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Today's Stories

May 14 / 15, 2005

Alexander Cockburn
Join the 14 Per Cent Club!

May 13, 2005

Tom Stephens
A Chronology of US War Crimes and Torture, 1975-2005

Patrick Cockburn
"They Destroyed Everything"

Mike Whitney
Tom Friedman, Imperial Chronicler

Chris Floyd
Miami Vice: the Sleazy World of Jeb Bush

Jenna Orkin
Ground Zero's Toxic Dust

Dave Lindorff
Googling for Fun

Joshua Frank
Yale Fires an Acclaimed Anarchist Scholar: an Interview with David Graeber

Website of the Day
Botero: Pinta El Horror de Abu Ghraib

May 12, 2005

Paul Craig Roberts
America is Losing: More Phony Jobs Hype

Uri Avnery
Death of a Myth

Greg Moses
Neo-Con Logic at the Border

Carolyn Baker
The Politics of Dominionism: the New Religious Right in America

Pat Williams
Amateurish High Jinks on Roadless Areas

William S. Lind
Reality Gap: the Myth of US Invincibilty

Jack Random
The Dubious Wisdom of George W. Bush

Gary Leupp
Douglas Feith Bares His Soul to Jeffrey Goldberg

 

May 11, 2005

Patrick Cockburn
The Rise, Fall and Rise of Ahmed Chalabi: King of Jordan to Pardon His $300 Million Bank Swindle

Kevin Zeese
The Occupation Gets More Saddam-like Every Day

Christopher Brauchli
Coffee, Tea or Torture?: A One Way Ticket to Uzbekistan

Zalman Amit
The Collapse of Academic Freedom in Israel: Tantura, Teddy Katz and Haifa University

Robert Shull
Carte Blanche for the Terror Cops: Senate Gives DHS Power to Waive All Laws

Mike Whitney
God, Gays, and George Bernard Shaw

Dr. Teresa Whitehurst
Anti-Arabic Week at a Southern High School

Norman Solomon
Political Bluster and the Filibuster

 

May 10, 2005

Richard Drayton
The Imperial Mythology of WW II: an Ethical Blank Check

Dave Zirin
Steve Nash's Brilliant Year: Anti-War Hoopster Wins NBA's MVP

Jackie Corr
The Medicare Catch: Mrs. O'Hara's Windfall

Dave Lindorff
Silence of the Scams: Economists on China

Michael Donnelly
From Roadless to Clueless: the Great Stillborn Eco Victory

Reza Fiyouzat
Nomadic Abstracts

Scott Parkin
Taking Direct Action Against Halliburton

Stephen Babcock
The Burden of Knowing Better

Alan Farago
Florida, Water and Lobbyists

Michael Neumann
Naomi's Courage

Website of the Day
One Nation Under Plagiarism

 

May 9, 2005

Louis Proyect
Shilling for Chevron: Jared Diamond, Greenwasher

Robert Fisk
"Mission Accomplished": the Occupation, Year Two

Kevin Zeese
Concientious Objection on Trial: the Court Martial of Keith Benderman

Joshua Frank
Kerry Bashes Gay Marriage

Sasha Kramer
A Mother's Day Call for Justice in Haiti's Prisons

Andrew Wimmer
Create and Resist

Jeffrey Webber
Back to the Streets in Bolivia?

Jeffrey St. Clair
Straight to Bechtel

 

May 7 / 8, 2005

Alexander Cockburn
Who Beat Hitler?

Gary Leupp
Biblical Prophecy and Christian Zionism

Saul Landau
Pope Torquemada: Purges, Pedophiles and Cover-Ups

Joe DeRaymond
Autumn of the Revolutionary: Another Look at Daniel Ortega

Daniela Ponce
Seeing Chile in Nepal

Heather Williams
Hollywood Does Enron

Gregory Elich
Zimbabwe's Fight for Justice

Anis Memon
To Cuba and Back

John Chuckman
The Peculiar State: "Criticism of Israel is a Form of Anti-Semitism"

Mike Whitney
Hard Right Rage Against the Truth

Ron Jacobs
Re-Reading "Born on the Fourth of July" as the Iraq War Grinds On

Colin Kalmbacher
Whither Disorder? Ann Coulter and the Texas Police State, Cont.

