The Financial Cost of ABX2-15 Could Be "Enormous."

Below please find a memo submitted to the California Assembly Finance Committee by Margaret Dore, Esq., on September 3, 2015. To view the original document as a pdf, please click here.
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I.  INTRODUCTION

ABX2-15 seeks to legalize physician-assisted suicide in California. In Oregon, which has a similar law, government reports show an increase in other (conventional) suicides and suicide attempts, the financial cost of which is “enormous.”

If California enacts ABX2-15, the financial cost could also be “enormous.”  ABX2-15 should be rejected.

II.  DISCUSSION

A.  In Oregon, Other (Conventional) Suicides Have Increased with the Legalization of Physician-Assisted Suicide.

In Oregon, physician-assisted suicide has been legal for 17 years.[1] According to the Oregon Health Authority, the number of physician-assisted suicides has been small, but is steadily increasing.[2] This increase is statistically correlated with an increase in other (conventional) suicides.  Consider the following:

∙Oregon's assisted suicide act went into effect “in late 1997.”[3]

∙By 2000, Oregon's conventional suicide rate was "increasing significantly."[4]

∙By 2007, Oregon's conventional suicide rate was 35% above the national average.[5]

∙By 2010, Oregon's conventional suicide rate was 41% above the national average.[6]

This documented increase in conventional suicides, correlated with a steady increase in physician-assisted suicides, is consistent with a suicide contagion in which the legalization of physician-assisted suicide has encouraged other suicides.

Dr. Bill Toffler: "I hope that California does not repeat Oregon’s mistake."

Dear Senator,

I have been a professor of family medicine and a practicing physician in Oregon for more than 30 years. I write to provide some insight on the issue of assisted suicide, which is legal in Oregon, and which has been proposed for legalization in California (SB 128, which seeks to pass an Oregon-style assisted suicide bill).

Oregon’s law applies to “terminal” patients who are predicted to have less than six months to live.  In practice, this idea of “terminal” has recently become stretched to include people with chronic conditions, such as “chronic lower respiratory disease” and “diabetes”.  Persons with these conditions are considered terminal if they are dependent on their medications, such as insulin, to live.  They are unlikely die in less than six months unless they don’t receive their medications.  Such persons, with treatment, could otherwise have years or even decades to live.

This illustrates a great problem with our law — it encourages people with years to live, to throw away their lives.

Attorney slams California suicide bill

FOR IMMEDIATE RELEASE

Attorney slams California suicide bill

Dore: “Even if you like the concept of assisted suicide, SB 128 is the wrong bill.”

Contact: Margaret Dore (206) 697-1217

Seattle, WA -- Attorney Margaret Dore, president of Choice is an Illusion, which has fought assisted suicide legalization efforts in many states and now California, made the following statement after the California Senate Appropriations Committee passed SB 128 on May 28, sending the assisted suicide bill to the Senate floor.

"SB 128 is sold as giving people an 'end of life option,’” Dore said. “The fact is this bill is about ending the lives of people who aren’t necessarily dying anytime soon, and giving other people the ‘option’ to hurry them along."

Dore, an attorney in Washington State where assisted suicide is legal, explained, “In my law practice, I started out working in guardianships, wills and probate, and saw abuse of all kinds, especially where there was money involved (where there's a will, there are heirs). Then, in 2008, I got dragged to a meeting about our assisted suicide law and saw the perfect crime: your heir could help sign you up, and once the lethal dose was in the house, there was no oversight. Not even a witness is required. If you struggled, who would know?"

Assisted Suicide: How One Woman Chose to Die, Then Survived

http://dailysignal.com/2015/05/18/assisted-suicide-how-one-woman-chose-to-die-then-survived/

Kelsey Harkness / May 18, 2015

In 1994, Jeanne Hall, a resident of King City, Ore., voted in favor of Ballot Measure 16, which for the first time in the United States, would allow terminally ill patients to end their own lives through physician-assisted suicide.

“I thought, hey, I wouldn’t want anyone to suffer,” Hall told The Daily Signal. “So I checked it. Then it became legal.”

That day at the ballot box, Hall never could have predicted that more than 15 years later, she would be diagnosed with inoperable colon cancer.

Doctors gave Hall, who was 55 at the time, two options: She could get radiation and chemotherapy and attempt to fight the cancer, or she could take a lethal dose of barbiturates to end her life.

“I was calling it over,” she said. “I wasn’t going to do chemo. When I heard what might take place in radiation "I wasn’t going to do it. I looked for the easy way out.”

Without treatment, Hall was given six months to a year to live, and therefore qualified for physician-assisted suicide through Oregon’s Death With Dignity law.

“She was terminal because she was refusing treatment,” Dr. Kenneth Stevens, one of Hall’s two cancer doctors, told The Daily Signal. “It’s like a person could be considered terminal if they’re not taking [their] insulin or [other] medications.”

An open letter to the Senate Appropriations Committee: Enactment of SB 128 could cost millions.

I was prepared to testify at the hearing on SB 128, but the opposition was only allowed two speakers and I would have been the third. Below, please find my prepared remarks:

* * * 

Chairman Lara and Members of the Committee:

Enactment of SB 128 will potentially cost California millions of dollars. I say this due to Oregon's experience with a similar law. SB 128 is modeled on that law.

I have prepared a memo with backup documentation, which supports what I'm saying. I have also provided you with individual tabbed copies.

Protect your healthcare. Don't let legal assisted suicide come to California.

Kenneth Stevens, MD

http://www.sacbee.com/opinion/letters-to-the-editor/article17359709.html#storylink=cpy (fourth
letter down)

I am a doctor in Oregon, one of the few states where assisted suicide is legal. I have been following the progress of California’s assisted-suicide bill [SB 128] with alarm.

Here in Oregon, our Medicaid program steers patients to suicide, which is covered in lieu of treatments for cure or to extend life. Private health plans and providers have this same ability.

I first became involved with the assisted suicide issue shortly before my first wife died of cancer in 1982. We had just made what would be her last visit with her doctor. As we were leaving, he 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.”

Protect your health care. Don’t let legal assisted suicide come to California.

DR. KENNETH STEVENS, SHERWOOD, ORE.