Help Live

Sep 22, 2012

Herbalife spreadsheet

Who works with a group of people or manages a project knows that it is important to share data quickly. One of the tools that I find useful in this task are the spreadsheets online Spreadsheets, which multiple users can use simultaneously. This Google product just released by Google Labs and is a trial version. However, despite the possible instabilities, still worth checking out. Especially because your comments are vital for our engineers to improve this application. The ability to share spreadsheets online is the differential spreasheet. As each sheet is available online, and not stored on the hard drive of your personal computer, several people can add or edit data at any time and from different computers. After naming and saving your spreadsheet, you invite other people to access it. Simply send them an email and select the level of access each: editors or visitors. When two or more people using a spreadsheet at the same time, an embedded chat allows her to communicate. Online Spreadsheet adds many more features of spreadsheets used, as the possibility of entering formulas, sort data and create statistics. You can also import previously created spreadsheets in CSV or XLS. You can also save the worksheets that you create in CSV, XLS and HTML. A major advantage of this type of tool is the time savings because you do not need to save spreadsheets and email them as attachments to e-mail to several people, since they can see them and edit them online. Online Spreadsheet is an experimental project, but it was considered one of the most useful tools according to a recent survey conducted among readers and contributors of Time magazine. So, you want to try? Simply create your spreadsheets now!

Sep 30, 2011

MedicalConspiracies- Chicago’s “Wellness” Program for City Employees— Imagine if This Went National!

-------- Original Message --------

Subject:	[Health_and_Healing] Chicago's "Wellness" Program for City Employees— Imagine if This Went National!
Date:	Wed, 28 Sep 2011 11:54:30 -0700 (PDT)
From:	Sue Cifelli <prmis11@yahoo.com>
Reply-To:	Health_and_Healing@yahoogroups.com

Chicagoâ€™s â€œWellnessâ€ Program for City Employeesâ€" Imagine if This Went National!

September 27, 2011

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If employed by Chicago, youâ€™ll take whatever â€œpreventiveâ€ medicine the city demandsâ€"or pay far more in insurance premiums!

Under Mayor Rahm Emanuelâ€™s plan, unveiled last week, city employees must enroll in a conventional medicineâ€"structured â€œwellness programâ€ to manage chronic health problems such as obesity, diabetes, and high blood pressure. Employees who do not participate in the program will be required to pay an extra $50 per month in insurance premiums for each family member covered.

The Chicago program includes â€œenhanced screening and wellness training to establish benchmarks and long-term goals, including weight loss, medication, exercise, and kicking the smoking habit.â€ A form of this plan appears in the healthcare reform act as wellâ€"which should be no surprise, as Rahm Emanuel was one of its chief architects.

So imagine this picture. Conventional medical doctors tell you to take your blood pressure medication, whether you think it wise or not, whether you want to try natural alternatives or not. And if you donâ€™t, you pay. Same for taking statins for high cholesterol, medications which many medical professionals agree are really dangerous to your health.

Preventive medicine is a hotly debated topic, as it should be. But for Rahm Emmanuel, itâ€™s one-size-fits-all. You had better have your blood sugar at a specified level, or you will be required to take highly dangerous diabetes drugs. At least they wonâ€™t fire you or put you in jail if you donâ€™t complyâ€"it will just cost you money. So far.

This kind of incipient medical fascism is mainly a gift to Big Pharma, and we can be sure that Big Pharma is cheering Emmanuel on.

http://www.anh-usa.org/chicago-wellness-program-imagine-if-this-went-national/

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MedicalConspiracies- Legalizing Euthanasia by Omission - And Making It a Doctor's Order

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Subject:	[Health_and_Healing] Legalizing Euthanasia by Omission - And Making It a Doctor's Order
Date:	Sun, 25 Sep 2011 12:33:34 -0700 (PDT)
From:	Sue Cifelli <prmis11@yahoo.com>
Reply-To:	Health_and_Healing@yahoogroups.com

Legalizing Euthanasia by Omission - And Making It a Doctor's Order

by E. Christian Brugger, D.Phil., Senior Fellow and Director, Fellows Program

DENVER, Colorado, AUG. 24, 2011 (Zenit.org ).- A problematic new end-of-life medical form is rapidly gaining ascendency in U.S. healthcare. It is called the "POLST" document. (In my own state of Colorado, it's called a MOST document.) The acronym stands for Physician Orders for Life-Sustaining Treatment. (MOST = "Medical Orders for Scope of Treatment;" its provisions are almost identical across states.) Click here to see an example of a standard POLST document.

The document consolidates on a single form provisions formerly dispersed over several documents: it acts as a living will specifying the scope of medical interventions a patient wishes in case of incapacitation; it makes specific provision for a do-not-resuscitate order (DNR); it has a box to check in the event a patient wishes to refuse treatment with antibiotics; and it allows a patient to designate a proxy decision maker.

Similar to other advanced directives, patients complete the POLST form when their capacities are in tact and the document becomes effective when consciousness is compromised.

But different from older-type directives, the POLST document has provision for the signature of a physician (or physician assistant). This gives the designations on the document the force of an actionable medical order.

The national trend, supported by Compassion & Choices (formerly the Hemlock Society), is to structure state laws on medical directives in accord with the POLST paradigm (as illustrated by its recent adoption by states such as California, Colorado, Hawaii, Idaho, New York, Pennsylvania, Oregon, Tennessee, Utah, Washington, West Virginia and Wisconsin).

