Prominent Oncologist’s Death Wish at Age 75

Published in Pawtucket Times, December 12, 2014

Dr. Ezekiel Emanuel, MD, Ph.D., a nationally-recognized oncologist and bioethicist, definitely marches to a different drummer.  While millions of older Americans pop Vitamins and supplements like M&M Candy, regularly exercise at their local gym, religiously jog and carefully watch what they eat to increase their life span, the chair of medical bioethics and health policy at the University of Pennsylvania, says living past the ripe old age of 75 is not on his bucket list.  We would be doing both society and our loved ones a favor by agreeing with this belief, he says.

When I am 75…

Why not age 80 or even 85?  Emanuel admits that his 75th birthday day was just a randomly chosen number, but the year was selected because scientific studies indicate that increases in physical and mental disability occur around this age, as well as a decline in both creativity and productivity.

The renowned 57-year old breast oncologist is at the top of his professional game.  Emanuel has received dozens of awards from organizations such as the National Institutes of Health and the American Cancer Society, including being elected to the Institute of Medicine (IOM) of the National Academy of Science, the Association of American Physicians, and the Royal College of Medicine (UK). Hippocrates Magazine even selected him as Doctor of the Year in Ethics.

Emanuel is a prolific writer, editing 9 books and penning over 200 scientific articles. He is currently a columnist for the New York Times and appears regularly on television shows including Morning Joe and Hardball with Chris Matthews.  .

The prominent physician, is also considered a key designer of the Affordable Care Act (commonly called Obamacare).  At a personal level, he has two well-known brothers, Chicago mayor Rahm Emanuel, former White House chief of staff, and Hollywood agent Ari Emanuel.

With this prominence, Emanuel’s death wish to die at 75, (the year 2032) before the onset of Alzheimer’s disease and other dementias, and decreased physical stamina (it’s harder to walk a quarter of a mile, even to climb 10 stairs) is drawing the ire of critics who charge that he advocates for health care rationing and legalized euthanasia.

But Emanuel claims that these charges are not true.  Setting his death at 75 is just his personal preference, he says, leaving his mortal coil. In his writings and media interviews he notes that setting the age when he hopes to die just drives his daughters and brothers crazy.

Last October, at the BBC Future’s World-Changing Ideas Summit in Manhattan, Emanuel’s prop, a full-page AARP ad from a newspaper, featuring an older couple hiking above a line of text that read, “When the view goes on forever, I feel like I can, too. Go long.”  Reinforcing his point, Emanuel is not buying AARP’s message pushing the positives of living an extended life.  For him, he doesn’t buy it and most definitely, seventy is not the new 50.

Sharing a Death Wish on the Air Ways

On Dec. 7, on CBC Radio Canada’s Sunday Edition, Emanuel, discussed his controversial October 21, 2014 article published in the The Atlantic, “Why I Hope to Die at 75.”  His Sunday interview detailed his unconventional and controversial stance, especially to AARP, the nation’s largest aging advocacy group, and aging organizations who strongly oppose this type of thinking.

Throughout the 28.12 minute interview with Michael Enright, Emanuel, he warns listeners, “Don’t focus on years, and focus on quality.”

“A good life is not just about stacking up the years and living as long as possible. People need to focus on quality of life,” says Emanuel, noting that “Setting an actual date for a good time to die helps you focus on what is important in your life.”

“It is really about what you are doing to contributing and enriching the world.  I want people to stop focusing on just more years, focusing on quality,” he says.

Emanuel says that you need to be realistic on living forever, your body and mind doesn’t  go on forever.  You should just be satisfied with living a complete life, he says.

By age 75, people will have gone through all stages of life, says Emanuel.  As a child you begin to develop skills and figuring out your place in the world. You go to college, raise a family, work to hone your skills and talents. At the later stages of your life you give advice and mentor people, he says, noting that in your mid-seventies, physical deterioration and mental slowing along with loss of creativity, begin to be felt.

During his radio interview, Emanuel claimed he is very active, recently climbing Mount Kilimanjaro with is two nephews, stressing that he is in relatively good health and doesn’t have a terminal illness and has no plans to commit suicide.   As a matter of fact, the physician even condemned physician-assisted suicide and euthanasia, in a 1997 article published in The Atlantic, a policy allowed in the states of Oregon, Vermont and Washington.  His philosophical view of ending one’s life is to allow the body to age naturally, he stresses.

