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1997-11-04 - Voters Pamphlet - State F • r O L a a y a •• a �8 59 vote pampill...t M=A A R.u�Cci .y� x w r. o s Z r l t STATE OF OREGON SPECIAL ELECTION-NOVEMBER 4, 1997 Compiled and Distributed by &4 , Secretary of State 7 This Voters' Pamphlet is provided for assistance in casting your vote-by-mail ballot. Official 1997 November Special Election Voters'Pamphlet TABLE OF CONTENTS PHIL K E I S L I N G STATE OF OREGON SECRETARY OF STATE t•i SECRETARY OF STATE Page 136 STATE CAPITOL MICHAEL GREENFIELD SALEM,OREGON 97310-0722 County Elections Offices......................................................................................................... 16 DEPUTY SECRETARY OF STATE (503)986-1500 GeneralInformation................................................................................................................ 2 Measure No.51 BallotTitle...................................................................................................................... 3 DearOregonian: Complete Text............................................................................................................... 3 ExplanatoryStatement.................................................................................................. 3 On November 4, 1997, Oregon will conduct a special statewide election to decide two ballot Legislative Argument in Support................................................................................... 3 measures referred to voters by the 1997 Legislature. Ballots will be mailed to registered voters between October 15 and 17. This election is the seventh statewide election conducted by mail, Arguments In Favor....................................................................................................... 4 continuing Oregon's tradition of innovation and service to its citizens. ArgumentsIn Opposition............................................................................................... 10 You will receive a ballot only if you are registered to vote in Oregon by October 14.To register to Measure No.52 vote, or to update a registration, see the section of this Voters' Pamphlet entitled, "Voter Registration." Ballot Title...................................................................................................................... 14 CompleteText............................................................................................................... 14 In this Voters' Pamphlet, you will find information about each referred measure, including the complete text of the measure, an estimate of its direct financial effect on government revenues Explanatory Statement.................................................................................................. 15 and expenditures, a short explanation written by a committee of Oregonians knowledgeable Legislative Argument in Support................................................................................... 15 about the measure, and arguments for and against each measure. Space for arguments is sold to anyone who pays the$300 fee or submits the signatures of 1,000 registered voters. Arguments In Opposition............................................................................................... 15 The information contained in this Voters' Pamphlet is also available in the Online Voters'Guide Vote-by-Mail Information......................................................................................................... 16 published by the Secretary of State on the World Wide Web at: Voter Registration Information................................................................................................ 16 http://www.sos.state.or.us/elections/nov497/nov497.htm Sight-impaired persons can obtain a tape copy of this Voters' Pamphlet by calling Independent Living Resources at(503)232-7411. Your voted ballot must be received by county elections officials no later than 8:00 p.m. November 4, 1997. Postmarks do not count.Please exercise your right to vote. Best, Phil Keisling Secretary of State On the cover.,Blue Mountains ranch photo courtesy of Oregon Department of Transportation. INFORMATION GENERAL Your official 1997 November Special Election Voters' Pamphlet provides you with information about two statewide measures referred by the Legislature.Additionally,you can find information about vote-by-mail and voter registration,as well as a list of addresses and phone numbers for county elections officials across the state. For each measure,you will find in this voters'pamphlet the following information: (1) ballot title; (2) estimate of financial impact; (3) complete text of the proposed measure; (4) explanatory statement;and (5) arguments filed by proponents and opponents of the measure. The ballot title for a legislative referral may be drafted by the Legislature. If the ballot title is not drafted by the Legislature it is drafted by the Attorney General's office. It is then distributed to a list of interested parties for public comment.After review of any comments submitted,the ballot title is certified by the Attorney General's office. The ballot title can be appealed and may be changed by the Oregon Supreme Court. The estimate of financial impact for each measure is prepared by a committee of state officials including the Secretary of State,the State Treasurer, the Director of the Oregon Department of Administrative Services and the Director of the Department of