What will happen to Brittany Maynard?

By Margaret Dore, Esq., MBA

The suicide advocacy group, Compassion & Choices, is running a public relations campaign featuring the story of Brittany Maynard, a 29 year old woman with a brain tumor.  According to media reports, she intends to take her life under Oregon's assisted suicide law in the near future.[1]

Lovelle Svart

In 2007, there was a similar case in Oregon involving Lovelle Svart, which was also promoted by Compassion & Choices.  Svart, who had cancer, died at the end of a party in which she had been having a great time.  The party was reported in the Seattle Times, which described her as being in control.[2]  When it was time for her to die, however, she engaged in stalling behaviors ("a hugging line" and a cigarette break).  There was also this exchange between her and George Eighmey, a member of Compassion & Choices:

“Is this what you want?”

 “Actually, I’d like to go on partying,” Lovelle replied, laughing before turning serious. "But yes." 

The situation was similar to a wedding when it’s time to take your vows.  Everyone is watching and it's the thing to do.  Even if you're having second thoughts or would rather “go on partying,” you go forward.  If Eighmey had wanted to give her an out, he could have said:

“You're having so much fun, you don’t have to do this today or even next week.”

Instead, he closed her by guiding her to take the lethal dose, which killed her.

Will Ms. Maynard get her choice?

It may be hard to know.

Compassion & Choices, regardless, will have an interest in getting the best promotional material possible from her death.

* * *

[1]  Neal Colgrass, Newser staff, October 7, 2014, https://choiceisanillusion.files.wordpress.com/2014/10/29-year-old-woman_-why-im-taking-my-own-life.pdf 
[2] Don Colburn, “Last day of life all planned out, down to the polka,” October 26, 2007, available at http://seattletimes.com/html/localnews/2003918100_suicide02.html

"This is how society will pay you back? With non-voluntary or involuntary euthanasia?"

http://missoulian.com/news/opinion/mailbag/assisted-suicide-discussion-veering-into-talk-of-terminating-lives-of/article_87332fc0-4fe8-11e4-94f5-632029a45aed.html

I am a lawyer in Washington State, where assisted suicide is legal. Our law was passed by a deceptive ballot measure spearheaded by Compassion & Choices. Voters were promised that only the patient would be allowed to administer the lethal dose, which is false. Our law does say that the patient may self-administer the lethal dose, but there is no language saying that administration must be by self-administration. For more information, please go here:  https://www.kcba.org/newsevents/barbulletin/BView.aspx?Month=05&Year=2009&AID=article5.htm

Once assisted suicide is legal, there is pressure to expand. For example, here in Washington State, we have had “trial balloon” proposals to expand our law to non-terminal people. For me, the most disturbing one was a casual discussion in our largest paper suggesting euthanasia for people who didn’t save enough money for their old age. So, if you worked hard all your life, paid your taxes, and your pension plan went broke, this is how society will pay you back? With non-voluntary or involuntary euthanasia?

To view a copy of the newspaper column, please go here: https://choiceisanillusion.files.wordpress.com/2014/10/jerry-large_001.pdf.

Protect yourselves and your families. Don’t let assisted suicide become legal in Montana.

Margaret Dore, president,
Choice is an Illusion,
Seattle, Washington

Assisters Can Have Their Own Agenda

http://ravallirepublic.com/news/opinion/mailbag/article_d9ec8917-b025-5aad-97dd-0520559fde00.html

Greed, personal motives can influence 'choice' to commit assisted suicide . . .

A Roundup man was recently charged with “aiding or soliciting suicide” of a 16-year-old girl here in Montana. His apparent motive was to prevent her testimony against him in another matter, i.e., by getting her to kill herself. According to an Associate Press article, he coerced her to actually take steps towards that goal, which fortunately did not result in her death. See http://billingsgazette.com/news/local/crime-and-courts/convicted-rapist-charged-with-aiding-or-soliciting-suicide-of-victim/article_65c2f39c-ae01-5104-a279-da45b352ef42.html

Similarly, in Minnesota, a former nurse was recently convicted of assisting a young man to kill himself. Both the nurse and the Roundup man had used webcams to communicate with their victims. The nurse’s reported motive was the “thrill of the chase.” See http://www.independent.co.uk/news/world/americas/suicideobsessed-us-nurse-convicted-of-helping-coventry-man-kill-himself-9722534.html.

These stories illustrates a fundamental problem with legalizing assisted suicide. The assisting person can have his or her own agenda to encourage a person to kill themselves. The “choice” will not necessarily be that of the victim/patient.

