Legislation in Kentucky would give a person who has a terminal illness but is of sound mind the ability to request a medication they could self-administer to end their life at a time of their choosing.
Kentuckians who have traveled to places where medical aid in dying is legal in order to help a loved end their suffering say they support the bill.
In 2019, Deborah McElhannon traveled from Shelby County all the way to Switzerland with her husband, whose metastatic kidney cancer left him in unbearable pain, to receive what she called "compassionate relief."
"Within fewer than 30 seconds he was asleep," said McElhannon. "And in less than another minute he was gone. He had said many times during his illness, 'I just want to go to sleep and end this.' And it was as quick and peaceful as he wanted."
A 2020 Medscape survey found 55% of more than 5,000 doctors said they believe medical aid in dying should be available.
However, the American Medical Association maintains its opposition to this end-of-life option, calling the practice "fundamentally incompatible with the physician's role as healer."
The bill's primary sponsor, state Rep. Josie Raymond - D-Louisville - said the bill offers ways to help terminally ill Kentuckians talk openly and honestly about end-of-life options with their medical providers and families.
"We believe that it's a compassionate," said Raymond, "and badly needed solution for families, for caretakers, for patients, who are suffering unnecessarily."
Jefferson County resident Kate Cunningham and her husband temporarily moved to Washington State last year so he could receive medical end-of-life care.
She explained he was diagnosed with throat cancer in 2016, and after chemotherapy, survived only on liquid nutrition.
Last spring, he was diagnosed again, this time with an untreatable form of esophageal cancer.
"We don't treat our pets that way," said Cunningham. "We should not treat loving partners that way, just force them to starve themselves to death to rid themselves of terminal illness."
In a 2020 Gallup poll, nearly three-quarters of Americans said they support the option of medical aid in dying, for themselves or loved ones.
Eleven jurisdictions have already passed laws to legalize it.
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With flu and COVID-19 cases increasing during the holiday season, a Georgia doctor said now is the time to take steps to protect yourself and your loved ones.
Dr. Michael Satchell, family medicine physician at Phoebe Putney Memorial Hospital, encouraged everyone to consider flu and COVID-19 vaccinations to reduce the risk of serious illness, especially for those most vulnerable.
"Those who are vaccinated are actually 60% less likely to get a serious form of COVID or to be hospitalized," Satchell pointed out. "We're seeing that the vast majority and greater than 90% of those who are hospitalized are those who have not been vaccinated."
Satchell recommended everyone six months and older think about getting vaccinated, especially older adults and those with existing health conditions, to stay safer during the holiday season.
He acknowledged symptoms of flu and COVID-19 can overlap with a common cold but Satchell advised testing if you have symptoms like persistent cough, fatigue, or loss of taste and smell. He noted COVID-19 tests are still available online, and added it is important to consult with a provider if symptoms persist or exposure is suspected.
"It's important because there are still people dying from COVID," Satchell emphasized. "In Georgia, almost 300 people died in the last 3 months. So we're still seeing a lot of hospitalizations last season, the 2023-24 season, we had over 900,000 people across the country were hospitalized with COVID. So it's still out there."
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Groups fighting to improve access to health care are asking the U.S. Senate to reject Robert F. Kennedy Jr's nomination for Secretary of Health and Human Services.
Kennedy is an environmental lawyer who ran for president, then threw his support to Donald Trump in August.
Matthew Herdman, California state director for the nonprofit Protect our Care, said Kennedy has falsely linked vaccines to autism.
"When he went to American Samoa to talk about vaccine safety there, almost immediately afterward, there was a large measles outbreak that led to 83 Americans losing their lives," Herdman recounted. "I would be terrified to see that happen, spread nationwide across our country."
Kennedy has said one of his priorities would be to reexamine pesticides that are legal in the U.S. but banned or being phased out in Europe. He has also promoted raw milk, despite warnings from the Food and Drug Administration and the Centers for Disease Control and Prevention that unpasteurized milk can carry salmonella, E. coli, Listeria and the virus that causes bird flu.
Dr. Diana Dayal, an emergency room resident physician at UCLA Medical Center and a union representative, said she's troubled by Kennedy's beliefs.
"He has touted countless baseless claims time and time again that have later been contradicted by expert review," Dayal pointed out. "From his takes on vaccine development to fluoride safety, he misrepresents isolated data as conclusive and then interprets other studies incorrectly. Conveniently he then ignores vast scientific evidence and peer review that runs counter to his beliefs."
Chris Noble, organizing director for the group Health Access California, noted Kennedy once called the COVID-19 vaccine the "deadliest vaccine ever made."
"RFK Jr. will continue to propagate medical conspiracies that further erode trust in evidence-based medicine that will result in preventable death and grave threats to public health if given a seat of power," Noble contended.
Billions of dollars in federal subsidies for health plans on CoveredCA are set to expire next year unless the Republican-controlled Senate reinstates them. Kennedy has so far not taken a public position on the issue.
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A new report on lung cancer by the American Lung Association showed Maryland has quite a bit of room to improve diagnoses and treatment but experts said the state has taken some big steps in tackling it.
The report showed almost 17% of Marylanders at high risk for lung cancer were screened, a little less than the national average. Maryland fared better in other metrics, including lower rates of adult smokers and people unable to access treatment.
Aleks Casper, Maryland director of advocacy for the American Lung Association, said to improve the state's standing, Marylanders at risk of lung cancer need to be screened at higher rates.
"If we can get people screened, our chances of impacting all the other metrics improve," Casper explained. "If we get people screened and we can find it early, then we can connect them to treatment and we can connect them to surgery, which impacts outcomes."
The report also noted Latinos in Maryland are the least likely group to be diagnosed early.
Casper pointed out certain policies in Maryland have removed barriers to diagnosis and treatment. Just this year, Maryland became one of 15 states to require insurance to cover biomarker testing, including for lung cancer. The National Cancer Institute described biomarker testing as using a sample of tissue, blood or other fluid to look for genes or chromosomes which could increase a person's likelihood of developing certain cancers, which Casper emphasized is critical.
"Being able to test and determine what the best type of treatment for that person's disease, that kind of really individualized care and giving people access to that, is really important," Casper added.
Those who want to find out if they're eligible to be screened for lung cancer can take a quick test at savedbythescan.org.
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