Revenue. The committee esti- mates only the,direct impact on state and local governments. The explanatory statement is an impartial statement explaining the measure. Each measure's explanatory statement is written by a committee of five members, including two proponents of the measure,two opponents of the measure and a fifth member appointed by the first four com- mittee members. Citizens or organizations may file arguments in favor of, or in opposition to, measures by pur- chasing space for$300 or by submitting a petition signed by 1,000 voters.Arguments in favor of a measure appear first,followed by arguments in opposition to the measure, and are printed in the order in which they are filed with the Secretary of State's office. Additionally, you will find a "Legislative Argument in Support" for each of these measures. Attention: Oregon law allows the Legislature to submit, at no cost, an argument in support of each mea- sure it refers to the people. The State of Oregon prints measure arguments as submitted The Voters' Pamphlet has been compiled by the Secretary of State since 1903, when Oregon by the author. The state does not correct punctuation, gram- 1 became one of the first states to provide for the printing and distribution of such a publication. rear, syntax errors or inaccurate information. The only One copy of the Voters' Pamphlet is mailed to every household in the state. Additional copies changes made are attempts to correct spelling errors if the are available at the State Capitol,local post offices,courthouses and all county election offices. g p p g word as originally submitted is not in the dictionary. 2 mmj Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 HOUSE BILL 2954—Referred to the Electorate of Oregon by the 1997 Legislature to be voted Be It Enacted by the People of the State of Oregon: on at the Special Election,November 4, 1997. SECTION 1. ORS 127.800, 127.805, 127.810, 127.815, 127.820,127.825, 127.830, 127.835, 127.840, 127.845, 127.850, 127.855, 127.860, 127.865, 127.870, 127.875, 127.880, 127.885, BALLOT TITLE 127.890,127.895 and 127.897 are repealed. REPEALS LAW ALLOWING TERMINALLY ILL ADULTS TO OBTAIN LETHAL SECTION 2.Section 7,chapter 380,Oregon Laws 1995,is amended to read: PRESCRIPTION Sec. 7. (1) Notwithstanding any other provision of ORS chapter 677, a physician licensed under ORS chapter 677 may prescribe or administer controlled substances to a person in the RESULT OF"YES"VOTE: "Yes"vote repeals law allowing terminally ill adults to obtain;physi- course of the physician's treatment of that person for a diagnosed condition causing intractable cian's prescription for lethal drugs. pain. RESULT OF"NO"VOTE:"No"vote retains law allowing terminally ill adults to obtain physician's (2) A physician shall not be subject to disciplinary action by the Board of Medical Examiners prescription for lethal drugs. for prescribing or administering controlled substances in the course of treatment of a person for intractable pain. SUMMARY:Repeals Measure 1`6,adopted by voters in 1994.That law: (3) Subsections(1)and(2)of this section shall not apply to: Allows terminally ill adult Oregon residents voluntary informed choice to obtain physician's pre- scription for lethal drugs when physicians;predict patient's death within 6 months; (a) A physician's treatment of a person for chemical dependency resulting from the use of con- trolled substances; Requires 15-day waiting period;2 oral, 1 written request;second physician's opinion;counsel- ing for patients with impaired judgment from depression; (b) The prescription or administration of controlled substances to a person the physician knows to be using the controlled substances for nontherapeutic purposes; Gives health care providers immunity from civil,criminal liability for good faith compliance. (c) The prescription or administration of controlled substances for the purpose of terminating Permits person choice whether to notify next of kin. the life of a person having intractable pain[, except as allowed under chapter 3, Oregon Laws 1995];or Allows health care providers to refuse to participate. (d) The prescription or administration of a substance that is not a controlled substance ESTIMATE OF FINANCIAL IMPACT:No financial effect on state or local government expendi- approved by the United States Food and Drug Administration for pain relief. tures or revenues. (4) Subsection (2)of this section shall not exempt the governing body of any hospital or other medical facility from the requirements of ORS 441.055. SECTION 3.This Act shall be submitted to the people for their approval or rejection at a special election held throughout this state on November 4,1997. NOTE: Boldfaced type indicates new language;[brackets and italic]type indicates deletions or comments. MEASURE NO. EXPLANATORY STATEMENT LEGISLATIVE ARGUMENT IN SUPPORT This measure repeals the Oregon Death With Dignity Act (Measure 16) passed by voters in The Oregon Legislature recommends a yes vote on Measure 51, which would repeal Measure 1994. 