Court Upholds Ruling Against California's Assisted Suicide Law
Physician-Assisted Suicide Has Been Legal in California for a Year. How's it Going?
4 States Opt to Raise Minimum Wage; 6 Loosen Marijuana Laws
Terminally Ill California Artist Hosts Two-Day 'Rebirth Party' Before Ending Her Life
California's New Health Laws Coming in 2016
Despite Sweeping 'Death-With-Dignity' Law, Few Will Have That Option
Physician-Assisted Suicide Backers Try to Woo Balking Latino Lawmakers
California's Physician-Assisted Suicide Bill Hits Snag
Terminally Ill Orange County Mother Opposes Assisted Suicide
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She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11670463":{"type":"posts","id":"news_11670463","meta":{"index":"posts_1591205157","site":"news","id":"11670463","score":null,"sort":[1527189577000]},"guestAuthors":[],"slug":"court-upholds-ruling-against-californias-assisted-suicide-law","title":"Court Upholds Ruling Against California's Assisted Suicide Law","publishDate":1527189577,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>An appeals court has let stand a lower court ruling overturning a California law that allows physicians to prescribe life-ending drugs to the terminally ill.\u003c/p>\n\u003cp>California's 4th District Court of Appeal on Wednesday refused to stay last week's decision by Riverside County Superior Court, which ruled that state lawmakers should not have passed the law during a special session on health care funding. However, the constitutionality of the law itself — passed nearly three years ago — was not challenged.\u003c/p>\n\u003cp>California Attorney General Xavier Becerra had sought to block the earlier ruling in order to allow terminally ill people to access life-ending drugs while the issue works its way through the courts.\u003c/p>\n\u003cp>Rejecting the Superior Court's rationale for tossing out the law, Becerra argued that the health care funding session was \"broadly germane\" to the assisted suicide measure and therefore its passage was constitutional, \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article211636699.html\">according to the Sacramento Bee.\u003c/a>\u003c/p>\n\u003cp>California is one of \u003ca href=\"https://euthanasia.procon.org/view.resource.php?resourceID=000132\">seven states, along with the District of Columbia\u003c/a>, that has enacted legal protections for assisted suicide, covering about one-fifth of the U.S. population.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California's 2015 law, signed by Gov. Jerry Brown, allows doctors to prescribe lethal drugs to patients with six months or less to live.\u003c/p>\n\u003cp>According to Compassion & Choices, an advocacy group for assisted suicide, in the first year after the law went into effect, more than 500 adults in California received the drugs.\u003c/p>\n\u003cp>Opponents of the law, such as the Life Legal Defense Foundation, have argued that it could lead to coercion and abuse of terminally ill patients.\u003c/p>\n\u003cp>\"You have people at likely the most vulnerable time of their lives,\" Alexandra Snyder, the group's executive director, tells \u003ca href=\"https://www.npr.org/2018/05/16/611538518/judge-overturns-california-assisted-suicide-law\">KQED\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Those people are \"potentially facing large medical expenses and that puts them in a position of being vulnerable to pressure not just from families but their own pressure that maybe this is a cheaper, less burdensome way to go,\" she says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Court+Upholds+Ruling+Against+California%27s+Assisted+Suicide+Law+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"The decision lets stand a lower court ruling that the state's 2015 law allowing doctors to prescribe life-ending drugs to the terminally ill was passed unconstitutionally. ","status":"publish","parent":0,"modified":1527197169,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":337},"headData":{"title":"Court Upholds Ruling Against California's Assisted Suicide Law | KQED","description":"The decision lets stand a lower court ruling that the state's 2015 law allowing doctors to prescribe life-ending drugs to the terminally ill was passed unconstitutionally. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Court Upholds Ruling Against California's Assisted Suicide Law","datePublished":"2018-05-24T19:19:37.000Z","dateModified":"2018-05-24T21:26:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11670463 https://ww2.kqed.org/news/?p=11670463","disqusUrl":"https://ww2.kqed.org/news/2018/05/24/court-upholds-ruling-against-californias-assisted-suicide-law/","disqusTitle":"Court Upholds Ruling Against California's Assisted Suicide Law","source":"NPR","sourceUrl":"https://www.npr.org/","nprByline":"Scott Neuman","nprStoryId":"613940700","nprApiLink":"http://api.npr.org/query?id=613940700&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/thetwo-way/2018/05/24/613940700/court-upholds-ruling-against-californias-assisted-suicide-law?ft=nprml&f=613940700","nprRetrievedStory":"1","nprPubDate":"Thu, 24 May 2018 01:50:00 -0400","nprStoryDate":"Thu, 24 May 2018 01:50:22 -0400","nprLastModifiedDate":"Thu, 24 May 2018 01:51:25 -0400","path":"/news/11670463/court-upholds-ruling-against-californias-assisted-suicide-law","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An appeals court has let stand a lower court ruling overturning a California law that allows physicians to prescribe life-ending drugs to the terminally ill.\u003c/p>\n\u003cp>California's 4th District Court of Appeal on Wednesday refused to stay last week's decision by Riverside County Superior Court, which ruled that state lawmakers should not have passed the law during a special session on health care funding. However, the constitutionality of the law itself — passed nearly three years ago — was not challenged.\u003c/p>\n\u003cp>California Attorney General Xavier Becerra had sought to block the earlier ruling in order to allow terminally ill people to access life-ending drugs while the issue works its way through the courts.\u003c/p>\n\u003cp>Rejecting the Superior Court's rationale for tossing out the law, Becerra argued that the health care funding session was \"broadly germane\" to the assisted suicide measure and therefore its passage was constitutional, \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article211636699.html\">according to the Sacramento Bee.\u003c/a>\u003c/p>\n\u003cp>California is one of \u003ca href=\"https://euthanasia.procon.org/view.resource.php?resourceID=000132\">seven states, along with the District of Columbia\u003c/a>, that has enacted legal protections for assisted suicide, covering about one-fifth of the U.S. population.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California's 2015 law, signed by Gov. Jerry Brown, allows doctors to prescribe lethal drugs to patients with six months or less to live.\u003c/p>\n\u003cp>According to Compassion & Choices, an advocacy group for assisted suicide, in the first year after the law went into effect, more than 500 adults in California received the drugs.\u003c/p>\n\u003cp>Opponents of the law, such as the Life Legal Defense Foundation, have argued that it could lead to coercion and abuse of terminally ill patients.\u003c/p>\n\u003cp>\"You have people at likely the most vulnerable time of their lives,\" Alexandra Snyder, the group's executive director, tells \u003ca href=\"https://www.npr.org/2018/05/16/611538518/judge-overturns-california-assisted-suicide-law\">KQED\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Those people are \"potentially facing large medical expenses and that puts them in a position of being vulnerable to pressure not just from families but their own pressure that maybe this is a cheaper, less burdensome way to go,\" she says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Court+Upholds+Ruling+Against+California%27s+Assisted+Suicide+Law+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11670463/court-upholds-ruling-against-californias-assisted-suicide-law","authors":["byline_news_11670463"],"programs":["news_72"],"categories":["news_457","news_6188","news_8","news_13"],"tags":["news_23259","news_18083","news_20378"],"affiliates":["news_253"],"featImg":"news_11670472","label":"source_news_11670463"},"stateofhealth_339498":{"type":"posts","id":"stateofhealth_339498","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"339498","score":null,"sort":[1496869257000]},"guestAuthors":[],"slug":"physician-assisted-suicide-has-been-legal-in-california-for-a-year-hows-it-going","title":"Physician-Assisted Suicide Has Been Legal in California for a Year. How's it Going?","publishDate":1496869257,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>John Minor, a retired psychologist, epitomized the active Californian. A resident of Manhattan Beach, Minor ran long distances, bicycled, and hiked.\u003c/p>\n\u003cp>“He and my mom were both members of the Sierra Club,” said Jackie Minor of San Mateo, one of his daughters. \"They went on tons of backpacking trips, you know -- climbing mountains and trekking through the desert. He was just a very active person.”\u003c/p>\n\u003cp>But in the fall of 2014, Minor became ill with pulmonary fibrosis, a lung disease, and it was terminal. His family members said the disease slowly but surely eroded his quality of life. He became increasingly confined to his home, wracked by pain and violent fits of coughing, and suffered frightening episodes of choking and suffocation.\u003c/p>\n\u003cp>So two years after the diagnosis, on Sept. 15, 2016, John Minor sipped his last drink: apple juice laced with a lethal dose of medication his doctor had prescribed for him. He died surrounded by family members, at the age of 80.\u003c/p>\n\u003cp>“He laid down and went to sleep, and he was in a coma for about two hours and then he passed,” Jackie said. “It was very peaceful.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California’s \u003ca href=\"http://coalitionccc.org/tools-resources/end-of-life-option-act/\" target=\"_blank\" rel=\"noopener noreferrer\">End of Life Option Act\u003c/a> went into effect on June 9, 2016. The law created a process for dying patients to ask their doctors for a lethal prescription that the patients can then ingest privately, at home.\u003c/p>\n\u003cp>Since then, at least 500 Californians have received life-ending prescriptions, according to newly released data collected by \u003ca href=\"https://www.compassionandchoices.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Compassion and Choices\u003c/a>, an advocacy group that promotes aid-in-dying laws nationwide.\u003c/p>\n\u003cp>The organization also estimated that about 500 health systems and 100 hospice organizations now participate in the California law.\u003c/p>\n\u003cp>In addition, 80 percent of insurance companies in the state are paying claims involved in the process, such as doctor visits and the prescription itself.\u003c/p>\n\u003cp>“What the numbers are showing is that the law is working incredibly well,” said Matt Whitaker, the organization's director for California and Oregon. “It’s working as the lawmakers intended.”\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>But finding a doctor willing to prescribe the life-ending drugs isn’t always easy, in part because the state law allows doctors to opt out of prescribing -- even when the hospital where they work participates in the law.\u003c/p>\n\u003cp>The decision to prescribe does not come easily for many physicians.\u003c/p>\n\u003cp>“Even if they’re in support of aid-in-dying, they don’t necessarily want to be the person identified as the 'go-to' person for aid-in-dying. Because that’s a very different implication,” said Dr. Elizabeth Dzeng, an assistant professor of hospital medicine at the University of California, San Francisco.\u003c/p>\n\u003cp>About three dozen UCSF patients have requested such assistance since last June.\u003c/p>\n\u003cp>“There is a certain stigma for being known as a physician who writes these prescriptions,\" agreed Dr. Stephanie Harman, medical director of \u003ca href=\"https://stanfordhealthcare.org/medical-clinics/palliative-care.html\" target=\"_blank\" rel=\"noopener noreferrer\">palliative care services\u003c/a> at Stanford Health Care.\u003c/p>\n\u003cp>Harman decided to \u003ca href=\"http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2628972\" target=\"_blank\" rel=\"noopener noreferrer\">study\u003c/a> how the law was playing out in the Stanford system. She tracked 13 Stanford patients who received prescriptions for lethal drugs, and learned that half of them initially couldn’t get the drugs from their own doctor.\u003c/p>\n\u003cp>\"There is in the field, in medicine, a question of whether this is an ethical act for a physician,” she explained.\u003c/p>\n\u003cp>Other hospitals and health systems statewide are also trying to get a sense of what their terminal patients are experiencing. At the University of California, Los Angeles, about 20 patients have received prescriptions since the law went into effect — but only about half of them have gone on to take the meds, said Dr. Neil Wenger, a professor of medicine at UCLA and director of the \u003ca href=\"https://www.uclahealth.org/ethics-center/\" target=\"_blank\" rel=\"noopener noreferrer\">UCLA Health Ethics Center\u003c/a>.\u003c/p>\n\u003cp>Wenger helped develop a protocol for UCLA doctors, to guide them through the requirements of administering the medication to qualified terminally ill patients.\u003c/p>\n\u003cp>Among those he’s spoken with, there is a “whole range of preferences” regarding how and whether to participate in the law.