At the End of Life, Options Matter
Friend,

My name is Merri Lea Shaw, I am a licensed independent clinical social worker of 42 years, an NASW member, and an active volunteer for Compassion & Choices, the national organization seeking to make medical aid in dying an option for all individuals across the United States.

The proposed legislation, An Act Relative to End of Life Options, has gone by other names in the past but still asks for the same thing: to a llow a terminally ill, mentally capable adult with a prognosis of six months or less to live the option to request, obtain, and take medication to die peacefully in their sleep if suffering becomes unbearable.

I support this initiative because I've seen firsthand the suffering a person with a terminal illness can face, especially when they have little to no choices in front of them. My friend and colleague, Susan Shapiro, LICSW , testified in 2014 on a similar bill while suffering with Stage 4 ovarian cancer. She told the legislative committee she wanted to live, but instead she was facing her death, and wanted the option to end her life peacefully. She asked the committee members to move to legalize medical aid in dying so she could be at ease in her remaining days. The bill did not make it out of committee and Susan died a prolonged and painful death.

After Susan's death, I felt it was important to honor her and others like her, to advocate for full bodily autonomy and right to self-determination , the same pillars you'll find in NASW's Code of Ethics. If you share these values, join me on Tuesday, June 25th 11am-5pm in the Gardner Auditorium of the State House to show legislators your support and why this should be the year we extend an additional option to constituents of Massachusetts.

For more information on what this legislation would or would not do, please look below. The hearing is from 11am-5pm and you can testify or show your support by wearing NASW stickers that we will provide during any portion. If you'd like to testify, please contact Rebekah. I hope to see you at the State House.

Thank you,

Merri Lea

P.S. Can't make it in person but would like to support? Contact Rebekah to submit written testimony or make a call to your legislators .
Includes core safeguards and requirements:

  • A terminal illness and 6-month prognosis must be confirmed by two doctors.

  • The physician must inform the individual about all of their end of life options- including hospice and other pain management.

  • An individual can withdraw their request, not take the medication once they have it, or otherwise change their mind at any time.

  • Individuals are not eligible because of age, or disability.

  • The individual must be able to self-administer the medication.

To see the full fact sheet, click here
Mythbusters:

Myth: Caregivers will coerce their elderly parents to use this option.
Truth: Being elderly and having a terminal illness are not mutually exclusive. Additionally, there are safeguards around possible coercion and abuses are subject to criminal penalties.

Myth: All physicians, health providers and pharmacists would be mandated even if they have a personal or religious objection.
Truth: No one is required to participate and can easily opt-out.

Myth: If someone is depressed because of their illness, their judgement could be clouded.
Truth: Medication can't be prescribed until mental capacity is confirmed by a licensed mental health specialist.

Myth: If someone receives a terminal diagnosis, gets the prescription but a new treatment emerges, they can't go back.
Truth: An individual is in control and must be given a full array of choices and options when it comes to their medical healthcare, including new courses of treatment. Even if the medication has been dispensed, they do not have to take it.
To be testify in person or to submit written testimony, please contact
Rebekah Gewirtz at [email protected]