The nation’s shortage of doctors will rise to between 46,000 and 90,000 by 2025 as the U.S. population grows, more Americans gain health insurance and new alternative primary care sites proliferate.

A new study announced by the Association of American Medical Colleges (AAMC), a lobby for medical schools and teaching hospitals, said “the doctor shortage is real” with total physician demand projected to grow by up to 17 percent as a population of baby boomers ages and the Affordable Care Act is implemented.

“It’s particularly serious for the kind of medical care that our aging population is going to need,” said Dr. Darrell Kirch, AAMC’s president in a statement accompanying the analysis by research firm IHS.

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World War II veteran Erling Kindem found a best bud in his 4-year-old next-door neighbor, Emmett Rychner. But after the unlikely pair enjoyed countless hours of lawn mower races, croquet matches and gardening, Emmett’s parents made the difficult decision last year to move from their suburban home south of Minneapolis to a new house in the country.

The distance became even harder to bear as Kindem planned to move with his ailing wife to a retirement community about 30 miles away. “It was good while it lasted,” Kindem told NBC affiliate KARE last September. His voice cracked as he reasoned that he would someday see his friend again: “It isn’t over.”

On Sunday, they were reunited.

Read it all and watch the whole video report.

The number of words we can’t use without offending is ever growing, and if the supporters of the right-to-die movement have their way, it will stretch yet again to include the word “suicide.” At least when that suicide is the result of a dying patient taking a lethal dose of drugs to avoid impending mental and physical anguish.

It’s insensitive at best to use the “S” word in this context, I’ve been informed by several advocates, because people would not be choosing this option because of a psychiatric disorder or despair over life. They don’t want to die; their diseases have forced that on them. Senate Bill 128, legislation recently introduced in California to allow physicians to write lethal prescriptions under tightly controlled circumstances, not only refrains from calling this suicide but would not allow death certificates to reflect how the death occurred.

“The cause of death listed on an individual’s death certificate who uses aid-in-dying medication shall be the underlying terminal illness,” it reads.

In other words, it wouldn’t mention the legal drugs that actually caused the death. The public should have a problem with that.

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Elder care is also often done for low wages by new or undocumented immigrants. Will that change?

Manufacturing in the ’20s and ’30s was sweatshop work, largely done by new immigrants. We turned factory work into good jobs with pathways to opportunities. That professionalization was the basis for 20th century prosperity. That’s what the care workforce needs to be. These have the potential to be really good jobs.

You compare investing in home-care workers to investing in railways or the Internet. But aren’t those about growth, not dying?

For working-age adults right now, especially with what they call the sandwich generation”“people who are caring for children and aging parents”“this is having an impact on their productivity.

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As New York lawmakers began to consider a bill to legalize physician-assisted suicide, the New York State Catholic Conference launched a new website “to offer Catholics moral clarity and guidance on the church’s teachings regarding end-of-life decision-making.”

“Talking about death and dying can be difficult and uncomfortable, yet perhaps no conversations are more profound or necessary for all of us,” says the “About” section of the site. “The fact is that most of us will face challenging decisions regarding treatment and care at the end of life, either for ourselves or our family members.”

Developed with a grant from Our Sunday Visitor, the site provides links to resources, church teaching, advance directives and a variety of Catholic sources all across the country.

The Catholic church teaches that physician-assisted suicide is immoral and unethical.

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As we ponder this momentous ruling of our nation’s highest court, let us pray that the gifts of the Holy Spirit will guide all of us in our response: Above all, that the gifts of wisdom, right judgment and courage will flourish among us.

Moreover, we cannot fail to proclaim the gospel of life with both vigor and joy: that every life has an inherent God-given dignity from the moment of conception until life’s natural end. And let the words of St. Paul we heard in today’s second reading ring out in our minds and hearts: “If I proclaim the Gospel, this gives me no ground for boasting, for an obligation is laid on me, and woe to me if I do not proclaim the Gospel” (1 Corinthians 9:16).

The mission ahead of us is not committed only to a few. Rather, it is mine; it is yours; it is ours.