\u003c/p>\n\u003cp>A “relatively small number” oppose the law outright, he said. Many others, however, believe patients should have access to aid-in-dying assistance, but don’t want to be involved in prescribing themselves, since it involves legal requirements, paperwork and conversations that can often be difficult.\u003c/p>\n\u003cp>“It raises a lot of feelings on the part of the doctor. It is something very, very different than what a doctor does -- which is saving people,\" Wenger explained. \"And it’s complicated. It takes a whole lot of time.”\u003c/p>\n\u003cp>Dr. Catherine S. Forest is one doctor who has committed herself to taking that time, and assisting patients who want the prescription.\u003c/p>\n\u003cp>Forest practices family medicine in the Stanford health system. Since the law passed, she’s assisted five patients who came to her practice after their own doctors refused.\u003c/p>\n\u003cp>Forest says what’s happening now in California is reminiscent of what happened in the 1970s, when abortion became legal. Even among doctors who agreed with the \u003cem>Roe v. Wade \u003c/em>decision, there was a reluctance to perform abortions.\u003c/p>\n\u003cp>“It takes awhile for people to train, to feel comfortable and to provide, and that was because it was not legal, and then it \u003cem>was\u003c/em> legal. And there are very few instances where we do that in medicine,” Forest says.\u003c/p>\n\u003cp>Aid-in-dying, she says, is one of those challenging moments for doctors. She expects it will take time for California to catch up with other states, like Oregon, that have well-established training resources to help doctors learn the process.\u003c/p>\n\u003cp>John Minor wasn't able to get a prescription at first. His doctors would not write the necessary prescription, so his family started scrambling.\u003c/p>\n\u003cp>“I started cold-calling just different hospitals and different departments within different hospitals,” Jackie said.\u003c/p>\n\u003cp>Ultimately, the family took the step of enrolling her father in a Kaiser Permanente insurance plan, and he received the prescription that he took last fall.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Mentally, he was ready,” said his widow, Sherry Minor. “It was an easy day for him.”\u003c/p>\n\n","blocks":[],"excerpt":"Hundreds of patients have requested the medication over the past year, but some report it took awhile to find a doctor to help. ","status":"publish","parent":0,"modified":1496812360,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1057},"headData":{"title":"Physician-Assisted Suicide Has Been Legal in California for a Year. How's it Going? | KQED","description":"Hundreds of patients have requested the medication over the past year, but some report it took awhile to find a doctor to help. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Physician-Assisted Suicide Has Been Legal in California for a Year. How's it Going?","datePublished":"2017-06-07T21:00:57.000Z","dateModified":"2017-06-07T05:12:40.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"339498 https://ww2.kqed.org/stateofhealth/?p=339498","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/06/07/physician-assisted-suicide-has-been-legal-in-california-for-a-year-hows-it-going/","disqusTitle":"Physician-Assisted Suicide Has Been Legal in California for a Year. How's it Going?","nprByline":"Stephanie O'Neill","path":"/stateofhealth/339498/physician-assisted-suicide-has-been-legal-in-california-for-a-year-hows-it-going","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>John Minor, a retired psychologist, epitomized the active Californian. A resident of Manhattan Beach, Minor ran long distances, bicycled, and hiked.\u003c/p>\n\u003cp>“He and my mom were both members of the Sierra Club,” said Jackie Minor of San Mateo, one of his daughters. \"They went on tons of backpacking trips, you know -- climbing mountains and trekking through the desert. He was just a very active person.”\u003c/p>\n\u003cp>But in the fall of 2014, Minor became ill with pulmonary fibrosis, a lung disease, and it was terminal. His family members said the disease slowly but surely eroded his quality of life. He became increasingly confined to his home, wracked by pain and violent fits of coughing, and suffered frightening episodes of choking and suffocation.\u003c/p>\n\u003cp>So two years after the diagnosis, on Sept. 15, 2016, John Minor sipped his last drink: apple juice laced with a lethal dose of medication his doctor had prescribed for him. He died surrounded by family members, at the age of 80.\u003c/p>\n\u003cp>“He laid down and went to sleep, and he was in a coma for about two hours and then he passed,” Jackie said. “It was very peaceful.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California’s \u003ca href=\"http://coalitionccc.org/tools-resources/end-of-life-option-act/\" target=\"_blank\" rel=\"noopener noreferrer\">End of Life Option Act\u003c/a> went into effect on June 9, 2016. The law created a process for dying patients to ask their doctors for a lethal prescription that the patients can then ingest privately, at home.\u003c/p>\n\u003cp>Since then, at least 500 Californians have received life-ending prescriptions, according to newly released data collected by \u003ca href=\"https://www.compassionandchoices.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Compassion and Choices\u003c/a>, an advocacy group that promotes aid-in-dying laws nationwide.\u003c/p>\n\u003cp>The organization also estimated that about 500 health systems and 100 hospice organizations now participate in the California law.\u003c/p>\n\u003cp>In addition, 80 percent of insurance companies in the state are paying claims involved in the process, such as doctor visits and the prescription itself.\u003c/p>\n\u003cp>“What the numbers are showing is that the law is working incredibly well,” said Matt Whitaker, the organization's director for California and Oregon. “It’s working as the lawmakers intended.”\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>But finding a doctor willing to prescribe the life-ending drugs isn’t always easy, in part because the state law allows doctors to opt out of prescribing -- even when the hospital where they work participates in the law.\u003c/p>\n\u003cp>The decision to prescribe does not come easily for many physicians.\u003c/p>\n\u003cp>“Even if they’re in support of aid-in-dying, they don’t necessarily want to be the person identified as the 'go-to' person for aid-in-dying. Because that’s a very different implication,” said Dr. Elizabeth Dzeng, an assistant professor of hospital medicine at the University of California, San Francisco.\u003c/p>\n\u003cp>About three dozen UCSF patients have requested such assistance since last June.\u003c/p>\n\u003cp>“There is a certain stigma for being known as a physician who writes these prescriptions,\" agreed Dr. Stephanie Harman, medical director of \u003ca href=\"https://stanfordhealthcare.org/medical-clinics/palliative-care.html\" target=\"_blank\" rel=\"noopener noreferrer\">palliative care services\u003c/a> at Stanford Health Care.\u003c/p>\n\u003cp>Harman decided to \u003ca href=\"http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2628972\" target=\"_blank\" rel=\"noopener noreferrer\">study\u003c/a> how the law was playing out in the Stanford system. She tracked 13 Stanford patients who received prescriptions for lethal drugs, and learned that half of them initially couldn’t get the drugs from their own doctor.\u003c/p>\n\u003cp>\"There is in the field, in medicine, a question of whether this is an ethical act for a physician,” she explained.\u003c/p>\n\u003cp>Other hospitals and health systems statewide are also trying to get a sense of what their terminal patients are experiencing. At the University of California, Los Angeles, about 20 patients have received prescriptions since the law went into effect — but only about half of them have gone on to take the meds, said Dr. Neil Wenger, a professor of medicine at UCLA and director of the \u003ca href=\"https://www.uclahealth.org/ethics-center/\" target=\"_blank\" rel=\"noopener noreferrer\">UCLA Health Ethics Center\u003c/a>.\u003c/p>\n\u003cp>Wenger helped develop a protocol for UCLA doctors, to guide them through the requirements of administering the medication to qualified terminally ill patients.\u003c/p>\n\u003cp>Among those he’s spoken with, there is a “whole range of preferences” regarding how and whether to participate in the law.\u003c/p>\n\u003cp>A “relatively small number” oppose the law outright, he said. Many others, however, believe patients should have access to aid-in-dying assistance, but don’t want to be involved in prescribing themselves, since it involves legal requirements, paperwork and conversations that can often be difficult.\u003c/p>\n\u003cp>“It raises a lot of feelings on the part of the doctor. It is something very, very different than what a doctor does -- which is saving people,\" Wenger explained. \"And it’s complicated. It takes a whole lot of time.”\u003c/p>\n\u003cp>Dr. Catherine S. Forest is one doctor who has committed herself to taking that time, and assisting patients who want the prescription.\u003c/p>\n\u003cp>Forest practices family medicine in the Stanford health system. Since the law passed, she’s assisted five patients who came to her practice after their own doctors refused.\u003c/p>\n\u003cp>Forest says what’s happening now in California is reminiscent of what happened in the 1970s, when abortion became legal. Even among doctors who agreed with the \u003cem>Roe v. Wade \u003c/em>decision, there was a reluctance to perform abortions.\u003c/p>\n\u003cp>“It takes awhile for people to train, to feel comfortable and to provide, and that was because it was not legal, and then it \u003cem>was\u003c/em> legal. And there are very few instances where we do that in medicine,” Forest says.\u003c/p>\n\u003cp>Aid-in-dying, she says, is one of those challenging moments for doctors. She expects it will take time for California to catch up with other states, like Oregon, that have well-established training resources to help doctors learn the process.\u003c/p>\n\u003cp>John Minor wasn't able to get a prescription at first. His doctors would not write the necessary prescription, so his family started scrambling.\u003c/p>\n\u003cp>“I started cold-calling just different hospitals and different departments within different hospitals,” Jackie said.\u003c/p>\n\u003cp>Ultimately, the family took the step of enrolling her father in a Kaiser Permanente insurance plan, and he received the prescription that he took last fall.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Mentally, he was ready,” said his widow, Sherry Minor. “It was an easy day for him.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/339498/physician-assisted-suicide-has-been-legal-in-california-for-a-year-hows-it-going","authors":["byline_stateofhealth_339498"],"categories":["stateofhealth_12","stateofhealth_13","stateofhealth_1"],"tags":["stateofhealth_914","stateofhealth_2847","stateofhealth_2808","stateofhealth_2519","stateofhealth_754"],"featImg":"stateofhealth_339516","label":"stateofhealth"},"news_11166139":{"type":"posts","id":"news_11166139","meta":{"index":"posts_1591205157","site":"news","id":"11166139","score":null,"sort":[1478682687000]},"guestAuthors":[],"slug":"4-states-opt-to-raise-minimum-wage-6-loosen-marijuana-laws","title":"4 States Opt to Raise Minimum Wage; 6 Loosen Marijuana Laws","publishDate":1478682687,"format":"standard","headTitle":"Election 2016 | The California Report | KQED News","labelTerm":{},"content":"\u003cp>\u003cstrong>Update, 11:40 a.m. Wednesday:\u003c/strong>\u003c/p>\n\u003cp>California voters chose to retained the death penalty, rejecting a measure to end it by 54-46 percent. Voters narrowly approved a measure to speed up the process of appeals and executions, passing Proposition 66 by 51-49 percent.\u003c/p>\n\u003cp>As projected earlier, Californians also passed gun control by a wide margin, approving Proposition 63 with a 63-37 percent vote.\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>While votes are still being counted, some high-profile ballot initiatives already have returned clear results -- including a slew of states opting in favor of medical or recreational marijuana, and several more raising the minimum wage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>You can see our full list of key ballot measures \u003ca href=\"http://www.npr.org/2016/11/06/500943166/2016-election-results-for-key-ballot-measures-and-state-propositions\">here\u003c/a>, or check out a sample of the highlights:\u003c/p>\n\u003cp>\u003cstrong>Legalizing marijuana, either medicinally or recreationally: \u003c/strong>You can read more about these ballot initiatives -- part of a nationwide trend toward the legalization of pot -- \u003ca href=\"http://www.npr.org/sections/thetwo-way/2016/11/09/501342074/in-ballot-measures-pot-legalization-makes-strides\">here\u003c/a>.\u003c/p>\n\u003cp>In short, Florida, Arkansas and North Dakota legalized (or greatly expanded legal access to) medical marijuana, while Massachusetts, Nevada and California legalized recreational marijuana.\u003c/p>\n\u003cp>That's as of 1:45 a.m. EST. There are more ballot measures regarding marijuana, where the result has not yet been projected.\u003c/p>\n\u003cp>\u003cstrong>Raising the minimum wage: \u003c/strong>Maine, Arizona, Colorado and Washington all voted to increase the minimum wage to at least $12 an hour by 2020. Washington approved a raise to $13.50 an hour by 2020; Colorado calls for $12 by 2020, but with the wage pegged to the cost of living after that.\u003c/p>\n\u003cp>In South Dakota, a ballot initiative called for \u003cem>lowering \u003c/em>the minimum wage for non-tipped employees under 18, but it was roundly rejected by voters, with more than 70 percent opposing it.