In eighteen years, Emanuel pledges to refuse all medical procedures and treatments, including taking medications such as statins, cholesterol lowing drugs, and antibiotics that could prevent life-threatening illnesses or extend his life.  He notes that his last colonoscopy will be at 65, to screen for cancer.  No more colonoscopies after 75.  And, he’ll only accept palliative care after that milestone age, too.

“I’m not suggesting people kill themselves at 75 but, rather, let nature take its course,” Emanuel says.

How Others See it

Emanuel’s personal preference not to seek medical procedures or to use medications at age 75 that might lead to his death is not the same as physician assisted suicide, says Rev. Christopher M. Mahar, S.T.L., of the Providence Catholic Diocese, noting that this choice has always been respected by the Catholic Church.

“He is not actively choosing to take his life, and as long as he is not rejecting any of the ordinary means necessary for the preservation of life, such as nutrition and hydration, and is not intentionally destroying his body, he is free to decide for himself, says Mahar.

As Emanuel says, there is a downside to aging.  My 88-year-old mother died after a 14 year battle with Alzheimer’s disease.  At age 89, my father, whose quality of life declined over his later years, died suddenly, by having a pulmonary embolism.

For me, 89 is the year I choose to meet my maker, hanging up my spurs.  Yes, I will let nature take its course, but I will most continue to take Vitamins and antibiotics, even my Lisinopril, for high blood pressure.  I will not turn my back on medical procedures or technology that might enhance the quality of my life, even lengthen it.

I agree with the statement of late Actress Betty Davis stated, “Old age ain’t no place for sissies.”   There is no alternatives, you can only hope for nature to ultimately take its course, and it will.  And so, we all are inclined to pick our own magic number.

Herb Weiss, LRI ’12, is a Pawtucket writer who covers aging, health care and medical issues.

Pawtucket Hall of Fame Names Nesselbush As “Person of the Year”

Published in Pawtucket Times, September 27, 2014

Three City residents, Joan Crawley, former Director of the Pawtucket Leon Mathieu Senior Center, the late Kathleen Magill, a former Pawtucket City Councilor, and Miriam R. Plitt, President of the City’s Commission on Arts & Culture, will be inducted next month into the Pawtucket Hall of Fame. Philanthropist Elizabeth Higginson Weeden is this year’s historical inductee. All have made a significant impact on the City of Pawtucket.

Pawtucket dignitaries will induct this year’s Class of 2014 into the City’s most venerable institution, the Pawtucket Hall of Fame, at the upcoming 23rd annual dinner and induction ceremony. The Pawtucket Hall of Fame was founded in 1986 to commemorate the 100th anniversary of the founding of the City of Pawtucket.

Interestingly, this year there will be a new twist in the Hall of Fame in that the induction committee has created a new category of inductee: the Pawtucket Person of the Year! “We’re excited about our new “Person of the Year” Award being given this year,” says Chair Ken McGill, noting that this prestigious accolade honors a person who has made a unique and superlative accomplishment that significantly benefits the entire City.

“Senator Donna Nesselbush will receive the distinct honor of being the first person ever to receive this recognition,” said McGill, who also serves as Pawtucket’s Registrar in the Board of Canvassers. McGill added, the Pawtucket Senator successfully advocated for civil rights for all Rhode Islanders when she championed the Senate Marriage Equality bill. This historic legislative proposal was passed (along with the House companion measure) and signed into law by Governor Lincoln Chaffee.

Over the years, Nesselbush also worked to help victims of domestic violence, the homeless, the injured and the disabled. “Nesselbush’s creative leadership and tenacious hard work played a vital role in the historic passage of marriage equality, successfully ending centuries of discrimination; this made her the obvious choice by the Committee to be Pawtucket’s first “Person of the Year” said McGill.

Senate President M. Teresa Paiva Weed, notes “she has sponsored many important pieces of legislation, specifically bills to help homeowners avoid foreclosure, protect victims of crime, and to protect workers from exploitation. “I can think of no one more deserving of the recognition of being named to the Pawtucket Hall of Fame. It is my good fortune to call her a friend,” says Paiva Weed.

