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California Legislature Finally Approves Assisted Suicide

California lawmakers recently approved a landmark bill, the “End of Life Options Act,” that would allow doctors to help terminally ill patients die with dignity. California joins Oregon, Washington, Vermont and Montana as the only states where physicians can prescribe life-ending medication. Many more states have considered legalization of other types of physician-assisted suicide, but none have successfully passed legislation on the issue.

The bill passed through the State Senate by a vote of 23 to 14 and was signed by Governor Jerry Brown earlier this month. The new law is similar to that of Oregon’s except for two notable changes. First, the law would expire after ten years and must be reapproved. Second, doctors must have private Assisted Suicideconsultations with patients to ensure that the choice to end their life was not coerced. The bill would allow patients to request a prescription to end their lives if they were mentally competent and if two doctors agree that they only had six months to live. Further, patients would have to ask for the drugs three times before receiving them. One request must be in writing and in front of two witnesses.

The safeguards in the bill will hopefully prevent others from taking advantage of those choosing this option. However, a patient suffering from a terminal illness may be more vulnerable than a healthy person. Some patient advocates are concerned that family members of a patient might pressure them to pick this option, either for financial gain or to stem future medical costs. To address this potential problem, coercing or tricking the patient to opt into physician-assisted suicide would become a felony under the bill.

Death With Dignity

Proponents of the bill argue that it is necessary to allow those in the final stages of terminal illness to pass peacefully. This bill allows individuals who are in agony from the final stages of a disease to die with some dignity. Assemblyman Luis Alejo (D-Watsonville) voted for the bill due to his own family’s struggle with illness. His father is a Vietnam veteran who is slowly dying from terminal bone cancer. Before her physician assisted death in Oregon, California brain cancer patient Brittany Maynard also lobbied for the bill. As she put it: “I refuse to subject myself and my family to purposeless, prolonged pain and suffering at the hands of an incurable disease.”

While economic incentives should not be the primary considerations in ending a life, the bill will provide some families an alternative to skyrocketing medical bills.  “As soon as this is introduced, it immediately becomes the cheapest and most expedient way to deal with complicated end-of-life situations,” said Dr. Aaron Kheriaty, director of the medical ethics program at the University of California, Irvine, School of Medicine. The expenses of keeping a relative alive through expensive treatments and hospitalizations dwarf the cost of the assisted suicide medication. However, as Dr. Kheriaty notes, the “underinsured and economically marginalized” did not necessarily back the bill. “Those people want access to better health care.”

For many years, the California Medical Association opposed physician assisted suicide, but has recently taken a neutral position. The American Medical Association, the California Catholic Conference, and the Disability Rights Center all opposed the bill. One group called A Hard Pill to Swallow warns that “legalizing suicide for the terminally ill and disabled, while offering anti-suicide resources for the rest of the population, teaches that the lives of the ill and disabled do not matter to our society.” Critics also say that some doctors will now be abandoning an important principle of medical ethics: “first do no harm.” What is needed, they say, is quality palliative care for all dying patients. Finally, in spite the checks and balances in place, they believe the bill may create conflict and unethical behavior within families— particularly where money is concerned.

The legislature and Governor Brown clearly had to wrestle with the moral implications of this bill. Governor Brown said: “in the end, I was left to reflect on what I would want in the face of my own death.” I believe that signing the End of Life Option Act into law was the right decision. Allowing patients to end their lives gives them the dignity to die the way they choose, not in a weakened state of suffering. It gives them power in a time of their lives when they are otherwise feeling quite helpless. Having this option available is a big stride for individual rights. Terminally ill individuals should be allowed the right to consider the options this new law provides.

Delaware Now Allows Social Media Accounts to Be Inherited

A new law enacted in Delaware this year allows executors and heirs to obtain the social media passwords to decedents’ social media accounts. Prior to the passage of this law, social media accounts expired upon the death of the account-holder. This was the case even in those instances where the decedent’s friends and family members knew the passwords to those accounts. They were prevented from accessing the accounts by the terms of use of social media companies, including Facebook, which have restrictions regarding the sharing of accounts.

social media accountsWhat Are the Provisions of the New Law?

The new law, which is the first of its kind, is called the Uniform Fiduciary Access to Digital Assets Act (UFADAA). In addition to acknowledging social media accounts as property, the law grants to guardians who are caring for disabled persons, the right to manage their social media accounts. It also gives this right to executors, agents under powers-of-attorney, and trustees in the same way that fiduciary trustees can gain access to bank accounts, financial and tax documents, and medical records, contingent upon a will, trust, or power-of-attorney. Another right possessed by the decedent is the right to prevent the heirs from ever opening or modifying their online accounts.