\u003c/p>\n\u003cp>\u003cstrong>Death penalty: \u003c/strong>Oklahoma and Nebraska both voted in favor of the death penalty.\u003c/p>\n\u003cp>In Oklahoma, a referendum declared that the death penalty is not considered cruel and unusual punishment in the state; in Nebraska, voters opted to overturn a bill that eliminated the death penalty.\u003c/p>\n\u003cp>We're still waiting for results on California's two competing \u003ca href=\"http://www.npr.org/2016/10/30/499952465/california-faces-opposing-ballot-initiatives-on-death-penalty\">death penalty initiatives\u003c/a>; one would end the death penalty and the other speed up the process.\u003c/p>\n\u003cp>\u003cstrong>Strengthening gun control measures: \u003c/strong>In Washington, voters approved a firearms access measure. As we've \u003ca href=\"http://www.npr.org/2016/10/22/497026533/from-pot-to-guns-to-school-funding-heres-whats-on-the-ballot-in-your-state\">previously reported\u003c/a>, it would \"allow people to get a court order that would temporarily ban people who show signs of mental illness or violence or another behavior that might indicate that they could harm themselves or others from possessing firearms.\"\u003c/p>\n\u003cp>A similar law was already on the books in California -- which has some of the nation's strictest restrictions on guns. Voters just approved one more gun control measure. KQED's Marisa Lagos described the initiative last month:\u003c/p>\n\u003cblockquote>\u003cp>\"Lt. Gov. Gavin Newsom wants to go even further and bring bullets into the equation. Depending on whom you ask, it's a question of either common sense or constitutional rights: Should ammunition be treated like guns are, with background checks for buyers and limits on who can sell?\u003c/p>\n\u003cp>\"It's not the only question posed by \u003ca href=\"http://vig.cdn.sos.ca.gov/2016/general/en/pdf/text-proposed-laws.pdf#prop63\">Proposition 63\u003c/a>, but it's the one that's received the most attention. Authored by Newsom, the initiative would also require gun owners to report lost or stolen firearms to law enforcement; set up a process for convicted felons to give up their guns; and fully ban magazines that can hold more than 10 rounds of bullets.\"\u003c/p>\u003c/blockquote>\n\u003cp>It passed with strong support, according to AP projections.\u003c/p>\n\u003cp>Results are still pending for background check proposals in Maine and Nevada.\u003c/p>\n\u003cp>\u003cstrong>Legalizing assisted suicide in Colorado:\u003c/strong> CO-106 made assisted death legal \"among patients with a terminal illness who receive a prognosis of death within six months.\"\u003c/p>\n\u003cp>Colorado is only the sixth state to approve some form of physician-assisted death. \u003ca href=\"http://www.cpr.org/news/story/colorado-medically-assisted-death-vote\" target=\"_blank\">Its bill was modeled after Oregon's law\u003c/a>, Colorado Public Radio reports. The law requires patients to self-administer a doctor-prescribed drug.\u003c/p>\n\u003cp>\"In recent years, Democrats in the state Legislature had attempted to pass legislation allowing for assisted suicide, but were rejected by Republicans in the split Legislature,\" \u003ca href=\"http://www.latimes.com/nation/politics/trailguide/la-na-election-day-2016-in-colorado-voters-approve-assisted-1478661779-htmlstory.html\" target=\"_blank\">the Los Angeles Times reports\u003c/a>. \"Opposition to the measure came mostly from religious groups.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit http://www.npr.org/\u003c/p>\n\n","blocks":[],"excerpt":"Nationwide, Americans voted on marijuana and minimum wage laws.","status":"publish","parent":0,"modified":1478719888,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":697},"headData":{"title":"4 States Opt to Raise Minimum Wage; 6 Loosen Marijuana Laws | KQED","description":"Nationwide, Americans voted on marijuana and minimum wage laws.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"4 States Opt to Raise Minimum Wage; 6 Loosen Marijuana Laws","datePublished":"2016-11-09T09:11:27.000Z","dateModified":"2016-11-09T19:31:28.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11166139 http://ww2.kqed.org/news/?p=11166139","disqusUrl":"https://ww2.kqed.org/news/2016/11/09/4-states-opt-to-raise-minimum-wage-6-loosen-marijuana-laws/","disqusTitle":"4 States Opt to Raise Minimum Wage; 6 Loosen Marijuana Laws","source":"NPR","nprImageCredit":"Astrid Galvan","nprByline":"Camila Domonoske","nprImageAgency":"AP","nprStoryId":"501350808","nprApiLink":"http://api.npr.org/query?id=501350808&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/thetwo-way/2016/11/09/501350808/4-states-opt-to-raise-minimum-wage-6-loosen-marijuana-laws?ft=nprml&f=501350808","nprRetrievedStory":"1","nprPubDate":"Wed, 09 Nov 2016 02:53:00 -0500","nprStoryDate":"Wed, 09 Nov 2016 02:53:00 -0500","nprLastModifiedDate":"Wed, 09 Nov 2016 02:53:47 -0500","path":"/news/11166139/4-states-opt-to-raise-minimum-wage-6-loosen-marijuana-laws","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 11:40 a.m. Wednesday:\u003c/strong>\u003c/p>\n\u003cp>California voters chose to retained the death penalty, rejecting a measure to end it by 54-46 percent. Voters narrowly approved a measure to speed up the process of appeals and executions, passing Proposition 66 by 51-49 percent.\u003c/p>\n\u003cp>As projected earlier, Californians also passed gun control by a wide margin, approving Proposition 63 with a 63-37 percent vote.\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>While votes are still being counted, some high-profile ballot initiatives already have returned clear results -- including a slew of states opting in favor of medical or recreational marijuana, and several more raising the minimum wage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>You can see our full list of key ballot measures \u003ca href=\"http://www.npr.org/2016/11/06/500943166/2016-election-results-for-key-ballot-measures-and-state-propositions\">here\u003c/a>, or check out a sample of the highlights:\u003c/p>\n\u003cp>\u003cstrong>Legalizing marijuana, either medicinally or recreationally: \u003c/strong>You can read more about these ballot initiatives -- part of a nationwide trend toward the legalization of pot -- \u003ca href=\"http://www.npr.org/sections/thetwo-way/2016/11/09/501342074/in-ballot-measures-pot-legalization-makes-strides\">here\u003c/a>.\u003c/p>\n\u003cp>In short, Florida, Arkansas and North Dakota legalized (or greatly expanded legal access to) medical marijuana, while Massachusetts, Nevada and California legalized recreational marijuana.\u003c/p>\n\u003cp>That's as of 1:45 a.m. EST. There are more ballot measures regarding marijuana, where the result has not yet been projected.\u003c/p>\n\u003cp>\u003cstrong>Raising the minimum wage: \u003c/strong>Maine, Arizona, Colorado and Washington all voted to increase the minimum wage to at least $12 an hour by 2020. Washington approved a raise to $13.50 an hour by 2020; Colorado calls for $12 by 2020, but with the wage pegged to the cost of living after that.\u003c/p>\n\u003cp>In South Dakota, a ballot initiative called for \u003cem>lowering \u003c/em>the minimum wage for non-tipped employees under 18, but it was roundly rejected by voters, with more than 70 percent opposing it.\u003c/p>\n\u003cp>\u003cstrong>Death penalty: \u003c/strong>Oklahoma and Nebraska both voted in favor of the death penalty.\u003c/p>\n\u003cp>In Oklahoma, a referendum declared that the death penalty is not considered cruel and unusual punishment in the state; in Nebraska, voters opted to overturn a bill that eliminated the death penalty.\u003c/p>\n\u003cp>We're still waiting for results on California's two competing \u003ca href=\"http://www.npr.org/2016/10/30/499952465/california-faces-opposing-ballot-initiatives-on-death-penalty\">death penalty initiatives\u003c/a>; one would end the death penalty and the other speed up the process.\u003c/p>\n\u003cp>\u003cstrong>Strengthening gun control measures: \u003c/strong>In Washington, voters approved a firearms access measure. As we've \u003ca href=\"http://www.npr.org/2016/10/22/497026533/from-pot-to-guns-to-school-funding-heres-whats-on-the-ballot-in-your-state\">previously reported\u003c/a>, it would \"allow people to get a court order that would temporarily ban people who show signs of mental illness or violence or another behavior that might indicate that they could harm themselves or others from possessing firearms.\"\u003c/p>\n\u003cp>A similar law was already on the books in California -- which has some of the nation's strictest restrictions on guns. Voters just approved one more gun control measure. KQED's Marisa Lagos described the initiative last month:\u003c/p>\n\u003cblockquote>\u003cp>\"Lt. Gov. Gavin Newsom wants to go even further and bring bullets into the equation. Depending on whom you ask, it's a question of either common sense or constitutional rights: Should ammunition be treated like guns are, with background checks for buyers and limits on who can sell?\u003c/p>\n\u003cp>\"It's not the only question posed by \u003ca href=\"http://vig.cdn.sos.ca.gov/2016/general/en/pdf/text-proposed-laws.pdf#prop63\">Proposition 63\u003c/a>, but it's the one that's received the most attention. Authored by Newsom, the initiative would also require gun owners to report lost or stolen firearms to law enforcement; set up a process for convicted felons to give up their guns; and fully ban magazines that can hold more than 10 rounds of bullets.\"\u003c/p>\u003c/blockquote>\n\u003cp>It passed with strong support, according to AP projections.\u003c/p>\n\u003cp>Results are still pending for background check proposals in Maine and Nevada.\u003c/p>\n\u003cp>\u003cstrong>Legalizing assisted suicide in Colorado:\u003c/strong> CO-106 made assisted death legal \"among patients with a terminal illness who receive a prognosis of death within six months.\"\u003c/p>\n\u003cp>Colorado is only the sixth state to approve some form of physician-assisted death. \u003ca href=\"http://www.cpr.org/news/story/colorado-medically-assisted-death-vote\" target=\"_blank\">Its bill was modeled after Oregon's law\u003c/a>, Colorado Public Radio reports. The law requires patients to self-administer a doctor-prescribed drug.\u003c/p>\n\u003cp>\"In recent years, Democrats in the state Legislature had attempted to pass legislation allowing for assisted suicide, but were rejected by Republicans in the split Legislature,\" \u003ca href=\"http://www.latimes.com/nation/politics/trailguide/la-na-election-day-2016-in-colorado-voters-approve-assisted-1478661779-htmlstory.html\" target=\"_blank\">the Los Angeles Times reports\u003c/a>. \"Opposition to the measure came mostly from religious groups.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit http://www.npr.org/\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11166139/4-states-opt-to-raise-minimum-wage-6-loosen-marijuana-laws","authors":["byline_news_11166139"],"programs":["news_6944","news_72"],"series":["news_19101"],"categories":["news_6188","news_8","news_13"],"tags":["news_18282","news_20165","news_2795","news_102","news_2141","news_20188","news_18083","news_17286"],"featImg":"news_10915694","label":"source_news_11166139"},"stateofhealth_223932":{"type":"posts","id":"stateofhealth_223932","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"223932","score":null,"sort":[1470964515000]},"guestAuthors":[],"slug":"terminally-ill-california-artist-hosts-two-day-rebirth-party-before-ending-her-life-2","title":"Terminally Ill California Artist Hosts Two-Day 'Rebirth Party' Before Ending Her Life","publishDate":1470964515,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>In early July, Betsy Davis emailed her closest friends and relatives to invite them to a two-day party, telling them: \"These circumstances are unlike any party you have attended before, requiring emotional stamina, centeredness and openness.\"\u003c/p>\n\u003cp>And just one rule: No crying in front of her.\u003c/p>\n\u003cp>The 41-year-old artist with ALS, or Lou Gehrig's disease, held the gathering to say goodbye before becoming one of the first Californians to take a lethal dose of drugs under the state's new doctor-assisted suicide law for the terminally ill.\u003c/p>\n\u003cp>\"For me and everyone who was invited, it was very challenging to consider, but there was no question that we would be there for her,\" said Niels Alpert, a cinematographer from New York City.\u003c/p>\n\u003cp>\"The idea to go and spend a beautiful weekend that culminates in their suicide — that is not a normal thing, not a normal, everyday occurrence. In the background of the lovely fun, smiles and laughter that we had that weekend was the knowledge of what was coming.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Davis worked out a detailed schedule for the gathering on the weekend of July 23-24, including the precise hour she planned to slip into a coma, and shared her plans with her guests in the invitation.\u003c/p>\n\u003cp>More than 30 people came to the party at a home with a wraparound porch in the picturesque Southern California mountain town of Ojai, flying in from New York, Chicago and across California.\u003c/p>\n\u003cp>One woman brought a cello. A man played a harmonica. There were cocktails, pizza from her favorite local joint, and a screening in her room of one of her favorite movies, \"The Dance of Reality,\" based on the life of a Chilean film director.\u003c/p>\n\u003cp>As the weekend drew to a close, her friends kissed her goodbye, gathered for a photo and left, and Davis was wheeled out to a canopy bed on a hillside, where she took a combination of morphine, pentobarbital and chloral hydrate prescribed by her doctor.