioning servants of society.

We cherish Mothers and Fathers with expensive gifts on “their” Day while bills abound in Sacramento calling for more death and dying access to Mom and Dad to sign up for Palliative care only and to move out of their long time homes and enter retirement centers because they are taking up space.

In the two year term just drawing to a close, there have been 150 plus bills submitted in the California Legislature in the category of Health Care-End-of Life focusing on the elderly, the disabled and even the young adults and youth with potential life shortening illnesses.

Of these bills about 45, as of today, are either sitting on the Governor’s desk or been signed. Sixteen have been signed so far. Many of these bills are attempts at micro-managing this growing industry - warehousing senior citizens. The social media folks cry out that there is a growing need to care for the aging baby boomers while at the same time diminishing the potential channels for caring for this cohort by placing large financial burdens on the private residential care sector or on even families caring for their aging or disabled members. I have heard that even individuals taking care of their aging or ill parent may be required to register, conform to regulations, receive vacation time and so on.

Senior Citizens are now the latest group to be targeted as consumers of services. But these services must only be provided by properly trained and educated members of the SEIU union who will see that these service workers receive the salary due them. This results in pushing seniors into large, professionally developed for-profit government approved sanitized facilities which, by the way, all will require training in providing the seniors with Do Not Resuscitate or POLST forms along with palliative care only incentives.

See SB 911 by Marty Block, D, Residential Care Facilities for the Elderly - RCFE: Employee Training. (On Senate Floor), along with companion bills, AB 1523, Asm Toni Adkins, D, Liability Insurance (signed by the Governor) and AB 1571, Asm Susan Eggman, RCFE: Licensing. Eggman, especially is an aggressive advocate of palliative care and promoter of the POLST form. Physicians Orders for Life Sustaining Treatment. (notice the coincidence, so-called, of numbering an end-of-life bill with the number 911?)

Also Wes Chesbro’s bill, AB1570, Residential Care Facilities for the Elderly, This one requires 40 hours of unspecified training for employees. The concern here is that the training will be focused on turning elder care employees into palliative care salesmen. This goes along with the item above talking about creating a new POLST form to make it less confusing to the signer. (On Senate Floor)

By the Way, the Compassion and Caring, i.e., death and dying, folks have announced that they will be coming out with a new POLST form early in 2015. They claim a need to clarify some items in their form and make it easier to sign. I guess they have suddenly realized that the Common Core education lobby has so dumbed down the people that they can’t figure out a simple form anymore.

Another Susan Eggman bill, AB 1572, mandates establishment of residential Councils in the RCFEs and other facilities. RCFEs currently have resident councils, but the bureaucrats are not included and the items to be discussed, currently, are easily handled between the residents and the employees. This bill brings the state into the councils and limits what can be discussed. This will eventually discourage open and easy discussions and settlement of problems causing the councils to be abandoned, thereby silencing the residents. In Senate Appropriations Committee

AB 1621, Bonnie Lowenthal, D, Emergency Medical Services: Data and Information System. Would mandate that all “pre-emergency patient data” be collected and centralized for the entire state. The wording of this bill is very generalized and vague blurring the real intent which is a centralized registry of everyone who has signed end of life medical directives or organ donation cards. If a call is received concerning a person who has signed a DNR or POLST, the emergency service people do not need to rush to the call because signing those forms means that the person, if unconscious will not be resuscitated. (Held in Senate Appropriations)

Even ambulance services are of two minds on this. One side claims it will be a help in planning ways to be of assistance in emergency cases, the other side says that it will be too expensive for many counties.

State Assemblyman Dan Logue, R, had submitted a bill which would have provided protection from job loss for any employee who called 911 if the call involved a patient who had signed one of those forms. It never got out of its house of origin.

Another Eggman bill, AB 2139, Patient Notification, is awaiting a final vote on the Senate floor. This bill will mandate that the doctor or medical personnel serving any patient receiving a diagnosis of a terminal illness, will be required to instruct the patient at the visit informing the patient of the diagnosis on all the types of care (including palliative only) and the forms necessary to apply for that care. (On Senate Floor).

The truly sad thing about all these bills is the misplaced sense of compassion. Care facilities and Board and Care private homes and family members who take in their elderly or disabled members are to be admired as much as those who take in crack babies, abandoned or disabled babies. etc. They are doing good and virtuous work for humanity.

Once the Government gets its hands on these good ideas, they become exploited to benefit others; expanded job market, mandated salaries and training, non-profit promotion of private agendas, micro-managing from afar, What’s good for one is good for everybody etc, etc. Then suddenly the very people who needed the help become the impediment to the community’s health, productivity. People who want to be independent are suddenly obstructionists, non conformists, burdens.

All these bills can be viewed at www.leginfo.ca.gov. The 2014 segment of the two year, 2013-14 term will close as of August 31. After that all the bills that pass the final floor vote go to the Governor for his signature or veto.

If it is a Senate bill-SB, then it is awaiting a final vote in the Assembly (second house), so call your Assembly member. And, if it is an Assembly bill-AB then it will be on the senate floor. After August 31st, call the Governor’s office. Urge a Veto.

_____________________
NOTES.

I have read somewhere that there is a bill mandating the inclusion of Hospice or palliative care reimbursements in MediCare, including MediCal in California.

http://www.ehow.com/info_7737250_medicare-requirements-hospice-care.html?ref=Track2&utm_source=ask

Report prepared by: California Right to Life Committee, Inc. www.callifeadvocates.org/blog, callifeadvocates@gmaial.com

MISGUIDED PHILANTHROPY

OR… INTENTIONAL DECEIT?
Camille Giglio
August 12, 2014

Over the years that I have been researching legislation I have become more keenly aware of the change and one might say, deliberate manipulation, of words and their meaning in the bills submitted to the California legislature.

Lewis Carroll expressed this manipulation of words indirectly in his Tales of Alice in Wonderland and, now present day commentators are saying it boldly in magazines and newspapers.

Dr. Arthur Hippler, writing for the Bellarmine Forum discusses the Loss of Moral Language (Bellarmine forum, Sumer 2014, Vol. IV No. 2). He declares that “The bigger problem is not that this language has been lost by some great cataclysm…Our moral language has been intentionally destroyed.”

