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Details on "Advance Health Care Directive"

    M ezekiel3 posted Thu, 30 Dec 2004 11:00:00 GMT(12/30/2004)

    Post 406 of 1238
    Joined 5/3/2004

    The ?Blood Card? and DPA have been combined into one document that folds into a business card size. (Unfolded it measures 6.75 x 8.5 inches / 17 x 21.5 cm.) This document is called the ?Advance Health Care Directive? (AHCD). It still features the iconic NO BLOOD with the red circle/bar around a blood dispenser. It is designed to be carried on your person, although copies should be made for various persons, including your ?health-care agent? (the person you authorize to make medical decisions for you if you are incapacitated), your doctor, and the congregation secretary (not required, but recommended).

    One of the reasons for the AHCD is that it has been recognized that not all (most?) JWs have not been completing the DPA document, and instead relying on the classic blood card. By combining the two, the WTS can provide complete legal protection for refusal of blood.

    Each state of the USA will have its own custom tailored AHCD to conform to state laws.

    Another feature of the AHCD is the multiple choice options based on the recent understanding of blood ?parts.? The following is quoted from the AHCD (the bold is part of the original text):

    2. I am one of Jehovah?s Witnesses, and I direct that NO TRANSFUSIONS of whole blood, red cells, white cells, platelets, or plasma be given me under any circumstances, even if health-care providers believe that such are necessary to preserve my life. I refuse to predonate and store my blood for later infusion.

    3. Regarding minor fractions of blood: [Initial those that apply] a) ____ I REFUSE ALL (b) ____I REFUSE ALL EXCEPT:_____ (c) I may be willing to accept some minor blood fractions, but the details will have to be discussed with me if I am conscious or with my health-care agent in case of my incapacity.

    4. Regarding medical procedures involving the use of my own blood, except diagnostic procedures, such as blood samples for testing: [initial those that apply] a) ____ I REFUSE ALL (b) ____ I REFUSE ALL EXCEPT:_____ (c) I may be willing to accept certain medical procedures involving my blood, but the details will have to be discussed with me if I am conscious or with my health-care agent in case of my incapacity.

    A ?Health-Care Agent,? and ?Alternate Health-Care Agent? and two witnesses (in the legal sense, that is) are required to sign as well as the cardholder. It was stated that the health-care agent is not liable legally or for costs arising from the situation.

    The AHCD is valid indefinitely, although any changes to the document require new signatures. The old ?Identity Card? used by un-baptized minors is still to be used. Non-JWs may copy the document for themselves but are not to use the official AHCD.

    JWs are currently instructed not to complete, or even fold the AHCD (this is because you need to copy the card, and Big Brother is afraid of creases). The book study overseers will have further instructions at a later time. No doubt, this provision will also ensure compliance. Until this happens JWs are encouraged to research recent Watchtower and Awake! articles dealing with blood so as to complete the AHCD with a Bible-trained conscience.

    IMO most JWs will sign off ?I REFUSE ALL.? This thinking was re-enforced by a very strong talk immediately after the introduction of the AHCD entitled ?The Role of Your Conscience.? During this talk the classic double-edge reasoning was given, essentially: JWs live by principles, but if anyone else is offended, we live by their principles. The WTS is clearly speaking out of both sides of its mouth when it comes to blood and conscience.

    Reference for review: Watchtower 6/15/00, 10/15/00; Awake! 1/8/00, 10/22/91.

    Gill posted Thu, 30 Dec 2004 11:06:00 GMT(12/30/2004)

    Post 233 of 6034
    Joined 11/4/2004

    Going by ones conscience is a stupid way to make decisions. The most intelligent and educated witnesses will understand that they can take many of the 'lifesaving' options now available. The majority, uneducated and unfortunately dumb-ass, because of borg anti-education instructions, will refuse anything and everything and think they're being clever following their uneducated consciences.

    Sad!

    CaptK posted Thu, 30 Dec 2004 15:12:00 GMT(12/30/2004)

    Post 19 of 36
    Joined 8/22/2003

    Can someone re-post the new Blood Card or the Advance care directive so that I can print this out on my printer. I would like to have this but it cuts off at the end of the page. Thanks

    Mark posted Thu, 30 Dec 2004 19:55:00 GMT(12/30/2004)

    Post 13 of 22
    Joined 2/24/2004

    A letter was sent to all congregations in my state (the whole of the US?) asking the secretary to

    destroy the instructions for filling out the DPA/blood card. These instructions, which were to

    be distributed together with the DPA/blood card to each baptized publisher, had arrived to the

    congregation only a couple of weeks before. Now, how's that for tacking in the wind?

    The letter also included a modification to the written outline for the talk in the service meeting.

    It said that those who thought their wishes regarding medical treatment were not represented

    by either of the three options (a) - (c) in sections 3 and 4, would have other options

    available in a document to be added to the DPA/blood card. The letter did not elaborate

    on the details, and asked that no DPA/blood card should be completed until we

    receive further information from 'mother'.

    There really seems to be a power struggle among the Bether four star generals.

    Mark.

    M AK - Jeff posted Thu, 30 Dec 2004 20:34:00 GMT(12/30/2004)

    Post 209 of 10727
    Joined 11/19/2004

    Can you imagine what could be done to protect future rape-victim-children in the pedophile jungle of some congregations, if even a fraction of the effort that goes into these rubber-stamp no-blood efforts went into informative and honest proceedure for the pedophile issues?

    I know it is not going to happen - but still.