\u003c/p>\n\u003cp>Kelly Davis said she loved her sister's idea for the gathering, which Betsy Davis referred to as a \"rebirth.\"\u003c/p>\n\u003cp>\"Obviously it was hard for me. It's still hard for me,\" said Davis, who wrote about it for the online news outlet \u003ca href=\"http://www.voiceofsandiego.org/topics/commentary/what-i-learned-helping-my-sister-use-californias-new-law-to-end-her-life/\" target=\"_blank\">Voice of San Diego\u003c/a>. \"The worst was needing to leave the room every now and then, because I would get choked up. But people got it. They understood how much she was suffering and that she was fine with her decision. They respected that. They knew she wanted it to be a joyous occasion.\"\u003c/p>\n\u003cp>Davis ended her life a little over a month after a California law giving the option to the terminally ill went into effect. Four other states allow doctor-assisted suicide, with Oregon the first in 1997.\u003c/p>\n\u003cp>Opponents of the law in lobbying against it before state legislators argued that hastening death was morally wrong, that it puts terminally ill patients at risk for coerced death by loved ones and could become a way out for people who are uninsured or fearful of high medical bills.\u003c/p>\n\u003cp>Marilyn Golden of the Disability Rights Education & Defense Fund, said her heart goes out to anyone dealing with a terminal illness, but \"there are still millions of people in California threatened by the danger of this law.\"\u003c/p>\n\u003cp>Davis spent months planning her exit, feeling empowered after spending the last three years losing control of her body bit by bit. The painter and performance artist could no longer stand, brush her teeth or scratch an itch. Her caretakers had to translate her slurred speech for others.\u003c/p>\n\u003cp>\"Dear rebirth participants you're all very brave for sending me off on my journey,\" she wrote in her invitation. \"There are no rules. Wear what you want, speak your mind, dance, hop, chant, sing, pray, but do not cry in front of me. OK, one rule.\"\u003c/p>\n\u003cp>During the party, old friends reconnected and Davis rolled in and out of the rooms in her electric wheelchair and onto the porch, talking with her guests.\u003c/p>\n\u003cp>At one point, she invited friends to her room to try on the clothes she had picked out for them. They modeled the outfits to laughter. Guests were also invited to take a \"Betsy souvenir\" — a painting, beauty product or other memento. Her sister had placed sticky notes on the items, explaining each one's significance.\u003c/p>\n\u003cp>Wearing a Japanese kimono she bought on a bucket-list trip she took after being diagnosed in 2013, she looked out at her last sunset and took the drugs at 6:45 p.m. with her caretaker, her doctor, her massage therapist and her sister by her side. Four hours later, she died.\u003c/p>\n\u003cp>Friends said it was the final performance for the artist, who once drew pictures on a stage with whipped cream.\u003c/p>\n\u003cp>\"What Betsy did gave her the most beautiful death that any person could ever wish for,\" Alpert said. \"By taking charge, she turned her departure into a work of art.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Her guests agreed to meet again on her birthday in June to scatter her ashes.\u003c/p>\n\n","blocks":[],"excerpt":"Betsy Davis, 41, who had Lou Gehrig's disease, was able to choose the circumstances of her death because of the state's new doctor-assisted suicide law.","status":"publish","parent":0,"modified":1470964927,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":852},"headData":{"title":"Terminally Ill California Artist Hosts Two-Day 'Rebirth Party' Before Ending Her Life | KQED","description":"Betsy Davis, 41, who had Lou Gehrig's disease, was able to choose the circumstances of her death because of the state's new doctor-assisted suicide law.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Terminally Ill California Artist Hosts Two-Day 'Rebirth Party' Before Ending Her Life","datePublished":"2016-08-12T01:15:15.000Z","dateModified":"2016-08-12T01:22:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"223932 http://ww2.kqed.org/stateofhealth/?p=223932","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/08/11/terminally-ill-california-artist-hosts-two-day-rebirth-party-before-ending-her-life-2/","disqusTitle":"Terminally Ill California Artist Hosts Two-Day 'Rebirth Party' Before Ending Her Life","nprByline":"JULIE WATSON \u003cbr /> Associated Press","path":"/stateofhealth/223932/terminally-ill-california-artist-hosts-two-day-rebirth-party-before-ending-her-life-2","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In early July, Betsy Davis emailed her closest friends and relatives to invite them to a two-day party, telling them: \"These circumstances are unlike any party you have attended before, requiring emotional stamina, centeredness and openness.\"\u003c/p>\n\u003cp>And just one rule: No crying in front of her.\u003c/p>\n\u003cp>The 41-year-old artist with ALS, or Lou Gehrig's disease, held the gathering to say goodbye before becoming one of the first Californians to take a lethal dose of drugs under the state's new doctor-assisted suicide law for the terminally ill.\u003c/p>\n\u003cp>\"For me and everyone who was invited, it was very challenging to consider, but there was no question that we would be there for her,\" said Niels Alpert, a cinematographer from New York City.\u003c/p>\n\u003cp>\"The idea to go and spend a beautiful weekend that culminates in their suicide — that is not a normal thing, not a normal, everyday occurrence. In the background of the lovely fun, smiles and laughter that we had that weekend was the knowledge of what was coming.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Davis worked out a detailed schedule for the gathering on the weekend of July 23-24, including the precise hour she planned to slip into a coma, and shared her plans with her guests in the invitation.\u003c/p>\n\u003cp>More than 30 people came to the party at a home with a wraparound porch in the picturesque Southern California mountain town of Ojai, flying in from New York, Chicago and across California.\u003c/p>\n\u003cp>One woman brought a cello. A man played a harmonica. There were cocktails, pizza from her favorite local joint, and a screening in her room of one of her favorite movies, \"The Dance of Reality,\" based on the life of a Chilean film director.\u003c/p>\n\u003cp>As the weekend drew to a close, her friends kissed her goodbye, gathered for a photo and left, and Davis was wheeled out to a canopy bed on a hillside, where she took a combination of morphine, pentobarbital and chloral hydrate prescribed by her doctor.\u003c/p>\n\u003cp>Kelly Davis said she loved her sister's idea for the gathering, which Betsy Davis referred to as a \"rebirth.\"\u003c/p>\n\u003cp>\"Obviously it was hard for me. It's still hard for me,\" said Davis, who wrote about it for the online news outlet \u003ca href=\"http://www.voiceofsandiego.org/topics/commentary/what-i-learned-helping-my-sister-use-californias-new-law-to-end-her-life/\" target=\"_blank\">Voice of San Diego\u003c/a>. \"The worst was needing to leave the room every now and then, because I would get choked up. But people got it. They understood how much she was suffering and that she was fine with her decision. They respected that. They knew she wanted it to be a joyous occasion.\"\u003c/p>\n\u003cp>Davis ended her life a little over a month after a California law giving the option to the terminally ill went into effect. Four other states allow doctor-assisted suicide, with Oregon the first in 1997.\u003c/p>\n\u003cp>Opponents of the law in lobbying against it before state legislators argued that hastening death was morally wrong, that it puts terminally ill patients at risk for coerced death by loved ones and could become a way out for people who are uninsured or fearful of high medical bills.\u003c/p>\n\u003cp>Marilyn Golden of the Disability Rights Education & Defense Fund, said her heart goes out to anyone dealing with a terminal illness, but \"there are still millions of people in California threatened by the danger of this law.\"\u003c/p>\n\u003cp>Davis spent months planning her exit, feeling empowered after spending the last three years losing control of her body bit by bit. The painter and performance artist could no longer stand, brush her teeth or scratch an itch. Her caretakers had to translate her slurred speech for others.\u003c/p>\n\u003cp>\"Dear rebirth participants you're all very brave for sending me off on my journey,\" she wrote in her invitation. \"There are no rules. Wear what you want, speak your mind, dance, hop, chant, sing, pray, but do not cry in front of me. OK, one rule.\"\u003c/p>\n\u003cp>During the party, old friends reconnected and Davis rolled in and out of the rooms in her electric wheelchair and onto the porch, talking with her guests.\u003c/p>\n\u003cp>At one point, she invited friends to her room to try on the clothes she had picked out for them. They modeled the outfits to laughter. Guests were also invited to take a \"Betsy souvenir\" — a painting, beauty product or other memento. Her sister had placed sticky notes on the items, explaining each one's significance.\u003c/p>\n\u003cp>Wearing a Japanese kimono she bought on a bucket-list trip she took after being diagnosed in 2013, she looked out at her last sunset and took the drugs at 6:45 p.m. with her caretaker, her doctor, her massage therapist and her sister by her side. Four hours later, she died.\u003c/p>\n\u003cp>Friends said it was the final performance for the artist, who once drew pictures on a stage with whipped cream.\u003c/p>\n\u003cp>\"What Betsy did gave her the most beautiful death that any person could ever wish for,\" Alpert said. \"By taking charge, she turned her departure into a work of art.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Her guests agreed to meet again on her birthday in June to scatter her ashes.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/223932/terminally-ill-california-artist-hosts-two-day-rebirth-party-before-ending-her-life-2","authors":["byline_stateofhealth_223932"],"categories":["stateofhealth_1"],"tags":["stateofhealth_2848","stateofhealth_2847","stateofhealth_2808","stateofhealth_2519"],"featImg":"stateofhealth_223920","label":"stateofhealth"},"stateofhealth_132165":{"type":"posts","id":"stateofhealth_132165","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"132165","score":null,"sort":[1451505314000]},"guestAuthors":[],"slug":"californias-new-health-laws-coming-in-2016","title":"California's New Health Laws Coming in 2016","publishDate":1451505314,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The new year arrives Friday, and with it a host of new state laws.\u003c/p>\n\u003cp>Here's our roundup of new ones coming in health. Most take effect on Friday, except where noted:\u003c/p>\n\u003cp>\u003cstrong>Vaccines: \u003c/strong>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB 277\u003c/a> was perhaps the most vehemently debated bill in Sacramento in a long time. Sen. Richard Pan (D-Sacramento) introduced the bill just weeks after a measles outbreak tied to Disneyland. The law requires that all children be fully vaccinated to attend school -- both public and private -- unless they have a medical exemption. The law takes effect July 1, in advance of the 2016-2017 school year.\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB792\" target=\"_blank\"> A second law\u003c/a> related to vaccines requires all child-care workers to be vaccinated against measles, pertussis and influenza.\u003c/p>\n\u003cp>\u003cstrong>Physician-Assisted Suicide\u003c/strong>: Gov. Jerry Brown signed the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act \u003c/a>into law with\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\"> an unusually personal comment.\u003c/a> The law permits physicians to prescribe lethal medication to terminally ill patients who request it. There is no firm date for the law to go into effect because it was passed as part of an ongoing special legislative session that was called by the governor to address health care financing. It won't take effect until 90 days after the session ends. California became the fifth state to allow the practice, along with Oregon, Washington, Montana and Vermont.\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal for Undocumented Children\u003c/strong>: California became\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\"> the first state in the country\u003c/a> to extend state-subsidized health coverage to children who are living in the United States illegally. An estimated 170,000 children under age 19 will become eligible for Medi-Cal, the state's health insurance problem for people who are low income, when \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB4\" target=\"_blank\">the law\u003c/a> goes into effect on May 1. (Legislators are expected to consider \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB10,\u003c/a> which would extend Medi-Cal to adults, in 2016 as well.