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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoNormal><span style='color:#1F497D'>John, your language certainly makes more sense than the statutory form of HCD. My initial response was criticizing the statutory form, not your language. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='color:white'><o:p> </o:p></span></p></div><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> wsbapt-bounces@lists.wsbarppt.com [mailto:wsbapt-bounces@lists.wsbarppt.com] <b>On Behalf Of </b>Paul Neumiller<br><b>Sent:</b> Friday, October 16, 2015 12:55 PM<br><b>To:</b> 'WSBA Probate & Trust Listserv' <wsbapt@lists.wsbarppt.com><br><b>Subject:</b> Re: [WSBAPT] HCD Internally Inconsistent??<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='color:#1F497D'>John, I appreciate your thoughts. When it comes down to such an emotionally charged decision to pull the plug (see The Descendants starring Georg Clooney) I would hate to put my clients in the position of having to rely on a canon of interpretation of a statute.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal><a name="Paul_Neumiller2"><span style='color:#1F497D'><img width=375 height=225 id="_x0000_i1025" src="cid:image001.jpg@01D10814.98AEDDA0"></span></a><span style='color:white'><o:p></o:p></span></p></div><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> <a href="mailto:wsbapt-bounces@lists.wsbarppt.com">wsbapt-bounces@lists.wsbarppt.com</a> [<a href="mailto:wsbapt-bounces@lists.wsbarppt.com">mailto:wsbapt-bounces@lists.wsbarppt.com</a>] <b>On Behalf Of </b>John Creahan<br><b>Sent:</b> Friday, October 16, 2015 12:25 PM<br><b>To:</b> WSBA Probate & Trust Listserv <<a href="mailto:wsbapt@lists.wsbarppt.com">wsbapt@lists.wsbarppt.com</a>><br><b>Subject:</b> Re: [WSBAPT] HCD Internally Inconsistent??<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'>Paul,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'>That’s an interesting issue. I always assumed that the specific direction regarding artificial hydration and nutrition would take precedence over the more general request to withdraw support. The Washington State Medical Assoc.’s form spells this out more clearly (see below).<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'>Hope this helps,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'>John<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'><o:p> </o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-family:"Bodoni MT",serif'>If I am diagnosed to be in a terminal or permanent unconscious condition, [<i>Choose one</i>]<o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-family:"Bodoni MT",serif'>I want ___________ do not want __________<o:p></o:p></span></p><p class=MsoNormal style='text-autospace:none'><span style='font-family:"Bodoni MT",serif'>artificially administered nutrition and hydration to be withdrawn or withheld the same as other forms of life-sustaining treatment. I understand artificially administered nutrition and hydration is a form of life-sustaining treatment in certain circumstances. I request all health care providers who care for me to honor this directive.</span><span style='font-size:12.0pt;font-family:"Bodoni MT",serif;color:#595959'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='font-size:14.0pt;font-family:"Tw Cen MT",sans-serif;color:#595959'>John Creahan</span><span style='font-size:12.0pt;font-family:"Tw Cen MT",sans-serif;color:#595959'><o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:12.0pt;font-family:"Tw Cen MT",sans-serif;color:#595959'>206-621-5848<br><a href="http://www.cairn-law.com/"><span style='color:#595959'>www.cairn-law.com</span></a></span><span style='font-size:12.0pt;font-family:"Tw Cen MT",sans-serif;color:#4F6228'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'><o:p> </o:p></span></p></div><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif;color:#595959'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b>From:</b> <a href="mailto:wsbapt-bounces@lists.wsbarppt.com">wsbapt-bounces@lists.wsbarppt.com</a> [<a href="mailto:wsbapt-bounces@lists.wsbarppt.com">mailto:wsbapt-bounces@lists.wsbarppt.com</a>] <b>On Behalf Of </b>Paul Neumiller<br><b>Sent:</b> Friday, October 16, 2015 11:51 AM<br><b>To:</b> <a href="mailto:wsbapt@lists.wsbarppt.com">wsbapt@lists.wsbarppt.com</a><br><b>Subject:</b> [WSBAPT] HCD Internally Inconsistent??<o:p></o:p></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Listmates: Happy Friday. The Health Care Directive statute (RCW 70.122) statutory form says, clearly, that if the signor is diagnosed to be in a terminal condition or a permanent unconscious condition, then “life-sustaining treatment” shall be withheld or withdrawn. But, later the form gives the signor the right to choose between having “artificially provided” food and water or not having artificially provided food and water. WHAT?!?!? If a person signs the form but checks the box that says the signor wants the food and water tubes, then what? Aren’t these inherently inconsistent provisions. Aren’t the food and water tubes “life-sustaining treatment?” It now seems to me the HCD shouldn’t even be used if the person wants to be left hooked up “because they are finding new cures all the time” or for whatever reason. I always thought that the HCD was used to express the signor’s desires WHETHER to have the doctors pull the plug and the signor could elect to be left hooked up by checking the box saying the signor wants the artificially provided food and water. Now, I question this assumption. Remember, in the Terri Schiavo case in Florida the “life-sustaining treatment” <i>was</i> the food and water tubes. Am I missing something? Anyone willing to talk me back from the ledge?? None of my secondary sources discuss the issue and I am re-working my forms.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><a name="Paul_Neumiller"><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><img border=0 width=563 height=338 id="_x0000_i1026" src="cid:image002.jpg@01D10814.98AEDDA0"></span></a><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><o:p> </o:p></span></p></div></body></html>