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  • Kevorkian a lightning rod for debate, controversy

    Kansas City Star
    June 4 2011



    Kevorkian a lightning rod for debate, controversy


    By JOE SWICKARD, PATRICIA ANSTETT AND L.L. BRASIER
    Detroit Free Press



    Jack Kevorkian, after years of combative advocacy for assisted
    suicide, slipped quietly from life early Friday morning. Known as Dr.
    Death even before launching his fierce fights against the medical and
    legal establishments, Kevorkian, 83, died at Beaumont Hospital in
    Royal Oak, Mich., where he had been hospitalized with kidney problems
    and pneumonia.

    "It was peaceful. He didn't feel a thing," said his attorney Mayer Morganroth.

    Admired as a compassionate crusader or abhorred as a murderous crank,
    Kevorkian is widely credited with changing how states deal with
    assisted suicide and stimulating much-needed discussion about
    improving end-of-life care in the U.S.

    Kevorkian admitted being present at about 130 suicides, and his
    hectoring defiance of established laws and protocols forced
    re-examination of personal freedoms in medical treatments and
    end-of-life decisions.

    "He had an impact, but not deliberately," said Dr. Maria Silveira, a
    University of Michigan end-of-life specialist.

    "He was such a lighting rod that there was a huge reaction to what he
    was doing," Silveira said. "Many people in medicine were quite alarmed
    at the notion that we could be asked to help assist our patients in
    death and dying. In response to that, more of us began to realize we
    had a greater responsibility to recognize our patients' suffering and
    to find ways to address it, short of what Jack Kevorkian was doing."

    Kevorkian "was a historic man," said attorney Geoffrey Fieger, who
    represented him in numerous legal fights. "It's a rare human being who
    can single-handedly take on an entire society by the scruff of its
    neck and force it to focus on the suffering of other human beings."

    Many people who went to Kevorkian called him the best doctor they had
    ever seen.

    "I know my mom and myself were eternally grateful. ... He wasn't a
    kook or anything. He was a man with an idea whose time had come," said
    Alan O'Keefe, 52, of Lincoln Township, Mich. Kevorkian helped his
    father, Donald O'Keefe, 73, a retired engineer with bone cancer, to
    die in 1993.

    Since his first acknowledged assisted suicide in 1990, authorities had
    tried to rein in Kevorkian as the toll soared. He was charged four
    times with murder only to have three juries acquit him and one case
    collapse in mistrial.

    That streak of courtroom triumphs ended with the 1998 death of Thomas
    Youk, 52, of Waterford, Mich., who had Lou Gehrig's disease.

    In a self-inflicted triple injury, Kevorkian videotaped himself
    injecting Youk, had it broadcast on "60 Minutes," and then acted as
    his own lawyer in the ensuing Oakland County murder trial.

    Kevorkian was convicted of second-degree murder and was sentenced to
    10 to 25 years in prison in 1999 . He was released in 2007 and
    discharged from parole in 2009.

    His post-prison career included a 2008 congressional bid and a cable
    TV bio pic starring Al Pacino.

    In his failed political career, Kevorkian, as usual, cast himself as
    the truth-teller in a world of hypocrisy: "We need some honesty and
    sincerity instead of corrupt government in Washington."

    "You Don't Know Jack," the HBO film, earned Pacino an Emmy, Golden
    Globe and Screen Actors Guild Award. Kevorkian cut a vivid image at
    premiers, sometimes wearing his iconic blue thrift store sweater with
    a tuxedo. He almost glowed at receptions as women circled him and
    powerful men elbowed their way through the adoring crush to shake his
    hand.

    Later, when friend Neal Nicol gave him a picture of Pacino from the
    film, Kevorkian joked: "Where did they get that picture of me?"

    Despite his public persona, Kevorkian will not be openly memorialized,
    Morganroth said.

    "If Jack could look down on us - and who knows - he wouldn't want
    that," Morganroth said.

    Kevorkian's death, naturally and in a hospital, was not a rejection of
    his own beliefs, Morganroth said.

    "There was no reason for him to end his own life," he said. "It wasn't
    terminal until the end with the clot. He followed his own wishes and
    died the way he wanted to."

    The son of Armenian immigrants, Kevorkian was born in 1928 and raised
    in Pontiac, Mich., during the Depression and World War II. The son of
    an excavation contractor, Kevorkian graduated from the University of
    Michigan School of Medicine in 1952, but his career soon took an
    idiosyncratic trajectory.

    A book about the Greco-Egyptian Ptolemies who ruled Egypt for about
    300 years just before the start of the Common Era shaped Kevorkian's
    life for the next half-century. As he'd recall in interviews and court
    testimony, the book described a society in which criminals repaid
    their crimes by undergoing medical and scientific experimentation.

    Kevorkian was soon advocating use of convicts and condemned prisoners
    for experiments and research. He and U-M parted ways, and he moved his
    residency to Pontiac General Hospital, but interrupted it for a year
    of independent study in Europe.

    He returned to the U.S. and completed his residency. He was first
    called Dr. Death by nurses for his fascination with the transition
    from life. Volunteering for night shifts, he photographed the eyes of
    deceased patients as close to the instant of death as possible.

