Melinda Beck, in today’s Wall Street Journal, has a good summary of ‘advanced directives’ – those documents that give direction to family and medical professionals who “may have to decide whether you would want to be kept alive artificially, what level of disability you’d be willing to live with and how to let you die if you had no hope of recovery.”
Advanced Directives are at the heart of the ‘death panel’ controversy in some of the health care proposals Congress is considering. We talked about this in an earlier article.
Here are highlights from Melinda’s article.
While most people don’t want life-sustaining care if they were in an irreversible coma, others want to be kept alive at all costs and some religions require it.
You can use advanced directives to require interventions – not just prevent them.
Advanced directives come in two varieties: living wills that set out what kind of life support you want in different situations and durable powers of attorney or health care proxies that appoint someone to make health-care decisions for you. Every state has its own form and they are available online.
Although you don’t need to file advanced directives, your regular doctors and your family should have copies. Some states let you store them electronically. Google Health has started an electronic registry. Make sure doctors and family know how to get to your documents.
The best time to consider an advanced directive is long before you need it. Aging with Dignity has a booklet and DVD that can help you have the conversation with loved ones. You may also want to check out a new book, Peaceful Transitions: An Ironclad Strategy to Die When and How YOU Want. There is also software that can help you create a living will.
Final Thoughts
As difficult as it may be to decide now, it is much more difficult to make them in the heat of a medical crisis when emotions are raw.

Related articles from WalterBristow.com:
- Will Health Care Reform Require That Older Americans Decide How to Die?
- Tracing Your Roots with the Social Security Death Index
- Worldwide Study: Religious People Are Healthier
- The Real Reason Successful People Buy Life Insurance
- Are You Drowning in the Information Glut of the Internet Ocean? Here’s a Life Preserver.





















I also highly recommend Jane Brody’s Guide to the Great Beyond published by Random House. It covers everything related to planning for the end of life at any age – legal, medical, financial, emotional and how to communicate with experts and among generations of family members in her thorough but light-hearted style (even with New Yorker cartoons). Everyone should have a copy and use it not only for personal edification but also as a basis for crucial conversations.
All best – Optimistically,
Phyllis
[posted on the Legal Blogging group on LinkedIn.com]
It’s amazing how few Americans have their wills in place, including the Living Will, Healthcare Directive, and Durable Power of Attorney. It’s not that 70-80% of the adults in this country don’t know the importance, it’s that the cost and/or intimidation factor appear too high. One great source to get these items taken care of by fully qualified, professional attorneys for less than $40 is through Pre-Paid Legal Services. I probably would not have my paperwork in place today without it.
Thanks for all your insightful articles, Walt. Great material.
Regards,
Chris
Who would have believed that the anti health care reform bloc would pervert the “five wishes” as government mandated “death counseling”?!
hi, really loved this post! Very well thought out. Will come back.