People change their minds
What constitutes "clear and convincing" evidence of someone's intent when they are incapable of expressing it for themselves?
Often times, people will make proclamations:
"If my husband (or wife) ever cheated on me, I would divorce him (or her)."
"If I was nothing but a vegetable hooked to machines, I wouldn't want to live like that! I would want to die."
But, people who make proclamations of what they would do based upon hypothetical situations often change their minds when actually faced with the reality of the situation.
When faced with a marital indiscretion, someone who previously proclaimed they would get divorced may feel completely different. Instead of running to get that divorce, the injured spouse may instead choose to forgive and work on building a better marriage.
People who claim they would rather die than "live like that" often change their minds when actually faced with the choice. In the years before her death, my mother suffered from end-stage chronic obstructive pulmonary disease. Every breath was a struggle. When she was younger and healthier, she said she never wanted to be hooked to ventilator. But as her illness progressed and her physician asked her what she would choose -- whether she would want machines to breathe for her or whether he should allow her to die -- my mother's views changed. Every breath became precious to her. She didn't want to die after all. She would not refuse a ventilator.
Tonight, my honey and I watched a movie called "Saving Milly" based on a true story. Milly was ravaged with Parkinson's disease. She could no longer feed herself and the time would soon come when she would need a feeding tube. She told her husband she would refuse the feeding tube -- she said she wanted to die. But, when the time grew closer to the reality, she changed her mind.
I verified the movie version from the transcript of an interview that Milly and her husband, Morton Kondracke, gave a few years ago:
TV journalist, wife wage war on Parkinson's
Quote:They have discussed whether she will have a feeding tube installed when and if swallowing becomes impossible. "If she decided not to have a feeding tube, she basically would starve herself and go to a hospice," Kondracke says. "But the last time we talked about this, which was a couple weeks ago, she said she would get a feeding tube. The last word was 'yes,' thank God, because at one point she said 'no.' Right? Milly?"
Her nod is almost imperceptible.
People often make emphatic statements that they would want to die if faced with a hypothetical situations or a situation that not impending. But, when the reality hits them, they often change their minds. A past statement is NOT clear and convincing evidence of what an individual would truly want if actually faced with the situation.
And with living wills, I've had elderly clients in my office that emphatically state that they don't want to be kept alive by machines. Pull the plug, they say as they envision an immediate death.
But . . . what if you don't die when life support is removed? When asked if they wanted nutrition and hydration withheld . . . I have seen shocked looks. "You mean, do I want them to starve me to death? NO, I don't want that!"
It doesn't necessarily follow, if someone proclaims that they would not want to be kept alive by "artificial means" that they would also agree to be starved to death.
Milly Kondracke emphatically expressed her wish NOT to have a feeding tube. BUT, as the time drew closer, she changed her mind and wanted the feeding tube after all.