Thomas Sowell states it more bluntly. He declares in a commentary published in the Contra Costa Times for August 8, 2014, that “Our nation seems to be entering the post-thinking era.” He makes note that “in an age when scientists are creating artificial intelligence, too many of our educational institutions seem to be creating artificial stupidity.”

There is one more week left before the end of the 2014 session of the California legislature. Both the Assembly and Senate Appropriations Committees are swamped with bills that must either be moved on to the Governor or fail passage. Several of the bills that we have been watching are in this category, including ones that just boggle the mind for their display of totally misguided compassion for the plight of California citizens or are being deliberately deceptive in order to continue to undermine the family, religion and education. Even more surprising, at times, are the groups supporting these bills.

Lifenews.com published an article first reported in the California Catholic Daily, commenting on the dire state of the California fiscal crisis affecting water and agricultural output. The article reminds us that Governor Brown has signed a budget bill that, while reducing over all MediCal reimbursements to doctors, has actually increased by 40% the amount of reimbursement for abortions.

So, doctors saving lives will be paid less, but doctors and other health care workers destroying babies lives will get an increased reimbursement

Page 346 of the budget states that “These sensitive (abortion/contraception) services must be immediately accessible statewide and provided in a very timely manner.”

The values expressed here are timeliness, efficiency and cost effectiveness. It is value over virtue. It’s mechanics versus morals

AB 1516, Lorena Gonzales, (D), CalWorks: Child Special Needs: Supportive Services (originally named Public social services: diapers) will authorize a monthly increase of $80.00 per MediCal enrolled parents of children aged two and under, presumably for the purchase of diapers.

The state and the legislators are declaring a health crisis of wet baby bottoms in California because certain members of the intelligentsia have determined that their parents can’t afford diapers and every baby deserves a “healthy bottom.”

Section 1 (e) of the bill states: Lack of sufficient diapers can lead to multiple problems for families in need, including unhappy babies, unhealthy communities, undereducated toddlers, and underemployed adults.”

I can see the future headline now…I became a serial killer because my mother didn’t have enough diapers for me.

The bill’s author, Gonzales, cites an article in “Pediatrics,” July 29, 2013, entitled: Diaper Need and its Impact on Child Health. The bill’s supporters are the Ca. Immigrant Policy Center, Children Now and the National Diaper Bank network.

The above mentioned article draws a conclusion that “this study supports the premise that an adequate supply of diapers may prove a tangible way of reducing parenting stress, a critical factor influencing child health and development. There is potential for pediatric providers to inquire about diaper need and refer families to a local diaper distribution service as 1 method to reduce parenting stress.

(Smith, Megan, et al. “Diaper Need and Its Impact on Child Health,” Pediatrics, July 29, 2013.)

Apparently government provided diapers is now a critical tool in relieving mental health issues. Guess we really don’t need psychologists and social workers in elementary schools now, just diaper service companies. The California government departments of health, employment and education are about to become the largest purchaser of abortion pills (AB 1053, Holly Mitchell) and diapers.

The use of “special needs” in the title is also interesting. Disabled, blind, handicapped infants have special needs. Wet bottomed babies does not constitute a special need piece of legislation.

The bill makes continual mention of special needs which are being met for families signed up with an “assistance” unit. This apparently refers to the federal TANF assistance program which identifies diapers along with alcohol and cigarettes as disallowed reimbursement items. (TANF: Temporary Assistance to Needy Families)

The legislators have to find another way to channel funds to so-called needy families so they come up with this ridiculous claim of soiled bottoms resulting in mentally stressed infants and adults.

The bill has created numerous other channels for providing new sources and amounts of funds and services to “assistance unit” families depending upon whether there is a child age two or under in the family or not; whether the “family” is homeless, or not, whether any member of the family is in a job-training program and on and on. All of this make signing up with the government so seductive and appealing for financial and social service amenities, thereby creating further lifelong dependence upon the almighty government bureaucracy a necessity.

SB593, Ted Lieu, Social Impact Partnerships: Pilot Program. This bill will, basically, cede sensitive areas of the legislature’s authority and oversight in regard to development of community based social development programs to the Executive branch of state government. This is comparable to Barack Obama and the Executive branch of the federal government assuming more and more authority unto itself further establishing a solid wall of separation of the government from the citizens.

It is another financial pass through of tax dollars to special interest groups in the Los Angeles/Watts area.The sponsor of this legislation is listed on the bill as GRACE: gather, respect, advocate, change, engage. The mission statement for GRACE is “Preparing the children of Watts-Willowbrook, Compton and South Los Angeles to succeed and thereby strengthen our community’s future.

But after searching all over the internet I became aware that GRACE is not an official organization. GRACE was the name of a conference held in Los Angeles attended by 200 people including several legislators and a man named Dr. Mike Jackson, CEO of an organization referred to as DREW-CDC.

One Catholic Charities office and several Catholic affiliated hospitals support this bill. One photo on the website for the conference seems to indicate that the conference was held in a Catholic Facility.

DREW Child Development Corporation. DREW is in partnership with First Five LA which is in cahoots with the Special Needs Network mentioned above as a sponsor of the wet bottoms bills. www.drewcdc.org.

DREW like the phoenix, has arisen from the ashes of a very expensive but failed state/Watts Community Project called the King-Drew Hospital of sad memory. I wrote about the sad deterioration of this much touted attempt to create a teaching hospital in Watts for underprivileged residents and foreigners who wanted to be doctors.

King-Drew hospital was a promise given by the state to the people of Watts following the riots of the late 1960 and 70’s. Some observers of the bleeding heart humanitarian organizations, claimed that this was just an attempt to silence the Watts residents. It was always a hungry consumer of tax dollars.

At least six legislators, Mervyn Dymally, Diane Watson, Maxine Waters, Mark Ridley-Thomas, Karen Bass and now Holly Mitchell and Ted Lieu have made their political fortune off of promises to the residents of Watts to make life better for them.
http://www.drewcdc.org/news-and-events/protecting-californias-youth-grace-conference/.

Could this mean that this bill SB 593 will make it appear that Governor Brown in forging a partnership with an as yet to be activated community organization creating this latest con game on the people of Watts and the citizens of California?

These are but two of a myriad of deceptive bills awaiting the Governor’s signature. These bills can be viewed by going to www.leginfo.ca.gov typing in the number of the bill and reading the bill online.