Lance Selfa
Uprising in Mexico City

Fred Gardner
"Getting High is a Little Like Cuba"

Ben Tripp
Letters on Wittgenstein

Mickey Z.
The Mother of All Days

Richard Joseph
Those Patriotic Magnets

Dr. Susan Block
Come As You Are: Masturbation 101

Poets' Basement
Smith-Ferri, Louise, Nettnin, Engel and Albert

 

May 6, 2005

Patrick Cockburn
Baghdad Diary: a Week of Bombs and Blood

Erin Yoshioka
Another "3 Strikes" Travesty: Why is Santo Reyes Facing Life in Prison?

Sam Husseini
Talking with Syrians

Dave Lindorff
Ernie Pyle Where Are You? When Reporters were Reporters

Kevin Zeese
Circus Trials of Abu Ghraib: When Even the Fall Girl Can't Plead Guilty

Joshua Frank
An Overextended US Military? It Won't Stop Another War

Dan Bacher
Tribes and Salmon Win One: Bush Backs Off Trinity River Water Raid

P. Sainath
India's Bloody Water Wars

 

May 5, 2005

Carles Mutaner
Is Chavez's Venezuela "Socialist" or "Populist?"

Carl G. Estabrook
Is There Any Hope for the Pope?

Farrah Hassen
The US's Syrian Obsession

Kevin Zeese
"Sent Into Combat Unequipped and Unprepared": an Interview with Patrick Resta

Michael Leonardi
May Day with an American Soldier in Rome

Bennett Ramberg
The Future of Nuclear Terror: Coming to a Reactor Near You

Ray McGovern
The Smoking Gun on White House Deceit

Norman Solomon
Nuclear Fundamentalism, the New York Times and Iran

Nicole Colson
The Back Alley Attack on Abortion Rights

Brian Concannon, Jr.
Clearing the Fences in Haiti

 

 

May 4, 2005

Colin Kalmbacher
Ann Coulter and the Police State: Heckle a Racist, Get Arrested

John Walsh
Al Franken is a Big Fat Phony: Lying on Air America to Support the War

Greg Moses
Vigilante Wedge: Schwarzenegger Reprises "Birth of a Nation"

Ali Khan
Nuclear Non-Proliferation Treaty Poised to Fall Apart

Chris Floyd
Ring Them Bells

Linda S. Heard
D-Day for Tony Blair: Bogeymen and Scare Tactics

Dave Zirin
The NFL, Congress and the Male Cheerleader Principle

William S. Lind
Fool's Paradise

Gary Leupp
Bolton's Proudest Moment: Breaking the UN's Anti-Zionist Resolution

Website of the Day
Kent State, May 4, 1970

 

May 3, 2005

Dave Lindorff
Bush has Grasped the Third Rail, Now Turn on the Juice

Brian Cloughley
Halliburton's War Loot

Ira Kurzban
Death Squad Diplomacy: How Bolton Armed Haiti's Thugs and Killers

Seth Sandronsky
Towards Debtors' Prisons?

Gilad Atzmon
The Labour Party Isn't an Option Any More

Michael Donnelly
Branding Eco Collapse

Alex Sanchez
Chile's Man at the OAS: a Blow to Bush?

Peter Linebaugh
Magna Carta and May Day

 

May 2, 2005

Ron Jacobs
Toward an Anti-Imperialist Movement

Stan Goff
The Case of Hasan Akbar

Karyn Strickler
Achieving Gender Balance in US Politics

Joshua Frank
Leaked UK Memo Indict's Blair's Iraq Folly

Kevin Zeese
Getting Out of Iraq will Prove Tougher Than Getting Out of Vietnam

Vicente Navarro
Pope Benedict: a Rightwing Politician

 

 

 

April 30 / May 1, 2005

Alexander Cockburn
Marla Ruzicka, Rachel Corrie and "Credibility"

Gabriel Kolko
Lessons from a Total Defeat: the End of the Vietnam War, 30 Years Later