With God’s help, which he offers in this Eucharist, may we fulfill this obligation to proclaim the Gospel for the welfare of all our brothers and sisters.

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The recent ruling of the Supreme Court of Canada, striking down the long held ban on physician-assisted dying is cause for celebration among many Canadians and cause for great concern among many others.

For those who have long advocated for a person’s right, in the face of immense and intolerable suffering, to end their life with medical assistance the ruling is a victory. For those who hold to the conviction that our life is something larger than any individual person’s “ownership” of it, and is not simply ours to “discard” the ruling is deeply troubling.

Whatever one’s perspective, serious attention needs to be given to the court ruling’s intent and application. While enabling legislation may not be imminent, we know consideration of any new laws will be a matter of intense public interest and debate within Canadian society at large, within the country’s medical community, and certainly within and among the churches, including ours.

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Catholics are called by their faith to assist all those in need, particularly the poor, the suffering and the dying. Comforting the dying and accompanying them in love and solidarity has been considered by the Church since its beginning a principal expression of Christian mercy.

Helping someone commit suicide, however, is neither an act of justice or mercy, nor is it part of palliative care. The decision of the Supreme Court of Canada today does not change Catholic teaching. “[A]n act or omission which, of itself or by intention, causes death in order to eliminate suffering constitutes a murder gravely contrary to the dignity of the human person and to the respect due to the living God, our Creator.” (Catechism of the Catholic Church, 2277).

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Canadian adults in grievous, unending pain have a right to end their life with a doctor’s help, the Supreme Court ruled on Friday.

The unanimous ruling, by establishing that the “sanctity of life” also includes the “passage into death,” extends constitutional rights into a new realm. The courts have used the 1982 Charter of Rights to establish gay marriage and to strike down a federal abortion law. The new ruling will change the way some Canadians are permitted to die.

In a brief, powerful opening paragraph, the court explained why it was creating a new constitutional right to autonomy over one’s death in some circumstances: Those who are severely and irremediably suffering, whether physically or psychologically, “may be condemned to a life of severe and intolerable suffering” by the government’s absolute ban on assisted dying. “A person facing this prospect has two options: she can take her own life prematurely, often by violent or dangerous means, or she can suffer until she dies from natural causes. The choice is cruel.”

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California legislators have introduced assisted suicide legislation modeled on Oregon’s assisted suicide law, energized by the heartbreaking story of Brittany Maynard, a young woman with brain cancer, who moved from the San Francisco Bay Area to Oregon to end her own life Nov. 1.

Before her suicide, Maynard, 29, created videos asking for assisted suicide legislation that drew tens of millions of views, and her mother and husband are now campaigning for legalization.

California S.B. 128, as it is called, would allow doctors to prescribe a lethal dose of medication to terminally ill patients who want to commit suicide. Written by Democratic Sens. Bill Monning and Lois Wolk, the bill has sparked strong opposition.

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As someone who supports all those other liberal causes, yet opposes physician-assisted suicide, I’d ask my fellow progressives to shine a cold hard light on this issue. We have been the target of a decades-long branding campaign that paints hastening death as an extension of personal freedoms. We should bring the same skepticism to physician-assisted suicide that we do to fracking and genetically modified food.

Groups such as Compassion and Choices, the nonprofit advocacy organization spearheading SB 128 and similar bills elsewhere, masterfully employ Orwellian propaganda techniques: Redefine words to mean what you want them to mean. Repeat key points until they acquire an unquestioned air of truth.

“Suicide” is distasteful, so they promote “physician aid-in-dying,” “death with dignity” and the “right to die.” And yet all of these mean taking action to end one’s own life. The news media have largely adopted the assisted suicide movement’s terminology, so these euphemisms are worth unpacking here.

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Also, as Ian Dowbiggin showed in “A Merciful End: The Euthanasia Movement in Modern America” (2003), physician-assisted suicide was periodically championed in the 20th century yet rejected time after time by American voters when its practical harms were comprehended. As recently as 2012, Massachusetts voters defeated an initiative to legalize assisted suicide.

