A leading woman priest in the Church of England has spoken out in favour changing the law to allow assisted dying.
Canon Rosie Harper, vicar of Great Missenden and chaplain to the Bishop of Buckingham, said she supports Lord Falconer’s Assisted Dying Bill which receives its second reading in the House of Lords on July 18.
Her position directly contradicts that of the Church of England, which has argued consistently for no change in the law.
Read it all from Christian Today.
Patients who document their end-of-life wishes using a special medical form get the specific care they want in their final days, according to a study published online in the Journal of the American Geriatrics Society.
The study by researchers at Oregon Health & Science University looked at the growing use of the voluntary form, called Physician Orders for Life-Sustaining Treatment, or Polst. The document lets patients request or refuse certain medical treatments such as CPR or intensive care. The study is the largest on the topic so far and the first to look at preferences stated in the form and where people actually die.
Polst programs have been adopted or are in development in 43 states. Proponents say that in addition to giving patients a voice in the face of advanced illness, they can help trim the nation’s bill for costly interventions that don’t extend life for patients who don’t want them. However, the programs remain controversial with some groups in the often-fraught national debate about end-of-life care.
“Latin America is a very, very particular church”, he says. As he sees it, the Catholic Church – particularly under Pope Francis – must try to work more closely with the local community.
In keeping with that sentiment, he has already overseen some impressive infrastructural projects during his 40 years in the town.
“First we started with the elderly. We used to gather the elderly people who die on the street during the night because of the cold and we built them a home,” he recalls.
“Then we built an orphanage for the street kids.”
The list goes on: a nutritional centre, a kindergarten, a bakery, a healthcare centre for local AIDS patients and even a prison to tackle chronic overcrowding in the penal system.
With five months to go until the Affordable Care Act’s 2015 open enrollment season, states that had troubled exchanges during the inaugural sign-up period are scrambling to either upgrade their sites or transition to the federal exchange””all on the taxpayer’s dime.
A new analysis from the Wall Street Journal finds that the cost for Maryland, Massachusetts, Minnesota, Nevada and Oregon to overhaul their exchanges or transition to healthcare.gov will be as high as $240 million in total.
I know that if she could, my mother would grab that pail and toss it out the window. She would forgive me; in fact, I believe she has forgiven me. But in a way, that makes it harder. Knowing of her unfailing love and grace makes me feel worse about my own failure. Of course, I am envisioning her at her very best, now in heaven knowing as she is known and seeing me with the eyes of God, and I am remembering myself at one of my lowest moments. What about God’s forgiveness? God is always in a best moment and ever aware of our worst. Does that divine forgiveness erase our regret or increase it?
Jesus’ first word to the disciples on the other side of the locked doors is peace. I imagine myself in that room, staring at his wounds and accepting the resurrection miracle. I imagine embracing the improbable, exciting mission commended to me in the words that follow. But peace? Peace is another story.
After Jesus called Peter to feed his sheep, did Peter ever think back on that day around the charcoal fire when he denied the one he dearly loved? Did Peter remember when Jesus yelled at him and called him a terrible name? When Peter stood to preach on PenteÂcost and 3,000 were baptized in one day, did he go home and lie awake wishing he could take back his actions on another day? According to the psalm, our transgressions are removed “as far as the east is from the west.” If we accept that as true, then it seems that regret should not linger. But in my experience, forgiveness has not erased regret. Not yet anyway.
These post-Easter days, I am thinking that if my mind and heart are not yet in sync with what should be””with sin removed to a distance beyond my reach””perhaps mere inches matter.
Previous studies suggest that many people will use the new coverage to obtain medical care for conditions that went untreated while they were uninsured.
The new health law reduces special payments to hospitals serving large numbers of low-income patients, on the assumption that many of the uninsured will gain coverage through Medicaid.
But hospital executives are unsure that the savings will materialize. Dr. Campbell said the cuts could create serious financial problems for hospitals treating large numbers of Medicaid patients.