16, the 1994 assisted suicide law. Information not available in 1994 which casts doubt on the effectiveness of Measure 16 combined with concern about the inadequacies of the so-called 1994's Measure 16 allows a terminally ill patient the voluntary choice to obtain a physician's pre- safeguards are the reasons for the recommendation. scription for a lethal dose of medication to hasten the patient's death when the patient is judged to have less than six months to live. Measure 51, placed on the ballot by legislative referral, Measure 16 permits only the use of lethal drugs for assisted suicide.However,research from the would repeal that law. Netherlands and elsewhere (including statements of assisted suicide supporters) indicate that pills alone are not reliable in causing death.As many as 25%of all assisted suicides that rely on 1994's Measure 16 allows a terminally ill patient who meets the conditions of the law to voluntar- pills alone fail, requiring a lethal injection to'complete'the suicide. Measure 16 prohibits the use ily request a prescription for a lethal dose of medication to end his or her life.The Act also allows of lethal injection,leaving the patient in those cases to experience agonizing,lingering death. a physician to legally prescribe the medication,and inform and advise the patient throughout the process, once the physician ensures the patient has met all of the conditions of the law. The The Legislature also found flaws which presented major difficulties of either'fixing'or implement- physician and others may legally be present when the medication is self-administered by the ing Measure 16. patient. Lethal injection, mercy killing and active euthanasia are not permitted under 1994's Measure 16. No Mandatory Counseling. Measure 16 does not require a patient receive mental health coun- seling.This would permit a depressed person to take his or her own life. Most physicians are not Under 1994's Measure 16, physicians and other health care providers may refuse to participate trained to detect depression. for any reason. If they choose to participate, a detailed process with listed safeguards must be followed before the patient can receive the prescription for medication. The procedure begins No Mandatory Family Notification.Many families would be devastated to find their loved one had when the patient makes the request of his or her physician. requested assisted-suicide--too late. Under 1994's Measure 16,coercing or exerting undue influence on a patient to request medica- No Strong Reporting Requirements. Physicians may not indicate on the death certificate that a tion,or altering or forging a request for medication,is punishable as a Class A felony.The State death was an assisted suicide.There is no enforceable requirement for physicians to report their Health Division is required to review physician documentation and publish statistical reports that assisted suicides to the Oregon Health Division.All records are barred from public review. respect patient confidentiality. If passed,Measure 51 would repeal Measure 16,the Oregon Death With Dignity Act. No Strong Residency Requirements.Measure 16 does not define the term'resident'and Oregon lacks a uniform definition of residency.A flood of people coming from other states could create a variety of problems,including the possible costs for the disposal of bodies. In order to repeal 1994's Measure 16,the voter must vote yes on this measure. For these and other reasons, the Legislature believes the voters of this state should repeal In order to keep 1994's Measure 16,the voter must vote no on this measure. Measure 16.We urge the voters of this state to reject this flawed and inadequate law by casting a yes vote for Measure 51. Committee Members: Appointed by: Senator Ken Baker* President of the Senate Committee Members: Appointed by: Representative Charles Starr* Speaker of the House Senator Eileen Outub President of the Senate Barbara Coombs Lee Secretary of State Representative Lane Shetterly Speaker of the House Eli D.Stutsman Secretary of State Representative Charles Starr Speaker of the House Kathleen Beaufait Members of the Committee `Member dissents(does not concur with explanatory statement) (This Joint Legislative Committee appointed to provide legislative argument in support of the ballot measure pursuant to ORS 251.245.) (This committee was appointed to provide an impartial explanation of the ballot measure pursuant to ORS 251.215.) 3 Official 1997 November Special Election Voters'Pamphlet MEASURE -NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR A MESSAGE TO THE PEOPLE OF OREGON Oregon Association FROM THE OREGON MEDICAL ASSOCIATION of Hospitals and Health Systems. BALLOT MEASURE 51 Position Statement on: In the next three months you will hear a great deal about Measure 51 which, if passed, will Ballot Measure 51 repeal Measure 16,Oregon's"Death With Dignity Act"which permits physician-assisted suicide for terminally ill patients. Oregon Association of Hospitals and Health Systems supports the repeal of Oregon's "Death With Dignity Act'and therefore supports a"YES"vote on ballot Measure 51.We are opposed to The Oregon Medical Association (OMA) wants the voters of Oregon to know exactly where we Oregon's Death With Dignity Act for the following reasons: stand on physician-assisted suicide, without interpretation by political coalitions who support or We do not believe the concept of "death with dignity" requires the use of physician-assisted oppose Measure 51. suicide as called for in Oregon's"Death With Dignity Act."We support more appropriate alterna- 1 • OMA supports and advocates for compassionate and competent palliative (comfort) tives for terminally ill patients,including: care at the end of life; • Active education and involvement of the patient and family in treatment and care decision- making at the end of life; • OMA acknowledges that medical efforts to eliminate irreversible and extreme