There are two essential harms from the practice. First: Once doctors agree to assist a person’s suicide, ultimately they find it difficult to reject anyone who seeks their services. The killing of patients by doctors spreads to encompass many treatable but mentally troubled individuals, as seen today in the Netherlands, Belgium and Switzerland.

Second: When a “right to die” becomes settled law, soon the right translates into a duty. That was the message sent by Oregon, which legalized assisted suicide in 1994, when the state-sponsored health plan in 2008 denied recommended but costly cancer treatments and offered instead to pay for less-expensive suicide drugs.

Read it all from Paul McHugh.

She was then a farm kitchen helper before working at a hotel which was visited by the Queen and Queen Mother while she was there.

Miss Gallan, who now lives in a care home in Aberdeen, said: ‘My secret to a long life has been staying away from men. They’re just more trouble than they’re worth.

‘I also made sure that I got plenty of exercise, eat a nice warm bowl of porridge every morning and have never gotten married.

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Following interventions by a few high profile Christians, some people are suggesting that the Church of England’s position on the ‘Assisted Dying Bill’ lacks clarity. For once, nothing could be further from the truth. In February 2012 the current law was debated by General Synod, a representative body made up of bishops, clergy and lay people. No member of Synod voted against a resolution to support the law as it stands. It is relatively unusual to find an issue which attracts such an overwhelming consensus of opinion. This is one such issue, and the reasons for that massive level of agreement were well rehearsed.

Foremost among them is the view – shared by many people of other faiths and none – that every person’s life has an intrinsic value regardless of circumstance. Whatever they themselves or other people may think of their ‘value’ to society, and despite any apparent lack of productivity or usefulness, nothing can alter their essential significance as human beings. To agree that some of us are more valuable than others when it comes to being alive would be to cross an ethical Rubicon. Until now, our society has regarded this as self-evident. That is why we have ‘suicide watch’ in prisons; and why we try to stop people killing themselves by jumping off bridges or cliffs or high buildings. It is why doctors undertake to give only ‘beneficial’ treatment to their patients, and why we attach so much importance to human rights legislation.

Then there is our fundamental responsibility as a ‘civilised’ society to care for and protect the most vulnerable among us.

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In the new film “Still Alice,” Julianne Moore plays a linguistics professor in the prime of her professional and personal life who is diagnosed with Alzheimer’s disease after she begins forgetting words, misplacing items around the house and getting lost while out jogging.

The film underscores what is perhaps a little-known fact: almost three-quarters of the almost 750,000 Canadians with Alzheimer’s are women. It’s not that women have a greater risk for the disease than men ”” they don’t. But because females tend to live longer on average, a higher proportion end up developing the progressive degenerative brain disorder.

Still, advancing age isn’t the only factor. The film’s main character, Alice Howland, develops a rare genetic type of Alzheimer’s not long after turning 50. And such cases of early-onset dementia appear to be on the rise.

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Legal experts and the police said a law allowing assisted suicide in Scotland needed more clarity in order to remove the risk of someone being prosecuted.

There is a “fine line” between assisting someone killing themselves and an act of euthanasia which could result in criminal charges, MSPs heard.

The plans, contained in a backbench bill, have widespread public backing, said supporters.

But opponents believed such a move was “unethical and uncontrollable”.

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Everyone in the Netherlands, where a right-to-die law was passed in 2002, seems to know of someone who has lost a loved one through a mercy killing.

As many as one in 33 people now use euthanasia to end their lives, and the number of cases rose from 1,923 in 2006 to nearly 5,000 in 2013. It is thought that in 2014 around 6,000 people could have chosen to die by this means.

You might be entitled to think that what people do in Holland is their business and nothing to do with us in Britain. But you could not be more wrong.

If campaigners have their way, the law will be changed here, too, to allow those who wish to end their life to do so at a time of their choosing. For opponents of euthanasia, this raises grave moral questions, as well as concerns that unscrupulous relatives might take advantage of elderly family members ”” whose estates they might covet ”” by encouraging them to end their lives.

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Alzheimer’s patients are finding their voices again with the help of music.

Take the time to watch the whole heartwarming story (only a couple of minutes).

Assembly Members (AMs) were asked to vote on whether they supported the principles of the Assisted Dying Bill.