MOST RECENT STATUS OF IMPORTANT BILLS

Camille Giglio
July 6, 2014
__________________________________________

ALL THE LISTED BILLS ARE TO BE HEARD IN THE SENATE APPROPRIATIONS
COMMITTEE BEGINNING ON AUGUST 4, 2014.

California Right to Life opposes everyone of these bills for their immoral treatment of individual human beings and society, in general.

Because it is a Appropriations Committee, meaning pertaining to funding of actions and services and programs, this committee accepts only support or opposition based on costs to the state.

CRLC believes that, in general, bills of this nature are inappropriate socially and financially and morally for the state to be involved.  Action on these bills takes the form of killing the bill, holding the bill in committee till a later time, passing to the Governor or going back to its House of origin for a conference call vote to obtain agreement on certain items.

CRLC would like to see all these bills killed or held in committee for a definite period.

Do not say indefinite period. That means the author can bring it up when he wants.

To see the full content of each bill please go to www.leginfo.ca.gov and type in the bill #.

Info about contacting individual legislators is also available.

  • AB 1599, Joan Buchanan, Education Omnibus Bill. Focus on special needs children.
  • AB1621 Bonnie Lowenthal, Emergency Medical Services: Data and Info system.
  • Assumes a statewide registry on DNR and Organ Donors to assess services.
  • AB 2051 Lorena Gonzalez, Medical Providers and affiliate care clients. Weakens and
  • expands authorization for affiliate clinics to begin services.
  • AB 357, Richard Pan, Medi-Cal Children’s Health Advisory Panel. To set up plans for every child’s health and welfare.
  • AB 1502 Kevin Mullen, CalWorks: Family Act of 2015. Expands control over families & assumes child is deprived of parental love and guidance based on family income.
  • AB1516, Lorena Gonzalez, Public Social Services: Diapers.
  • AB 1570, Wes Chesbro, Residential Care Facilities for Elderly. Opening move to begin program of planned transitions of older citizens into centralized facilities.
  • AB1571, Susan Eggman, Residential Care Facilites RCFE: Licensing. Will require expanded and expensive liability insurance suppressing family care giving programs.
  • AB 1577, Toni Atkins, Certificates of Death: Gender Identity.  change of sexual Id.
  • AB 1719,  Shirley Weber, Full-Day Kindergarten Feasibility Study and Plan.
  • AB 1951,  Jimmy Gomez,  Vital Records: Birth Certificates, expands parental sexual preference check off boxes.
  • AB 2344, Tom Ammiano, Family Law: Parentage. Equality of treatment for the LGBT people to have parity with natural parents.
  • AB2399, John Perez, Organ and Tissue Donor Registry. Presumption to be that one is an organ donor if there is no opt-out notice on a driver’s license.
  • AB2499, Raul Bocanegra, Pupil Nutrition: Adequate Time to Eat Lunch. Expands lunch time, using available federal or local school lunch funds to defray costs. An article in the 7/6/2014 Contra Costa Times regarding Michelle Obama kids hungry campaign is that schools are losing money and kids are not eating the mandated “nutritious” meals in the cafeteria.  Apparently Bocanegra is trying to blame a time limit for this situation.
    • Anti-Obesity efforts challenged by Darlene Superville Associated Press.
  • AB 2706, Roger Hernandez, Schools: Health Care Coverage: Enrollment Assistance.
  • Expands school enrollment form to include information about ACA health care coverage options.

There is currently in the newspapers any number of articles  promoting organ donations and  transitioning (moving) senior citizens, with or without eminent life threatening illness, into public or privately funded centers.  This all goes along with the legislation as exhibited by the above mentioned bills.

An Article in the Contra Costa Times for Saturday, July 5, featured a Respite care facility in San Leandro for terminally ill to either spend some time while their parents get needed vacations; or, for infants and young children who are declared to be within the last stages of living.  The picture painted was of a sweet, pastoral scene filled with loving hearts and kind words for parents and children, but no curative efforts.

The end objective of all this medical home and residential care legislation is to move every single person into a planned cradle to grave life transitions program guided, aided and encouraged by whatever form of Government we will have left.

Please read these articles with great care, calling upon wisdom and prudence in judging the goodness of these agendas.

Hey senior citizens, get a room…at Aegis

Saturday, June 21, 2014
By Camille Giglio

The Father’s Day edition of the Contra Costa Times, a California daily, carried an advertisement for a senior living facility in the local area. The wording implies that good ole Mom and Pop who moved in with you and your family are in need of continual care, but are still swingers. However, you may want to get away for a while and don’t know what to do with the folks. You need to have some privacy and peace of mind yourself.

Aegis says: just drop Mom and Pop off for a couple of weeks with us. We’ll feed them, take them on walks, let them romp with others their age and socialize all day long.

Where did these folks get the idea for this advertisement…. after visiting the local dog kennel?

The whole thing sounds kind of cute, but it’s really a business promotion. A friend living in North Carolina said it reminded her of a project called “Project Compassion,” in which churches would sign up to provide family caregivers with volunteer “well-trained” caregivers for respite care. Trained in what? Taking the old folks on a planned guilt trip?

You’ve probably received mailers inviting you to spend the weekend at luxury seaside hotel and condominium facility such and such. Once there you are urged to consider moving in permanently. The weekend stay is just a come-on.

Aegis is, like so many other elder care facilities, participating in the promotion of something called, the Coalition to Transform Advanced Care C-TAC. It’s all a part of the Obama Affordable Care Act. The goal is to obtain the confidence of the community that only the professional knows how to care for Grandma and Grandpa.

The planned, sustainable community is soon to be coming to your town. The planners are fashioning a place for you. If you are over 65 you will be encouraged to transition over to a group home where you can be properly and professionally looked after.

Senior care businesses like Aegis, Vitas, and other MediCare and hospice-type facilities are reminiscent of the the song, Hotel California, by the 70s rock group The Eagles: ‘You can check out, but you never leave.’

 
(Original Spero News Article)

REFLECTIONS ON THE STATE OF THINGS

Camille Giglio
May 31. 2014

5/31/14.  Twenty-four more California bills have passed out of Appropriations Committees and been sent over to their second house.  16 are in the Health area and the rest in Education or workforce development.  Workforce development and training is tied to education.

