PROTECTING PATIENTS FROM
GREEDY RELATIVES
FINANCIAL MOTIVES FOR CHOOSING AN EARLIER DEATH
The right-to-die
might sometimes become the duty-to-die
when the dying patient has a significant estate
that will pass to the named heirs at death.
Usually these heirs are family members.
And usually they know in advance what they will receive
in terms of wills, trusts, life-insurance,
and/or the normal operation of inheritance law.
In some cases, the medical care of the patient
is being paid for (at least in part) from the assets of the patient
—the
remainder of which will pass to the relatives upon death.
Putting this another way, the potential estate
is being used for the terminal care for the patient.
The relatives worry that these assets will be wasted in useless
terminal care.
They have in mind better uses for the cash, farm, business, stocks,
& bonds.
If the patient is married, the financial cost to the other spouse
is even more obvious and direct:
Sometimes medical bills are being paid from their joint assets.
Pure greed is seldom the sole motive for wanting an
earlier death.
But every person who stands to benefit financially from the death of
another
has thought at least briefly about that fact.
When the beneficiary is a family member,
that heir might have dismissed the monetary motive as soon as it
appeared.
But the amount to be inherited did appear in the thought of the
relative,
even if the primary feeling of the relatives is love and compassion
for the person who is dying.
Few heirs are completely unaware
of what they stand to gain by the death of the relative.
Only rarely does a 'rich uncle' leave some money
that the heir did not know was coming.
Thus, financial gain is at least one part of the
mixture of motives
that happen in the process of deciding the best time for the patient to
die.
PROTECTING
AGAINST GREEDY RELATIVES
Careful safeguards can help to prevent premature
deaths motivated by money.
The safeguards that would counter-balance the financial incentives
call for the considered judgment of neutral persons who will not
benefit
financially.
Here are nine safeguards that will be most effective
against greed,
listed in order of effectiveness, beginning with the most powerful.
The
blue title leads to a
complete explanation of that safeguard.
The red comments explain
how that safeguard
deals with the specific problem of greedy relatives.
REPORT TO THE
PROSECUTOR BEFORE THE DEATH TAKES PLACE
The office that is responsible for prosecuting any
crimes
is well aware of this danger inherent in any life-ending decision.
If and when the death-planning record is submitted for review by the
prosecutor,
the lawyers in that office will be looking for possible premature death
motivated by the desire to
inherit money sooner
and possibly to avoid using
up the estate in terminal care.
CIVIL AND
CRIMINAL PENALTIES FOR CAUSING PREMATURE DEATH
When everyone knows that the law provides both
criminal and civil
penalties
for anyone who cooperates in causing a premature death,
the relatives and other heirs will be more cautious
about their participation in life-ending decisions.
A
MEMBER OF THE CLERGY APPROVES OR QUESTIONS THE CHOICE FOR DEATH
When a clergy-person is asked for an opinion,
this is another opportunity for someone who knows the family situation
to urge going slow if there is any danger of financial motives
causing a premature decision for death.
Such a neutral person might be able to put the best interests of the
patient first.
REQUESTS FOR
DEATH FROM THE PATIENT
When properly applied, this safeguard makes sure
that it is the patient
who is requesting death,
not the relatives who might be motivated by greed.
INFORMED
CONSENT FROM THE PATIENT
Likewise, when the
patient himself or herself
gives informed consent to the plan for death,
there would be less reason to worry about inappropriate financial
motives.
UNBEARABLE
SUFFERING
The unbearable
suffering considered in this safeguard
is the suffering of the patient,
not the financial problems that family members might be
experiencing.
Those called upon to read and evaluate the death-planning record
should watch for financial motives disguised as something else.
PHYSICIAN'S
STATEMENT OF CONDITION AND PROGNOSIS
When a physician
issues a statement of the condition of the patient,
this covers the objective health status and future of the patient.
And the physicians statements might counter-balance
exaggerated claims of imminent death by greedy relatives.
ETHICS
COMMITTEE REVIEWS THE LIFE-ENDING DECISION
The ethics committee of any medical institution
will make sure that only medical facts and opinions
are being used to make any life-ending decision.
STATEMENTS FROM
ADVOCATES FOR
DISADVANTAGED GROUPS
IF INVITED BY
THE PATIENT AND/OR THE PROXIES
And advocates chosen
to protect patients
from discrimination on the basis of group identity
might also be aware of the danger from greedy relatives.
All such neutral observers should 'blow the whistle'
if they believe that someone is being pressured to die too soon.
If these 9
safeguards do not seem sufficient,
there are two dozen
additional
safeguards that might be used
to make sure that the relatives'
financial motives
are not distorting decisions
about terminal care.
created February 23, 2007; revised
3-22-2007; 8-30-2008; 11-5-2008; 12-3-2008