Pawtucket Mayor Donald R. Grebien agrees with both McGill and Paiva Weed about the selection of Nesselbush. “They couldn’t have gotten it more right, he said, noting that she is “one of our city’s strongest leaders.”
Making a Difference in the Community

Nesselbush’s long list of professional and personal accomplishments caught the attention of the Pawtucket Hall of Fame Committee. The 52-year old Pawtucket resident is a founding partner of the law firm of Marasco & Nesselbush, serving the injured and disabled. As an attorney, she has represented hundreds of Social Security Disability claimants at all levels of review before the Social Security Administration, the Office of Disability Adjudication and Review, the Appeals Council, the United States District Court, and the United States Court of Appeals.

Nesselbush, a graduate of Brown University and Suffolk University School of Law, now serves as Chief Judge of the Pawtucket Municipal Court and Vice-President of the Municipal Court Judges’ Association. She is the founder and Chair of the Rhode Island Bar Association’s Social Security Disability Committee.

In the past, the two term Senator has been honored for her work by numerous organizations. Most recently, in May of 2014 she received the distinguished Ada Sawyer Award from the Rhode Island Women’s Bar Association. She has also received Appreciation Awards from Crossroads Rhode Island and the Rhode Island Coalition for the Homeless. At Brown University she received the Sarah Doyle Prize “for making a significant contribution to women on campus and in the community,” and at Suffolk she received the Leo J. Wyman Award.

Bringing Marriage Equity to the Ocean State

With all of Nesselbush’s accomplishments, the Pawtucket Hall of Fame Committee zeroed in on her successful efforts to provide all Rhode Islander’s the right to marry the person they love.

Nesselbush had observed and participated in the intensely public (and simultaneously personal) debate on marriage equality over the years. Last year’s legislative policy debate put real faces to this religiously-charged issue, she said, noting that it was personal, political and professional all at the same time in that, as a judge, she was qualified to officiate at marriages, but as a person, she was not allowed to marry the woman of her dreams.

Nesselbush mentions a significant change in the times and in social mores, noting that as the debate raged, everyone seemed to know someone who is gay, and her lobbying conversations almost always began or ended with, “yes, I know ‘so and so’ who is gay; s/he’s great and has a great partner.”

Changing Rhode Island’s law to allow gay and lesbian couples to marry took a long time, a broad coalition in support, and an openly gay Speaker of the House, says Nesselbush, referencing former House Speaker Gordon Fox. The Pawtucket Senator added, “victory has many parents, and I was indeed honored to advocate for the issue alongside many outstanding grassroots organizations, like Rhode Islanders United for Marriage, and many local church and business groups and some of the state’s top political brass.

For almost 20 years, state lawmakers had grappled with the religiously charged issue of same-sex marriage. Throughout the years, Nesselbush attended many of the legislative hearings in support of same-sex marriage, only to see bills inevitably “held for further study.” Once she became a Senator, she clearly understood that this legislative code phrase often means the legislative proposal is…dead.

In 2010, as a newly elected Senator, Nesselbush was learning the legislative procedural ropes. Knowing that she was both new and walking a tight rope, she learned the fine art of vote counting. She scrambled to count votes only to realize that marriage equality would not in that year even get out of the House. Rather, the House passed a watered down, “skim milk” (in the words of Supreme Court Justice Ruth Bader Ginsberg) version entitled Civil Unions. Nesselbush voted against the Civil Unions bill, noting that she and Rhode Island’s LGBTQ community would not accept second class status. Though she acknowledged that Civil Unions bestowed some needed rights, she wanted to “take the high road,” voting against this less than desirable and often vilified vehicle. She wanted to stand for the proposition that separate is never equal; gay and lesbian couples deserve full marriage equality.”

Although the marriage equality bill was stymied in 2010, three years later Nesselbush was in the perfect position to champion the Senate bill; she was openly gay and no longer a rookie. She was determined to honor former Senator Rhoda Perry who carried this torch in the Senate for over 15 years, changing hearts and minds but falling short of getting the bill passed. Upon Perry’s retirement, Senator Sue Sosnowski of South Kingston, a long time civil rights advocate, was next in line to sponsor the marriage equality legislation. Nesselbush notes Sosnowski’s “generosity of spirit,” as she willingly stepped aside to allow the only openly gay Senator to “take the lead.” Nesselbush gives thanks and credit to Senate Majority Whip, Maryellen Goodwin, of the City for helping to massage the Senate’s customary seniority system, allowing Nesselbush to become the lead Senate sponsor.

