Category Archives: End-of-life issues

Inheritance tax? LOL!

Friday, 22 March 2013

Old lady

 

Richard Rawlinson casts a jaded, end-of-life eye over this week’s Budget.

Boy George Osborne’s Budget did nothing to address the 40% IHT that clobbers so many after a death in the family.

There’s nowt to be done about the ridiculous significance of seven years but here are seven tips to avoid IHT:

1 Make your will sooner rather than later as there are exemptions available if they’re set in motion seven years before death. If you die intestate, you have no control over how your assets are distributed.

2 Gifts made seven years before death are free of IHT. However, if you reserve any benefit from a gift – such as continuing to live in a house you have given away – then HMRC may apply ‘gift with reservation’ rules to impose tax as if the transfer had never happened.

3 If you cannot afford to give large lump sums away, it makes sense to use smaller opportunities on a regular basis – such as the £3,000 per person annual allowance for gifts. There is also an allowance for each parent to give each child up to £5,000 to when they marry.

4 Family trusts can be set up to enable assets up to the IHT threshold to be sheltered from tax, so long as the donor survives seven years. Unlike outright gifts, these trusts let donors retain control of the assets, just in case your beneficiary has a penchant for fast cars, fast women and cocaine. 

5 On a sober note, where injuries suffered during military service are a contributory factor in anybody’s death, then that person’s estate may become entirely IHT-free. 

6 Some tax shelters cease to be effective after death. ISAs are popular ways of avoiding tax on income but they confer no protection against IHT. 

7 If retired overseas, one definition of domicile is the country in which you intend to be buried. If you are domiciled overseas, then only assets based in Britain will be subject to IHT, whereas IHT would cover your worldwide assets if you remained domiciled in Britain.

+3
0
  

Cancer pain is uncontrolled in most of the world

Monday, 4 March 2013

Fergus-Ewing-visits-Glasg-006

 

To state the obvious: 1) most advanced cancer patients have pain, and 2) we have excellent pain medications which can effectively treat more than 90% of cancer pain. Therefore, most patients with cancer receive proper prescriptions for pain.  Obvious, yes?  True? No.

In Europe, Australia and North America narcotic analgesics are widely available, and frequently prescribed.  While there is access, many patients, particularly those in certain groups such as seniors and those with limited financial means, often receive insufficient doses and amounts, which only superficially address pain needs. Nonetheless, this partial success means that high income Countries use up to 95% of the world supply of morphine. 

Tragically, the remaining world population has its pain treated with the remaining 5%.

India is the world’s largest manufacturer of morphine, but the drug is almost unavailable in that country.  In much of the world archaic poorly designed laws designed to limit abuse fail to achieve that goal but instead limit access for patients in critical need.

The vast majority of narcotics prescribed to treat pain are not diverted from their therapeutic goal and do not contribute to dependence or addiction. On the other hand, ineffective, poorly designed efforts in global drug trafficking wars markedly reduce access for most patients, with cancer patients collateral victims of friendly fire.  This is a global problem and will require a world effort to stop the agony.

Read the whole article here

+1
0
  

Why doctors say no

Wednesday, 27 February 2013

CPR

 

Physicians see and treat patients who have undergone CPR. Those patients are usually paralyzed, swollen with fluid, and unconscious. Upon witnessing that, physicians might wonder what the differences are between “living” and “existing”.

This could explain why their end-of-life care preferences differ from that of the general public.

Source

 

+2
0
  

Why doctors can’t talk about death

Tuesday, 26 February 2013

fortean_times_6142_7

 

“Psychoanalysts believe that emotional trauma in human life is because man is not really a god and is something more than just an animal. He is a demi-god and being a demi-god is hard.  He can create and appreciate goodness, enjoy the wonder and awe of each day; teach, learn, and dream, but at the same time, he can see into the future and knows his fate.  His mind can conceive flying through the air, staying awake for days or living to be 10,000, but he is denied by the limitations of his flesh.  This results in life long stress and in order to cope man uses various psychological strategies, including repression and denial, to focus on each day and each moment and not go truly mad.

