Your Life, Your Choices?
August 23rd, 2009
Gone are the simple days when a bill was read by elected officials before it was voted upon or passed out of committee. Or were there ever such days? Had HR 3200 been read, Democrats would have known the source of concern for seniors, the disabled and religious.
The Veteran’s Administration has a brochure entitled “Your Life, Your Choices” that was given to some veterans when admitted to the VA hospital system or in VA nursing homes. It was first published in 1997, and this 52 page book was promoted as the VA system’s living will document.
In 2000 when the Bush administration reviewed this document, it was suspended, but has resurfaced once again. The suspension was warranted due to the nature of some of the end-of-life information it provided. It went well beyond living wills or medical durable power of attorney recommendations.
Some sections of the workbook are similar to political “push polls” that lead or steer one to a predetermined conclusion. They were geared to where you determine the “quality of your life” through a series of questions. Such as whether you live in a nursing home, have lost a limb or are in a wheelchair, or are a vegetable.
However more provocative were these inquiries: unable to “shake the blues,” ”I can no longer contribute to my family’s well being,” or that the veteran’s situation “causes severe emotional burden for my family.” The inference is that if you answer yes to these questions (perhaps during a vulnerable stage), your life is not worth living.
Informing individuals, veterans or not, of the necessity of planning for their eventual mortality is valid and loving. My husband’s family was spared these decisions when his mother died around Easter. More than one of my husband’s brothers remarked that they were surprised that their mother had taken care of all the funeral arrangements.
My husband and his mother (after the death of his father in 1990) had purchased a bond to pay for the funeral, the plot, the type of casket and even who was to officiate, providing this pastor was still living. Together, my husband helped her prepare the durable medical power of attorney and her will.
He informed all 7 other siblings that she was empathic regarding placement on a ventilator which had occurred for 2 weeks last September. Some of the adult children desired for her to be intubated, but my husband with compassionate firmness, reiterated his mother’s wishes. Her willingness to plan for her death made it so much easier on her family.
Nor was it a financial burden. This from a woman with an 8th grade education, who had never made over $20,000 in any given year. In fact considerably less! But she saved monetary birthday, mother’s day and Christmas gifts in order to give a profound gift to her children at her own death. Her love for them allowed them to mourn freely, having relieved them of the stress of planning and paying for her funeral.
So I am not adverse to pre-planning and I consider it an act of love. We have done likewise for my mother. But to guide someone through guilt to the conclusion that their life may not be worthwhile? Especially when they are vulnerable?!? Merely because that life is not the same as someone else’s?
I am quite sure Christopher Reeve could have answered yes to those questions or even Michael J. Fox or Franklin Roosevelt? Was or is there no value to their lives even though their capacity for certain activities was or is limited?
With the resuscitation of this pamphlet into the VA system (given to all veterans) by the Obama administration, is it any wonder that people are concerned with end-of-life planning included into HR 3200?
Had they read HR 3200, they would not have denied that this passage was in the bill. They would have been able to answer questions regarding the intent, and offered provisions that protected the “least among us.”
Compassionate pre-planning can be a gift, but prodding someone into devaluing life because it does not fit a definition of “productive” or “worthwhile” is beyond reasonable. However, they will justify these actions when the taxpayer pays the bill for medical care.
Having cared for quite of number of dying individuals, the dying want to know most that someone cares. That they have had some impact, regardless how small. That they will be remembered because this is an indication of caring. The gift of freedom we have been given by veterans should elevate them above “burdens” to the taxpayer.
The youth always seem to want to be non-conformist. In this area, we should adopt a youthful viewpoint and be as non-conformist in death as we are in life.

