I, __________________________, being of sound mind and body, do not wish to
be kept alive indefinitely by artificial means.
Under no circumstances should my fate be put in the hands of pinhead
politicians who couldn't pass ninth-grade biology if their lives depended on
it or lawyers/doctors interested in simply running up the bills.
If a two week period passes and I fail to ask for at least one of the
following:
______ a Bailey's & Coffee
______ a Bloody Mary
______ a Margarita
______ a Scotch and soda
______ a Martini
______ a Vodka and Tonic
______ a Steak
______ Lobster or crab legs
______ The remote control
______ a Bowl of ice cream
______ The sports page
______ Chocolate
______ Sex.........
.........it should be presumed that I won't ever get better.
When such a determination is reached, I hereby instruct my appointed person
and attending physicians to pull the plug, reel in the tubes and call it a
day.
Signature: ______________________ Date:__________
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