In my practice, where I have a high percentage of older patients, I have witnessed greed by family members over inheritances, including vicious battles over the death bed. This same motive of greed could lead to a coerced suicide, especially if assisted suicide were legalized in our state.

Let’s keep legal assisted suicide out of Montana.

Annie Bukacek,
Kalispell

Margaret Dore published in the Baltimore Sun

The letter below, published in the Baltimore Sun, describes the positive statistical correlation between legalizing physician-assisted suicide and the significant increase in other "regular" suicides in Oregon.  This is at great financial cost to that state.

For more detail and links to supporting documentation, please see: Letter from Margaret Dore to Members of the New Hampshire House of Representatives, March 4, 2014, titled:  "The High Financial Cost of (Regular) Suicide."

* * *

The published letter:  Margaret Dore," Legalizing assisted suicide is a bad idea."

Alexa Fraser's recent commentary promotes the idea of legalizing physician-assisted suicide. . . .

The term "physician-assisted suicide" means that a physician provides the means or information to enable a patient to perform a life-ending act, such as through a lethal prescription.

The premise of Ms. Fraser's commentary is that legalization of physician-assisted suicide will eliminate other types of suicides, such as those resulting from self-inflicted gunshot wounds.

This premise is not, however, supported by statistics from Oregon, which is the only state in which physician-assisted suicide has been legal long enough to have valid statistics over time.

The Oregon statistics support the conclusion that, if anything, "ordinary" suicides will actually increase if physician-assisted suicide were legalized in Maryland.

Montana: Convicted rapist charged with ‘aiding or soliciting suicide’ of victim

http://billingsgazette.com/news/local/crime-and-courts/convicted-rapist-charged-with-aiding-or-soliciting-suicide-of-victim/article_65c2f39c-ae01-5104-a279-da45b352ef42.html

September 18, 2014 6:00 am  •  By Eddie Gregg

A Roundup man in Montana State Prison for having sex with an underage girl is facing a new charge alleging he pressured the girl to kill herself during a live video chat in September 2013.

Last week, the Musselshell County Attorney’s Office charged Michael John Morlan, 21, with aiding or soliciting suicide, and two other felonies — intimidation and tampering with witnesses and informants.

It is unclear whether anyone has ever been charged with or convicted of aiding or soliciting suicide in Montana. Musselshell County Attorney Kent M. Sipe was unavailable for comment Wednesday.
Charging documents say Morlan contacted the girl, who is now 16 years old, via Skype, an online video-chatting service, on Sept. 1, 2013, and told her to kill herself while he watched.

The documents say Morlan told her he wanted to watch so that he could make sure she was doing it right.

The alleged victim reported to law enforcement that when she started crying, Morlan told her to stop wasting air and get it over with.

Court records, quoting the alleged victim, detail a back-and-forth conversation between the two in which Morlan repeatedly told her to kill herself and pressured her to continue as she cut herself and took prescription anti-depressants.

When she started cutting her wrists, Morlan told her to cut deeper, she said. The girl said she had prescription anti-depressants and put them in her hand. When she did this, she said, Morlan told her to take all of them.

She said she took the pills and then panicked, disconnected the Skype call and went to her parents for help.

About a year prior to this incident, Morlan had been charged with two felony counts of sexual intercourse without consent involving the same girl.

The charges alleged that Morlan had a sexual relationship with her from April 2011 — when she was 12 years old — through July 2012 and that he admitted to law enforcement that he digitally penetrated the girl on July 25, 2012.

Morlan was apparently out of jail after posting bond at the time he is accused of trying to coerce the girl to kill herself.

The girl reported that in August 2013, Morlan stalked and intimidated her when she tried to avoid communication with him.

She said he threatened to make her life miserable if she went to police and told her he had people watching her.

The girl told investigators that while at the youth center in Roundup a person, identified in charging documents as B.K., came up to her and told her to “quit telling everyone that Mickey raped you.”

In November, Morlan pleaded guilty to the two rape charges. District Judge Randal I. Spaulding sentenced him to 15 years in prison, with eight years suspended.

The judge also revoked Morlan’s sentence in a 2011 felony drug distribution case and sentenced him to an additional five-year commitment.

Morlan, who is being held at the state prison, is scheduled for arraignment in Musselshell County District Court on Sept. 22.

Aiding or soliciting suicide caries a maximum sentence of 10 years in prison.

Melchert-Dinkel Convicted!