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Reproductive Services Notification\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB775\" target=\"_blank\">The new law\u003c/a> covers required notifications at two types of facilities. Unlicensed facilities now will be required to notify clients that they are not licensed as medical facilities by the state. Meanwhile, licensed medical facilities are required to notify clients that California has public programs that provide free or low-cost access to contraceptives, prenatal care and abortion services. The law was\u003ca href=\"http://ww2.kqed.org/news/2015/11/04/california-law-adds-new-twist-to-abortion-religious-freedom-debate\" target=\"_blank\"> challenged by centers \u003c/a>that do not provide abortions. Just before Christmas, \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article51197235.html\" target=\"_blank\">a federal judge upheld the law\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Translation of Prescription Drug Information\u003c/strong>: Pharmacists are now required, upon request, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/10/calif-legislature-approves-bill-requiring-prescription-labels-in-5-foreign-languages/\" target=\"_blank\">to provide labels or medication information \u003c/a>in the five most common languages in California, after English: Spanish, Tagalog, Chinese, Vietnamese or Korean.\u003c/p>\n\u003cp>\u003cstrong>Hospitals and Caregivers\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB675\" target=\"_blank\">AB675\u003c/a> requires hospitals to include family caregivers in the hospitalization and discharge process. \u003ca href=\"http://newamericamedia.org/2015/12/california-latest-state-requiring-hospitals-to-keep-caregivers-in-the-loop.php\" target=\"_blank\">The goal \u003c/a>is to improve a patient's care and reduce the chance of readmission. California is one of 18 states to pass this type of law in the last two years.\u003c/p>\n\u003cp>\u003cstrong>CONSUMER PROTECTIONS:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Caps on Drug Copays\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB339\" target=\"_blank\">This law\u003c/a> limits patient's cost-sharing on specialty drugs to $250 a month and prohibits placing most or all drugs used to treat a certain condition on the highest cost tier in drug formularies.\u003c/li>\n\u003cli>\u003cstrong>Accurate Provider Directories\u003c/strong>: Insurers now must maintain an accurate database of providers on a website -- and they must update that directory every week, under \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB137\" target=\"_blank\">this new law. \u003c/a>The directories will include languages spoken by providers other than English.\u003c/li>\n\u003cli>\u003cstrong>Cost-sharing Limits in Family Plans\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1305\" target=\"_blank\">This law\u003c/a> brings California into line with federal regulations, that an individual patient faces the out-of-pocket maximum set by the Affordable Care Act (now $6,600) for an individual, even if they are in a family plan (which has a max of $13,200 at present).\u003c/li>\n\u003cli>\u003cstrong>Insurance offered by Large Employers\u003c/strong>: Large employers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB248\" target=\"_blank\">must now follow consumer protections \u003c/a>that ensure they do not offer so-called junk insurance that does not offer minimum value, as defined.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>LGBT HEALTH CARE:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Sperm Donation:\u003c/strong> \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB960\" target=\"_blank\">AB960 \u003c/a>was inspired by lesbian couples who want to have children. Many receive sperm donations from friends or relatives. This law says that the donor will not be viewed as the \"natural parent\" unless otherwise agreed to in writing prior to conception of the child.\u003c/li>\n\u003cli>\u003cstrong>Demographic Data Collection\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB959\" target=\"_blank\">This law requires\u003c/a> state departments overseeing health programs to collect voluntary information about sexual orientation and gender identity just as they collect race and ethnicity data.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>FOSTER CHILDREN\u003c/strong>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Placements for Trans Children\u003c/strong>: Foster children \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB731\" target=\"_blank\">now have the right \u003c/a>to placements consistent with their gender identity.\u003c/li>\n\u003cli>\u003cstrong>Psychotropic Medications\u003c/strong>: Child welfare social workers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB238\" target=\"_blank\">will be better able \u003c/a>to oversee mental health treatments, including use of psychotropic medications, by foster children.\u003c/li>\n\u003cli>\u003cstrong>Foster Children Who Are Parents\u003c/strong>: This law \u003ca href=\"http://www.calyouthconn.org/assets/files/AB%20260%20Fact%20Sheet%20(4.1.15).pdf\" target=\"_blank\">provides support and protections\u003c/a> for foster children who are parents themselves.\u003c/li>\n\u003c/ul>\n\n","blocks":[],"excerpt":"New laws include required vaccines for schoolchildren, physician aid-in-dying, consumer protections in health insurance and more.","status":"publish","parent":0,"modified":1452014180,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":779},"headData":{"title":"California's New Health Laws Coming in 2016 | KQED","description":"New laws include required vaccines for schoolchildren, physician aid-in-dying, consumer protections in health insurance and more.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California's New Health Laws Coming in 2016","datePublished":"2015-12-30T19:55:14.000Z","dateModified":"2016-01-05T17:16:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"132165 http://ww2.kqed.org/stateofhealth/?p=132165","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/12/30/californias-new-health-laws-coming-in-2016/","disqusTitle":"California's New Health Laws Coming in 2016","path":"/stateofhealth/132165/californias-new-health-laws-coming-in-2016","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The new year arrives Friday, and with it a host of new state laws.\u003c/p>\n\u003cp>Here's our roundup of new ones coming in health. Most take effect on Friday, except where noted:\u003c/p>\n\u003cp>\u003cstrong>Vaccines: \u003c/strong>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB 277\u003c/a> was perhaps the most vehemently debated bill in Sacramento in a long time. Sen. Richard Pan (D-Sacramento) introduced the bill just weeks after a measles outbreak tied to Disneyland. The law requires that all children be fully vaccinated to attend school -- both public and private -- unless they have a medical exemption. The law takes effect July 1, in advance of the 2016-2017 school year.\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB792\" target=\"_blank\"> A second law\u003c/a> related to vaccines requires all child-care workers to be vaccinated against measles, pertussis and influenza.\u003c/p>\n\u003cp>\u003cstrong>Physician-Assisted Suicide\u003c/strong>: Gov. Jerry Brown signed the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act \u003c/a>into law with\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\"> an unusually personal comment.\u003c/a> The law permits physicians to prescribe lethal medication to terminally ill patients who request it. There is no firm date for the law to go into effect because it was passed as part of an ongoing special legislative session that was called by the governor to address health care financing. It won't take effect until 90 days after the session ends. California became the fifth state to allow the practice, along with Oregon, Washington, Montana and Vermont.\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal for Undocumented Children\u003c/strong>: California became\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\"> the first state in the country\u003c/a> to extend state-subsidized health coverage to children who are living in the United States illegally. An estimated 170,000 children under age 19 will become eligible for Medi-Cal, the state's health insurance problem for people who are low income, when \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB4\" target=\"_blank\">the law\u003c/a> goes into effect on May 1. (Legislators are expected to consider \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB10,\u003c/a> which would extend Medi-Cal to adults, in 2016 as well.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Reproductive Services Notification\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB775\" target=\"_blank\">The new law\u003c/a> covers required notifications at two types of facilities. Unlicensed facilities now will be required to notify clients that they are not licensed as medical facilities by the state. Meanwhile, licensed medical facilities are required to notify clients that California has public programs that provide free or low-cost access to contraceptives, prenatal care and abortion services. The law was\u003ca href=\"http://ww2.kqed.org/news/2015/11/04/california-law-adds-new-twist-to-abortion-religious-freedom-debate\" target=\"_blank\"> challenged by centers \u003c/a>that do not provide abortions. Just before Christmas, \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article51197235.html\" target=\"_blank\">a federal judge upheld the law\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Translation of Prescription Drug Information\u003c/strong>: Pharmacists are now required, upon request, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/10/calif-legislature-approves-bill-requiring-prescription-labels-in-5-foreign-languages/\" target=\"_blank\">to provide labels or medication information \u003c/a>in the five most common languages in California, after English: Spanish, Tagalog, Chinese, Vietnamese or Korean.\u003c/p>\n\u003cp>\u003cstrong>Hospitals and Caregivers\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB675\" target=\"_blank\">AB675\u003c/a> requires hospitals to include family caregivers in the hospitalization and discharge process. \u003ca href=\"http://newamericamedia.org/2015/12/california-latest-state-requiring-hospitals-to-keep-caregivers-in-the-loop.php\" target=\"_blank\">The goal \u003c/a>is to improve a patient's care and reduce the chance of readmission. California is one of 18 states to pass this type of law in the last two years.\u003c/p>\n\u003cp>\u003cstrong>CONSUMER PROTECTIONS:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Caps on Drug Copays\u003c/strong>: \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB339\" target=\"_blank\">This law\u003c/a> limits patient's cost-sharing on specialty drugs to $250 a month and prohibits placing most or all drugs used to treat a certain condition on the highest cost tier in drug formularies.\u003c/li>\n\u003cli>\u003cstrong>Accurate Provider Directories\u003c/strong>: Insurers now must maintain an accurate database of providers on a website -- and they must update that directory every week, under \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB137\" target=\"_blank\">this new law. \u003c/a>The directories will include languages spoken by providers other than English.\u003c/li>\n\u003cli>\u003cstrong>Cost-sharing Limits in Family Plans\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1305\" target=\"_blank\">This law\u003c/a> brings California into line with federal regulations, that an individual patient faces the out-of-pocket maximum set by the Affordable Care Act (now $6,600) for an individual, even if they are in a family plan (which has a max of $13,200 at present).\u003c/li>\n\u003cli>\u003cstrong>Insurance offered by Large Employers\u003c/strong>: Large employers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB248\" target=\"_blank\">must now follow consumer protections \u003c/a>that ensure they do not offer so-called junk insurance that does not offer minimum value, as defined.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>LGBT HEALTH CARE:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Sperm Donation:\u003c/strong> \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB960\" target=\"_blank\">AB960 \u003c/a>was inspired by lesbian couples who want to have children. Many receive sperm donations from friends or relatives. This law says that the donor will not be viewed as the \"natural parent\" unless otherwise agreed to in writing prior to conception of the child.\u003c/li>\n\u003cli>\u003cstrong>Demographic Data Collection\u003c/strong>: \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB959\" target=\"_blank\">This law requires\u003c/a> state departments overseeing health programs to collect voluntary information about sexual orientation and gender identity just as they collect race and ethnicity data.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>FOSTER CHILDREN\u003c/strong>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Placements for Trans Children\u003c/strong>: Foster children \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB731\" target=\"_blank\">now have the right \u003c/a>to placements consistent with their gender identity.\u003c/li>\n\u003cli>\u003cstrong>Psychotropic Medications\u003c/strong>: Child welfare social workers \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB238\" target=\"_blank\">will be better able \u003c/a>to oversee mental health treatments, including use of psychotropic medications, by foster children.\u003c/li>\n\u003cli>\u003cstrong>Foster Children Who Are Parents\u003c/strong>: This law \u003ca href=\"http://www.calyouthconn.org/assets/files/AB%20260%20Fact%20Sheet%20(4.1.15).pdf\" target=\"_blank\">provides support and protections\u003c/a> for foster children who are parents themselves.