Furthermore, the new law allows title to digital assets to be held by a trust. Referred to as a digital asset trust, this type of trust may well become an integral part of the estate planning for those individuals who possess digital photography , artwork, or manuscripts, or computer code, and who would like these assets to be managed in such a way that their family members and friends can benefit.

How Will the Law Be Applied?

The law applies solely to residents of Delaware, and it will be interesting to see if other states will follow its lead. While some states already have laws in place permitting the decedent’s personal representative to access online accounts, these laws are far more limited than the one enacted in Delaware. Those states with a limited version of the law are: Connecticut, Idaho, Indiana, Nevada, Oklahoma, Rhode Island, and Virginia.

A decedent whose will or trust is governed by Delaware law will be able to have his or her online accounts accessed by the personal representative of the estate. However, a decedent whose will or trust is governed by any other state will be unable to have the same access granted to the personal representative. It is irrelevant that several technology companies, including Facebook, Twitter, and Google, are incorporated in Delaware.

Potential Invasion of Privacy

Despite the benefits of the law, there is some opposition due to the potential invasion of privacy of third parties who maintained contact with the decedent. Such communications to the decedent include those that are considered to be highly confidential from people who are still living, including patients of deceased physicians, psychiatrists, and members of the clergy. These individuals would likely be understandably upset upon learning that a personal representative was reading their emails.

Nevertheless, the benefits of the law appear to far outweigh the disadvantages in that the decedent’s heirs and beneficiaries will have access to online accounts that were previously beyond their reach. Although many of these accounts may not have much in the way of monetary value, the heirs may attach some emotional value to them.

Are Pet Trusts Valid?

Can I use a trust to leave money and property to my pets? 

Let’s face it, it’s true: a dog is a man’s best friend. Unlike humans, dogs will not ignore your calls or ask you for money. Some dogs are even completely satisfying substitutes for babies. So naturally, people often want to provide for their pets when they die. A pet trust is common used for this purpose.

Pet TrustAre pet trusts valid? In some cases, the courts have ruled that pet trusts to be a waste of resources. However, even if a court reaches this decision, it will often still honor the decedent’s wishes, but will simply reduce the trust amount. For example, in 2007, hotel heiress Leona Helmsley left her dog $12 million and the judge reduced it to $2 million.

On the other hand, Tennessee Courts have held that all pet trusts are valid so long as the decedent was of sound mind and disposing memory when he made the trust. For example, when Leon Sheppard Sr., a retired businessman, died in 2012, he left $250,000 and a 4,270-square-foot home to his two cats, Frisco and Jake. The court allowed the pet trust. But once the cats die, any remainder of the money will go to Sheppard’s relatives.

Although it may be odd to leave such large sums of money to pets instead of family, a pet trust ensures that the decedent’s pets will not be abandoned. And then after the pets pass, the remainder of the trust will go to family members.

Homosexual Seeks Inheritance through Common Law Marriage

Most Americans do not have a will and those who do typically don’t take the trouble to update it regularly. The tragic story of James Spellman and Michael Kelly underscores why it is so important to keep a will consistent with your present wishes.

Michael Kelly first met James Spellman at a Halloween party in 1994. The two men shared a close relationship thereafter. Although the gay rights movement in the mid-nineties did not command the political capital it does today, Spellman alleges he and Kelly agreed to live together as spouses. The couple maintained their agreement and their relationship until 2012, when Kelly was diagnosed with bile duct cancer. Spellman devoted himself to Kelly’s care, but Kelly passed away shortly thereafter. Kelly left behind $819,000 in his estate, including a beach house worth $574,000.

Kelly and SpellmanUnfortunately for Spellman, Kelly left behind a will naming his four siblings as his beneficiaries. The will, written in 1990, does not mention Spellman. Although the District of Columbia legalized same-sex marriage in 2010, Kelly’s illness distracted him from thoughts about marriage or updating his will.

Kelly’s estate refuses to give Spellman any part of the inheritance. Spellman claims he is entitled to a portion of the estate as Kelly’s common law spouse. Common law marriage is a marriage “by fact,” whereby the state recognizes two persons as married, even in the absence of a marriage certificate. Two persons are married in common law if, for a certain period of time determined by the state, the two individuals live together and present themselves as spouses to the world. Spellman claims he has lived with Kelly for the last eighteen years and that Kelly’s family knew about their relationship.

The estate claims that Spellman would not be entitled to the inheritance even if Spellman were a woman. The defendant says that Kelly lived in Delaware, where common law marriage is not recognized. The estate also denies that Kelly and Spellman were living together for as long as Spellman claims they had.

Spellman’s attorney argues for an extension of common-law marriage to same-sex marriage and to declare Kelly and Spellman married. Ideally, a favorable verdict will allow Spellman to collect inheritance under intestacy law.

