Thaddeus Mason Pope, JD, PhD
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Latest articles
Conditions and diseases
This is why we get it wrong As clinicians, we were taught that advance directives (ADs) and Portable Orders for Life-Sustaining Treatment (POLSTs) protect patient autonomy. So, we encourage our patients to complete them. Hospitals and health systems promote and…
This is why we get it wrong
As clinicians, we were taught that advance directives (ADs) and Portable Orders for Life-Sustaining Treatment (POLSTs) protect patient autonomy. So, we encourage our patients to complete them. Hospitals and health systems promote and measure our efforts. Public and private insurers pay for it. And policymakers celebrate them.
But these familiar tools upon which we so heavily rely at the end of life have been creating …
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Why problems with advance directives keep harming patients
Conditions and diseases
Medical aid in dying (MAID) is poised to be one of the hottest political health care issues of 2024. As in 2023, more than a dozen states will hold both impassioned hearings in legislative chambers and equally fervent debates in…
Medical aid in dying (MAID) is poised to be one of the hottest political health care issues of 2024. As in 2023, more than a dozen states will hold both impassioned hearings in legislative chambers and equally fervent debates in the community. Already, nearly twenty states have introduced bills to authorize MAID this year. They seek to join the eleven states that already authorize MAID for 73 million Americans (California, …
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Medical aid in dying: time for evidence-based legislation
Conditions and diseases
"We can keep your loved one alive. but we won't. Even though you think their life is worth living, we do not." The first time I helped a hospital convey this type of offensive message to a patient's family, it…
“We can keep your loved one alive. but we won’t. Even though you think their life is worth living, we do not.”
The first time I helped a hospital convey this type of offensive message to a patient’s family, it deeply humbled me. My service on a hospital medical appropriateness review committee forged charitable respect for alternative viewpoints that now pervades my work to protect patient rights.
Hospital review committees adjudicate medical …
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Withdrawing life-sustaining treatment over family objections
Conditions and diseases
On October 1, 2019, Nevada began allowing individuals to avoid living in late-stage dementia. The new statute recognizes the legitimacy of an advance directive that instructs health care providers to stop hand feeding food and fluid by mouth. Individuals have…
On October 1, 2019, Nevada began allowing individuals to avoid living in late-stage dementia. The new statute recognizes the legitimacy of an advance directive that instructs health care providers to stop hand feeding food and fluid by mouth. Individuals have already been completing such directives in New York and Washington. The Nevada law is the first that explicitly authorizes such instructions.
Growing …
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Avoiding late-stage dementia with advance directives for stopping eating and drinking
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