\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/132165/californias-new-health-laws-coming-in-2016","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_160","stateofhealth_2519","stateofhealth_754","stateofhealth_2525","stateofhealth_461","stateofhealth_725"],"featImg":"stateofhealth_132229","label":"stateofhealth"},"stateofhealth_90618":{"type":"posts","id":"stateofhealth_90618","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"90618","score":null,"sort":[1444321432000]},"guestAuthors":[],"slug":"despite-sweeping-death-with-dignity-law-few-will-have-that-option","title":"Despite Sweeping 'Death-With-Dignity' Law, Few Will Have That Option","publishDate":1444321432,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{},"content":"\u003cp>The death-with-dignity movement took a giant step forward this week, with 38 million people coming under its umbrella in a single swoop when California Gov. Jerry Brown signed the End of Life Option Act on Monday.\u003c/p>\n\u003cp>But the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\">law\u003c/a> still leaves out a wide range of people who might want to be covered: people with progressive debilitating diseases that don't have an obvious six-months-to-live prognosis and people with dementia, the fastest-growing health threat in the U.S. That's also true of similar laws in Oregon, Washington, Montana and Vermont.\u003c/p>\n\u003cp>And there might be no good way around this.\u003c/p>\n\u003cp>These restrictions might be necessary at this point in the history of aid in dying in this country, according to Judith Schwarz of the advocacy group \u003ca href=\"http://endoflifechoicesny.org/\" target=\"_blank\">End of Life Choices New York\u003c/a>. \"Opponents have many fears that such laws will be misapplied to the disenfranchised,\" she wrote in an email, and it's important to guarantee that for these groups — the poor, the elderly, the isolated — the \"right to die\" doesn't somehow morph into the duty to die \"for the sake of others.\"\u003c/p>\n\u003cp>Still, there's a problem with limiting the death-with-dignity option only to those with a prognosis of fewer than six months. For one thing, prognosis is difficult, and studies show that doctors are actually overoptimistic in their assessment of \u003ca href=\"http://www.npr.org/sections/health-shots/2015/02/10/384011538/cancer-patients-and-doctors-struggle-to-predict-survival\" target=\"_blank\">how long their patients have to live\u003c/a>. \"Some doctors may wish to be more compassionate and not be as specific,\" Janis Landis, president of the Final Exit Network, wrote in an email, \"and ironically thus deny the patient the certification that is required.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And then there are the conditions that are completely unpredictable, not only in terms of life expectancy but in terms of how, when and in what order functions will be lost. This includes progressive neurological diseases like multiple sclerosis and ALS, where those who want to avoid the most debilitating final stages might end their lives prematurely, afraid that their ability to swallow a pill might disappear without warning.\u003c/p>\n\u003cp>\"Fear of this actually drives some individuals to act early, while they can still procure the equipment they need,\" Landis wrote. To her, it seems especially harsh \"to force such a cruel choice on an individual already suffering so greatly.\"\u003c/p>\n\u003cp>As fraught as it is, though, the requirement that a person be able to swallow lethal medication on his own is an important safeguard, according to Mickey MacIntyre, the chief strategic officer of Compassion & Choices. \"This self-administration requirement is a critical distinction between medical aid in dying and euthanasia,\" he wrote in an email.\u003c/p>\n\u003cp>\"Unlike medical aid in dying, euthanasia requires a healthcare professional or someone else, not the individual, to administer the medication,\" he added, \"So the individual loses control of the decision.\"\u003c/p>\n\u003cp>MacIntyre pointed out that people often change their minds at the last minute, and have every right to do so. In Oregon, he noted, about one-third of the people who obtained lethal drugs through the state's death-with-dignity program since 1998 ultimately \u003ca href=\"http://public.health.oregon.gov/ProviderPartnerResources/EvaluationResearch/DeathwithDignityAct/Documents/year17.pdf\" target=\"_blank\">decided not to take them\u003c/a>.\u003c/p>\n\u003cp>This seems to be a distinctly American quandary, though. In other countries, such as Belgium and the Netherlands, there are also safeguards written into their right-to-die laws, but they are broader and more inclusive.\u003c/p>\n\u003cp>\"The European safeguard is 'intolerable suffering,' \" said Margaret Pabst Battin, a bioethicist at the University of Utah. \"It's not defined in terms of the time until death, and it does include people with ALS or other conditions that wouldn't fall under our laws, which don't say anything about suffering.\"\u003c/p>\n\u003cp>Battin experienced the complexities of deciding when suffering becomes unbearable in caring for her husband, Brooke Hopkins, who was paralyzed from the shoulders down in a 2008 bicycle crash and lived for five more years, until he finally \u003ca href=\"http://6thfloor.blogs.nytimes.com/2013/08/21/choosing-to-die-after-a-struggle-with-life/\">decided\u003c/a> in 2013 to withdraw the machinery keeping him alive.\u003c/p>\n\u003cp>Earlier this year, the Supreme Court of Canada used European-style language \u003ca href=\"http://www.npr.org/sections/thetwo-way/2015/02/06/384292996/canadians-have-a-right-to-assisted-suicide-high-court-says\">upholding\u003c/a> the right to die for anyone with \"a grievous and irremediable medical condition ... that causes enduring suffering that is intolerable.\"\u003c/p>\n\u003cp>A death-with-dignity bill introduced in Battin's own state tried to broaden the safeguards to include people with a wider range of illnesses. On the phone with me, Battin read aloud from the \u003ca href=\"http://le.utah.gov/~2015/bills/static/HB0391.html\">Utah Death with Dignity Act\u003c/a>, introduced by Rep. Rebecca Chavez-Houk, which could apply to someone with an \"intractable and unbearable illness,\" defined as \"bodily disorder that cannot be cured or successfully palliated, and that causes such severe suffering that a patient prefers death.\" She said such broad language would no doubt be changed if the bill works its way through the state Legislature, as has happened elsewhere.\u003c/p>\n\u003cp>But people with Alzheimer's disease and other forms of \u003ca href=\"http://www.npr.org/sections/health-shots/2015/02/10/382725729/if-you-have-dementia-can-you-hasten-death-as-you-wished\" target=\"_blank\">dementia\u003c/a> are beyond the scope of almost all these laws.\u003c/p>\n\u003cp>Schwarz said that maybe, very far in the future, there might be some way to cover dementia, but it's \"so complicated\" that she doesn't see it happening anytime soon. How, for instance, do you write legislation to deal with the question of personhood, which alters as the disease progresses? Is the demented individual — perhaps someone relatively content in her diminishment — \"the same as the individual who so FIRMLY REQUESTED/DEMANDED lethal meds at a certain point in their future demented state?\" Schwarz wondered. \"And who are you going to get to administer lethal meds under such circumstances?\"\u003c/p>\n\u003cp>Schwarz spends a lot of time these days with Alzheimer's patients who want to choose the timing of their deaths. She said all she can offer them is guidance about \u003ca href=\"http://journals.lww.com/ajnonline/Abstract/2009/09000/Stopping_Eating_and_Drinking.28.aspx\">stopping eating and drinking\u003c/a> as a way to hasten the end.\u003c/p>\n\u003cp>\"It's a very, very hard choice to make when life still has pleasure & purpose,\" she wrote. But \"the window can close\" on a person with dementia, affecting the ability to refuse food and water once that person can no longer feed herself and caregivers enter into the decision.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>This means that \u003ca href=\"http://www.npr.org/sections/health-shots/2015/02/10/382725729/if-you-have-dementia-can-you-hasten-death-as-you-wished\" target=\"_blank\">a self-directed death for someone with dementia\u003c/a> might always have to mean saying farewell to life a bit sooner than she might have otherwise chosen.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Despite+Sweeping+Death-With-Dignity+Law%2C+Few+Will+Have+That+Option&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n","blocks":[],"excerpt":"People with uncertain prognoses or dementia can't end their lives under California's new medical aid in dying law. ","status":"publish","parent":0,"modified":1444321432,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":1050},"headData":{"title":"Despite Sweeping 'Death-With-Dignity' Law, Few Will Have That Option | KQED","description":"People with uncertain prognoses or dementia can't end their lives under California's new medical aid in dying law. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Despite Sweeping 'Death-With-Dignity' Law, Few Will Have That Option","datePublished":"2015-10-08T16:23:52.000Z","dateModified":"2015-10-08T16:23:52.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"90618 http://ww2.kqed.org/stateofhealth/?p=90618","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/10/08/despite-sweeping-death-with-dignity-law-few-will-have-that-option/","disqusTitle":"Despite Sweeping 'Death-With-Dignity' Law, Few Will Have That Option","source":"NPR","sourceUrl":"http://www.npr.org/sections/health-shots/2015/10/07/446631786/despite-sweeping-death-with-dignity-law-few-will-have-that-option","nprByline":"Robin Marantz Henig","nprStoryId":"446631786","nprApiLink":"http://api.npr.org/query?id=446631786&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2015/10/07/446631786/despite-sweeping-death-with-dignity-law-few-will-have-that-option?ft=nprml&f=446631786","nprRetrievedStory":"1","nprPubDate":"Wed, 07 Oct 2015 23:58:00 -0400","nprStoryDate":"Wed, 07 Oct 2015 17:48:00 -0400","nprLastModifiedDate":"Wed, 07 Oct 2015 23:58:22 -0400","path":"/stateofhealth/90618/despite-sweeping-death-with-dignity-law-few-will-have-that-option","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The death-with-dignity movement took a giant step forward this week, with 38 million people coming under its umbrella in a single swoop when California Gov. Jerry Brown signed the End of Life Option Act on Monday.\u003c/p>\n\u003cp>But the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\">law\u003c/a> still leaves out a wide range of people who might want to be covered: people with progressive debilitating diseases that don't have an obvious six-months-to-live prognosis and people with dementia, the fastest-growing health threat in the U.S. That's also true of similar laws in Oregon, Washington, Montana and Vermont.\u003c/p>\n\u003cp>And there might be no good way around this.\u003c/p>\n\u003cp>These restrictions might be necessary at this point in the history of aid in dying in this country, according to Judith Schwarz of the advocacy group \u003ca href=\"http://endoflifechoicesny.org/\" target=\"_blank\">End of Life Choices New York\u003c/a>. \"Opponents have many fears that such laws will be misapplied to the disenfranchised,\" she wrote in an email, and it's important to guarantee that for these groups — the poor, the elderly, the isolated — the \"right to die\" doesn't somehow morph into the duty to die \"for the sake of others.\"\u003c/p>\n\u003cp>Still, there's a problem with limiting the death-with-dignity option only to those with a prognosis of fewer than six months. For one thing, prognosis is difficult, and studies show that doctors are actually overoptimistic in their assessment of \u003ca href=\"http://www.npr.org/sections/health-shots/2015/02/10/384011538/cancer-patients-and-doctors-struggle-to-predict-survival\" target=\"_blank\">how long their patients have to live\u003c/a>. \"Some doctors may wish to be more compassionate and not be as specific,\" Janis Landis, president of the Final Exit Network, wrote in an email, \"and ironically thus deny the patient the certification that is required.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And then there are the conditions that are completely unpredictable, not only in terms of life expectancy but in terms of how, when and in what order functions will be lost. This includes progressive neurological diseases like multiple sclerosis and ALS, where those who want to avoid the most debilitating final stages might end their lives prematurely, afraid that their ability to swallow a pill might disappear without warning.\u003c/p>\n\u003cp>\"Fear of this actually drives some individuals to act early, while they can still procure the equipment they need,\" Landis wrote. To her, it seems especially harsh \"to force such a cruel choice on an individual already suffering so greatly.\"\u003c/p>\n\u003cp>As fraught as it is, though, the requirement that a person be able to swallow lethal medication on his own is an important safeguard, according to Mickey MacIntyre, the chief strategic officer of Compassion & Choices. \"This self-administration requirement is a critical distinction between medical aid in dying and euthanasia,\" he wrote in an email.\u003c/p>\n\u003cp>\"Unlike medical aid in dying, euthanasia requires a healthcare professional or someone else, not the individual, to administer the medication,\" he added, \"So the individual loses control of the decision.\"\u003c/p>\n\u003cp>MacIntyre pointed out that people often change their minds at the last minute, and have every right to do so. In Oregon, he noted, about one-third of the people who obtained lethal drugs through the state's death-with-dignity program since 1998 ultimately \u003ca href=\"http://public.health.oregon.gov/ProviderPartnerResources/EvaluationResearch/DeathwithDignityAct/Documents/year17.pdf\" target=\"_blank\">decided not to take them\u003c/a>.