So far only three of those 16 bills have been set for a hearing in their second House.

AB769, Nancy Skinner, (D), Sales and Use Taxes: Exemption: Clothes Washers. 

Location:  Senate Governance and Finance Comm. 6/11/14. Phone: 916-651-4119.

“Exempts from the sales and use tax laws the gross receipts and the sales price that do not exceed a specified amount from the sale of, and the storage, use, or other consumption of, a qualified efficient clothes washer purchased for installation and use in the State.

This is interference in private business disguised as concern over potential drought problems and manipulation of one industry.  How come she left out dishwashers, toilets, shower heads, etc?

SB 500, Ted Lieu, (D), Medical Practice: Pain Management.

Location:  Asm. Business, Professions and Consumer Protection Cmte. Hearing date: 6/10/14.  Phone 916-319-3301.

Every 5 years the state Medical Board is required to update its pain control standards. Bill requires an outside task force be developed to submit changes and recommendations. Concern here is in the treatment or use of narcotics to suppress pain in end-of-life cases.  There is currently, in California and across the country, an aggressive promotion and advertising campaign by agencies promoting comfort care only for those patients judged to be within a year or so of death from disease or illness, removing all curative care.

In the last two weeks I have heard radio Ads on San Francisco AM stations KGO-810 and 740-KCBS for two for-profit large corporate residential care facilities, Vitas Hospice and Pathways Hospice.  These facilities offer residential and In-Home care and supervision for terminal and near terminal citizens. They take private but mostly Medicare, patients.  Near terminal can mean up to a year prior to a disease or disability potentially ending a life.

Hospice, these days, can mean several things all the way from curative and palliative care to a type of palliative care that can mean comfort-only to both the patient and the family.

Many Hospices start a patient off with a mix of curative and palliative care and then slowly withdraw the curative portion of care until it is palliative or comfort only - no nutrition/hydration, no curative medications.

Here is a quote contained in an excellent 300 page critical analysis of patient care, authored by Ron Panzer, Director of the Hospice Patients Alliance entitled Stealth Euthanasia: Health Care Tyranny in America (available on line)

“ Vitas [Hospice] was instrumental in leading a bipartisan effort to add hospice to the healthcare payment system. As a result of these efforts, Medicare pays for hospice services.  Many states have established Medicaid coverage for hospice, and virtually all private insurers and managed care plans provide coverage for hospice care.”  www.vitas.com   (see: endnotes)

This is why bills like SB 500 are of concern.  We don’t know what ethics or what organizations will be represented on outside advisory boards.  How many people will represent the death and dying lobbies versus the traditional respect for human life in all its strengths and frailties?

I’ve also heard an incredible radio Ad paid for by the California Nurses Association ridiculing the very thing they support legislatively.  It’s a humorous ad. A hospitalized patient is calling for his nurse while some man representing “best practices” online data information diagnosing is trying to convince the patient that he has bronchitis. In comes a nurse saying “No, it’s Arrhythmia. The Ad concludes with advising people to look toward their nurse rather than technology to care for them.

None of these groups ever had to advertise before the ACA put them into competition with each other.

AB 1523, Toni Atkins, (D-San Diego), Residential Care Facilities: Elderly.  Requires Residential Care Facilities - RCFE - to carry up to $3,000,000 in bonded coverage against abusive treatment to residents or injury lawsuits.  This is opposed by one lone 

group, the Community Residential Care Association of California which represents residential care facilities for 6 or fewer residents.   They claim that the costs of providing this coverage will result in financial loss to them requiring them to stop accepting some patients or close their doors.

These are the neighborhood care facilities scattered throughout communities. There is sufficient concern that the for-profit, large elder care corporations are attempting to suppress these local, private facilities.

Location: Senate Committee on Human Services.6/10/14   916-651-1524.

Note:  Organizations, using letterhead stationary can be officially listed on record with a support or oppose position. One Requirement is that the letter be in the proper committee one week prior to the hearing.  Individuals who phone the committees will be listed as  “x number of individuals.” To track bills yourself go to www.leginfo.ca.gov.

Regarding the up-coming election, pro life and conservative groups are putting out voter’s guides candidate information, which in their analysis, indicates who is pro life and who isn’t. But, what criteria is being used?  There has been almost no legislation dealing directly with the life or  death issues for there to be any record of votes for in-office candidates so we have only their statements that they are “pro Life.”  Also, In listening to some of the new candidates for office it becomes obvious that they know nothing about the bills being debated in Sacramento.

Something happens when a newly elected member enters the halls of the legislature. We see “good” i.e. conservative, pro life, legislators voting for things that are inimical to family and moral life and religious liberty, but they receive approval ratings on pro life voter’s guides. They even get support due to these votes from the California Catholic Conference, especially regarding a living wage, immigration assistance and welfare support and health care.  They certainly aren’t mounting any opposition to the flood of bills set to manage everyone’s everyday lives. Most often what we see is a listing of “not voting” after the names of, mainly, Republicans.

The sad truth is that the provision of abortion and contraceptive services to one and all is seen as a right and a duty in California even on Catholic college campuses. Listen to a presentation given by a Planned Parenthood Director to Loyola/Marymount College students on May 17, 2014.    http://www.youtube.com/watch?v=I6-8zPV2gRE 

The legislators, non-profits, foundations, religious organizations, Ceo’s such as Bill Gates and Marc Zuckerberg,  have formed partnerships to “manage” the lives of the students who did get born, from womb to tomb. This is now being portrayed as the proper pro life ethic by these very groups. 

If you wish further information or clarification on bills, please either email me or phone me.  Phone: 925-899-3064. callifeadvocates@gmail.com. to visit our webpage at www.callifeadvocates.org/blog

_______________________________
End Note:

Hospice Patients Alliance: preserving the original mission of hospice. www.hospicepatients.org

CALIFORNIA COMMON CORE STEM EDUCATION MOVES…

FULL STEAM AHEAD.
Camille Giglio
May 24, 2014

Friday, May 23, 2014 was the last day for bills to stay alive or die in committee. These bills were, mostly in their house Appropriations Committees.  7 of the bills we have been following died in committee, thanks to you.  Thirteen other bills Health and Education bills are staying alive. There were a total of 600 bills awaiting action in their respective Appropriations Committee, not all of them have been reported out yet.

