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For your signature.....
1. I, _________________________ (fill in the blank), being of sound mind
and body, do not wish to be kept alive indefinitely by any artificial means.
2. Under no circumstances should my fate be put in the hands of peckerhead
politicians who couldn't pass ninth-grade biology if their lives depended on it.
3. If a reasonable amount of time passes and I fail to sit up and ask for a
cold beer/beverage of choice, it should be presumed that I won't do so ever again. When such
a determination is reached, I hereby instruct my care givers, spouse, children
and attending physicians to Pull the plug, Shut down the power,
Reel in the tubes and call it a day.
4. Under no circumstances shall the members of the County, State or Federal
Legislature enact a special law to keep me on life-support machinery.
5. It is my wish that these boneheads mind their own damn business, and pay
attention instead to the health, education and future of the 40 million Americans
who don't have any health insurance and aren't in a permanent coma and who
nonetheless may be in need of nourishment.
6. Under no circumstances shall any politicians butt into this case. I don't
care how many religious right, born again, fundamentalist votes they're
trying to scrounge up for their 2008 presidential campaign, it is my wish
that they play politics with someone else's life and leave me alone to die
in peace.
7. I couldn't care less if a hundred pro life zealots send e-mails to
legislators in which they pretend to care about me. I don't know these
people, and I certainly haven't authorized them to preach and/or crusade
on my behalf.
8. If any of my family goes against my wishes and turns my case into a
political cause, I hereby promise to come back from
the grave and make his or her existence a living hell.
Signed:_________________________
Date:__________________________
Witness:________________________
Beer/Beverage Preference:__________________
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