    He became a pathologist and worked at several Detroit-area hospitals.
    His interest expanded into the use of blood from cadavers, including
    direct corpse-to-patient transfusions. He envisioned tremendous
    battlefield benefits if wounded soldiers were saved through their
    fallen comrades' blood.

    Turned down for a research grant - an act he would later call an
    example of establishment corruption - he moved to the West Coast where
    he worked for several Southern California hospitals. Stretching
    frugality to eccentricity, he sometimes lived in his 1968 Volkswagen
    van.

    His last employment ended in 1982 when he left a Long Beach, Calif.,
    hospital to devote himself to research and authoring articles such as
    "Marketing of Human Organs and Tissue is Justified and Necessary" and
    "The Last Fearsome Taboo," a work outlining his theories of suicide
    clinics and experimenting on patients.

    Returning to Michigan, he lived a skinflint's life in a barely
    furnished apartment above a store in downtown Royal Oak. He lived on
    cheese sandwiches and shopped for clothes at the Salvation Army.

    Kevorkian knew he was often seen as an odd bird: "I've never really fit in."

    Ultimately for Kevorkian, thought and words demanded deeds.

    In 1987, he tried placing newspaper ads offering "Special Death
    Counseling." Instead, he got references in short stories in the
    Detroit Free Press and magazines like Newsweek about a strange
    pathologist.

    One of those reading about Kevorkian - who had cobbled a suicide
    machine out of $30 worth of spare parts - was Janet Adkins, a former
    teacher in Portland, Ore. Adkins, who at 54 had an early diagnosis of
    Alzheimer's disease, feared the conditions' inevitable mind-stealing
    progression and flew to Detroit.

    The jury-rigged device delivered the flow of saline, sedatives and
    finally the heart-stopping potassium chloride, and Adkins died June 4,
    1990, inside Kevorkian's rusty VW van.

    Her death - a murder charge was dismissed before trial - launched
    Kevorkian into the national eye and set his course.


    Using drugs and later carbon monoxide, Kevorkian, backed with a
    coterie of supporters, attended more deaths, sometimes dropping the
    bodies off at hospitals, other times having them collected at the
    suburban Oakland County home of his associate Nicol.

    Gaunt, theatrical and hyperbolic, Kevorkian appeared to demand
    martyrdom, staging increasingly outlandish provocations from appearing
    in court as Thomas Jefferson in a tri-cornered hat, knee britches and
    powdered wig to offering for transplant a client's crudely harvested
    kidneys.

    Those who opposed him were denounced as superstitious know-nothings,
    Dark Age hypocrites and philosophical cowards.


    Medical experts challenged his methods.

    "Kevorkian presented a false choice," said Dr. Michael Paletta , chief
    medical officer for Hospice of Michigan. "Either have your pain and
    suffering or have a physician end your life."

    Legal authorities also were taking notice and action against Kevorkian.

    By then, he had teamed with attorney Fieger, who turned the trials
    into slashing attacks on then-Oakland County Prosecutor Richard
    Thompson. In the ensuing cases, Thompson, Oakland County Medical
    Examiner L.J. Dragovic and the medical establishment were cast as
    cruel, hidebound fanatics condemning the sufferers to end their lives
    in agony and helpless humiliation.

    "I want to make euthanasia a positive thing" for those too weary and
    beaten by illness, Kevorkian said.


    Kevorkian and Fieger loudly proclaimed that they stood for personal
    freedom to choose a gentle, dignified release. Along the way, they
    slapped a red clown's nose on a blow-up of Thompson and cast the
    Yugoslavian-born Dragovic as bowtie-wearing incarnation of Dracula.

    They won acquittals in three murder trials and a mistrial in another.

    It was a fractious courtroom partnership, though, with an agitated
    Kevorkian often trying to direct the case as Fieger shouted, "Shut
    up!"

    Kevorkian's authority-baiting antics got him on David Letterman's Top
    10 lists, but they antagonized potential allies.

    Derek Humphry of the Hemlock Society, which advocates for the right to
    suicide, said Kevorkian was "too obsessed, too fanatical, in his
    interest in death and suicide to offer direction for the nation."

    Nevertheless, he undeniably forced the debate into the limelight.


    In 1994, Oregon voters approved a measure making physician-assisted
    suicide a legal medical option for terminally ill residents. It was
    delayed through a series of court challenges and in 1997, Oregonians
    again voted in favor of it.

    As his fame grew, Kevorkian, still wearing a $1.50 thrift shop
    cardigan, exhibited his gruesome paintings of leering skulls, agonized
    patients or dismembered bodies. He also performed his own musical
    compositions as he championed the notion of absolute personal freedom
    in life decisions.

    Then-Gov. John Engler and Michigan state legislators tried to curtail
    or outlaw his practice, which only fed Kevorkian's loud outrage and
    demands for carefully administered release for terminal or agonized
    patients.

    But growing examination of Kevorkian's works showed he often ignored
    his own professed standards.