The answer was a clear and refreshing “No” – it does not support it. Only 12 Assembly Members voted to support it, 21 voted against doing so; 20 abstained.

It was heartening to watch the quality of this debate from the public gallery.

I was particularly impressed by the understanding which many Members showed of a Bill that goes to considerable lengths to dress up what it is proposing in reassuring language (for example, by describing the lethal drugs it would supply to terminally ill people as ”˜medicines’) yet makes no effort, beyond stating a handful of vague eligibility conditions, to provide for any serious safeguards to protect vulnerable people from harm.

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There is little doubt that those in favour of changing the law on assisted suicide have talked up a storm. In spite of peers expressing very mixed opinions during debates on the Assisted Dying Bill, the casual observer might be forgiven for thinking that all that remains to be done is to find effective safeguards ensuring that vulnerable individuals are not pressured into requesting assistance for ending their own lives; otherwise the matter is a done-deal. Leaving to one side, the rather important point that finding effective safeguards is proving as elusive as finding the Holy Grail, recent announcements from the medical profession have helped to bring some much-needed perspective to the debate.

The Royal College of Physicians’ recent announcement that, in the light of a thorough survey of its members, it will continue to oppose a change in legislation, is significant…

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Global life expectancy for men and women has increased by about six years over the past two decades, according to the one of the most comprehensive studies of global health done so far.

The rise in global life expectancy is mainly the result of dramatic advances in health care. In richer countries longer lifespans are spurred by a big drop in deaths related to heart disease, while poorer countries have seen big declines in the death of children from ailments such as pneumonia, diarrhea and malaria.

But there are worrying signs, too. While global deaths from infectious disease dropped by about 25% over the past two decades, the number of deaths linked to noncommunicable diseases has jumped by about 40%. Noncommunicable maladies, such as cancer, heart disease and diabetes, tend to be chronic in nature and often more expensive to treat.

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lzheimer’s disease is by far the most common cause of dementia and one of the world’s most feared disorders. By 2050, there will be 135 million Alzheimer’s sufferers worldwide, a threefold increase from today, with three-quarters of cases occurring in low- and middle-income countries. Predicting the onset of Alzheimer’s, let alone preventing or curing it, remains an immense challenge.

Alzheimer’s disease was identified more than a century ago from autopsy results that showed characteristic brain lesions called “amyloid plaques.” The disease is more difficult to diagnose in the living. Doctors rely on observation of memory loss and other thinking deficits (such as reasoning or language comprehension) ”“ signs that plaques are already present in the brain. But any cure would have to be administered before the plaques form, and years before symptoms of dementia appear.

Alzheimer’s might be more predictable if scientists had the time and resources to conduct far-reaching longitudinal studies over many years. Such studies ideally would involve blood, imaging, memory, and medical tests, as well as detailed lifestyle questionnaires filled out by thousands of young and middle-aged people. Study participants would be followed over decades to see who developed the disease, and which tests proved positive before Alzheimer’s was diagnosed.

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Antipsychotic drugs have helped many people with serious mental illnesses like schizophrenia or bipolar disorder. But for older people with Alzheimer’s or other forms of dementia, they can be deadly. The Food and Drug Administration has given these drugs a black box warning, saying they can increase the risk of heart failure, infections and death. Yet almost 300,000 nursing home residents still get them.

So in 2012, the federal government started a campaign to get nursing homes to reduce their use of these drugs. But an NPR analysis of government data shows that the government rarely penalizes nursing homes when they don’t get with the program.

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(Blog readers are asked to remember that this piece is responding to the Atlantic article posted in later September on the blog i recommend reading the article and the comments–KSH).

I have been thinking quite a bit lately about aging.

Three things fuel those ruminations. The first is that I am aging. I have been able to deny it for several decades but my retirement this year coincided with several manifestations of mild and generally innocuous physical decline. The second is my participating with several of my brothers and sisters in being a care-giver for my 89 year old father.