Here are the failed bills:

AB 1854, Eric Linder, Examination Fees: Advanced Placement. Dealing future state driven Workforce development with the taxpayer footing the bill for Inter’l Baccalaureate exam fees.

AB 1977, Roger Hernandez, Student Academic Preparation, Educational Partnerships.
Increased financial support for partnering students with outside work force experience.

AB 2111, Tom Ammiano, Child Development Services: Pregnant/Parent Teens. Would have amended the Cal SAFE Program to provide increasing amounts of community supportive services for the pregnant teen and for the child including in Charter schools.

AB 2167, Al Muratsuchi, Pupils: State Healthy Kids Survey. Data collection on kids social, emotional,, health and behavioral attitudes  and beliefs.

AB 2437, Curt Hagman, School Infrastructure: Network Infrastructure. Would have established a competitive grant program to construct a statewide network for pupil assessments.

AB 2555, Raul Bocanegra, Cradle-to-Career Initiatives: Plan.  Required development of a 5 year plan for all students to guide them through school and into a career, without much parental involvement. 

SB 1357, Lois Wolk, Physician Orders for Life Sustaining Treatment Form. Would have enacted a state wide POLST Registry system. Very expensive.

We must continue vigilance lest the intent of these bills shows up in other amended legislation.

There will be a more complete report on the bills that passed in the next week, but for now here is a rundown of some of the more egregious invasions of family and individual rights.

AB1571, Susan Eggman, Elder Care Licensing, AB1570, Chesbro, Residential Care Facilities for the Elderly, SB911, Marty Block, Residential Care Facilities for the Elderly, All deal with further expansion of the government oversight of end-of-life, Comfort Care provisions or training of employees.

SB 1124, Ed Hernandez, Medi-Cal: Estate Recovery. Re-examines the right of the state to file a claim against the estate of a decedent or inheritor of decedent’s estate, for the cost of certain Medi-Cal expenses during the life time of the deceased.

SB 1055, Carol Liu, Public School Health Center Support Program, SB 1053, Health Care Coverage: Contraceptives. Holly Mitchell, AB 2350, Susan Bonilla, Prevention of Pregnancy Discrimination, Education, and, AB 2706, Roger Hernandez, Schools: Health Care Coverage: Enrollment Assistance.

All of the above rely on the school system to expand promotion of government oversight of everyone’s health and reproduction activities including providing facilitators to assist in completing applications.

_______________________

STEM Now Gives off STEAM.

The Common Core STEM education (Science, Technology, Engineering, Math) has now been given an “A” as in Art. It’s now Science, Technology, Engineering, Arts and Math.

The Antioch school district in Contra Costa County is implementing this national movement (program) in its elementary school system in order, as Program Improvement Director, Mike Santos says, “ to foster students critical thinking and problem-solving skills and to promote collaboration and teamwork among peers.

STEAM will insure, said the school’s new Principal, Phyllis James, that students are college and career ready. “We are going to make sure that our babies are ready.”

This is the meaning of the above listed, failed, bills. Cradle to career, womb to tomb. Government created pathways (AB 2303, Richard Bloom) using 5 year plans (does that ring a bell anyone?) to manipulate students into objectively pre-determined social and work strata , socially and mentally prepared for acceptance of the government plan for the sustainable community. 

A CLEAN DIAPER ON EVERY BABY

- Or, The Healthy Baby Bottom Act of 2014.
Camille Giglio
5/18/14

This year’s health and education legislation is beginning to reveal a little more of the intended goals of the Affordable Care Act as well as the Common Core Standards.

Eight out of thirteen so-called health or education related Democrat sponsored bills, touted as providing future great learning and employment benefits to low-income children, have passed their first committee in the California state legislature totally unopposed.

The very legislators who have authored and or voted for the following list of bills to provide services to children in low-income or single parent families are the same ones who vigorously endorse abortion for the very babies they would now profess to “help.” 

What is the great benefit to be derived for Transitional Kindergarteners (4 yr olds), state department of education and health takeover of infant child care and training for jobs for their parents?

As Assemblywoman Lorena Gonzalez, (D-80) stated in her bill AB 1516: Public Social Services: Diapers: “I believe every child deserves a clean diaper.”   

“Every parent of an infant deserves to have a diaper changing table within instant reach wherever he or she needs one,” declared (former Senator now resident of the state, Ron Calderon, SB1042, Food Facilities: Toilet Rooms: Baby Changing Tables, before he left the building. (endorsed by Equality California). 

Yet, a third legislator wants parents to know that their 3 and 4 year olds will not have to sit in soiled diapers while on a local community field trip nor will parents with very low incomes have to pay the going rate for their young  child to attend a field trip.

http://www.edweek.org/media/middleburyinteractive_final_pdf.pdf

Here is a statement on the website of the California Catholic Conference extolling the legislature  for it’s support of “education and tax relief” bills:

Thank you for your ongoing support of the series of innovative tax policy proposals that would empower parents as well as teachers to care for their own school children’s learning needs, inspire greater charitable contributions to expand local resources in K-12 education, and encourage greater savings for kindergarten through college. 

This whole set of bills is part of the Unmet Diaper Needs Financing Fund. This will become an amendment to the Welfare to Work Article created to assist the clients in the Calworks program. http://www.helpamotherout.org/2014/04/07/ab1516hearingapril8/

French Four-year olds on a field trip.
French Four-year olds on a field trip.
 

The entity to receive the greatest benefit from this is the diaper manufacturing industry. If the government starts outright purchasing bulk loads of diapers or underwriting the cost of purchase diaper prices will become beyond means of most parents.

Mothers may all have to go back to cloth diapers!!!  I don’t know where we would get them, out of museums, I imagine?

But that’s not all the ways low-income people will be “helped.” That great benefactor, Assemblywoman Nancy Skinner, inconsolable over the lack of rain in our state and the resulting state of our dirty clothes has offered up AB 769: (and given it a terribly clever title after it was amended 4 times) The Sales and Use Taxes: Exemption: Clothes Washers.

She is promoting a tax exemption for businesses that promote and sell or use in their businesses “efficient” washing machines. To her this is a major health and ecological boon.  This bill has not only passed its first committee, it is headed for the Senate side of fun-land. It’s supported by 6 lobbies and opposed by 27 other lobbies.

Why did she leave out dish washer machines?