Recent research in other states has raised similar questions.
The time has come. On Sunday, May 4, I announced my retirement plans. In case you were not present at worship, this letter will provide the details. My last day to serve as Rector of St. Paul’s Summerville will be Friday, November 14, 2014. That date will mark my 19th anniversary among you and in the meantime provide a window to enjoy our remaining months among you.
I will always treasure these years”¦always. In vestry meetings for many years, I made this observation: ”˜St. Paul’s needs a long-term pastorate! It doesn’t have to be me, but it needs to be someone. I am willing to be that person, but it may not work out that way.’ I would offer that thought in light of the fact that since the retirement of Dr. Ambler in 1940 (He served as St. Paul’s Rector for 32 years.), the average tenure of a Rector has been 4 ½ years. That is not healthy for a parish since you never have time to establish traction and momentum under sustained leadership. It is not unlike the long coaching tenures which often complement the strongest programs in athletics, think Coach K at Duke or Dean Smith at Chapel Hill, etc.
So, it turned out to be me after all””a long-tenured priest for St. Paul’s. I step down grateful and excited for all we have done together. It has been so rich and fruitful! May the Lord and you continue to build on the foundation that has been laid. Don’t you just know, He will! And may St. Paul’s next Rector be enabled and empowered as well for a long pastorate.
The world is on the cusp of a staggering rise in the number of old people, and they will live longer than ever before. Over the next 20 years the global population of those aged 65 or more will almost double, from 600m to 1.1 billion. The experience of the 20th century, when greater longevity translated into more years in retirement rather than more years at work, has persuaded many observers that this shift will lead to slower economic growth and “secular stagnation”, while the swelling ranks of pensioners will bust government budgets.
But the notion of a sharp division between the working young and the idle old misses a new trend, the growing gap between the skilled and the unskilled. Employment rates are falling among younger unskilled people, whereas older skilled folk are working longer. The divide is most extreme in America, where well-educated baby-boomers are putting off retirement while many less-skilled younger people have dropped out of the workforce.
Policy is partly responsible. Many European governments have abandoned policies that used to encourage people to retire early. Rising life expectancy, combined with the replacement of generous defined-benefit pension plans with stingier defined-contribution ones, means that even the better-off must work longer to have a comfortable retirement. But the changing nature of work also plays a big role.
We start with this reality: Social Security and Medicare are practically sacrosanct. Nearly nine-in-ten Americans say they’re good for the country. That’s an amazing number. But the popularity of these programs really isn’t all that surprising. People love them because they do what they were created to do. They ease many of the frets and dreads of old age ”“ a blessing not just for seniors but for everyone who loves, supports and depends on seniors. Which is to say, everyone.
But the status quo is unsustainable. Some 10,000 Baby Boomers will be going on Social Security and Medicare every single day between now and 2030. By the time everyone in this big pig-in-the-python generation is drawing benefits, we’ll have just two workers per beneficiary ”“ down from three-to-one now, five-to-one in 1960 and more than forty-to-one in 1945, shortly after Social Security first started supporting beneficiaries.
The math of the 20th century simply won’t work in the 21st. Today’s young are paying taxes to support a level of benefits for today’s old that they have no realistic chance of receiving when they become old. And they know it ”“ just 6% of Millennials say they expect to receive full benefits from Social Security when they retire. Fully half believe they’ll get nothing.
Check it out (with thanks to BrianHains1) and you can find liveblogged coverage there.
Before he graduates from Bowdoin College this year, Alex Doering wants to leave the greater Brunswick area better educated about a topic that is sometimes considered taboo for American families: end-of-life care.
That’s why Doering, with the help of others, is organizing a two-day symposium on the topic at Bowdoin this Friday and Saturday. The free, public event will include sessions with professors, doctors and local health workers that will explore death and dying through different lenses.
