An advance directive is a written document that specifies your wishes for medical treatment if you become hurt or sick and are unable to speak for yourself. While it’s not always pleasant to think about these things, it’s important — it can save you and your loved ones additional heartache and second-guessing.
As I previously wrote for Rewire, I refuse to be taken to a Catholic hospital. As I outlined in that piece, I think it’s wise for women and LGBTQ people to consider the same, for the simple reason that it’s not possible to fully trust that one’s health care needs and wishes will drive the care that they are offered.
My advance directive contains language that I do not consent to be taken to a Catholic hospital, and that I wish to be transferred to another provider if I am taken to one. Further it specifies that under no circumstances should an actual or presumed pregnancy be used as an excuse to supersede my instructions for my medical care. In one advance directive draft, I actually wrote, “If someone tries to tell you otherwise, sue until you get a different result.”
My suggestion is for you to write an advance directive if you don’t have one (AARP offers acceptable advance directive forms for the state you live in here), or review yours if you already do. In addition to the replying to prompts in your state’s form, consider the denials of care that are taking place in religiously affiliated hospitals. Is there language like mine, or specific to your own situation that you would like to insert?
While we can’t all collectively self-help our way out of denials of health care — there needs to be policy change that requires a timely way for people to access the care they need if they are interacting with a service provider who refuses their wishes — this is one little step we all can and should take in the meantime.
I have had both a DNR and an AD for many years. While some think these are the same thing, they are not. My youngest son is my executor on both where it is impossible for me to give consent, previously my father was despite I was married at the time. This assignment was with my then husband’s consent (written) as he agreed he could not comply with my wishes. When my father was diagnosed with Alzheimer Disease, we transferred both to my youngest son after much discussion and my eldest saying finally he did not believe he could follow my wishes.