    Just my Opinion

    Jeff

    Greenpalmtreestillmine posted Thu, 30 Dec 2004 20:42:00 GMT(12/30/2004)

    Post 290 of 421
    Joined 1/3/2001

    Jeff,

    So true, So true!

    Their priorities are with pharisaical law making not safeguarding the sheep.

    Sabrina

    M ezekiel3 posted Fri, 31 Dec 2004 01:28:00 GMT(12/31/2004)

    Post 408 of 1238
    Joined 5/3/2004
    The letter also included a modification to the written outline for the talk in the service meeting. It said that those who thought their wishes regarding medical treatment were not represented by either of the three options (a) - (c) in sections 3 and 4, would have other options available in a document to be added to the DPA/blood card.

    Thank you for adding this, I failed to mention it myself. This was also mentioned during our meeting.

    Your take on the "generals" is interesting. It does seem that the issue of the AHCD has been clumsy at least.

    M Euphemism posted Fri, 31 Dec 2004 01:59:00 GMT(12/31/2004)

    Post 2196 of 2734
    Joined 3/10/2003
    IMO most JWs will sign off ?I REFUSE ALL.?

    Could be... I think it depends a lot on the culture of the local congregations. In one congregation I was in, the Secretary pretty much told everyone from the platform to accept all the fractions the Society allowed. Other dubs I spoke with, generally speaking, were also inclined to take as much leeway as the Society would give.

    M FairMind posted Fri, 31 Dec 2004 15:53:00 GMT(12/31/2004)

    Post 177 of 1437
    Joined 11/28/2003

    We had the same (of course) information presented last night. Probably the choice that should have been but was not clearly indicated in sections (3) and (4) was ?I accept all?. I plan to check ?I will accept all but? and then scratch out the word ?but?. It certainly seemed to me that the push was for everyone to exercise their Watchtower trained conscience and refuse all blood, fractions or otherwise. I don?t think it is a good idea to give a copy of one?s DPA to the congregation Secretary, as we never know how this can be used.

    FM

    M BluesBrother posted Fri, 31 Dec 2004 19:27:00 GMT(12/31/2004)

    Post 1850 of 8449
    Joined 10/29/2001

    I plan to accept a blank card/directive, out of interest, but I would not complete it . One of the first things I did when I stopped practicing the faith was to discard the blood card and my field service ID card

    Very interesting . It will force the dubs to think about what they are doing. The ones close enough to me to talk to have had an ostrich like mentality , carrying the card but thinking no further and hoping it will never happen . Now it seems they will have to make a decision.

    I can imagine them asking "What should I put, Brother?" reply" it is up to you, but if you get it wrong then you may displease Jehovah"

    next question" What is a big fraction and what is a small fraction?" answer " The Society have not said, that is up to your conscience"

    question "So how can I decide?", frustrated answer "perhaps you should pray about it"

    M Neo posted Fri, 31 Dec 2004 22:40:00 GMT(12/31/2004)

    Post 135 of 584
    Joined 3/21/2004

    ezekiel3 and others,

    If any of you can get a scan of the AHCD, it would be great, since most people are just familiarized with the old cards.

    There's a funny thing about it: many higher-ups, including bethelites, forget to take the "blood card" with them!

    observer posted Tue, 04 Jan 2005 07:24:00 GMT(1/4/2005)

    Post 10 of 51
    Joined 2/11/2004

    >>..and asked that no DPA/blood card should be completed until we receive further information from 'mother'. >>

    Is there anything new about this?

    F JustTickledPink posted Tue, 04 Jan 2005 14:44:00 GMT(1/4/2005)

    Post 282 of 1008
    Joined 12/2/2004

    I always thought the blood card was so stupid. Sorry, but it is. Always planning on that terrible accident that will be life threatning, but also planning that this world is ending and everything in it, why not just have faith in armeggedon and leave it up to the individual if something happens?

    M undercover posted Thu, 06 Jan 2005 13:49:00 GMT(1/6/2005)

    Post 1726 of 13134
    Joined 9/25/2002

    bttt

    Today's Thursday, service meeting day for the majority of congregations in the US. Maybe someone could go that's not all the way out and take good notes on the talk and get a copy of the card and report in detail what happens.

    TheListener posted Thu, 06 Jan 2005 18:02:00 GMT(1/6/2005)

    Post 16 of 2765
    Joined 12/17/2004

    I have the instructions. They say "REVISED" in big bold letters across the top of the page.

    It appears that for point 3, which addresses the use of minor fractions of blood in your treatment there is a note added:

    NOTE: If the options in point 3 do not represent your choices, use point 6 (blank lines) to express your wishes, such as: "I accept all minor fractions of blood" or "I accept all minor fractions of blood except:," and then itemize only the fractions you reject. After the sentence in point 3 that reads "Regarding minor fractions of blood: [initial those that apply]," you may write "see point 6 below."

    Also,

    It appears that for point 4 which addresses medical procedures involving the use of your own blood that may temporarily leave your body there is also a note added:

    NOTE: If the options in point 4 do not represent your choices, use point 6 (blank lines) to express your wishes, such as: "during the course of a surgical operation, I acceptall medical procedures involving the use of my own blood" or "during the course of a surgical operation, I accept all medical procedures involving the use of my own blood except:," and then itemize only the medical procedures you reject. After the sentence in point 4 that reads "Regarding medical procedures involving the use of my own blood, except diagnostic procedures, such as blood samples for testing: [initial those that apply]," you may write "see point 6 below."

    I hope this helps.

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