But, wait, lest we forget about the somewhat older child, Assembly member Kevin Mullin, (D-22) has searched deep within his emotions and offered up AB 1502, CalWorks: Family Unity Act of 2015. This bill supported by the California Catholic Conference, the California Partnership, a large lobby conglomerate of stakeholder organizations, and the every present Western Center on law and Poverty, among others, declares that: “a child is deprived of parental support or care, and is therefore eligible to receive assistance, due to the unemployment, underemployment, or low wages of his or her parent[.]”

This is designed more to discourage initiative and promote a need for security that only the government handout can provide. If the family income rises above a certain level the kid and the family lose their government  taxpayer driven income and the family is right back where it started.

Now we turn to another segment of that greatly disadvantaged populace, the LGBT community.

AB1951, Jimmy Gomez,(D), 916-319-2051/fx916-319-2151. Vital Records: Birth Certificates. Amends birth certificates to reflect, according to the head of Equality California, the Sponsor of the bill, the “current realities of the modern family.” Would expand the categories of mother/father  as currently listed on birth certificates, to reflect the “parents” gender preferences, i.e. a male “mother” or a female “father” or two “fathers” or two “mothers.”

Not to be outdone, Assemblywoman Toni Atkins, (D-LA) soon to be Assembly Speaker replacing John Perez, (D-LA) has authored AB 1577, Certificates of Death: Gender Identity.

AB 1577, Toni Atkins. (D-S.D.) Ph:916/319-2078/Fx:916/319-2178. 

Authorizes death certificates to be modified to match the desired gender of the deceased rather than the male or female designation with which the person was born. co-sponsors: Equality California and Transgender Law Center and includes the ACLU among others.

Both of these bills, AB 1577 and ab1951 have passed their house of origin on partisan votes

One of the favorable arguments states that the  University of California, Los Angeles Williams Institute study from 2008 estimates that 0.3% of adults are transgender. 

The U of C, Berkeley Gender Equity Resource Center stating in its endorsement defines transgender as: “people are those whose psychological self (gender identity) differs from the social expectations for the physical sex they were born with.”

The next 5 bills deal with oversight of and assistance to facilities providing services to the elderly.  In other words, an aggressive continuation of encouragement to sign up for palliative care only, or appoint residential advisory counsels with stakeholders participating plus expanded hours of government designated training for employees.

AB 1570, Wes Chesbro, (D-Eureka), Residential Care Facilities for the Elderly. 916-319-2002/Fx 916-319-2102.

Requires facility employees to acquire 100 hours of training, at least 40 of which are in person, to work with residents. No stipulation as to of what the training consists.

While we do care very much about the adequacy of training for those who work with the frail elderly our concern here focuses on just what this so-called training might be. We know that the euthanasia promoting group Compassion and Choices along with all those agencies supporting palliative-care-only such as Hospice, are encouraging their personnel to be trained in counseling facility residents and their families to encourage the signing of  POLST forms. This form heavily promoted by the death and dying industry is little more than an upgraded DO-NOT-RESUSCITATE mandate. This is considered health care cost savings.

Of the 100 plus groups listed as endorsing this bill 51 are actually branches of various mega-industry for-profit elder care facilities so the actual support for this bill isn’t as large as the listing would make it seem. However, only three groups oppose this bill.

Another bill on relatively the same subject is SB 911, by Sen. Marty Block, Residential Care Facilities for the Elderly.

Assemblywoman Susan Eggman, along with Senator Lois Wolk who both appear to have assumed the role of designated end-of-life cheerleaders are carrying at least four (4) bills on this subject, AB 1571, Residential Care Facilities for the Elderly: Licensing, AB 1572, Elderly Residential Care Facilities: Councils, and AB 2139, End-of-Life Care: Patient Notification and, maybe the most dangerous one by Wolk, SB 728, Long Trm Care Facilities: Health Care Decisions.  This latter one is the POLST form and its aggressive promotion to elder care facility residents.

California’s legislators are moving into the role of micro-managers of our daily lives, education and employment. Along the way they are collecting data on all aspects of our daily lives and how we live them and providing this information to community organizers and service providers while denying us the right to know what it being done with this data.

There was an item in the news recently of a father desirous of knowing what the school was doing with the data collected on his child who was told that it would cost him $10,000 to find that out because the electronic data gathering system wasn’t equipped to pull out individual records.

Schools are permitted to refer our sons and daughters to health care providers and mental health counselors without parental knowledge or consent.  They can create an educational/workforce training program for them, establish a nutrition program for them. There is, once again, talk about extending the school day and year because kids are left on their own too much and they lose educational goals attained during the current school year.

Schools want to become the day care provider for your toddlers and infants, take them around the community and neighborhoods and introduce them to the diversity of life, occupations and social lifestyles.

In other words, the village is raising the child, the multitude of caretakers are earning a living, the community change agents are thriving and all of it at the expense of the family child relationship.

THAT TELL-TALE BEATING HEART

With what caution – with what
dissimulation I went to work.
The Tell-Tale Heart, Edgar Allan Poe, 1843.

 

When discussing organ donations I am often reminded of the Edgar Allan Poe short story of the Tell-Tale Heart.

In the story a man reveals how he plotted to take the life of an elderly gentleman using cunning and stealth. When the deed is done the killer hides the body under the floor boards of the bedroom. The killer is finally caught because he is driven mad by believing that he can still hear the man’s beating heart. Maybe the man isn’t dead, he fears?

The proponents of organ transplants display some of the same cunning and deception when discussing organ removal from brain dead declared donors.

Organ donation proponents would have you believe that an organ donor is truly and irreversibly dead, all bodily functions totally stopped, no life at all, no life possible, at the time of the removal of vital organs.

Organ donation opponents on the other hand efficiently dismember their opponents carefully crafted arguments when they point out  that the full terminology includes the words  “legally and clinically” dead. These terms are mere constructs of the law, distractions from the actual condition of the targeted patient and the fact that to perform a successful transplant there is a very short window of opportunity to obtain fresh as compared to decomposing organs, especially hearts.

Dr. Paul Byrne of Life Guardian Foundation will tell you in no uncertain terms that these brain dead declared patients are still alive, their hearts are still beating, other organs are still functioning.

