Deciding When to Say Goodbye
In recent years, people we have known and loved have faced the end of their lives and been able to make decisions that let them die with dignity. Surrounded by family and friends, supported by hospice care in their own homes, they have given themselves and us the chance to say goodbye , I love you, and thank you for all the memories we share. Most recently we saw Barbara Bush make these decisions. No one argued that she should be kept alive by whatever means medically possible. She was allowed by compassionate laws to say, I’m ready. You may let me go.
In Maryland we have the right to provide our health care providers with legal documents to tell them when to let us go. Advance directives and Living Wills tell doctors and family members what we want once we are no longer able to speak for ourselves, and MOLST forms (medical orders for life sustaining treatment) become active as soon as they are filled out and signed by your doctor.
But doctors and healthcare providers have the right to refuse to honor those wishes if they have religious or conscientious objections. They can also refuse to share information about end-of-life choices. A new division recently created under the Health and Human Services office for Civil Rights would allow government attorneys--their salaries paid by taxpayers--to sue anyone who takes a health care provider to court for ignoring the wishes of a dying patient--a classic example of government interference in private lives.
What does this mean for those of us who expect our end-of-life wishes to be honored?
First, if you don’t already have a Maryland MOLST, ask your doctor to help you fill one out. If your doctor has conscientious or religious objects to helping you, consider finding one who puts your rights as a patient first. Google Maryland MOLST faqs. Or click here for more information. ( http://marylandmolst.org/docs/Maryland%20MOLST%20FAQs.pdf)
Second, consider an advance directive. This lifts the burden from your family members of deciding what your wishes might be if you are terminally ill, or so severely injured that you are unable to communicate. Maryland Attorney General/advance directive website has an excellent explanation of what it is and why you might want it, and forms to download. Google Advance Directive Maryland and go to the Attorney General’s website. Click here for more information on Advance Directives. ( http://www.marylandattorneygeneral.gov/Pages/HealthPolicy/AdvanceDirectives.aspx)
And finally, talk to your family about your end-of-life choices. If you do not want to spend years in a coma on life support, let them know. Let your doctors know. In Maryland, you have the right to make these decisions for yourself.
Common Sense for the Eastern Shore