pain at . Compassionate and competent comfort care at the end of life; the end of life are an appropriate medical response that may result in hastening the patient's death; • Aggressive medical efforts to eliminate irreversible and extreme pain at the end of life, recog- nizing that such treatment may result in hastening the patient's death; • OMA acknowledges patients' legitimate right to autonomy at the end of life, but does • Improved cooperative and coordinated efforts with Hospice to ensure timely referral; not accept the proposition that death with dignity may only be achieved through physi- Improved education and knowledge for healthcare providers to be more consistent in use of cian-assisted suicide; compassionate pain management and anxiety control for patients near the end of life. • OMA specifically opposes Oregon's Death With Dignity Act as seriously flawed. There are fundamental problems with the provisions of the Act including: When the Death With Dignity Act passed in 1994, the OMA chose to stay neutral because our • Use of oral medications,as proscribed in the act,can be very ineffective and require massive 5,500 physician members were narrowly divided on physician-assisted suicide, as were all dosages. As a result, the possibility of actually increasing the patient's physical and mental Oregonians.Oregon physicians have had three years to study the law and we believe it has seri- distress is significant. ous medical deficiencies that will negatively affect the care we provide to seriously ill patients. • Use of oral prescriptions for drugs that are not intended to be lethal can, in a significant number of cases,result in a failed suicide attempt. While it is clear there continues to be a deep division of opinion on physician-assisted suicide, . There is no requirement for a psychiatric evaluation for patients requesting physician assisted that won't be the issue when we vote in November. suicide. The question is whether this law is a good one or not. • There is no requirement to notify the patient's family when a potentially lethal prescription is written. We don't think it is. • Physicians are not able to accurately determine when a patient will die and,therefore,when a OMA urges you to vote Yes on Measure 51 in November to repeal Oregon's flawed physi- lethal prescription is appropriate. clan-assisted suicide law. The Oregon Association of Hospitals and Health Systems urges voters to vote Yes on Measure 51 to repeal Oregon's flawed and unneeded physician-assisted suicide law. (This information furnished by J.T.Hoggard,MD,President Elect,Oregon Medical Association.) (This information furnished by Ken Rutledge,Oregon Association of Hospitals and Health Systems.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR The Oregon electorate should vote on November 4, 1997 to repeal the so-called"Death with Doctor/Patient Trust Essential Dignity'or"doctor assisted suicide"act they previously approved in 1996 by a narrow margin. Humanitarian as well as religious grounds strongly endorse such action. Fortunately, court I have been a medical doctor in Oregon for most of 40 years.This great state has been good actions have hitherto hindered this measure from going into effect,postponing at least our state to me and my family.I am appalled at the prospect of Oregon becoming the main facilitator of an from becoming the death capital of the world,the first political entity to officially allow physicians evil culture of disrespect and incivility at best,and violence and death at worst,aU because of a to cross the line between curing and killing. It would be tragic,if Oregon,so famous for pioneer- very vocal few who have,I believe,a misguided concept of compassion. ing many things, were to gain the reputation of pioneering this disgrace! And if the electorate does not stop physician assisted suicide,who knows what methods might be enacted next? As a physician,I was honored to attend,and not extend,the dying of many wonderful men and women.With God's help,I was never unable to help them to end their lives more easily and con- With good reason Roman Catholics and most Protestants view suicide in any form as one of tentedly, mainly just through simply caring about them, being there, and meeting their medical the worst possible sins, partly because it would be impossible for a perpetrator to repent of the needs. act. Are we physicians now expected to ignore and deny our oath and ethical code of Hippocrates-- Life and death rightfully should be left in the hands of God. St. Paul declared,"In Him we live "The regimen I adopt shall be for the benefit of my patients according to my ability and judgment, and move and have our being"(Acts 16:28).The divine decree in Ecclesiastes 8:8 thunders,"no and not for their hurt or for any wrong. I will give no deadly drug to any, though it be asked of one has power over the day of his death"(NIV). me,nor will I counsel such,and especially I will not aid a woman to procure abortion". Four different individuals in the Bible sought assisted suicides from God,namely Job, Moses, Can we really afford to ignore our pledge of allegiance"to one nation under God"and deny His Elijah, and Jonah. They all prayed for God to kill them. God never answered such prayers, nor dominion over us by again usurping His power of life and death? It continues to be our ultimate will he.To do so would violate his own principle that the human body is the"temple of the Holy human arrogance to take what we cannot