Jennifer Loewenstein
The Disengaged: Gaza and the Fragmentation of Palestinian Nationhood

Lee Sustar
City for Sale: Richard Daley's Chicago

Saul Landau
The Bush-DeLay Axis of Naked Power

T.W. Croft
The Undiscovered Country: the High Tide of the Neo-Con Confederacy

Nikolas Kozloff
Fox News v. Hugo Chavez

William Blum
Never-Ending Double Standards

Dave Lindorff
Judicial Jury Tampering in Philly

Joshua Frank
The Bi-Partisan Assault on Teenage Girls

Doug Giebel
Saving Jane Fonda

Steven Erlanger
A Response to Kathy Christison, from the NYT Jerusalem Bureau Chief

Fred Gardner
Washington State Doctor Harassed

Mike Whitney
Another Mad Bush Press Conference

Kurt Nimmo
Putin Pussyfoots in Palestine

Joe DeRaymond
A Short History of the 15th Congressional District of Pennsylvania

Michael Dickinson
Flags

Mickey Z.
May Day at Yankee Stadium

Justin Taylor
The Crawling Chaos: HP Lovecraft's Polymorphous Legacy

Poets Basement
Krieger, Engel, Albert, St. Clair

Website of the Weekend
Save Barbados's Cowpastor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hot Stories

Alexander Cockburn
Behold, the Head of a Neo-Con!

Subcomandante Marcos
The Death Train of the WTO

Norman Finkelstein
Hitchens as Model Apostate

Steve Niva
Israel's Assassination Policy: the Trigger for Suicide Bombings?

Dardagan, Slobodo and Williams
CounterPunch Exclusive:
20,000 Wounded Iraqi Civilians

Steve J.B.
Prison Bitch

Sheldon Rampton and John Stauber
True Lies: the Use of Propaganda in the Iraq War

Wendell Berry
Small Destructions Add Up

CounterPunch Wire
WMD: Who Said What When

Cindy Corrie
A Mother's Day Talk: the Daughter I Can't Hear From

Gore Vidal
The Erosion of the American Dream

Francis Boyle
Impeach Bush: A Draft Resolution

Click Here for More Stories.

 

 

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Weekend Edition
May 14 / 15, 2005

Depression, Coercion, Insurance Companies and Physician-Assisted Suicide

Death with Pitfalls

By MARK SCARAMELLA

According to a Field Poll in March, 70% of Californians favor physician-assisted suicide and 68% would want the option available to them if they had less than six months to live -- at least in the abstract -- when they're healthy.

Support for such proposals fades when people consider the pitfalls, trade-offs and details of specific proposals. California's prior "Death with Dignity" proposition started out with similar popular support but went down to a 54-46 defeat in 1992.

You've probably already heard most of the arguments in favor of Physician-Assisted Suicide -- mercy killing, individual rights, "compassion." However, people already have this "right." Suicide is not illegal. The question is how easy and how legal should it be? And under what circumstances?

In theory physician-assisted suicide is intended to be compassionate, to alleviate suffering. No matter where you stand, you'll have to concede that death, from whatever cause, is the end of suffering.

Now comes California's latest physician-assisted suicide bill, AB654, the "California Compassionate Choices Act," introduced by our assemblywoman, Patty Berg of Eureka.

Some of AB654's general pitfalls are:

The bill says a person must have been diagnosed as terminal with less than six months to live to receive the lethal phenobarbital. But people can be and are misdiagnosed as terminal. In addition, many doctors admit to difficulty in assigning a specific time to a terminal condition.

The bill calls for patients to make an informed decision (twice) witnessed by two others, at least 15 days apart. In reality, many people with terminal conditions suffer suicidal thoughts when they first are diagnosed, but later recover, then go through ups and downs.

There's no guarantee that the limited "safeguards" in the bill will be followed, especially in typical and common hospice care situations where the family is the primary caregiver.

We'd all like to think that family members of a terminal patient always have the patient's best interest at heart. As ideal as that may sound, there are times when it's just not the case. Families are complicated and can be contentious, especially under the stressful conditions associated with terminally ill family members. Motivations can range from altruistic to nefarious.

