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First, they tried to talk our family into agreeing to pull her plug.
When that failed they threatened us with an Ethics Committee Meeting so that they could pull her plug without our, or her, consent.
We threatened to picket their hospital. (And we ended up doing just that.)
Then they had a meeting and decided to increase her pain medication to a degree that would completely anesthetize her and make her seem brain dead. They also very rudely tried to keep us from seeing her when she the pain medication was wearing off. They don't like to pull the plug on patients who are aware and fighting to live. They had tried this shit once before, before they had put her on pain medication and she wrote a note that said, "I don't want to die. I want to live." I guess they couldn't get around that blatant a request to live. (Increasing the pain medication to the point of oblivion for these patients is par for the course, when the intention is to end their lives without against their wishes.)
Then they had an Ethics Committee Meeting, giving us almost no notice, and decided our sister's life wasn't worth living, no matter how she felt about it, or how we, her family, felt about it.
What most people don't know and what is really a death warrant for these patients is that Houston hospitals, together, have a policy to take no patient that has "futile" written on their charts. Once that Ethics Committee waves their magic futile wand, you will not get your loved one transferred to any hospital in the area. And if you try to transfer them to an out of state hospital, you are endangering their very fragile status, clinically. And, even if you could get an out of state hospital to take them, you would have to do it within a ten day limit.
And, the procedures that you have to follow, to get the patient transferred, require the cooperation of the very people who deemed that patient futile. It simply doesn't happen, and it sure doesn't happen in ten days.
The insurance companies, and money, of course, are at the bottom of this. They negotiate a certain amount of money that they will pay the hospitals, for patients in ICU. But there is an unspoken agreement that the hospital will not "stick it to" the insurance companies by having a patient in ICU for too many days. When those days pass, the insurance company begins to raise hell with the hospital and the hospital begins ethics committee hearings on the patient.
Having insurance does not protect you in the State of Texas. Having an advanced directive does not protect you in the State of Texas. No matter how you, personally, feel about the right to die, and what you want to happen to you, should a doctor decide that treating you for an ailment is "futile," the State of Texas only protects your right to die, not your right to live.
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