I’m Hungry. Please Feed Me. I Want Food.

In the United States, doctors starved and dehydrated stroke patient Marjorie Nighbert to death despite her pleading “I’m hungry,” “I’m thirsty,” “Please feed me,” and “I want food.”

From an article titled The Revenge of Conscience by J. Budziszewski appearing in FIRST THINGS.

http://www.leaderu.com/ftissues/ft9806/articles/budziszewski.html

Here are the opening two paragraphs:

Things are getting worse very quickly now. The list of what we are required to approve is growing ever longer. Consider just the domain of sexual practice. First we were to approve sex before marriage, then without marriage, now against marriage. First with one, then with a series, now with a crowd. First with the other sex, then with the same. First between adults, then between children, then between adults and children. The last item has not been added yet, but will be soon: you can tell from the change in language, just as you can tell the approach of winter from the change in the color of leaves. As any sin passes through its stages from temptation, to toleration, to approval, its name is first euphemized, then avoided, then forgotten. A colleague tells me that some of his fellow legal scholars call child molestation “intergenerational intimacy”: that’s euphemism. A good-hearted editor tried to talk me out of using the term “sodomy”: that’s avoidance. My students don’t know the word “fornication” at all: that’s forgetfulness.The pattern is repeated in the house of death. First we were to approve of killing unborn babies, then babies in process of birth; next came newborns with physical defects, now newborns in perfect health. Nobel-prize laureate James Watson proposes that parents of newborns be granted a grace period during which they may have their babies killed, and in 1994 a committee of the American Medical Association proposed harvesting organs from some sick babies even before they die. First we were to approve of suicide, then to approve of assisting it. Now we are to approve of a requirement to assist it, for, as Ernest van den Haag has argued, it is “unwarranted” for doctors not to kill patients who seek death. First we were to approve of killing the sick and unconscious, then of killing the conscious and consenting. Now we are to approve of killing the conscious and protesting, for in the United States, doctors starved and dehydrated stroke patient Marjorie Nighbert to death despite her pleading “I’m hungry,” “I’m thirsty,” “Please feed me,” and “I want food.” Such cases are only to be expected when food and water are now often classified as optional treatments rather than humane care; we have not long to go before joining the Netherlands, where involuntary euthanasia is common. Dutch physician and author Bert Keizer has described his response when a nursing home resident choked on her food: he shot her full of morphine and waited for her to die. Such a deed by a doctor in the land that resisted the Nazis.
Here are some details on the Nighbert case mentioned above:

Begging for Food, Starved by Court Order

In the wake of the Terri Schiavo case and the recent autopsy report, it’s worth noting that Terri Schiavo’s state of consciousness was legally irrelevant to whether she could be starved to death or not. In 1995, Marjorie Nighbert was starved/dehydrated to death on the strength of a power of attorney, even though she was able to speak and literally begging for food.
As Wesley J. Smith wrote,

The worst of these cases of which I am aware is the tragic dehydration of Marjorie Nighbert. Marjorie was a successful businesswoman until a stroke left her disabled. She was unable to swallow safely, but not terminally ill. She was moved from Alabama to a nursing home in Florida where she would receive rehabilitation to help her relearn how to chew and swallow without danger of aspiration. A feeding tube was inserted to ensure that she was properly nourished during her recovery.

Marjorie had once told her brother Maynard that she didn’t want a feeding tube if she were terminally ill. Despite the fact that she was not dying, Maynard believed that she had meant that she would rather die by dehydration than live the rest of her life using a feeding tube. Accordingly, he ordered all of Marjorie’s nourishment stopped.

As she was slowly dehydrating to death, Marjorie began to beg the staff for food and water. Distraught nurses and staff members, not knowing what else to do, surreptitiously snuck her small amounts. One staffer — who was later fired for the deed — blew the whistle, leading to a hurried court investigation and a temporary restraining order requiring that Marjorie receive nourishment.

Circuit Court Judge Jere Tolton appointed attorney William F. Stone to represent Marjorie and gave him twenty-four hours to determine whether she was competent to rescind the general power of attorney she had given to Maynard before her stroke. After the rushed investigation, Stone was forced to report that Marjorie was not competent at that time. (She had, after all, been intentionally malnourished for several weeks.) Stone particularly noted that he had been unable to determine whether she had been competent at the time the dehydration commenced.

With Stone’s report in hand, Judge Tolton ruled that the dehydration should be completed! Before an appalled Stone could appeal, Marjorie died on April 6, 1995.

Indeed, the Washington Post reported on January 5, 1997,

Marjorie Nighbert, a 76-year-old Florida woman, was hospitalized in 1996 after a stroke. Before her hospital admission, she signed an advance directive that no “heroic measures” should be employed to save her life. On the basis of that directive and at the request of her family, the hospital denied Nighbert’s requests for food and water, according to reports in the Northwest Florida Daily News. A hurriedly convened hospital ethics committee ruled that she was “not medically competent to ask for such a treatment.” Until her death more than 10 days later, Nighbert was restrained in her bed to prevent her from raiding other patients’ food trays.

The legal theory on which Terri Schiavo was put to death was identical to that used for Marjorie Nighbert — not legally competent, and once said she wouldn’t want tubes.