When someone becomes ill with a life threatening illness such as cancer, their ability to deny the animal part of their existence may collapse.  Suddenly they are less god than ailing beast. This can cause terrible anxiety, confusion and depression, as their personality is threatened by physical deterioration and critical coping mechanisms fail.  At these critical times, the support of a physician who understands the core balance of the human condition can be most valuable.

“However, it seems to me that doctors do not talk about death to their patients, not because they do not care, but because doctors do not know how to deal with the god, they only understand the animal.”

Source

+3
0
  

Afore ye go

Tuesday, 26 February 2013

RMN

 

We think you’ll agree with us that RecordMeNow.org is a Very Good Thing.

It’s downloadable software that enables you, using the little camera in your computer screen, to record your thoughts about your life, and other things besides, for your children, partner, family, you name it.

The creators especially had children in mind, because children can go through life with all sorts of unresolved questions about a dead parent — the sorts of questions which never go away and prevent them from living fully. One child said:

“Particularly after long illness followed by such family sadness, I had significant feelings of guilt about feeling happy in later life. Permission from him directly would have been really good.”

Another said:

“I felt that without my mum’s advice, we were somehow betraying her by accepting future relationships especially when dad found a future wife years later.”

Another said:

“I just want to see and hear her say she loves me, once more.”

So the RecordMeNow researchers interviewed more than 100 volunteers who had lost one or both parents before the age of 16:

They were asked a series of questions regarding their loss, their prior knowledge and their subsequent educational, social  and professional development. They were also asked what questions they wished they could have had answered about or by the parent who died. 

Using the RecordMeNow app, you work your way through these questions and create a DVD. 

RecordMeNow is a nonprofit founded by some incredibly nice, bright people. Do check it out. 

 

 

+4
0
  

Positively the end

Wednesday, 13 February 2013

home-advance-directive

 

“Most of us do not want to talk about [drawing up an advance directive]. Is it up to our doctors to bring this up only in a crisis situation? Shouldn’t we be informed about our health care options, even when healthy, and especially when we have a chronic or terminal illness, and to discuss these with our doctors and family?

“My hope is that we can overcome our fears of losing loved ones, and of them losing us. These conversations can be the best gift of love we can provide to those who are close to us.

“My goal is to read my advance directive on my birthday as a celebration of life, of my taking responsibility for myself and not leaving it to others.

“There is no right or wrong answer here. You make your choice, I have made mine.”

Full article here

+7
0
  

The race grows sweeter

Tuesday, 12 February 2013

Posted by Vale

Here on the blog we often rail against society’s thoughtless pursuit of longevity. Rightly so – it is cowardice not kindness that endorses the suffering that medicine – seemingly without reflection or conscience – prolongs.

But it’s important to remind ourselves that it isn’t always so; that old age can bring wisdom and unlooked for joys as well.

In the New York Times recently, in piece called The Race Grows Sweeter Near Its Final Lap, Eve Pell tells the story of the love she found. She writes:

Old love is different. In our 70s and 80s, we had been through enough of life’s ups and downs to know who we were, and we had learned to compromise. We knew something about death because we had seen loved ones die. The finish line was drawing closer. Why not have one last blossoming of the heart?

I was no longer so pretty, but I was not so neurotic either. I had survived loss and mistakes and ill-considered decisions; if this relationship failed, I’d survive that too. And unlike other men I’d been with, Sam was a grown-up, unafraid of intimacy, who joyfully explored what life had to offer. We followed our hearts and gambled, and for a few years we had a bit of heaven on earth.

Not only was I happy during my short years with Sam, I knew I was happy. I had one of the most precious blessings available to human beings — real love. I went for it and found it.