The symposium will also include a performance by actress Megan Cole, best known for her work in the popular TV series “ER,” in a piece called the “Wisdom of Wit,” a “dramatized lecture” of a Pulitzer Prize-winning play called “Wit,” that explores life “through the eyes of a 50-year-old professor of English Literature who has been diagnosed with ovarian cancer,” according to Cole’s website.
“The demand for rehabilitation robots is very high as societies around the world are aging,” said Mitsushige Akino, chief fund manager at Ichiyoshi Investment Management Co. in Tokyo, who says he is considering buying Cyberdyne shares.
A 54-year-old paraplegic, strapped into a white exoskeleton made by Cyberdyne, recently walked slowly forward — covering about a foot — during rehab at Fukuoka University Hospital before collapsing on his physiotherapist. The suit he used has been approved for use as a medical device in Europe, and Cyberdyne said it may seek clearance this month to sell the product in the U.S.
Widespread use of the Cyberdyne device is some distance away. It is presently used in 170 hospitals and nursing homes across Japan, and it costs about 1.8 million yen ($17,700) annually to lease each suit. While founder Yoshiyuki Sankai’s ambition is to make the robots cheap enough for home use, he doesn’t have a specific time frame. For now, a Cyberdyne rehab center south of Tokyo makes them available to individuals at 10,000 yen ($98) per 60-minute training session.
Aging baby boomers want to stay in their own homes as long as possible and a way to do that, the so-called village concept, is catching on in South Carolina.
Experts say it’s less expensive for baby boomers as they age to live at home than in nursing homes, and people who remain in their homes are often happier and live longer. Some 8,000 baby boomers reach retirement age each day in the U.S.
“The baby boomers do not intend to go into nursing homes,” said Janet Schumacher, the coordinator of the Office on Aging in Charleston. “They are looking to each other to provide support.”
Virtual villages are associations set up to provide help to members with everything from transportation and home repairs to social and cultural connections. The first was started on Beacon Hill in Boston 13 years ago.
In the Netherlands people with early dementia are already being visited by mobile euthanasia units. In Belgium the law allows euthanasia only when, technically, “the patient is in a medically futile condition of constant unbearable suffering”. Wesley J. Smith, of the US-based Centre for Bioethics and Culture, has listed examples of ways in which the law has been interpreted much more expansively.
It has, for example, permitted the euthanasia of a transsexual left distraught by the results of a botched sex change operation and elderly couples who prefer joint and early death to living alone. Belgian doctors encourage each other to look out for suicidal patients whose organs can be harvested. In one PowerPoint presentation it was noted that patients with neuro-muscular diseases were good potential donors because, unlike cancer sufferers, they have “high-quality organs”.
And don’t think that Britain will be any different. We can’t regulate the banks or the police properly and assisted dying laws would soon become lethal tools in the hands of activist judges, greedy relatives and financially stretched health services. Look at our abortion laws. Introduced to end the horror of back-street terminations, they’re now used to end late-term pregnancies because of a cleft lip or a club foot.
Read it all (subscription required).
In his new book, The Next America, Pew Research executive vice president of special projects Paul Taylor identifies two key trends that are already reshaping the United States and will continue doing so for decades to come. The first: far greater racial and ethnic diversity, driven largely by immigration. In 1960, the U.S. population was 85% white, 10% black and 4% Hispanic. By 2060 whites will be a minority (43%), while 31% of the population will be Hispanic, 13% black, 8% Asian and 6% other races or ethnicities. As Taylor puts it, “We were once a black and white country; now we’re a rainbow.”
But there’s also going to be a lot more gray in that rainbow. Not only are some 10,000 Baby Boomers turning 65 every day (and will continue doing so till 203o), but Americans are living longer and having fewer children than ever. Result: The nation’s “age pyramid” is turning into more of a rectangle. That poses challenges for, among other things, Social Security. In 1960, near the peak of the Baby Boom, there were 5.1 workers for every Social Security-eligible retiree. By the time the last Boomer retires, that ratio will be down to 2 workers per retiree.