Intestacy law is the “default” law if the deceased did not have a will or only had a partial will. Although I don’t know the full contents of Kelly’s will, Spellman might still be denied inheritance if he is not in the will. Under intestacy law, the spouse can receive most of the inheritance, but intestacy law assumes that a complete will does not exist. If Kelly’s will divides all of his estate among his siblings, there might not be anything left for Spellman to collect, even if he is recognized as a spouse. The estate can always argue that Kelly intentionally refused to update his will and that Kelly intended to deny Spellman any inheritance, even if Kelly considered Spellman his spouse.

Spellman’s claim has a long way to go if he continues forward. Still, the case is very noteworthy because of how the parties are treating homosexuality. Not only is the plaintiff asserting a homosexual relationship as a reason for inheriting from the deceased, the estate’s attorney is treating the homosexual nature of the relationship as a non-issue.

In the not too distant past, homosexuality was considered a reason to disinherit someone, even if the beneficiary was named in the will. Estates could argue that homosexuality was an undue influence on a dying person, thereby negating the deceased’s ability to freely express his or her intentions in the will. This case might not be a victory for James Spellman, but it is remarkable as evidence for how far the homosexual rights movement has come.

Widow Fights For Right To Bury Husband

The American legal system usually doesn’t trouble itself with questions about the rights of the deceased. Most living people have a hard time obtaining legal representation, so giving the dead, who can’t give consent, a voice sounds like a futile use of resources. If a problem does arise around a person who is departed, the deceased typically have relatives who can pursue criminal charges or raise wrongful death claims. So what kind of issue could prompt attorneys to exhume such issues?

In 2004, a widow in Connecticut named Elise Pique was told by most of the city’s cemeteries that they had no room for her late husband. The widow decided, with the help of a licensed funeral director, to bury her husband in the backyard of the property they had owned together. She also had plans to interment herself alongside him when her time came. However, the following year, Pique received a notice from the city to cease and desist the burial. She filed a suit in response, only to lose in trial court. The Appellant’s Court threw the case out, citing that she had not exhausted all her other administrative remedies, such as petitioning for an exemption. Pique’s case is now being appealed to the Connecticut Supreme Court.

On its face, the story sounds like a typical fight between individual property rights and city zoning/health regulations. Interesting stuff, but Pique’s lawyer has another fear which holds deeper legal issues: Pique, as an elderly woman, may pass away soon, leaving the Piques defenseless if the city decides to move their bodies against Mrs. Pique’s wishes. However, the city may be able to do so, as the basis of Pique’s lawsuit was grounded in property rights. When Mrs. Pique passes away, the issue of those property rights against the city’s right to establish zoning laws becomes moot.

Still, the idea that cities can move a person’s body against his or her express wishes simply because that person can no longer speak for themselves seems like a violation of some sort of right, even though legally the dead do not have any identifiable rights. After all, if the government is required to ask for our permission before taking our organs upon death, then something must be stopping the living from treating the dead like garbage to be taken to a landfill.

Granted, the dead can’t have rights like the living. Certain rights, like the right to vote, end once we do. Furthermore, the dead do not have anything else tied to the concept of rights: individuals with rights also have duties and responsibilities. The right to trial by a jury of your peers, for example, comes with the duty to serve on a jury so that someone else can have his right enforced.

The question remains though: once a person dies, who has the right to oversee that person’s body, if anyone? I don’t think it is reasonable to assume the state should, as the state is frequently challenged when it attempts to regulate or control a human body. Issues ranging from abortion to organ donation demonstrate that state oversight of the human body at any stage of life (or close to life) is questionable.

Living relatives might be a good candidate for custodians of a human body after life. Assuming that the persons were close, relatives might know the person’s mind better than anyone else. Certainly the Pique case demonstrates this: Mrs. Pique is in charge of her husband’s physical body in the absence of Mr. Pique’s presence.

However, allowing living relatives to bear the rights of a person’s body after death raises other issues. Living relatives are not always perfect representatives of the person’s will. As independent people, relatives do have interests outside of the deceased’s wishes. What if the person does not have any relatives who might come forth to claim the body? What if two or more relatives of the same pedigree, such as a wife and a mother, are in conflict about the corpse’s status?

Perhaps it might be best to just follow a person’s instructions after death. There’s no second guessing about what that person might have wanted and no dispute as to whose interests the instructions actually serve. Sadly, the two problems here are twofold: First, the person may not have left directions or may not have anticipated the questions raised upon their passing. Second, as the Pique story demonstrates, those instructions might be ignored anyway.

This is why Elise Pique’s story is a moving one: The case demonstrates the integrity of the human body regardless of other matters. Such integrity for the human body ought to be maintained except in the most suspect of circumstances.