    Franz-Johann Long, a 53-year-old Pennsylvania man who died in late
    1997, told Kevorkian that he had terminal bladder cancer. But
    relatives said he had a history of mental illness - at times he
    claimed to be a secret agent - and an autopsy found only a
    "superficially involved" tumor.

    Autopsies of at least five other people who died with Kevorkian in
    Oakland County found no sign of diseases, and only 17 of 69 closely
    examined cases had terminal illnesses or conditions such as multiple
    sclerosis or cancer.

    In November 1998, 1 1/2 months after a state law banning
    doctor-assisted suicide took effect, CBS' "60 Minutes" aired a tape of
    Kevorkian fatally injecting Youk, who had amyotrophic lateral
    sclerosis . He then dared officials to do something about it.

    "Either they go or I go," Kevorkian told CBS interviewer Mike Wallace.
    "If I'm acquitted, they go because they know they'll never convict me.
    If I am convicted, I will starve to death in prison. The issue has got
    to be raised to a level where it is finally decided."


    Waterford Police Lt. John Dean was taken by Kevorkian's demeanor on
    the tape: "He was a very charming man, but then, so was Ted Bundy."

    The murder charge was brought by David Gorcyca, who was elected
    Oakland County prosecutor on a pledge not to pursue Kevorkian using
    homicide charges based on common law.

    "I was elected and dismissed 17 counts against him," Gorcyca said.

    He said he ignored Kevorkian for 18 months, depriving him of an antagonist.

    "I ignored him until he went on '60 Minutes'" with the taped death of
    Youk in 1998, Gorcyca said. "He not only dared me to prosecute him, he
    begged me. He wanted to be on the national and international stage."


    Kevorkian chose to act as his own lawyer.

    Trial prosecutor John Skrzynski, who had lost one murder case against
    Kevorkian, said the doctor's motive didn't matter because it "is not
    an element of murder. The facts are pretty cut-and-dried in this case.
    He spelled out all the elements himself."

    Outside court, Kevorkian shouted: "The question is, do any of you
    think I'm a criminal?"

    But inside court on April 13, 1999, an Oakland County jury convicted
    him of second-degree murder and he was ordered to serve a 10- to
    25-year sentence.


    Former Oakland County Circuit Judge Jessica Cooper, currently the
    county prosecutor, oversaw the trial.

    At his sentencing, Cooper had strong words for the tiny man in the
    orange jumpsuit.

    "You invited yourself to the wrong forum," she said in a lecture that
    was broadcast worldwide. "When you purposely inject another human
    being with what you know to be a lethal dosage of poison, that sir, is
    murder and the jury found so.

    "Then you had the audacity to go on national television, show the
    world what you did and dare the legal system to stop you. Well, sir,
    consider yourself stopped."

    Inside the prison walls, his fame endured. He was given the Gleitsman
    Foundation's Citizen Activist Award in 2000.

    Attending and accepting him was his lawyer Morganroth, who read a
    statement from the imprisoned pathologist saying his acts had been
    wrongly criminalized.


    Attempts to overturn his convictions were rejected, as were his
    efforts to win an early release. His health started faltering in
    prison, and he was paroled in 2007.

    As a parolee, he faced the usual restrictions and constraints - seeing
    a parole officer, getting drug and alcohol testing and shunning
    felons, weapons and anything that constitutes criminal behavior.

    There were special conditions, too. He couldn't provide care for
    anyone older than 62 or who was disabled. He was barred from being
    present at any suicide or euthanasia, and he could not counsel people
    on how to commit suicide.

    Once free, Kevorkian's health continued to fail.

    Kevorkian's assistant Nicol said he and Kevorkian contracted hepatitis
    C from experiments they did together in the 1960s at the former
    Pontiac General Hospital, where they both worked - Kevorkian as a
    pathologist and Nicol as a medical assistant. Kevorkian was
    hospitalized twice in May because of kidney problems and a fall.
    Additionally, he suffered from an array of ailments including liver
    and heart disorders. He underwent hernia surgery in February 2005.

    Doctors hoped they could strengthen the frail Kevorkian so he could
    undergo radiation treatments for the cancer, but "his strength never
    got to that point." Indeed, Kevorkian's cancer appeared treatable. He
    had only two tumors on his liver, one benign and the other small,
    Morganroth said.

    Kevorkian spent his 83rd birthday on May 26 in the hospital, where
    Nicol; Ava Janus, Kevorkian's niece; longtime Royal Oak friend Brian
    Russell; and Morganroth visited him.

    Even at the end, Kevorkian was seeking answers, Morganroth said. He
    didn't deny the afterlife as much as challenge the notion of an
    eternal soul, Morganroth said.

    "Jack wasn't an atheist. He was an agnostic," Morganroth said. "He
    wasn't sure - but now he knows."

    (Staff writers Cecil Angel, Megha Satyanarayana, Mike Brookbank, John
    Wisely, Tammy Stables Battaglia, Matt Helms, Kathleen Gray and Chris
    Christoff contributed to this report)

    http://www.kansascity.com/2011/06/03/2925024/kevorkian-a-lightning-rod-for.html


    From: Baghdasarian
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