In Montana, Elder Abuse a Growing Concern

http://missoulian.com/lifestyles/booming/elder-abuse-a-growing-concern/article_8b895eb2-0210-11e4-bf33-001a4bcf887a.html

July 03, 2014 7:45 am  •  By MICHAEL HAGENLOCK for the Missoulian

Did you know that every day 10,000 people turn 65 in the United States? According to U.S. Department of Health and Human Services, that trend is going to continue for nearly the next 20 years.

At the same time this population is growing, we know that a startling number of elders face abusive conditions. Every year an estimated 5 million older Americans are victims of abuse, neglect or exploitation.

But that’s only part of the picture. Experts believe that for every case of elder abuse or neglect reported, about 24 cases go unreported. The U.S. census predicts that by 2015 Montana will have the nation’s fourth-oldest population and that by 2025, 25 percent of Montana will be 65 or older. By 2030, the number is expected to double.

Protect your health care; keep assisted suicide out of Montana

http://missoulian.com/news/opinion/mailbag/protect-your-health-care-keep-assisted-suicide-out-of-montana/article_80004bcc-ae06-11e3-99f7-001a4bcf887a.html

I am a doctor in Oregon, where physician assisted suicide is legal. I have been following the ongoing attempt to legalize assisted suicide in Montana.

I was first exposed to this issue in 1982 shortly before my first wife died of cancer. We had just visited her doctor. As we were leaving, he had suggested that she overdose herself on medication. I still remember the look of horror on her face. She said “Ken, he wants me to kill myself.“

In Oregon, the combination of assisted-suicide legalization and prioritized medical care based on prognosis has created a danger for my patients on the Oregon Health Plan (Medicaid). Helpful treatments are often not covered. The plan will cover the patient’s suicide. For more detail, please read my affidavit filed on behalf of the Canadian government at http://maasdocuments.files.wordpress.com/2012/09/signed-stevens-aff-9-18-12.pdf 

Our assisted suicide law was passed in 1997. In 2000, one of my patients was adamant she would use our law. I stalled her and ultimately convinced her to be treated instead. Nearly 14 years later she is thrilled to be alive.

Protect your health care, yourselves and your families. I urge you to tell your elected officials to keep assisted suicide out of Montana.

Kenneth Stevens,
Sherwood, Ore.

"My concerns about legalizing assisted suicide include that it will encourage 'lazy doctoring.'”

http://helenair.com/news/opinion/readers_alley/against-physician-assisted-suicide/article_7b17e3b6-9b57-11e3-ab51-001a4bcf887a.html

I am a general medical practitioner, with 30 years experience. I was glad to see that Montanans Against Assisted Suicide has decided to appeal its case with the Montana Medical Examiner Board to the Montana Supreme Court. My hope is that the appeal will end the controversy about assisted suicide possibly being legal in Montana.

My concerns about legalizing assisted suicide include that it will encourage “lazy doctoring.” I say this because it is easier for a doctor to write a prescription (to end the patient’s life,) as opposed to doing the sometimes hard work of figuring out what is wrong with a patient and providing treatment. I am also concerned that legalization will give bad doctors the opportunity to hide malpractice by convincing a patient to take his or her life.

The American Medical Association, Ethics Opinion No. 2.211, states: “Physician-assisted suicide is fundamentally incompatible with the physician’s role as healer, would be difficult or impossible to control, and would pose serious societal risks.”

I agree with this statement. Allowing legalization of physician-assisted suicide in Montana will compromise and corrupt my profession. Legalization will also put the lives and well-being of my patients at risk.

Carley C. Robertson, MD
Havre MT

Supreme Court must decide suicide issue

http://billingsgazette.com/news/opinion/mailbag/supreme-court-must-decide-suicide-issue/article_93397931-2907-50d1-9c45-774bb42c5a68.html

I have been following the assisted suicide issue closely for the previous several years. I am happy to see that Montanans Against Assisted Suicide is appealing its court case to the Montana Supreme Court. In the past two legislative sessions there have been bills brought before the House and the Senate for and against legalizing assisted suicide. Compassion and Choices [the former Hemlock Society] claims that assisted suicide is already legal in the state (it is not). That false rhetoric has carried to other news mediums, out-of-state legislative bodies and the general public . . . .