It’s a moving story of love and age and I defy you read to the end without a tear in your eye. Read it here

+8
0
  

Go gentle

Thursday, 24 January 2013

ICU

 

Years ago, Charlie, a highly respected orthopedist and a mentor of mine, found a lump in his stomach. He had a surgeon explore the area, and the diagnosis was pancreatic cancer. This surgeon was one of the best in the country … Charlie was uninterested. He went home the next day, closed his practice, and never set foot in a hospital again. He focused on spending time with family and feeling as good as possible. Several months later, he died at home. He got no chemotherapy, radiation, or surgical treatment.

If this is how doctors choose to die, why do they go to such lengths to provide ‘futile care’ for their patients? 

Find out in this fascinating and important article in Zocalo.

Hat-tip to Rupee

 

+3
0
  

Good question, Poppy

Tuesday, 22 January 2013

Pops

 

In 2010/11, 40,000 women attended NCT antenatal classes. This is on top of regular meetings with midwives and GPs. Mumsnet gets 50 million page views per month. We clearly want information badly.

So why do we prepare ourselves for birth and death so differently?

Read the whole of Poppy Mardall’s article in the Huffington Post here

Well done, Poppy, for getting the message out!

 

+9
0
  

An Experiential Enquiry into Death & Dying

Tuesday, 15 January 2013

Experiential retreat run by The Sammasati Project: An Experiential Enquiry into Death & Dying — 6-10 March 2013

An intense and tender process, this workshop provides an opportunity to gather the experience, knowledge, and skills needed to prepare for our own dying. Not only will this impact how we face our own death but how we live, post-workshop, too. It allows us to experience some of the many issues which confront a person when they realise that they will soon die such as fear, shock, guilt, grief, anger, regrets, pain, loss of control, completing relationships, changing perceptions, insights, relaxation, spiritual understandings and many more. 

This experiential understanding in turn will help us to be of greater support to others in their dying process whether they are family, friends or in a professional environment if we are in the health or caring sector. It is the first module of the Sammasati Support–Person Training, which can be continued in April at the same venue.

This workshop is in the form of a retreat and will include an exploration of the mystic Osho’s vision of dying consciously and joyfully. We will experiment with a range of meditative methods, and gain an experiential understanding of the transition called dying and the practice of the bardo.

The process can provide a greater appreciation of life, of the profundity of death, and of the pivotal role of meditation throughout.

Doctor and author Michael Murphy suggests, ‘If there is no training, and [support people] have not taken conscious heed of their own loneliness and disconnection, no wonder that there is bluster and fear [about dying]. Since dying involves body, soul, and spirit… lectures or instruction manuals are inadequate since feelings are very much involved. In order to be a truly competent guide, [the support person’s] training needs to be very personal, helping him to imagine his own dying and the dying of those he loves. Only then will he be in a more comfortable position to help others, since he himself will be able to become more a witness and guide…(The Wisdom of Dying: Practices for Living).

Read some testimonials from previous participants of this workshop on http://www.maneeshajames.com/testimonials.htm and watch the video testimonials at http://bit.ly/VENer0

Cost: 
£595 – includes accommodation and food
£545 – early bird price if paid in full before 17 January 2013

Venue: Monkton Wyld Court, Bridport, Dorset DT6 6DQ

Date: 6 March at 18:00 until 10 March at 18:00

The course will be facilitated by Maneesha James and Sudheer Niet who both have extensive experience in facilitating and teaching meditation; relating or ‘being with’ skills; supporting others in the dying process and a background in nursing.

Note that, as for those wishing to participate in the entire Training, an interview with Maneesha is a pre-requisite.

Please see our Training page at www.thesammasatiproject.co.uk for more information and contact details.

Links to the retreat are also: 

https://www.facebook.com/events/569293513086711/ 

http://www.iluna.co.uk/eventdetail/13210/an-experiential-enquiry-into-death-dying.html

 

 

+2
-2
  
Page 1 of 512345