Hopefully a relief for the families of Mark Drybrough and Nadia Kajouji.

http://www.startribune.com/local/274484921.html

Minnesota judge convicts ex-nurse of assisting suicide of English man he encouraged online

STEVE KARNOWSKI , Associated Press

MINNEAPOLIS - An ex-nurse who admitted going online and encouraging people to kill themselves was convicted Tuesday of assisting the suicide of an English man and attempting to assist in the suicide of a Canadian woman, following a legal battle that has spanned more than four years and led to the reversal of part of a Minnesota law that outlaws the practice.

Rice County District Judge Thomas Neuville ruled that the state proved that William Melchert-Dinkel, 52, of Faribault, assisted in the suicide of Mark Drybrough, 32, of Coventry, England. He said the state failed to prove Melchert-Dinkel 's assistance was a direct cause of the suicide of Nadia Kajouji, 18, of Brampton, Ontario, but found him guilty on a lesser charge of attempting to help her take her life.

To read more, click here.

To access Nadia's Light, founded in honor of Nadia Kajouji, click here.

Washington Post Puts the Spotlight on Hospice/Palliative Care Abuse

By Margaret Dore, Esq., MBA

Choice is an Illusion, President

Below and finally, a comprehensive article in a major paper describing what a lot of us know already, that non-consenting, non-dying people are being killed with morphine and other drugs under the guise of hospice/palliative care.  The article, excerpted below from the Washington Post, describes cases in the US. There are similar cases in Canada and the UK (e.g, the former "Liverpool Pathway").

There are a myriad of reasons why these cases occur, including mistakes and negligence, which is described in the Post article.  The wishes of heirs interested in a speedy inheritance and/or to get dad out of the way before he changes his will, can also be at play.  For a particularly egregious example, see William Dotinga, "Grim Complaint Against Kaiser Hospital," at http://www.courthousenews.com/2012/02/06/43641.htm

With hospice, eligibility is determined by a prediction of less than six months to live.  This is the same eligibility cutoff used for legal assisted suicide in Oregon and Washington State.  This is, however, just a prediction and there are many people deemed eligible who live longer than that and/or who are not dying.  See, e.g., the Washington Post article excerpted below and this article from the Seattle Weekly: "Terminal Uncertainty."  See also this affidavit from Oregon doctor Kenneth Stevens, MD and this affidavit from John Norton.

This hospice/palliative care abuse issue is important for itself, as well, as for its implications in the larger debate over assisted suicide/euthanasia legalization.  Consider, for example, the letter below from Washington State.  The author, the owner of a care facility, describes how since passage of Washington's assisted suicide law, doctors more readily resort to morphine, sometimes without consent.  He states:

Since [Washington's assisted suicide law] passed, we have . . .  noticed that some members of the medical profession are quick to bring out the morphine to begin comfort care without considering treatment. Sometimes they do this on their own without telling the client and/or the family member in charge of the client's care. http://www.choiceillusion.org/2013/12/it-wasnt-father-saying-that-he-wanted.html

He also describes a general devaluation of older people, as follows:

Since our [assisted suicide] law was passed, I have also observed that some medical professionals are quick to write off older people as having no quality of life whereas in years past, most of the professionals we dealt with found joy in caring for them. Our clients reciprocated that joy and respect.  (Id.).

He concludes by asking readers to not make Washington's mistake of legalizing assisted suicide. He states:

Someday, we too will be old. I, personally, want to be cared for and have my choices respected. I, for one, am quite uncomfortable with these developments. Don't make our mistake.  (Id.).

* * *
Below, the excerpt from the Washington Post article.

As More Hospices Enroll Patients who Aren't Dying, Questions About Lethal Doses Arise

http://www.washingtonpost.com/news/storyline/wp/2014/08/21/as-more-hospices-enroll-patients-who-arent-dying-questions-about-lethal-doses-arise/?

By Peter Whoriskey at peter.whoriskey@washpost.com

Mother was deprived of choice to live; assisted suicide would lead to more patient abuse

http://ravallirepublic.com/news/opinion/mailbag/article_09c08760-817c-571a-ada1-d42a0e2a3450.html?comment_form=true

August 18, 2014 6:15 am  

The letter by Gail Bell rang true to my own experience (“Mother’s death provided painful, personal example of need to stop assisted suicide,” Aug. 5).

In 2009, my mother died a painful death. It wasn’t from her condition or a disease. You see, my mother was starved and dehydrated to death with massive doses of morphine after she’d had a mild stroke. It had not mattered that she had been trying to speak and had indicated that she wanted water. The family member holding power of attorney, affirmed by a young doctor, had decided that it was time for her to die.

I watched my mother die, day and night for six days. She tried to fight, to wake up, but to no avail, and she suffered. To use the vernacular of assisted suicide proponents, she did not get her choice.