He will point to reports, fashioned by self interested committees, such as a 1967 American Bar Association publication, or the 1968 Ad Hoc Committee of the Harvard Medical School report on the Definition of Brain Death or the 1981 Presidential Committee report Defining Death. Dr. Byrne will inform you that these definitions are only three of several and that they were concocted not to treat or respect the patient but to protect the Medical Community from charges of criminal conduct in killing the patient while removing his or her beating heart.

The use of terms to be employed to declare someone dead or to promote euthanasia: brain death, irreversible coma, organ transplants, withdrawal of nutrition and hydration (food and water) began to appear in medical journals and publications as merely interesting philosophical subjects to contemplate and write articles about.

They progressed to becoming subjects for the media to report and take sides on  beginning in the 1960’s with the first heart transplant in South Africa by Dr Christiaan Barnard.  In the United States 1976, U. S. Supreme Court decision regarding Karen Ann Quinlan, and  whether a third party had the right to “pull the plug” and discontinue life support. the court found in favor of the parents request.

Karen Ann, age 31, died in a nursing home following court authorized removal of  nutrition, hydration medications  and oxygen died shortly thereafter. Some will always wonder if, given sufficient time, she might have made some recovery, but we will never know what her wishes would have been.

There soon followed  other shocking cases of brain injured people being declared dead. Or the case of Elizabeth Bouvia, 1983, who became a symbol to the Right to Die Movement, went to court to ask for a declaration that, due to her cerebral palsy and severely painful arthritis, be permitted to demand that doctors, in a hospital setting, assist her suicide. She lost her case and was reported as still living in 2008 in an L. A. Times article.

Her case, basically began the discussion of what constitutes quality-of-life and  if it is  possible to make plans for treatment or withdrawal of treatment based on a formula for what constitutes quality of life?  QL =NE x (H+S).  Anthony Shaw, Defining the Quality of Life, Hastings Center Report, 1977.

But the continued interest in this subjec, though not its practice, was sidelined, beginning in 1973 with the advent of the very contentious Roe v Wade Supreme Court Abortion Decision and the so-called rights of women to freedom of choice during pregnancy.

Other, more recent cases have come before the public. In 1993 Robert Wendland, was declared permanently and mentally disabled following a motorcycle accident in the San Jose, California, area. Sixteen months after the accident his wife, Rose, went to court to have him removed from a feeding tube and be allowed (some said required) to die. This court found that, contrary to the Quinlan court,  a third party, even a wife, did not have the right to refuse nutrition and hydration for a patient. The court declared that “patients unable to make a decision for themselves should receive special protection according to their constitutional right to life and right to privacy.

Though Mr. Wendland died from pneumonia shortly after that court finding, it was not until 2001 that the state Supreme Court finally gave a decision in that case. The judges decided that since Rose Wendland did not have a power of attorney or any written document, she lacked authority to request removal of life support.

This case was, I believe, very important to current events in which it is now possible through especially since 2008 legislation, for third parties, such as spouses and medical personnel, through use of a POLST form, to authorize removal of life support or what is now called Palliative Care with or without a signed directive. 

This latest trend in medicine based on economic efficiency and a parallel understanding of what constitutes quality of life for a patient, has changed the whole conversation to one of acceptance of the heretofore unthinkable situations in which the perhaps permanently disabled or comatose patient is better off dead and his or her organs donated to someone with a better potential for an improved quality of life.

An entire new vocabulary has been created to discuss the end-of-life issues. This vocabulary is often crafted to create the appearance of a benevolent and compassionate platform from which to allow third parties to discuss and act upon end of life decisions for others. At times organ donors voluntary or involuntary, are actually treated as heroes for forfeiting their lives through donation of their organs to others who are considered by stakeholders in the organ transplant business, to be more worthy of living.

This is referred to by Barry Bostrom, M.Div.,J.D., in the latest Issue in law and Medicine, as countertransference. This is when the physician attempts to put himself “in the patient’s shoes” in order to make clinical decisions and evaluations of “quality of life” for a highly vulnerable patient.

In other words, the article is saying that ill patients and or their family members are, in a time of medical crisis, vulnerable to the attitude of the physician or medical professional in determining if they, themselves, should continue to want to live.

The more aggressive advocates of public policy changes such as Compassion and Choices, and their local community organizers, speaking to issues of the care and handling of terminally ill patients, will paint dark and dreary scenes of patients dying along in cold and sterile hospital beds, rather than in the comfort and warmth of a family’s loving arms. This is because they did not sign up for palliative-care-only as they progressed in their illness, thereby causing hospitals to expend unnecessary amounts of valuable hospital funds to keep you, the patient, alive. They also point to the amount of money wasted on expensive medications used to preserve the lives of patients who did not sign a POLST form.

I’ve become rather suspicious of obituary notices that state that the family member died at home surrounded by family and loved ones. How planned, exactly, was that?

In truth, according to Dr. Byrne of Life Guardian Foundation, “Hospital costs are down because patients seldom die in hospitals anymore.” They die in residential care facilities after being moved out of the hospital once it is known that they have a POLST or palliative care only signed document.

Here is a good understanding of the current end-of-life picture.

On September 4, 2012, Alamo, California, Highway Patrol officer, Kenyon Youngstrom was “mortally wounded” when shot by a car driver whom he had pulled over to the side of the road in a routine traffic stop. Officer Youngstrom was a registered organ donor. Within 24 hours following the shooting he was removed from a ventilator and his organs donated to 4 recipients.

On April 4, 2014, almost two years later, he was memorialized at the hospital where he died, as a hero for the donation of his organs. He was not honored for his service in guarding the public’s safety. The title of the article that appeared in the Contra Costa Times, 4/5/14, was: “Cop’s widow urges organ donations.” His widow was quoted in the article saying:  “She is thankful to herculean efforts made by civilians, law enforcement and doctors to keep her husband’s heart beating long enough to allow him to donate his organs.” She further talked about the “importance of loved ones sharing their final wishes, because her husband’s clear message made the decision easier.

Officer Youngstrom’s CHP partner was also quoted as saying: “It’s hard having someone lay there when they look perfectly fine, but medically you know they can’t make it, so letting your family know what you want to do in advance makes it so much easier to let go.”

Knowing that he was an organ donor just how hard did the doctors try to save his life?