\u003c/p>\n\u003cp>This seems to be a distinctly American quandary, though. In other countries, such as Belgium and the Netherlands, there are also safeguards written into their right-to-die laws, but they are broader and more inclusive.\u003c/p>\n\u003cp>\"The European safeguard is 'intolerable suffering,' \" said Margaret Pabst Battin, a bioethicist at the University of Utah. \"It's not defined in terms of the time until death, and it does include people with ALS or other conditions that wouldn't fall under our laws, which don't say anything about suffering.\"\u003c/p>\n\u003cp>Battin experienced the complexities of deciding when suffering becomes unbearable in caring for her husband, Brooke Hopkins, who was paralyzed from the shoulders down in a 2008 bicycle crash and lived for five more years, until he finally \u003ca href=\"http://6thfloor.blogs.nytimes.com/2013/08/21/choosing-to-die-after-a-struggle-with-life/\">decided\u003c/a> in 2013 to withdraw the machinery keeping him alive.\u003c/p>\n\u003cp>Earlier this year, the Supreme Court of Canada used European-style language \u003ca href=\"http://www.npr.org/sections/thetwo-way/2015/02/06/384292996/canadians-have-a-right-to-assisted-suicide-high-court-says\">upholding\u003c/a> the right to die for anyone with \"a grievous and irremediable medical condition ... that causes enduring suffering that is intolerable.\"\u003c/p>\n\u003cp>A death-with-dignity bill introduced in Battin's own state tried to broaden the safeguards to include people with a wider range of illnesses. On the phone with me, Battin read aloud from the \u003ca href=\"http://le.utah.gov/~2015/bills/static/HB0391.html\">Utah Death with Dignity Act\u003c/a>, introduced by Rep. Rebecca Chavez-Houk, which could apply to someone with an \"intractable and unbearable illness,\" defined as \"bodily disorder that cannot be cured or successfully palliated, and that causes such severe suffering that a patient prefers death.\" She said such broad language would no doubt be changed if the bill works its way through the state Legislature, as has happened elsewhere.\u003c/p>\n\u003cp>But people with Alzheimer's disease and other forms of \u003ca href=\"http://www.npr.org/sections/health-shots/2015/02/10/382725729/if-you-have-dementia-can-you-hasten-death-as-you-wished\" target=\"_blank\">dementia\u003c/a> are beyond the scope of almost all these laws.\u003c/p>\n\u003cp>Schwarz said that maybe, very far in the future, there might be some way to cover dementia, but it's \"so complicated\" that she doesn't see it happening anytime soon. How, for instance, do you write legislation to deal with the question of personhood, which alters as the disease progresses? Is the demented individual — perhaps someone relatively content in her diminishment — \"the same as the individual who so FIRMLY REQUESTED/DEMANDED lethal meds at a certain point in their future demented state?\" Schwarz wondered. \"And who are you going to get to administer lethal meds under such circumstances?\"\u003c/p>\n\u003cp>Schwarz spends a lot of time these days with Alzheimer's patients who want to choose the timing of their deaths. She said all she can offer them is guidance about \u003ca href=\"http://journals.lww.com/ajnonline/Abstract/2009/09000/Stopping_Eating_and_Drinking.28.aspx\">stopping eating and drinking\u003c/a> as a way to hasten the end.\u003c/p>\n\u003cp>\"It's a very, very hard choice to make when life still has pleasure & purpose,\" she wrote. But \"the window can close\" on a person with dementia, affecting the ability to refuse food and water once that person can no longer feed herself and caregivers enter into the decision.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This means that \u003ca href=\"http://www.npr.org/sections/health-shots/2015/02/10/382725729/if-you-have-dementia-can-you-hasten-death-as-you-wished\" target=\"_blank\">a self-directed death for someone with dementia\u003c/a> might always have to mean saying farewell to life a bit sooner than she might have otherwise chosen.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Despite+Sweeping+Death-With-Dignity+Law%2C+Few+Will+Have+That+Option&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/90618/despite-sweeping-death-with-dignity-law-few-will-have-that-option","authors":["byline_stateofhealth_90618"],"categories":["stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_914","stateofhealth_2519","stateofhealth_754"],"featImg":"stateofhealth_90619","label":"source_stateofhealth_90618"},"stateofhealth_43052":{"type":"posts","id":"stateofhealth_43052","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"43052","score":null,"sort":[1435855017000]},"guestAuthors":[],"slug":"physician-assisted-suicide-backers-try-to-woo-latinos","title":"Physician-Assisted Suicide Backers Try to Woo Balking Latino Lawmakers","publishDate":1435855017,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Supporters of a bill that would legalize physician-assisted suicide have called in the heavyweights: Actor Edward James Olmos and union organizer Dolores Huerta have now joined the campaign for \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128\" target=\"_blank\">SB 128\u003c/a>. The bill has \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/24/californias-physician-assisted-suicide-bill-hits-snag/\" target=\"_blank\">hit a roadblock in the Assembly\u003c/a>, and authors are hoping these celebrity reinforcements will help them win the votes they need from Latino lawmakers.\u003c/p>\n\u003cp>There are 19 members of the Assembly Health Committee, and authors need 10 yes votes to move their bill. But there is a small, unusual group of holdouts. All Democrats. All from Southern California. And almost all of them Latino.\u003c/p>\n\u003cp>“I'm a bit confounded at the resistance of some members of the Assembly Health Committee,” said Sen. Bill Monning (D-Carmel), who co-authored the bill with Sen. Lois Wolk (D-Davis).\u003c/p>\n\u003cp>SB 128 would allow doctors to prescribe lethal medication to terminally ill patients who request it. Two doctors must first give a prognosis of six months or less to live, and confirm that the patient has the mental capacity to make medical decisions.\u003c/p>\n\u003cp>Monning says he’s willing to negotiate. But lawmakers have been vague about their reasons for resisting the bill, and no one has asked for any specific changes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We've been frustrated in not really receiving focused concerns,” he says.\u003c/p>\n\u003cp>The archbishop of Los Angeles would like to take some credit for the resistance. His staff ramped up advocacy efforts recently, urging Southern California lawmakers on the health committee to reject the bill, mainly on socio-economic grounds rather than religious concerns.\u003c/p>\n\u003cp>“How is that going to impact the poor here, how is that going to impact people of color?” said Andrew Rivas, director of the office of government for the Archdiocese of Los Angeles.\u003c/p>\n\u003cp>He says the church fears low-income people will be pressured into taking life-ending drugs instead of pursuing more expensive treatments that prolong life.\u003c/p>\n\u003cp>“We think that those decisions are going to be made on a financial basis, more than anything else,” he says.\u003c/p>\n\u003cp>Several of the holdouts on the health committee echoed these concerns, though none agreed to a formal interview. But Assemblymember Jimmy Gomez (D-Los Angeles) said in a statement that he was a primary caregiver to his father, an immigrant who spoke limited English, when he was dying of pancreatic cancer. Gomez said he wants to understand the impact the bill may have on low-income, minority communities.\u003c/p>\n\u003cp>“I understand the difficult choices families face when dealing with end-of-life decisions,” he said. “In addition to drawing from my personal experiences, I will continue reviewing the bill and its policy studies to come to a decision on SB 128.”\u003c/p>\n\u003cp>So now bill supporters are working to reframe physician-assisted suicide as a civil rights issue, soliciting help from Olmos and Huerta to push the legislation with Latinos.\u003c/p>\n\u003cp>“This bill will affirm a fundamental right for terminally ill and mentally competent patients to choose how their final days are lived,” Huerta said in a statement last week. “This is a basic civil rights issue offering a compassionate and dignified end-of-life choice that should be left between a patient and doctor.”\u003c/p>\n\u003cp>The Latino Caucus has not taken a position on the bill. But the group's chairman and Assembly co-author of SB 128, Luis Alejo, says families need more options. His own father has terminal cancer.\u003c/p>\n\u003cp>“Now that he's ill and he's in pain, I want to make sure his wishes are respected when that time comes,” he said. “This is about respecting the choices of the people we love the most.”\u003c/p>\n\u003cp>Seventy percent of Latinos support the bill, according to a \u003ca href=\"http://www.compassionandchoices.org/userfiles/PUBLIC-MEMO-EOL-OPTIONS-ACT-JUNE-2015.pdf\">telephone survey\u003c/a> conducted for Compassion & Choices, an advocacy group that has vowed to sponsor a ballot measure in 2016 if the legislation fails.\u003c/p>\n\u003cp>But Monning says that route is not ideal.\u003c/p>\n\u003cp>“My fear with that option is, it would give voters a voice, but it would be thumbs up or thumbs down,\" he says. \"In the Legislature, we are able to craft legislation that addresses specific concerns. If there are defects or we need to fine-tune, we can bring it back.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>SB 128 passed the full Senate in June and is scheduled to be heard in the Assembly Health Committee on July 7. If it passes, it goes next to the Assembly Judiciary Committee, then Appropriations, then the Assembly floor. Gov. Jerry Brown has not indicated whether he would sign or veto the bill.\u003c/p>\n\n","blocks":[],"excerpt":"The legislation's authors have called in celebrities to help make inroads with Latino lawmakers.","status":"publish","parent":0,"modified":1436240362,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":775},"headData":{"title":"Physician-Assisted Suicide Backers Try to Woo Balking Latino Lawmakers | KQED","description":"The legislation's authors have called in celebrities to help make inroads with Latino lawmakers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Physician-Assisted Suicide Backers Try to Woo Balking Latino Lawmakers","datePublished":"2015-07-02T16:36:57.000Z","dateModified":"2015-07-07T03:39:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"43052 http://ww2.kqed.org/stateofhealth/?p=43052","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/07/02/physician-assisted-suicide-backers-try-to-woo-latinos/","disqusTitle":"Physician-Assisted Suicide Backers Try to Woo Balking Latino Lawmakers","path":"/stateofhealth/43052/physician-assisted-suicide-backers-try-to-woo-latinos","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Supporters of a bill that would legalize physician-assisted suicide have called in the heavyweights: Actor Edward James Olmos and union organizer Dolores Huerta have now joined the campaign for \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128\" target=\"_blank\">SB 128\u003c/a>. The bill has \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/24/californias-physician-assisted-suicide-bill-hits-snag/\" target=\"_blank\">hit a roadblock in the Assembly\u003c/a>, and authors are hoping these celebrity reinforcements will help them win the votes they need from Latino lawmakers.\u003c/p>\n\u003cp>There are 19 members of the Assembly Health Committee, and authors need 10 yes votes to move their bill. But there is a small, unusual group of holdouts. All Democrats. All from Southern California. And almost all of them Latino.\u003c/p>\n\u003cp>“I'm a bit confounded at the resistance of some members of the Assembly Health Committee,” said Sen. Bill Monning (D-Carmel), who co-authored the bill with Sen. Lois Wolk (D-Davis).\u003c/p>\n\u003cp>SB 128 would allow doctors to prescribe lethal medication to terminally ill patients who request it. Two doctors must first give a prognosis of six months or less to live, and confirm that the patient has the mental capacity to make medical decisions.\u003c/p>\n\u003cp>Monning says he’s willing to negotiate. But lawmakers have been vague about their reasons for resisting the bill, and no one has asked for any specific changes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We've been frustrated in not really receiving focused concerns,” he says.\u003c/p>\n\u003cp>The archbishop of Los Angeles would like to take some credit for the resistance. His staff ramped up advocacy efforts recently, urging Southern California lawmakers on the health committee to reject the bill, mainly on socio-economic grounds rather than religious concerns.\u003c/p>\n\u003cp>“How is that going to impact the poor here, how is that going to impact people of color?” said Andrew Rivas, director of the office of government for the Archdiocese of Los Angeles.\u003c/p>\n\u003cp>He says the church fears low-income people will be pressured into taking life-ending drugs instead of pursuing more expensive treatments that prolong life.\u003c/p>\n\u003cp>“We think that those decisions are going to be made on a financial basis, more than anything else,” he says.\u003c/p>\n\u003cp>Several of the holdouts on the health committee echoed these concerns, though none agreed to a formal interview. But Assemblymember Jimmy Gomez (D-Los Angeles) said in a statement that he was a primary caregiver to his father, an immigrant who spoke limited English, when he was dying of pancreatic cancer. Gomez said he wants to understand the impact the bill may have on low-income, minority communities.