If these terrible deaths happen when aid in dying (assisted suicide and euthanasia) is not legal, what will happen if these practices are made legal? Doctors will have even more power to take away patient choice. If we can’t stop the abuse now, how will we be able to stop the abuse then?

In 2009, I first published my mother’s story, which can be viewed here www.choiceillusion.org/p/mild-stroke-led-to-mothers-forced.html.

I have since been contacted by adult children in both the U.S. and Canada whose parents were involuntarily starved and dehydrated to death. I hope that this practice can be stopped before it is too late. I offer my heartfelt condolences to Gail Bell.

Kate Kelly,
Delta, British Columbia, Canada

Minnesota prosecutors try to prove man's online chats assisted in suicides of depressed people

http://www.startribune.com/local/270494691.htm

By Associated Press, Updated: August 8, 2014 - 2:20 PM

Nadia Kajouji,

FARIBAULT, Minn. — Prosecutors in Minnesota argued Friday that a former nurse should be convicted of assisting suicide for sending emails and other online communications in which he urged two people to kill themselves and gave them information on how to do it.

William Melchert-Dinkel, 52, of Faribault, was back in court more than three years after he was convicted of encouraging suicides. The Minnesota Supreme Court earlier this year reversed those convictions, saying the state's law against encouraging or advising suicides was too broad.

The high court however upheld part of the law that makes it a crime to assist someone's suicide, and attorneys for both sides returned to Rice County District Court to argue over whether Melchert-Dinkel's conduct qualified.

Melchert-Dinkel was originally convicted in 2011 in the deaths of Nadia Kajouji, 18, of Brampton, Ontario, and Mark Drybrough, 32, of Coventry, England. Kajouji jumped into an icy river in 2008 and Drybrough hanged himself in 2005.

Evidence at that trial showed Melchert-Dinkel was obsessed with suicide and sought out depressed people online, posing as a suicidal female nurse, faking compassion and offering detailed instructions on how they could kill themselves. Police said he told them he did it for "the thrill of the chase."

Montana's Law Protected Me

Lucinda Hardy

I [Lucinda Hardy] have read the guest column, "People living with disabilities support death with dignity" (July 25), which advocates for legalizing assisted suicide and/or euthanasia for the disabled. I could be described as such a person and this opinion does not speak for me. I am strongly against legalizing these practices.

When I was in high school, I was on track to get a basketball scholarship to college. And then, I was in a car accident. The accident left me in a wheelchair, a quadriplegic. In addition to my paralysis, I had other difficulties. Over the next two or three years, I gave serious thought to suicide. And I had the means to do it, but both times I got close, I stopped myself.

Others Dictated For Her

http://missoulian.com/news/opinion/mailbag/mother-s-death-provided-painful-personal-example-of-need-to/article_3c8a1d98-1a9c-11e4-bb8e-001a4bcf887a.html

The July 25 guest column by Sara Myers and Dustin Hankinson begins with a discussion of pain, “great pain,” specifically. The paragraph goes on to use the phrase “great pain” to justify “death with dignity,” meaning assisted suicide and euthanasia.

With their column, I couldn’t help but think of my mother’s last years and the decision of others that it was time for her to die. Pain was used as a justification for increases in her medication – to get the job done. This happened three times before she finally died in the hospital on Sept. 6, 2010. The coroner’s report, case No. 100906, lists the cause of death as congestive heart failure with oxygen deprivation and “fentanyl therapy.” The manner of death is listed as “accident.”

Fentanyl is reported “to be 80 to 200 times as potent as morphine.” It’s also well known that fentanyl patch problems cause overdoses, injuries and deaths. See www.aboutlawsuits.com/fentanyl-patch-problems-continue-overdose-deaths-55136. A 100 mcg/hour fentanyl patch has a range within 24 hours of 1.9-3.8 ng/mL. Mom’s death result was 2.7 ng/mL on/or about 48 hours.

A complaint was filed by me with the Montana Board of Medical Examiners, No. 2012-069-MED. The screening panel dismissed the complaint with prejudice, which means that the board may not consider the complaint in the future.

Since then, I have talked with other people who have had similar experiences involving the death of a family member via a medical overdose. Please see here: http://www.choiceillusionmontana.org/2013/04/dont-give-doctors-more-power-to-abuse.html

The column by Myers and Hankinson states, “I believe one should have control of one’s life including its ending.“

I agree with that statement. However, my mother did not have that control. Others dictated for her. Please rethink legalizing assisted suicide and euthanasia so that we do not give others even more power to kill.

Gail Bell,
Bozeman