Death With Dignity: Ultimately, It’s About Who Controls Death

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“Let terminally-ill patients choose what’s best for them,” says Robert Orfali, author of the Kirkus-starred book Death with Dignity. Available in paperback and e-book, the book provides an in-depth look at how we die in America today: it covers “the good, the bad, and the ugly.” Priced at only $0.99, the e-book is almost free.

It is the eyes-wide-open look at how life ends that makes it required reading for anyone who plans to die in the United States.
— Foreword Five-Star Review

In the age of chronic disease, most deaths are medically managed. Doctors are already in the business of shortening life. For example, they pull the plug or they perform palliative sedation. Most patients thank them for their help. A peaceful death, by whatever means, has become an integral part of medicine. According to Death with Dignity author Robert Orfali, “The repertoire of palliative choices must be extended to include death by self-sedation.” Why? Because the timing of death can be controlled by the patient; not the physician. For some it provides peace of mind: it’s like insurance. For others it provides optimum relief from terminal pain. With appropriate safeguards, the Rx is prescribed by a physician. So patients still need their help. As Orfali puts it, “Medically-assisted death, by whatever method, is palliative treatment—let patients choose what’s best for them.”
Robert Orfali’s book Death with Dignity: The Case for Legalizing Physician-Assisted Dying and Euthanasia is an in-depth exploration of the shortcomings of our end-of-life system. The reader will learn about terminal torture in hospital ICUs and about the alternatives: hospice and palliative care. With laser-sharp focus, Orfali scrutinizes the good, the bad, and the ugly. He provides an insightful critique of the practice of palliative sedation. The book makes a strong case that assisted dying complements hospice. Oregon, by providing both, now has the best palliative-care system in America. 
“Because Death with Dignity is comprehensive, objective, and well documented, it belongs on every public library shelf. Because it avoids hyperbole, it is essential reading for those on either side of the issue. Because it is honest and compassionate, it is a must read for anyone who wants to understand this challenging issue.... But it is the eyes-wide-open look at how life ends that makes it required reading for anyone who plans to die in the United States."
                                       — Foreword Clarion Five-Star Review (August, 2011)
Robert Orfali, the guru of client/server systems in the early days of Silicon Valley, co-authored three best-selling books that demystified the complexity of these mission-critical systems and made them understandable to a whole new generation of programmers. The books sold over a million copies. In this book, Robert uses his analytical skills to deconstruct the most complex system he has yet encountered: our modern end-of-life system. He wrote this book after helping his soulmate and coauthor, Jeri, navigate her death from ovarian cancer in 2009. The deep emotions Robert felt allowed him to look at how we die from a different perspective, another angle. Robert also wrote Grieving a Soulmate
Paperback: 254 pages
Publisher: Mill City Press, Inc. 
Publication date: April 15, 2011
ISBN-10: 1936780186
ISBN-13: 978-1936780181
Paperback list price: $14.95
E-book list price: only $ 0.99 “almost free.”

Book and e-book available from Amazon, Barnes and Noble, Apple Store, and others.
E-book formats include Kindle, iPad, iPhone, Nook, Android, and others.
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