James Park's Advance Directive for Medical Care
---the short version.

    The following 24 numbered paragraphs condense into just 4 pages
the basic content of James Park's 'Living Will', which is 50 pages long.

    The numbers correspond to the Questions
for a comprehensive Advance Directive:
https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/Q-L-WILL.html
and to the chapter numbers of James Park's comprehensive 'Living Will':
https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/JP-LW.html

*************************************************************************************

    1. My Advance Directive shall apply to all situations in which
I cannot make medical decisions for myself
---not merely to 'terminal condition'.
My personal medical ethics are very liberal
---well beyond generic medical ethics.

    2. My Medical Care Decisions Committee consists of five named persons.
Routine medical decisions shall be made by the chairperson,
who shall also activate the whole MCDC when needed.

    3. My MCDC shall make my medical decisions for me
during times they specify that I cannot make my own medical decisions.
They shall draw upon my settled values
as expressed in my Advance Directive.
And they shall consult me as much as possible at any given time.

    4. I should be considered a full person
as long as I have the following capacities:
consciousness, memory, language, & autonomy.
When these are gone---and are not likely to return---
then my life as a person is over.
I should not be kept 'alive' as a former person for more than one year.
I believe I have the right to die.
I affirm the validity of voluntary death, assisted voluntary death, & merciful death.

    5. However, as long as I can live a meaningful life as a full person,
then I want everything that medical science can provide.
If and when meaningful life as a full person is no longer possible,
then my MCDC should select the best means to achieve my death.

    6. If I get Alzheimer's disease
or some other condition that limits my mental powers,
then my MCDC shall assess the rest of my life
with the help of medical professionals.
If it seems clear that my life as a full person is over,
then my MCDC should take the appropriate measures
to donate my body to medical science as explained in 19 below.

    7. If I am conscious and in pain beyond what I can endure
(judged by myself rather than by observers if I can still communicate),
I request that sufficient pain-medication be given to relieve the pain,
even if the amount needed renders me continuously unconscious
and even if this medication might also shorten my life.
If I am in pain that cannot be controlled
except in ways that make my life as a person impossible,
then I would prefer death.

    8. I approve of being placed in a nursing home
only as a temporary measure
while I recover from a disease or injury.
But in my case, a nursing home should not be used as a warehouse
for a 'living memorial' to the person I once was.
If I become a former person, merciful death is the appropriate choice.

    9. I prefer to die at home by anesthesia,
whereafter my body will be removed to the medical institution
that has agreed to accept my donation of a 'living cadaver'.
My memorial service should be scheduled
for the same day as my death.

    10. My life-time medical care
should not cost more than one million dollars.
The cost of each proposed course of medical treatment
should not be greater than
the average annual cost of health care for 7 Americans
for each additional year of meaningful life
gained by that course of treatment.
These voluntary financial guidelines shall be implemented by my MCDC
if I am no longer able to enforce them myself.

    11. I want full and truthful medical information
—first for myself while I can understand medical matters—
and second for the members of my Medical Care Decisions Committee.
Because of my unusual plans to donate my body when I die,
I need to know even further in advance than most people
just when I am likely to die.

    12. Curative treatments for me should be ended
when it becomes clear
that I will never return to living as a full person again.

    13. Do-Not-Resuscitate orders should be written for me
once it becomes clear
that I will never return to functioning as a person.

    14. I should be maintained on life-support systems
only if there is a reasonable chance that I will return to life as a full person.
'Life-support' systems should not be used merely to delay my death.

    15. I approve of the withdrawal and withholding of food and water
if my life as a person has come to an end.
The underlying disease or condition will be the cause of my death,
not the fact of withholding or withdrawing food and water.

    16. I affirm my right to die in all three forms:
voluntary death, assisted voluntary death, & merciful death.
Since I wish to donate my body to medical science and education,
my death will best be coordinated with the medical institution
that has agreed in advance to accept my remains
for my reusable organs and/or for use as a living cadaver.

    17. I request a peaceful and painless death
once my life as a person is over.
I define personhood by consciousness, memory, language, & autonomy.
My Medical Care Decisions Committee
will draw upon my own criteria as presented in my essay
"When is a Person? Pre-Persons and Former Persons" .

    18. I am the founder and first member of the One-Month-Less Club.
This means that I will live well now
so that I can omit the last month of life,
which would otherwise probably be a meaningless month
in a medical facility in any case.

    19. My preferred definition of death for me
is permanent unconsciousness.
When I am in a persistent vegetative state
or when I am in a coma from which I will never awaken,
then I should be declared dead.
This will facilitate the re-use of my body
for organ donation and/or as a living cadaver.

    20. I wish to donate all of my body for the benefit of others
after I am finished with it.
I am pleased to consider the possibility
that some of my organs and tissues
will be just as useful to others as they have been to me.

    21. After I am finished with my body,
I wish to donate it for all possible uses
in medical science and education.
This includes using my body as a living cadaver 
for scientific research and the education of doctors and nurses.
In making this unusual anatomical gift,
I realize that we are going beyond traditional medical practice.

    22. After my remains have been put to the best uses possible,
the remains of my remains should be cremated
by the medical institutions involved
and buried by my Medical Care Decisions Committee.
This final disposition of my remains
could take place as much as a year after my death.

    23. Since I do not believe I have an immortal soul,
I believe that my life as a person of spirit
is limited to the period while I am still alive in body and mind.
When my life as a person is over,
that is the best time for me to die.

    24. I am philosophically and spiritually ready to die.
But I will do my best to continue a meaningful life as long as possible.
I put my most important projects first,
so that when it comes time for me to die,
the things left undone will be projects I regard as less important.


revised 3-2-2020;

Go to the complete version of this Advance Directive .
Each of the 24 points above is explained in one or two pages.


Go to the Advance Directive Portal.


Go to the Bibliography reviewing Books on Advance Directives
The last book in this bibliography is:
Your Last Year:
Creating Your Own Advance Directive for Medical Care

by James Park


Go to the Medical Ethics index page


Go to the beginning of this website
James Leonard Park—Free Library