The third was a provocative essay published in the September issue of The Atlantic. The author is a prominent oncologist and medical ethicist named Ezekiel Emanuel. The title of Dr. Emanuel’s is largely self-explanatory: “Why I Hope to Die at 75.” He has no desire to live past that age, largely because by then his creative contributions to medicine will be over. No longer being socially useful, he would become a burden, a condition he has no desire to bear. He would not directly cause his own death but would indirectly facilitate it by eschewing standard medical treatments such as annual check-ups and colonoscopies.

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Rick Cloud, 68, knew that he wanted to stay in his home in Austin, Tex., as he aged. But Mr. Cloud, who is divorced, was not sure how he could do that without relying on his two daughters.

Then he ran across the idea of virtual retirement villages, whose members pay a yearly fee to gain access to resources and social connections that help them age in place. Sold on the concept, Mr. Cloud joined with some friends to start Capital City Village four years ago.

“Our virtual village can connect me with people my own age so I can do more things,” said Mr. Cloud, a retired technology consultant. “I worry about being single and getting older.”

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Pope Francis denounced the right to die movement on Saturday, saying that euthanasia is a sin against God and creation.

The Latin American pontiff said it was a “false sense of compassion” to consider euthanasia as an act of dignity.

Earlier this month, the Vatican’s top bioethics official condemned as “reprehensible” the death by assisted suicide of a 29-year-old American woman, Brittany Maynard, who was suffering terminal brain cancer and said she wanted to die with dignity.

“This woman (took her own life) thinking she would die with dignity, but this is the error,” said Monsignor Ignacio Carrasco de Paula, the head of the Pontifical Academy for Life.

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Carer Assisted Serial Killing (CASK or “Quiet Killing”) [is] a phenomenon only receiving belated recognition while the ominous numbers escalate.

CASK was first described by toxicologist Robert Forrest; James Thunder suggested the alternative term of “Quiet Killing.” It refers to the murder of patients in health care facilities. This growing phenomenon, largely directed at elderly patients and children, is a reflection of the expanding institutionalisation of health care in a growing and ageing population. Their care is taken away from the family home and put in the hands of “service providers.”

Caring for vulnerable patients in an indifferent environment with easy access to potent drugs has the potential for a murderous carer to cause havoc. In the United States in 2000 there were over 33 million hospital admissions and 1.7 million residents of nursing homes; hospital employees numbered over 4 million and nursing home employees another 1.8 million. 2011 had special significance as the year when the baby-boomer generation reached 65.

CASK happens in hospitals or nursing homes because deaths are expected to occur and attract little attention.

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Richard Overton, 108, is thought to be the oldest living veteran in the United States. But he’s as active as ever.

On Tuesday, shortly after he served as grand marshal in Austin’s Veteran’s Day Parade, Overton was relaxing on the porch of his Texas home ”” the same house he bought when he returned from World War II (he paid $4,000 for the house, Austin Fox affiliate KTBC reported in May).

This year’s parade, Overton told The Post, was “fine, lovely beautiful. The best one I’ve seen yet.”

“It made me feel good. I appreciate everything they’re doing,” Overton said. “I had my name and age on the side of the car, and they couldn’t believe it. I was still walking and talking and riding along and everything.”

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A top medical expert in Britain has said that assisted dying will be made legal in UK within the next two years.

The deputy chair of the British Medical Association Dr Kailash Chand has confirmed that a Bill that offers assisted dying to terminally ill patients who are mentally capable and are likely to have less than six months to live will soon be cleared.

UK has been seeing a growing support for the move ”” influenced by opinion polls suggesting that up to three quarters of the public would support a change in the law allowing assisted dying.

One of the world’s most revered religious leaders Desmond Tutu – a Nobel peace laureate and archbishop emeritus of Cape Town has lent his full-fledged support to Britain’s plans of legally allowing assisted death.

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Billy Graham, born just days before the end of World War I, turns 96 on Friday.

This year, he’ll celebrate his birthday quietly with family at his mountaintop home in Montreat.

No big party is planned like last year’s, when 900 people ”“ including a score of celebrities ”“ gathered at Asheville’s Grove Park Inn.

But admirers of the Charlotte-born evangelist can listen to a new message from Graham in a 30-minute video called “Heaven” that was produced by the Billy Graham Evangelistic Association.

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