Which brings us to two uncomfortable issues specifically mentioned in AB654: coercion and insurance.

In the original draft of Ms. Berg's bill there was the following provision:

"A person who coerces or exerts undue influence on a patient to request medication for the purpose of ending the patient's life, or to destroy a rescission of such a request, shall be guilty of a felony."

In the latest version of the bill that provision has been removed. No explanation was given. (Maybe because proving a felony isn't that easy.) All that remains is a requirement that the patient sign a statement saying they are not being coerced.

Coercion and "undue influence" are hard enough to define in ordinary discourse, much less as a legal standard. What if the patient is told that they're continued healthcare and medication is going to cost more than the family can afford? Is that "undue influence"?

What if the patient's life insurance benefits will help another family member's desperate financial problems? Would reminding the patient of that be "undue influence"? Are these the kinds of factors terminally ill people should consider?

What if the patient's HMO tells the patient that their costly pain medication is not covered under their health insurance plan?

According to Ms. Berg's bill, "suicide" by legal deadly prescription is not supposed to affect a patient's life insurance. But Oregon's assisted suicide website informs visitors that such coverage questions are up to the insurance carrier.

Oregon's physician-assisted suicide website gives the following subjective and qualitative reasons that the 208 people who have used the law since its enactment in 1997 have given:

Losing autonomy (87%);

less able to engage in activities making life enjoyable (84%);

loss of dignity (80%);

losing control of bodily functions (59%);

burden on family, friends/caregivers (36%);

inadequate pain control or concern about it (22%);

financial implications of treatment (3%).

However, there's no indication of when these "concerns" were expressed. Were they expressed when the person first asked for the phenobarbital, or were they expressed on the day the medication was taken?

Most of the terminal Oregonians using the law had cancer (more than 80%). Only five had AIDS.

But only 208 have used Oregon's landmark assisted-suicide law in its first seven years. You can't draw many conclusions from such low numbers. In fact, why go to such legal trouble and take so many risks in law if so few people are going to "benefit" from it?

Oregon doesn't report on how many people applied for the lethal dosages, but changed their mind -- only on actual suicides.

Then there are the doctors who are expected to prescribe the lethal dose.

A survey of Oregon physicians who did NOT oppose physician assisted suicide revealed the following concerns:

Half feared the attempt might fail and result in harm to the patient. (No information is kept/reported on this in Oregon.)

Half were not confident they could predict when a patient had less than six months to live. (And how can you know if the person commits suicide before the six months?)

One-third feared someone other than the patient would take the medication.

One-third were not confident they could recognize depression. (And what if the psychologist/psychiatrist determines the applicant is depressed and turns down the prescription?)

Some did not want to become known as "suicide doctors."

Then there's the Hippocratic Oath: "...Neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course." (Modern translation.) Can doctors ethically prescribe deadly doses? Can they be asked to do so?

Two American studies have shown that, among the elderly, those most vulnerable to the abuse of physician-assisted suicide -- women, blacks, low-income people and poorly-educated people -- fear the legalization of physician-assisted suicide.

More and more Americans who lack access to decent healthcare and support may be pushed into assisted death. In fact, assisted death can become a cost-containment strategy. (Texas's "futile care" law which was signed into law by then-Governor George W. Bush specifically allows hospitals to declare patients hopelessly ill and in effect not worth keeping alive, irrespective of the patient's and the family's wishes.) Burdened family members and healthcare providers may encourage the option of "legal" assisted death -- short of "undue influence," of course.

In fact, it has been reported that some California hospitals have already set up committees to decide when care is "futile" and should be terminated regardless of a patient's or a family's wishes. There are disturbing stories of patients whose deaths have been hastened by these practices. Given the current and declining healthcare system, no law legalizing physician-assisted suicide, no matter how carefully crafted, can operate fairly.

Do we really want to take all these risks just so that a few terminal people can solve problems like being "less able to engage in activities making life enjoyable"?

Mark Scaramella is the managing editor of the Anderson Valley Advertiser and a frequent contributor to CounterPunch. He can be reached at: themaj@pacific.net

 

 

 

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