The Senate Judiciary Committee voted 7-4 to pass Nesselbush’s same sex marriage bill along with the House companion measure. Both measures were passed by the Senate, and by the House in concurrence, and Governor Lincoln Chaffee put his pen to paper, signing the historic measure into law on May 3, 2013.

Bowing to the powerful Catholic lobby, the General Assembly leadership put language in the House and Senate bills reiterating the constitutionally guaranteed freedom for religious institutions to set their own guidelines for marriage eligibility within their faith, stipulating that under no circumstances will clergy or others authorized to perform marriages be obligated by law to officiate at a same sex marriage.

Through Nesselebush’s leadership, Rhode Island joined its New England neighbors, becoming the 10th state in the nation to enact marriage equality. Today, a total of 19 states and the District of Columbia have enacted marriage equality, and Nesselbush “predicts that the remaining ‘house of cards’ will fall quickly as ‘marriage equality fever’ spreads through the entire nation.”

The Pawtucket Hall of Fame 23rd Annual Dinner and Induction Ceremony is scheduled for October 28, 2014 at 7:00 p.m. (pre-induction reception at 6:00 p.m.) at the Le Foyer Club, 151 Fountain Street, Pawtucket. To purchase tickets, contact Ken McGill at 401 728-0500, Ext. 283.

Herb Weiss, LRI ’12, is a Pawtucket-based freelance writer covering, aging, health care and medical issues. He is a member of the Pawtucket Hall of Fame Committee and can be reached at hweissri@aol.com.

Red Bandana Fund to Recognize Henry Shelton and Providence Student Union

Published June 6, 2014

In just two days, look for the gathering of friends, Rhode Island College educators, progressives, folkies and family members of the late Richard J. Walton, who come to the Red Bandana Award to pay homage and remember him. With his prominent long white beard and red bandana, decked out in blue jean overalls and wearing a baseball cap, Walton was a dedicated advocate of worker rights and committed to the nurturing of young people as a college professor at Rhode Island College. He gave hundreds of hours of service every month to organizations including Amos House, the George Wiley Center, Providence Niquinhomo Sister City Project, the Green Party, and Stone Soup Folk Arts Foundation.

The Red Bandana Fund was also created to be a legacy to help sustain Rhode Island’s community of individuals and organizations that embody the lifelong peace and justice ideas of Walton. Through the Red Bandana Fund, an annual financial award will be made to an organization or individual whose work best represents the ideals of peace and social justice that exemplify Walton’s life work

Stephen Graham, a member of committee organizing the fundraiser, noted that 12 nominations received. “There were many deserving nominations, all of which one could make an excellent argument for the award,” he said.

“After much deliberation and agonizing, the Red Bandana Fund decided to give not one but two awards,” noted Graham.  “Awards will be given to longtime community activist and hell-raiser, Henry Shelton, and the other to the passionate, unrelenting organizing workers called the Providence Student Union (PSU),” he says, noting that their work embodies the spirit and work of Walton, a well-known social activist in the Rhode Island area who died in 2012.

“Richard would have loved the choices,” noted Graham, a very close friend of Walton’s and a retired community activist.

The Red Bandana Fund celebration takes place on Sunday, June 8 at Nick-a-Nees, 75 South Street. In Providence from 4:00 p.m. to 7:00 p.m. The event is open to the public and donations accepted.

Shelton, a former Catholic priest and long-time director of the Pawtucket-based George Wiley Center, is known throughout the region for his steadfast commitment to bettering the lives of all Rhode Islanders, especially the poor and disadvantaged. As a longtime advocate for the needy, he has been a fixture on the streets and at the statehouse for decades, advocating for fairness in housing, public transportation, and medical care.

“It is not an understatement to say that Shelton is the conscience of this state and has been for a long, long time,” says Graham, noting that there was no way Shelton could be ignored.