Why is the document problematic? I will speak from first-hand knowledge of the legislation that normalized the document in Colorado. I believe my criticisms are relevant to all POLST-type laws in the U.S.

The Colorado law (signed in summer 2010) abrogated an extremely important condition on living wills going back two decades. The former law authorized adults to direct medical professionals to withhold or withdraw life-support only on the condition that they were terminally ill (or in a so-called persistent vegetative state [PVS]). So for purposes of the law the refusal was conditioned by the fact that a patient was already dying. (The PVS provision was accepted under the false assumption that it was a terminal condition.) Forty-five percent of the states in the U.S. presently impose similar statutory limitations on the removal of life-support.

The POLST-type legislation removes the condition that a patient is terminally ill or diagnosed in a PVS before a refusal order is actionable. In other words, the new law permits any adult patient to refuse any treatment at any time for any reason in the event they lack decisional capacity; and health care professionals, directed by a doctor's medical order, ordinarily would be (and are) required to carry out the order. Although the law for strategic purposes is rhetorically formulated as bearing upon end-of-life medical decisions, it sets forth no requirement that a patient's refusal of life-support must be limited to end-of-life conditions.

If someone refuses life-support with the specific aim (or intention) of causing his or her own death, the person is choosing suicide. Morally speaking this is no different from ingesting a lethal dose of medication, or sitting in a running car with the windows closed and a hose stretching from the tail pipe to the cabin. "Why are you doing X?" If the answer is: "To die," then the person is intending self-killing, suicide, and that's always wrong.

But isn't it the case that terminally ill patients also can direct the refusal of life-support for purposes of bringing about their deaths? It is true, the condition of terminality does rule out the possibility that patients will be motivated by suicidal intentions when taking advantage of the liberties permitted by the older-type law. But in establishing the refusal of life-support in the context of medical conditions diagnosed as "terminal," the older-type law privileged as the normative context for refusing life-support the motive "to-be-free-from-burdens-in-my-remaining-days-of-life." Suffering from a condition from which one was dying, the law granted a person the civil right to refuse procedures that prolonged the dying process.

This is not the place to rehearse the ethical argument for the legitimate removal of life-support. Suffice it to say that until recently, common ethical opinion accepted the judgment that if some treatment was futile or excessively burdensome, then a person legitimately could refuse the treatment, even if its refusal promised the hastening of death. [Note: the procedure, not the life, is judged burdensome.] One intends to be free of the burden of painful, risky, or futile treatments during one's final days of life, and one accepts that one's death may be hastened as an unintended consequence.

The POLST-type law grants adults the civil right to direct healthcare professionals to remove life-sustaining procedures when those procedures are not futile and when the burden imposed by them would be offset by a reasonable hope of recovery. It juridically extends the ordinary context for the refusal of life-support to include the motive of bringing about death. Without using the term, the new law authorizes euthanasia.

This is not the only problem with the POLST model, but it's the most serious problem that the model introduces. Other problems, such as the document's provision for the removal of food and water from patients for whom they reasonably would be judged to be ordinary/proportionate care, or the simplistic designation, "No Antibiotics," whether or not such drugs are medically indicated, already infect older type documents.

When the Colorado Catholic Conference, which I assisted, was fighting (ultimately unsuccessfully) at the state capital in Denver to amend the POLST-type legislation before passage to reintroduce the condition of terminality, we argued that the legislation as written was effectively legalizing euthanasia by omission. Some legislators believed that we were being alarmist. They thought that because physician-assisted suicide was not legal in Colorado, nor explicitly legalized by the proposed legislation, we had nothing to fear. We said we thought this was short-sighted, that groups like Compassion & Choices would find fertile soil in the law for advancing its aims. Most were unconvinced.

On August 17, 2011, Compassion & Choices (CC) launched a nation-wide public education campaign entitled "Peace at Life's End â€" Anywhere." The euphemism means "legal self-killing anywhere in the U.S." (The press conference was held in Denver, Colorado!) The central purpose, indeed the sole purpose of the campaign is to tell people everywhere that they can kill themselves legally anywhere in the U.S.; all they've got to do is to refuse life-support, in particular food and water. The Web site reads:

One method of peaceful dyingâ€¦universally available, legal, safe, painless and suitable for a gentle parting in one's own homeâ€¦is the purposeful refusal of food and fluids, in medical jargon known as voluntarily stopping eating and drinking (VSED).

"VSED," its press release stated, "is a legally recognized option for mentally competent adults who wish to end their suffering." And best of all, "it requires no special laws or regulations. VSED is legal -- for patients and their caregivers -- today, in every state."

The POLST document is not a precondition for the success of CC's campaign. Any living will that permits the removal of food and water would be adequate. But the new document sure helps.

If the POLST model is not already legally recognized in your state, five to one chance that legislation is being drafted at your state house as we speak. You might call your legislator and find out.

* * *
E. Christian Brugger is a Senior Fellow of Ethics and director of the Fellows Program at the Culture of Life Foundation , and the J. Francis Cardinal Stafford Chair of Moral Theology at St. John Vianney Theological Seminary in Denver, Colorado.

http://culture-of-life.org//content/view/740/1