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<div>An HCD is so general and without consideration of the many many factors that might exist. The only thing the signer can specifically choose is whether to have nutrition and/or hydration. So I have added to my HCD a provision that allows an AIF to make
decisions that are different from the selections made. My theory is that my client chooses an AIF because of trust in that person's decision-making and understanding. I also give clients some additional materials that are much more specific and I suggest
that they share these with their AIF. </div>
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Lisa E. Schuchman
<div>206-325-2801</div>
<div><a href="http://www.lisaschuchman.com">www.lisaschuchman.com</a></div>
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On Oct 16, 2015, at 1:59 PM, Sharon Rutberg <<a href="mailto:email@sharonrutberglaw.com">email@sharonrutberglaw.com</a>> wrote:<br>
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<p class="MsoNormal"><a name="_MailEndCompose"><span style="color:#1F497D">Very interesting discussion. I also like qualifying the hydration language. I would think about adding the following language in the first section of the state health care directive,
after “I direct that such treatment be withheld or withdrawn and that I be permitted to die naturally,
<u>subject to the specific instructions provided in the remainder of this directive.”
</u> <o:p></o:p></span></a></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Verdana","sans-serif";color:black">Law Office of Sharon C. Rutberg<o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">
<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 1:04 PM<br>
<b>To:</b> 'WSBA Probate & Trust Listserv'<br>
<b>Subject:</b> Re: [WSBAPT] HCD Internally Inconsistent??<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">Terri Schiavo lasted over 15 years on just tubes. I thought we (as in those people who sign the HCD) were all trying to avoid that very situation. So these “smart people” think it’s ok to be in a persistent
vegetative state (“PVS”) for, say 20 years, BUT not ok to be in a PVS hooked up to an iron lung? Incredible. (BTW, Heather, I have made the same modification to my HCD. I find that most people like that option.)<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<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>Heather deVrieze<br>
<b>Sent:</b> Friday, October 16, 2015 12:30 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>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:#1F497D">I agree with you that from a certain point of view (mine) these are inconsistent provisions, however, I have debated this at length with other smart people who find that food and water are inherently different
than other life sustaining measures. Maybe someone doesn’t want CPR, or breathing apparatus, but if “all” it takes to keep them alive is a feeding tube, they are OK with that.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">This is a philosophical distinction that seems to matter to courts and certain religious folks, so I don’t think it hurts to include it, as the “form” in the statute does.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Personally I have modified my own health care directive to provide “I do not want artificially provided nutrition and hydration, except hydration as may facilitate the provision of pain-relieving medications
or serve to make me more comfortable, without unduly prolonging the process of my dying.”<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Heather<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:16.0pt;font-family:"Vladimir Script";color:#1F497D">Heather S. de Vrieze</span><b><span style="font-size:16.0pt;color:#1F497D"><br>
</span></b><i><span style="font-family:"Garamond","serif";color:#1F497D">Attorney-at-Law<o:p></o:p></span></i></p>
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<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>
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<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>
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