The committee also honored a new generation of young people working to make a better world, added Graham. So, the Red Bandana Fund also recognizes the PSU for its groundbreaking work done in addressing important issues of education in creative and powerful ways. The PSU is an important voice in the debate over the value of high-stakes testing, challenging the NECAP tests as a requirement for graduation, and has forced officials and politicians to address their concerns, he said.

“It is their commitment to grass-roots organizing and social change, at such a young age, that has earned them the recognition and thanks of the Red Bandana Fund and for all those fighting for justice in today’s society,” says Graham.

Coming up with a name for Walton’s fundraiser was tied to his unique fashion sense and was the idea of his daughter Cathy Barnard and Richard, her brother. Like most people, Richard had a vivid, visual image of his father, who had long white hair and beard, being known for wearing his trademark worn blue jean overalls, a red bandana and Stone Soup baseball cap. After Walton died his close friends came over to his house and wanted one of his red bandanas to remember him. Thus, the red bandana became the perfect moniker and recognition for the annual fundraiser.

Says Bill Harley, also on the organizing committee, The Red Bandana Fund is a continuation of Walton’s tradition of having an annual birthday bash – usually held the first Sunday in June, to raise money for Amos House & the Providence-Niquinohomo Sister City Project and other progressive causes.

Over 24 years, Walton had raised over $40,000 for these favorite charities, attracting hundreds of people each year including the state’s powerful political and media elite to his family compound located at Pawtuxet Cove in Warwick

“We hope all the people who attended Richard’s parties in the past [1988 to 2011] will show up for the event and you can bring your favorite dish for the potluck,” adds Harley.

“This is our second year giving the award,” said Bill Harley, a member of the selection committee. “We chose the awardees from a great list of nominations, and decided to acknowledge both young organizers, and one of our long-time heroes. Too often, the people who are in the trenches working for us don’t get recognized. We hope the Award begins to address that shortcoming.”

According to Graham, “last year’s event was more of a concert and tribute to Walton.” Over 300 people attended the inaugural Red Bandana fundraising event in 2013 at Shea High School, raising more than $11,000 from ticket sales, a silent auction and raffle. At this event, the first recipient, Amos House, received a $1,000, he said.

Graham says the well-known nonprofit was chosen because of its very long relationship with Walton. He was a founding board member, serving for over 30 years, being board chair for a number of years. For almost three decades, the homeless advocate spent an overnight shift with the men who lived in the 90-Day Shelter Program each Thursday bringing them milk and cookies. Each Friday morning he would make pancakes and eggs in the soup kitchen for hundreds of men and women who came to eat a hot meal.

As to getting this year’s Red Bandana Fund off the ground, Harley says: “It’s been a year of fits and starts to make this thing work. I believe that the establishment of this award, and the honoring of people on a yearly basis, will help us build a community here that can transform our culture. It’s a little thing down the road, I can envision this award meaning more and more to recipients, and to the community those recipients come from.”
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Walton touched people’s lives, Rick Wahlberg, one of the organizers. “Everyone had such an interesting story to tell about Richard,” he stated, noting that the Warwick resident, known as a social activist, educator, humanitarian, very prolific writer, and a co-founder of Pawtucket’s Stone Soup Coffee House “had made everyone feel that they themselves had a very special, close relationship with him.”

Like last year’s inaugural event, Wahlberg expects to see many of Walton’s friends at the upcoming June 8th fundraiser. He and others attending will view this event as a “gathering of the clan” since those attending will be Walton’s extended Rhode Island family.

So, block out some time on your busy Sunday. Come to the Red Bandana Fund event to remember our good old friend, Richard Walton, and support his legacy and positive impact in making Rhode Island a better place to live and work. Enjoy the gathering of caring people who come to recognize the advocacy efforts of Shelton and the PSU to carry on Walton’s work.

Spread the word.

Core participants in organizing this year’s Red Bandana Fund include, Bill Harley, Stephen Graham, Jane Falvey, Barbara & Rick Wahlberg. Other participants included Jane Murphy, Jodi Glass, Cathy Barnard and Richard Walton, Jr.

For more information about donating to The Red Bandana Fund, go to http://www.soup.org/page1/RedBandana.html.

Herb Weiss, LRI’12, is a writer who covers health care, aging, and medical issues. He can be reached at hweissri@aol.com