To get your unique link to the online program and forms by email, order the “Good Initial Plan” for $49 by clicking here.
Everything in the “Good Initial Plan” PLUS:
Everything is sent by US Postal Service, ready for your and witnesses’ signatures.
Everything in the “Good Initial” and “Better Diligent Plan” PLUS:
Receive your Living Wills printed on heavy stock bright yellow paper, and your videos on a thumb drive by 2–Day Priority Mail.
Want to UPDATE and strengthen your previously completed “Final” Natural Dying Living Will? Click here.
Consider the “Better Diligent Plan”
Your efforts to be consistent and convincing may be necessary but not sufficient.
Consider the need for strategies to overcome 14 common challenges: click here.
Click here for a 10-minute slide show that reveals the opposition and its dire consequences.
Consider “Best Strategic Plan”
Click here to learn why you should consider uploading to a registry.
Recommended: Upload all your forms and videos to a national registry such as MyLastWishes.org where physicians and others can quickly retrieve them.
Together, these 50 conditions comprehensively include what people dread most about prolonged dying in Advanced Dementia and other terminal illnesses.
The key question: If you reached any condition that would cause severe enough suffering—do you want others not to prolong your dying and suffering?
The online decision aid My Way Cards works on your computer, tablet, and cellphone.
First, it informs you about each clinical condition.
Then it asks: “Would it cause severe enough suffering for you to want to be allowed to die?”
If “Yes,” you can choose Natural Dying—a way to die that is effective and peaceful; and that strives for others’ acceptance.
We send you a state–specific Proxy Directive so you can legally designate one person and alternates to speak for you—if you lose your ability to make medical decisions. We also send a guide on how to select and to empower your proxies/agents.
From your responses to My Way Cards, we generate and email you, your “Initial” Natural Dying Living Will. If you want to use it as your current Living Will, we print it and mail it to you by USPS, ready for signatures so that it can be legally valid.
We recommend using this Living Will as your initial draft and continuing your advance care planning efforts by reviewing your responses with diligent deliberation and discussion.
Includes the “GOOD INITIAL PLAN” plus...
First we review your responses to the My Way Cards. Then a clinician discusses them with you on a phone call of about 10 minutes. We ask: Are your decisions consistent with “severe enough suffering”?
Using the responses you may have revised, we generate your “Final” Natural Dying Living Will and send you a second, “physician–friendly” version that is strategic. It warns future physicians about 3 dire legal consequences—if they write orders that do not honor your known end–of–life wishes.
We send you 3 forms to add to your Living Will. They clarify your refusal of force–feeding; let you refuse thickened food and fluid in advance; and let you consent to treatment to totally relieve unbearable end–of–life pain and suffering—even if medications must put you to sleep.
We print your Living Will on brightly colored, heavy stock paper and mail it by USPS, ready for signatures so it can be legally valid.
To make your wishes convincing——we recommend you respond to an interview that you record on video, where you explain the reasons WHY you made these advance treatment decisions. If you do not select one of our trained clinicians to interview you, we mail you a short “How To” guide so your responses for your oral Living Will can strive to be convincing. (Our clinicians can record on video, their opinion: Did you have enough mental capacity to make these advance treatment decisions?)
Includes the “BETTER DILIGENT PLAN” plus...
You add strategies designed to overcome common challenges and sources of sabotage—so you can avoid conflict, or at least promptly and privately resolve conflicts—without going to court.
For more information about why even Living Wills that are clear, consistent, and convincing may be only necessary but not sufficient to be compelling so you can attain your end–of–life goals, click here.
One strategy further empowers your proxies/agents by asking each to sign a binding bilateral contract and to form your Decision Committee. Another strategy insists on using your high standards of evidence presented by opposing experts—if others claim that you changed your mind, no longer want Natural Dying, and revoked your Natural Dying Living Will—even though you have reached a condition that you had judged would cause severe enough suffering.
One especially challenging conflict is: Your “future demented self” indicates the desire for others to help spoon–feeding but you (as expressed in your Living Will) had decided on Natural Dying for your current condition. This “Best Plan” lets you invoke a strategy to resolve this potential conflict now!
Includes 3 “physician–friendly,” comprehensive Physician Orders for Life-Sustaining Treatment (MOLST, POST, etc.) forms that have pre-printed physician orders. The first can ask for cardiopulmonary resuscitation(CPR). The second can refuse only CPR (“Do Not Attempt Resuscitation or DNR.”) The third can request “DNR plus Natural Dying.” We can provide suggested scripts so you can record 3, shorter than one–minute videos to rapidly inform emergency first responders and physicians what treatment you do, or do not want.
Dr. Terman devised a set of strategic solutions including ingeniously coupling a specially designed Advance Directive and a set of physician orders with adequate safeguards that reflect Dr. Terman's strong advocacy against ending life prematurely. Ironically, learning how to end life really empowers us to prolong our meaningful and enjoyable life.
–Ronald B. Miller, MD, FACP, Founding Director of the Program in Medical Ethics, University of California Irvine