\u003c/p>\n\u003cp>“I understand the difficult choices families face when dealing with end-of-life decisions,” he said. “In addition to drawing from my personal experiences, I will continue reviewing the bill and its policy studies to come to a decision on SB 128.”\u003c/p>\n\u003cp>So now bill supporters are working to reframe physician-assisted suicide as a civil rights issue, soliciting help from Olmos and Huerta to push the legislation with Latinos.\u003c/p>\n\u003cp>“This bill will affirm a fundamental right for terminally ill and mentally competent patients to choose how their final days are lived,” Huerta said in a statement last week. “This is a basic civil rights issue offering a compassionate and dignified end-of-life choice that should be left between a patient and doctor.”\u003c/p>\n\u003cp>The Latino Caucus has not taken a position on the bill. But the group's chairman and Assembly co-author of SB 128, Luis Alejo, says families need more options. His own father has terminal cancer.\u003c/p>\n\u003cp>“Now that he's ill and he's in pain, I want to make sure his wishes are respected when that time comes,” he said. “This is about respecting the choices of the people we love the most.”\u003c/p>\n\u003cp>Seventy percent of Latinos support the bill, according to a \u003ca href=\"http://www.compassionandchoices.org/userfiles/PUBLIC-MEMO-EOL-OPTIONS-ACT-JUNE-2015.pdf\">telephone survey\u003c/a> conducted for Compassion & Choices, an advocacy group that has vowed to sponsor a ballot measure in 2016 if the legislation fails.\u003c/p>\n\u003cp>But Monning says that route is not ideal.\u003c/p>\n\u003cp>“My fear with that option is, it would give voters a voice, but it would be thumbs up or thumbs down,\" he says. \"In the Legislature, we are able to craft legislation that addresses specific concerns. If there are defects or we need to fine-tune, we can bring it back.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>SB 128 passed the full Senate in June and is scheduled to be heard in the Assembly Health Committee on July 7. If it passes, it goes next to the Assembly Judiciary Committee, then Appropriations, then the Assembly floor. Gov. Jerry Brown has not indicated whether he would sign or veto the bill.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/43052/physician-assisted-suicide-backers-try-to-woo-latinos","authors":["3205"],"categories":["stateofhealth_14"],"tags":["stateofhealth_754"],"featImg":"stateofhealth_43092","label":"stateofhealth"},"stateofhealth_39614":{"type":"posts","id":"stateofhealth_39614","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"39614","score":null,"sort":[1435166434000]},"guestAuthors":[],"slug":"californias-physician-assisted-suicide-bill-hits-snag","title":"California's Physician-Assisted Suicide Bill Hits Snag","publishDate":1435166434,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>A California lawmaker who wants to allow terminally ill patients to take life-ending drugs is postponing a vote on the contentious legislation as support lags.\u003c/p>\n\u003cp>Democratic Sen. Lois Wolk of Davis says she's still trying to secure votes for SB128 to pass the Assembly Health Committee.\u003c/p>\n\u003cp>The issue gained traction nationally after 29-year-old Brittany Maynard moved from California to Oregon to end her life in November. Wolk's bill allowing doctors to prescribe fatal drugs has already advanced out of the state Senate.\u003c/p>\n\u003cp>The California Medical Association dropped its opposition to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml\" target=\"_blank\">SB128\u003c/a>, but the Catholic Church and other religious groups are still fighting it.\u003c/p>\n\u003cp>The first of four remaining votes on the bill is now scheduled for July 7. Gov. Jerry Brown, a former Jesuit seminarian, has not taken a position.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The bill requires two doctors to confirm a prognosis that the patient who asks for the lethal drugs has six months or less to live, and has the mental capacity to make medical decisions. Patients would have to be able to take the drugs themselves without assistance.\u003c/p>\n\u003cp>Opponents say legalizing assisted suicide presents opportunities for disabled or elderly people to be coerced into taking lethal medication by heirs, or indirectly by insurance companies who deny expensive, life-sustaining treatments.\u003c/p>\n\u003cp>“This bill is simply about protecting doctors and HMOs from liability and tells people with disabilities who face a terminal diagnosis, that may well prove inaccurate, that there is no dignity in our lives,” said Marilyn Golden, senior policy analyst at the Disability Rights Education & Defense Fund, after the Senate approved the bill on June 4. “Assisted suicide is dangerous.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press contributed to this report.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Sen. Lois Wolk says she's still trying to secure votes for SB128 to pass Assembly Health Committee.","status":"publish","parent":0,"modified":1435185871,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":11,"wordCount":287},"headData":{"title":"California's Physician-Assisted Suicide Bill Hits Snag | KQED","description":"Sen. Lois Wolk says she's still trying to secure votes for SB128 to pass Assembly Health Committee.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California's Physician-Assisted Suicide Bill Hits Snag","datePublished":"2015-06-24T17:20:34.000Z","dateModified":"2015-06-24T22:44:31.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"39614 http://ww2.kqed.org/stateofhealth/?p=39614","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/06/24/californias-physician-assisted-suicide-bill-hits-snag/","disqusTitle":"California's Physician-Assisted Suicide Bill Hits Snag","path":"/stateofhealth/39614/californias-physician-assisted-suicide-bill-hits-snag","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A California lawmaker who wants to allow terminally ill patients to take life-ending drugs is postponing a vote on the contentious legislation as support lags.\u003c/p>\n\u003cp>Democratic Sen. Lois Wolk of Davis says she's still trying to secure votes for SB128 to pass the Assembly Health Committee.\u003c/p>\n\u003cp>The issue gained traction nationally after 29-year-old Brittany Maynard moved from California to Oregon to end her life in November. Wolk's bill allowing doctors to prescribe fatal drugs has already advanced out of the state Senate.\u003c/p>\n\u003cp>The California Medical Association dropped its opposition to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml\" target=\"_blank\">SB128\u003c/a>, but the Catholic Church and other religious groups are still fighting it.\u003c/p>\n\u003cp>The first of four remaining votes on the bill is now scheduled for July 7. Gov. Jerry Brown, a former Jesuit seminarian, has not taken a position.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill requires two doctors to confirm a prognosis that the patient who asks for the lethal drugs has six months or less to live, and has the mental capacity to make medical decisions. Patients would have to be able to take the drugs themselves without assistance.\u003c/p>\n\u003cp>Opponents say legalizing assisted suicide presents opportunities for disabled or elderly people to be coerced into taking lethal medication by heirs, or indirectly by insurance companies who deny expensive, life-sustaining treatments.\u003c/p>\n\u003cp>“This bill is simply about protecting doctors and HMOs from liability and tells people with disabilities who face a terminal diagnosis, that may well prove inaccurate, that there is no dignity in our lives,” said Marilyn Golden, senior policy analyst at the Disability Rights Education & Defense Fund, after the Senate approved the bill on June 4. “Assisted suicide is dangerous.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/39614/californias-physician-assisted-suicide-bill-hits-snag","authors":["237"],"categories":["stateofhealth_14"],"tags":["stateofhealth_913","stateofhealth_754"],"featImg":"stateofhealth_39629","label":"stateofhealth"},"stateofhealth_25758":{"type":"posts","id":"stateofhealth_25758","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"25758","score":null,"sort":[1431380068000]},"guestAuthors":[],"slug":"terminally-ill-orange-county-mother-opposes-assisted-suicide","title":"Terminally Ill Orange County Mother Opposes Assisted Suicide","publishDate":1431380068,"format":"standard","headTitle":"KPCC | State of Health | KQED News","labelTerm":{"term":2353,"site":"stateofhealth"},"content":"\u003cp>It’s lunchtime on a recent spring break afternoon and Stephanie Packer is in her kitchen, preparing lunch with her four children.\u003c/p>\n\u003cp>\"Do you want to help?\" she asks the eager crowd of siblings gathered tightly around her at the stovetop.\u003c/p>\n\u003cp>\"Yeah!\" yells 5-year-0ld Savannah.\u003c/p>\n\u003cp>\"I do!\" says Jacob, 8.\u003c/p>\n\u003cp>Calmly managing four kids as each vies for the chance to help make chicken salad sandwiches can be trying. But for Packer, these are the moments she cherishes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"o1k4flhCjxggFr6chb68MbeoTFxKuRK9\"]In 2012, after suffering a series of debilitating lung infections, she went to a doctor who diagnosed her with scleroderma. The autoimmune disease causes hardening of the skin and (in about one third of cases) other organs. The doctor told Packer that it had settled in her lungs.\u003c/p>\n\u003cp>\"And I said, 'OK, what does this mean for me?' \" she recalls. \"And he said, 'Well, with this condition...you have about three years left to live.' \"\u003c/p>\n\u003cp>Initially, Packer recalls, the news was just too overwhelming to talk about with anyone -- including her husband.\u003c/p>\n\u003cp>\"So we just … carried on,\" she says. \"And it took us about a month before my husband and I started discussing (the diagnosis). I think we both needed to process it separately and figure out what that really meant.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.scpr.org/blogs/health/2015/04/14/18020/terminally-ill-orange-county-mom-says-assisted-sui/\" href=\"http://www.scpr.org/blogs/health/2015/04/14/18020/terminally-ill-orange-county-mom-says-assisted-sui/\" target=\"_blank\">Read the full story via KPCC. \u003c/a>\u003c/p>\n\n","blocks":[],"excerpt":"Instead of fatal medication, Stephanie Packer hopes terminally ill people consider palliative medicine and hospice care. ","status":"publish","parent":0,"modified":1431465976,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":225},"headData":{"title":"Terminally Ill Orange County Mother Opposes Assisted Suicide | KQED","description":"Instead of fatal medication, Stephanie Packer hopes terminally ill people consider palliative medicine and hospice care. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Terminally Ill Orange County Mother Opposes Assisted Suicide","datePublished":"2015-05-11T21:34:28.000Z","dateModified":"2015-05-12T21:26:16.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"25758 http://ww2.kqed.org/stateofhealth/?p=25758","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/05/11/terminally-ill-orange-county-mother-opposes-assisted-suicide/","disqusTitle":"Terminally Ill Orange County Mother Opposes Assisted Suicide","nprByline":"Stephanie O'Neill, KPCC","path":"/stateofhealth/25758/terminally-ill-orange-county-mother-opposes-assisted-suicide","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s lunchtime on a recent spring break afternoon and Stephanie Packer is in her kitchen, preparing lunch with her four children.\u003c/p>\n\u003cp>\"Do you want to help?\" she asks the eager crowd of siblings gathered tightly around her at the stovetop.\u003c/p>\n\u003cp>\"Yeah!\" yells 5-year-0ld Savannah.\u003c/p>\n\u003cp>\"I do!\" says Jacob, 8.\u003c/p>\n\u003cp>Calmly managing four kids as each vies for the chance to help make chicken salad sandwiches can be trying. But for Packer, these are the moments she cherishes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In 2012, after suffering a series of debilitating lung infections, she went to a doctor who diagnosed her with scleroderma. The autoimmune disease causes hardening of the skin and (in about one third of cases) other organs. The doctor told Packer that it had settled in her lungs.\u003c/p>\n\u003cp>\"And I said, 'OK, what does this mean for me?' \" she recalls. \"And he said, 'Well, with this condition...you have about three years left to live.' \"\u003c/p>\n\u003cp>Initially, Packer recalls, the news was just too overwhelming to talk about with anyone -- including her husband.\u003c/p>\n\u003cp>\"So we just … carried on,\" she says. \"And it took us about a month before my husband and I started discussing (the diagnosis). I think we both needed to process it separately and figure out what that really meant.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.scpr.org/blogs/health/2015/04/14/18020/terminally-ill-orange-county-mom-says-assisted-sui/\" href=\"http://www.scpr.org/blogs/health/2015/04/14/18020/terminally-ill-orange-county-mom-says-assisted-sui/\" target=\"_blank\">Read the full story via KPCC. \u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/25758/terminally-ill-orange-county-mother-opposes-assisted-suicide","authors":["byline_stateofhealth_25758"],"categories":["stateofhealth_14"],"tags":["stateofhealth_914","stateofhealth_40","stateofhealth_754"],"affiliates":["stateofhealth_2353"],"featImg":"stateofhealth_26539","label":"stateofhealth_2353"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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