I give  the widow the benefit of the doubt.  The family no doubt loved their husband and father. The wife, at least, understood that she could lose her husband in the line of service. Did she truly understand that she could lose her husband to the demands of the organ donation lobby?  Maybe they both understood that  by becoming an organ donor there was that  possibility of a double sacrifice of life, once to protect the community which he served and once to extend a chance to live by donating his organs so that others might have the chance to live that he was forfeiting.

Jahi McMath’s parents gazed at their beloved daughter laying in a hospital bed and knew that though declared to be brain dead she was still alive.  They said “no” to the pleadings of the organ donation team that requested release of her body for donation of organs. They would not go along with the hospital’s plan of “treatment” for their daughter.

There was no organ donation card in this case. When Jahi’s mother said “no,” she had to go quickly to court to get a restraining order to prevent the hospital from removing their daughter from a ventilator and IV.  The law said that the hospital could declare Jahi brain dead and that was all the organ donation teams needed to begin pressuring the mother to turn over their daughter’s supposed dead body for her organs.

They have not been honored by the public. They have had to remove their still living daughter from the hospital in the dark of night to an undisclosed place.

So, which is it?  Is the organ donor patient alive or is the patient dead? What does legally brain dead really mean?  What does a heart that continues to beat up until the time of removal from a body imply? From what, exactly, does the patient die, the gunshot wound, the disease, the dehydration resulting from removal of nutrition and hydration or from removal of any one of the vital unpaired organs, especially the heart?

What is illegal and criminal for the ordinary citizen is perfectly okay for the guy in the white coat.

Upon death a body begins to decompose immediately. Organs decompose at varying rates because no blood or air circulates to keep them going. If a patient is truly dead can any of his or her organs be of any use to anyone else?

The organ donor upon being declared brain dead will be placed on a ventilator to insure that vital organs are oxygenated until removed, but a ventilator only works if the patient is alive. The ventilator may push air into the lungs, but it is, according to Dr. Byrne and others, the lungs that expels the air. If the lungs are expeling the air that means the patient is alive and the heart is beating.

And, finally we need to begin asking ourselves, our clergy, our elected officials just whom they think is deserving of life? It is beginning to seem as though no one individual is valued but only how that individual benefits someone else.

Dying has become a big and, to some, a profitable business. A whole new level of medical terminology, training and counseling (persuasion) techniques have entered into the picture along with new secular and religious groups both supporting and opposing this latest version of the disposable life.

Patients who do not go along with the signing of advance directives, federally instigated preventive medicine routines, federally prescribed nutrition programs, mental health counseling, etc, are being looked upon as non-compliant patients.

To avoid misunderstandings between doctors and patients will potential patients be required to interrogate their doctors to determine if they are members of Compassion and Choices, formerly the Hemlock Society?  Will they need to question the doctor minutely on just what is to be expected or required of each patient. The doctor and the hospital, under ObamaCare are at risk of financial punishment if they fail to gain the cooperation of the patient or the patient’s family.  The efficiency and cost containment capabilities of the hospital is called into question.

Has the Affordable Care Act totally destroyed the unique doctor/patient relationship?

What does one do as a patient if your doctor suddenly declares that you have a year to live and you should sign a POLST form and move into a Hospice medical home to receive only palliative care from now on? Why wait for a whole year? Will everyone be required to do as the McMath family had to do…call a lawyer, go to court, go to the media?

If you are an organ donor do you know all the ramifications adherent to that form? Has your new teenage family member been encouraged by a driving class or even by a tv ad to sign on as an organ donor when signing up for a driver’s license? If your sports minded organ donation signed up teenager gets a concussion during a football game, will he be too quickly identified as brain dead and his organs donated to others who will take better care of them then the donor did?

_____________________________
END NOTES.

Presidential Commission, 1981, Defining Death: Medical, Legal and Ethical Issues in the Determination of death, based upon the Uniform Determination of Death Act - UDDA.

Learn How we calculate the Quality of Life index scores. http://internationalliving.com/2010/02/learn-scores-quality/ 1) Cost of Living=15%, 2) Culture and Leisure=10%, 3) Economy=15%, 4) Environment=10%,5) Freedom=10%, 6) Health=10%, 7) Infrastructure=10%, 8) Climate=10%, 9) Safety and Risk=10%.

Karen Ann Quinlan, 31, Dies; Focus of ’76 Right to Die Case, The New York Times, June 12, 1985, Robert D. McFadden. The court held, in a new interpretation of the right of privacy, that Miss Quinlan’s interest in having her life-support systems disconnected exceeded the state’s interest in preserving life, so long as medical authorities saw ‘’no reasonable possibility'’ that she would recover. http://www.nytimes.com/1985/06/12/nyregion/karen-ann-quinlan-31-dies-focus-of-76-right-to-die-case.html

Anthony Shaw, Hastings Law Report, 1977. QL=NE x (H + S)  i.e. nature and endowment, home and society.

Issues in Law and Medicine, March, 2014 Ed. Barry Bostrom, M.Div.,J.D.http://www.nrlc.org/archive/news/2001/NRL05/bostrom.html

Dr. Paul Byrne, Director, Life Guardian Foundation, answered the following questions:

  • Question: How long may a heart be kept fresh and usable from the time it takes to remove that heart from a body?

  • Answer:  At normal body temperature, within 4-5 minutes without oxygen. The heart must be cooled to keep it from deteriorating. The heart is stopped just as it is removed from the donor.

  • The kidney is about 30 minutes, then it must be cooled or there are techniques to pump fluid through the kidney to preserve it. www.lifeguardianfoundation.org.

Elder Life Planning. Part of the “Catch” Program.

http://www.programsforelderly.com/caregiver-elder-life-planning-faith-congregations.php


EMBRACE THE JOURNEY, An 8 week Anglican produced training program for preparing people for the end of their life on a journey to death. Promoted by the Life Issues Institute, Brad Mattes, Executive Director http://www.lifeissues.org/


When the Patient is Non-Compliant, Danielle Ofri, M.D. New York Times,Nov. 15, 2012


 
 
Take away God, all respect for civil laws, all regard for even the most necessary institutions disappears; justice is scouted; the very liberty that belongs to the law of nature is trodden underfoot; and men go so far as to destroy the very structure of the family, which is the first and firmest foundation of the social structure.
- St. Pius X, Jucunda Sane, March 12, 1904