Quiz: Have you protected your hospital rights?

Quiz: Have you protected your hospital rights?

1. Have you asked your doctor or lawyer for information and blank forms? (You can also find blank forms on the web.)
2. Do you know who you want to make health care decisions for you, and what general kinds of treatment you want (especially regarding end-of-life care)?
3. Did you tell your chosen proxy about your wishes?
4. Did you complete all the important forms?
5. Do your primary care doctor and your chosen proxy have official copies of your health care documents? 

If you've done it all, congratulations!  Click here to encourage people you know to protect their rights.

What are your rights?

Every American has the right to decide how to handle their emergency and end of life care. Our society values caretaking and autonomy; it is a moral imperative to protect these ideals in our health care law. The federal Patient Self Determination Act (PSDA) requires all Medicaid and Medicare providers (nearly every hospital, nursing home, hospice program, home health agency, and HMO) to educate adult patients, at the time of in-patient admission or enrollment, about their rights under state laws governing advance directives. However, hospitals and doctors rarely educate patients about their options.

If an incapacitated patient has not completely documented his or her wishes, hospitals follow state laws about who can make health care decisions for the patient.  Many states rank potential decision makers and mandate that hospitals follow this priority order. In most states, a domestic partner or close friend is last on the list of potential proxies.  In some states, domestic partners and close friends are not on the list at all.

Don’t let the state pick who will make decisions about your medical treatment. Complete your documents today!

Still don't want to deal with the paperwork?  If you don't have an advance directive, and you happen to be hospitalized in any of the states shown in RED, doctors can only consult people related to you by blood, adoption or marriage (in VT, NJ, CT, and WA, doctors can also consult registered civil union/domestic partners). And if you don't have an advance directive in NY or MO, doctors are not legally authorized consult anyone untill they believe it is time to "pull the plug."

Before you take steps to ensure your end-of-life care you should be familiar with the current terminology. The rhetoric used to describe the same documents varies from website to website and from state to state. Use this list of terms as a checklist: 

• Advance Directive (also known as “health care directive”): a pair of documents (durable power of attorney and living will) stating your wishes for medical care as well as whom you designate to make health care decisions for you when you become incapacitated.
• Living Will: a contract between you and your doctor expressing your wishes for medical care should you become incapacitated. Also, your doctor must honor this document should you transfer medical facilities while incapacitated.
• Durable Power of Attorney for Health Care: in this document you appoint the person you choose to make medical decisions on your behalf when you become incapacitated. The person whom you designate to speak for you is referred to as your “proxy”, or “attorney-in-fact”, or “agent” depending on what state you live in.
• Hospital Visitation Form: this form is usually not included in an advance directive. However, this form is crucial because it specifies who you wish to visit you while you’re in the hospital or if you become incapacitated. Be sure to request this form from your lawyer or search for it separately online because a health care proxy is not guaranteed visitation and neither is anyone who is not related to you by blood or marriage.
• Other Names Used for Advance Directives: Medical Directive, Directive to Physicians, Declaration Regarding Health Care, Designation of Health Care Surrogate or Patient Advocate Designation

How to Take Action
You can do this, and you can do it today! Read about other people who did it.

The documents are straightforward and do not require a lawyer to fill out. Several websites provide explanations and copies of forms. We like the format at Caring Connections.

If your state does not have a specific visitation form, you can write a simple one yourself, based on this sample.

If you live in New York, please take a moment to tell your elected officials to support the Family Health Care Decisions Act!