Just why is American politics so dysfunctional? One answer is that both parties, for different reasons, have created self-serving mythologies that reward them for not dealing with pressing problems that, though daunting, are hardly sudden or secret. For proof, see Paul Taylor’s new book, “The Next America.” Taylor oversees many of the Pew Research Center’s opinion surveys. His masterful synthesis of polls shows that three familiar mega-trends lie at the core of America’s political and social stalemate.
First, immigration….
Second, family breakdown. In 2011, unmarried women accounted for 41 percent of U.S. births, up from 5 percent in 1960….
Finally, aging. Every day 10,000 baby boomers turn 65. The retiree flood is swamping the federal budget. By 2022, Social Security, Medicare and the non-child share of Medicaid will exceed half the budget, up from 30 percent in 1990, projects an Urban Institute study. To make room for the elderly, defense and many domestic programs are being relentlessly squeezed.
There’s no generational justice, argues Taylor: “The young today are paying taxes to support a level of benefits for the old that they themselves have no prospect of receiving when they become old.”
…more people every year, locally and across the nation, continue laboring for a paycheck past the time when they could be collecting Social Security.
The average age of retirement in America, which had been on the decline during much of the 20th century, has been rising for the past two decades for a combination of reasons. A recent Bureau of Labor Statistics report found that about 27 percent of people ages 65 to 74 were still in the workforce, compared with just 20 percent in 2002. It predicted nearly one in three people of that age would be part of the labor pool in 2022.
“People today are working later than they have been for quite some time ”¦ as long today as in the 1970s,” said Kevin Cahill, a research economist for the Sloan Center on Aging and Work at Boston College. “The incentives have shifted in favor of work.”
Dr [John] Haas says that because of the current demographic trend the world population is aging and it is not being quickly replaced: “I think it is a very apt topic ”“ these are grave social problems in most Western countries with an aging population, all kinds of ethical questions arise with regard to their treatment ”“ end of life decisions have to be made”. “It can be “a very difficult time of life but it can also be a very beautiful time of life depending on how we go in to it” he said.
Commenting on the emphasis Pope Francis puts on the importance and value of the elderly, Dr. Haas says Francis has a profound impact on the way people think by virtue of his personality which leads them to “sit up and pay more attention”. He also says that Francis’ emerging “theology of compassion and of accompaniment” is fundamental in the way society treats its elderly. “I think that this call will really resonate with the faithful” he said.
For those in positions of leadership in over a dozen churches in..[Pictou County] it’s been a tough job knowing when to do what.
Declining membership, coupled with population decline, migration, rising heating costs and a decline in those practising Christianity, has caused churches of all stripes to re-examine themselves, their mission and their facilities.
Archdeacon Peter Armstrong of Christ Anglican Church in Stellarton believes this is part of a continuing cultural shift that began 40 years ago.
“Many people ask me, several times a week… if I ever contemplate (assisted suicide). It makes one feel like I should be contemplating it for the sake of the health service, for my family watching what I’m going through. I’m afraid that it will extend into the social conscience that people will almost expect assisted dying…. a (new) law will pressurise people.”
Baby boomers make up the largest share of banking customers in the U.S., according to a December Gallup poll. Nearly nine in 10 baby boomers (89%) currently have at least one checking, savings, or money market account at a bank or another financial institution. But Gallup’s 2013 retail banking study shows that just 12% of baby boomers with active bank accounts trust banks a “great deal,” with the majority placing only “some” or “very little” trust in these institutions.
…while they are having a lot of sex, seniors didn’t seem to get the safe sex memo, or when it came through they ignored it because they did not think it applied to them. They obviously don’t have to worry about pregnancy. And they grew up before the safe sex era. So seniors might think they have no reason to use condoms. According to the 2010 National Survey of Sexual Health and Behavior, among college-age Americans, condoms are used in about 40 percent of sexual encounters, but only in about 6 percent of sexual encounters among those 61 and older. A study published in the Annals of Internal Medicine showed that older men who use Viagra and similar drugs are six times less likely to use condoms compared with men in their 20s.