We need clarification on this issue once and for all. The Montana Medical Board of Examiners conduct in adopting their position paper, implying that assisted suicide is legal, was a dreadful overstep of its authority, complicated by failing to give public notice regarding the issue.  [See MAAS petition here]

This issue will not go away until the Supreme Court undoes the mess it made with Baxter and resolves the issue by reversing the Baxter decision. The medical profession still has the respect of society. We must not allow that respect to be destroyed by putting this kind of power in the hands of doctors. Doctors can be wrong, yet the doctor is the one who ultimately will decide whether that patient is ready to die or not. This will change medical practice as we know it forever; the trust factor between patient and doctor will be destroyed.

Dr. David W. Hafer
Dayton, MT

MAAS Will Appeal

On December 13, 2013, District Court Judge Mike Menehan dismissed MAAS's appeal with the Montana Medical Examiners Board. The order ruled that the appeal was moot due to the Board's having recently rescinded "Position Statement No. 20."  (Order, pp. 5-8).  The order also refers to Montana's assisted suicide case, Baxter v. State, as providing a defense to a homicide charge, as follows:

On December 31, 2009, the Montana Supreme Court issued its opinion in Baxter v. State, 2009 MT 449, 354 Mont. 234, 224 P.3d 1211, in which it held that under section 45-2-211 MCA, a terminally ill patient's consent to physician aid in dying constitutes a statutory defense to a physician charged with the criminal offense of homicide.  (Order, page 2, lines 17-21).

This part of the order is consistent with Greg Jackson's and Matt Bowman's article, Baxter Case Analysis, Spring 2010 ("the Court's narrow decision didn't even "legalize" assisted suicide"). Available at http://www.choiceillusionmontana.org/p/baxter-case-analysis.html

Since Baxter, there have been two bills proposed in the Montana Legislature to legalize assisted suicide.  Both bills, SB 167 and SB 220, have failed.  Assisted suicide is not legal in Montana.

MAAS is disappointed with the dismissal, but pleased with that the order addresses Baxter, over which there is ongoing controversy as to its meaning..  MAAS will appeal.

* * *

For information about problems with assisted suicide and how it puts people at risk, see http://www.choiceillusionmontana.org/p/quick-facts-about-assisted-suicide.html 

Judge Hears Assisted Suicide Arguments

http://www.kxlf.com/news/montana-judge-hears-assisted-suicide-arguments/

Posted: Dec 11, 2013 4:38 PM by Sanjay Talwani - MTN News

HELENA - The issue of physician assisted suicide was in court Tuesday [December 10, 2013]

Judge Michael Menehan

Montanans Against Assisted Suicide is arguing that a policy position by the Montana Board of Medical Examiners implies that physician assisted suicide may be legal. 

A lawyer for the Board says that the position - since rescinded, says no such thing. Michael Fanning says the group bringing the lawsuit has no real case is trying to force the issue to the Montana Supreme Court.

The position paper, written in response to doctor inquiries, said that the board would handle complaints related to assisted suicide on a case-by-case basis as it would other cases.

Margaret Dore
Attorney for Montanans
Against Assisted Suicide (MAAS)

Margaret Dore, an attorney for MAAS, said the paper overstepped the Board's authority and implied to many that assisted suicide was legal in Montana.

"They are a board that is comprised of 11 doctors and two members of the public," she said. "It has no expertise to be making a pronouncement, that aid in dying is legal in Montana. That's the role of the legislature or a court and they are neither."

She said that such an understanding had huge implications in devaluing the lives of the sick and elderly.

That position paper - in response to the lawsuit - has since been rescinded by the Board and scrubbed from its website. But Dore said court action was still needed to prevent the Board from reinstating such a position.

She repeatedly asked District Judge Mike Menahan to weigh in on a Montana Supreme Court ruling known as Baxter, that envisions potential defenses to doctors charged with homicide for assisting with suicide.

But Menehan said it wasn't the role of a district judge to rule on a Montana Supreme Court order.

Craig Charlton

Attorney for MAAS

Michael Fanning, an attorney for the Board, said MAAS had no standing to bring the lawsuit, has suffered no damages from the Board's rescinded position and was simply jockeying to get the case before the Montana Supreme Court in hopes of overturning the Baxter ruling.

"This most certainly is a political question, a philosophical question or an academic debate, but it is not a lawsuit," he said. "In fact, this is a feigned case. It was contrived simply to bring this matter before you."

Menahan did not immediately rule on the case.

[Montanans Against Assisted Suicide (MAAS) is also represented by attorney Craig Charlton].