Combine retirement communities, longer life, unfamiliarity with condoms and Viagra ”” and what do you get? You get an S.T.D. epidemic among the Social Security generation that rivals what we imagine is happening in those “Animal House” fraternities.
These S.T.D. numbers demand that seniors take responsibility for their actions.”
True to their “live to work” reputation, some baby boomers are digging in their heels at the workplace as they approach the traditional retirement age of 65. While the average age at which U.S. retirees say they retired has risen steadily from 57 to 61 in the past two decades, boomers — the youngest of whom will turn 50 this year — will likely extend it even further. Nearly half (49%) of boomers still working say they don’t expect to retire until they are 66 or older, including one in 10 who predict they will never retire.
Paul Gregoline lies in bed, awaiting the helper who will get him up, bathed and groomed. He is 92 years old, has Alzheimer’s disease and needs a hand with nearly every task the day brings. When the aide arrives, though, he doesn’t look so different from the client himself: bald and bespectacled.
“Just a couple of old geezers,” jokes Warren Manchess, the 74-year-old caregiver.
As demand for senior services provided by nurses’ aides, home health aides and other such workers grows with the aging of baby boomers, so are those professions’ employment of other seniors. The new face of America’s network of caregivers is increasingly wrinkled.
Among the overall population of direct-care workers, 29 percent are projected to be 55 or older by 2018, up from 22 percent a decade earlier…
While plenty of baby boomers, born from 1946 to 1964, have become affluent and many elderly around the U.S. face financial hardship, the wealth disparity of this father and daughter is emblematic of a broad shift occurring around the country. A rising tide of graying baby boomers is less secure financially and has a lower standard of living than their aged parents.
The median net worth for U.S. households headed by boomers aged 55 to 64 was almost 8 percent lower, at $143,964, than those 75 and older in 2011, according to Census Bureau data. Boomers lost more than other groups in the stock market and housing bust of 2008, and many also lost their jobs in the aftermath at a critical point in their productive years.
But there’s a problem. [Charles] Lindblom’s common-sense insight has a giant exception: crises. Change, forced by outside events, then happens by “leaps and bounds.” The recent financial crisis caused Congress and two presidents to embrace measures (the rescue of big banks, General Motors and Chrysler) that were unthinkable a few months earlier. In the 1960s, civil rights demonstrations pushed Congress to pass the Civil Rights Act of 1964 that, in outlawing most public racial discrimination, wasn’t “incremental.” History offers other examples, including the Civil War, the New Deal and both World Wars. Small changes won’t suffice when big changes are required.
On the budget, muddling through comes with a crucial assumption. It is that continuous deficits won’t provoke a crisis that compels political leaders to take harsh steps that they would otherwise not take. This optimism may be justified. For decades, “experts” have warned of the dire consequences of unchecked deficits. Yet no great crisis has occurred. But this conviction also could be complacency. Government debt is in territory that, except for wartime debt, is unprecedented. We don’t know the consequences. Someday, we may no longer have the luxury of muddling through.
Billy Graham has gotten weaker since celebrating his 95th birthday at a celebrity-studded party last month in Asheville, but he is “not in any imminent danger,” and his “vital signs are quite good,” Graham spokesman Mark DeMoss told the Observer in an email on Sunday.
DeMoss, citing Graham’s medical and personal staff, said Graham has not been as strong lately as he was at the Nov. 7 party at the Omni Grove Park Inn, but that his health is not as dire as some news reports have suggested.
Those reports were reacting to recent comments by Franklin Graham, son of the Charlotte-born evangelist.
You may watch the announcement by Jacob Zuma here.
The Wall Street Journal now has an interactive obituary complete with some of his most memorable quotes, tweets and video there