replace. Ghost'(I Corinthians 6:19). Do we really want to not be able to consistently trust our caregivers with our health and lives? The Netherlands is to date the only nation in the world where doctor assisted suicide and Are our individual rights more important than our responsibilities to each other and society as a euthanasia widely prevails. Yet both practices remain illegal there. Usually the authorities just whole? look the other way. But investigators lament that the practices there are really"no Dutch treat"! Cases surface where by their own initiative some physicians administer death without the deci- sion of the patients. Is not reverence for life from God the basis for all ethics, morality, civility, peace, and love--- and disrespect for life the basis for their destruction? Oregonians would do well to vote yes on measure 51. Chesterton said,"Before you take down a wall,be sure you understand why it was put there in (This information furnished by Raymond Cox, Th.D.) the first place".The Netherlands and the Nazi doctors are tragic examples. I know I need not remind Oregonians that the worth of a nation(or state)is measured by how well it cares for its more vulnerable. Please vote yes on Measure 51. Joseph H.Eusterman,MD (This information furnished by Joseph H.Eusterman,M.D.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. [does the state warrant the accuracy or truth of any statement made in the argument. 4 i Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR STATEMENT IN SUPPORT OF REPEAL OF THE OHSU Medical Students Support Measure 51 PHYSICIAN-ASSISTED SUICIDE LAW IN OREGON Under Measure 16 the consistent ethics to which our profession has ascribed for the past 2400 Providence Health System is honored to serve people throughout Oregon with a wide range of years are in danger of being discarded.These include the promises to"First do no harm"and"I physician,hospital,home care and hospice services. It is from our deep experience in caring for will not give a deadly drug to anyone even if asked for it." persons with life-threatening illness and their families that we find the following reasons to sup- port repeal of the physician-assisted suicide law in Oregon: As future physicians,we see serious flaws in Measure 16.We know that doctors cannot accu- rately predict an individual's quality and quantity of remaining life. None of us will be able to 1. By legalizing the ability of physicians to hasten death through assisted suicide,the law accurately diagnose a 6-month life expectancy by the time our training is completed. will adversely change the nature of the physician-patient relationship. Physicians,health plans, and health systems risk the loss of patients'trust that their doctors will always provide Two groups in the medical profession most ardently opposed to physician-assisted suicide are or advocate for appropriate treatment, relief of their pain and symptoms, and facilitation of a hospice workers and advocates for persons with disabilities.Their opposition sends us the mes- compassionate and peaceful death. sage that the easy way to treat suffering is not the best way. These professionals understand that we need training in palliative care and advances in pain management and not in how to 2. Health care providers need more time to show that pain management, hospice care, write prescriptions for lethal medications. We do not have to end life in order to end suffering. and other forms of support for dying persons do work.With recent legislation on advance Quality end-of-life care must continue to be a fundamental part of our medical education. directives and end-of-life treatment, advancements in pain and symptom management, and the widespread availability of hospice care,the needs of dying persons and their families can Traditionally,doctors have been taught to view a suicidal tendency as a call for help.We main- effectively be met. And more is being done: organizations across the country are working to tain that the appropriate treatment for a person seeking an end to life is to employ methods that continue improving the health system and building community-based systems of care for per- eliminate the reason for the despair rather than the ep rson in despair. sons who are dying and their families.We should allow these efforts to demonstrate their abili- ty to improve the quality of our living and dying. We are training to save lives, not terminate them.We urge the people of Oregon to keep com- 3.The law reinforces the view that dying people are an unnecessary burden. Because the passion in medicine by repealing Measure 16 today. law's provisions on mental health counseling and family notification are not mandatory,people Nicole Alexander Heather Marshall diagnosed with a terminal illness may request suicide in the absence of other needed support. This law will reinforce the view that dying people are an undue burden to society,and provide Eric Anderson Stephen Morgan Jonathan Anderson Lawrence Neville a legitimate way of turning away from people during this critical period of their lives. Peter Bessas James Obester Jr. Anatoly Brodsky Sara Philip Please vote YES on Ballot Measure 51. Michael Dixon Sean Ponce Jeff Douglass Karie Praszek (This information furnished by John P.Lee,Providence Health System.) James French Kerry Rasmussen Erik Gilbert Krysta Schlis Thomas Gilberts Daniel Toweill Amy Grimsrud Christopher Zoolkoski Andrea Grout (This information furnished by Christopher Zoolkoski&Peter Bessas,OHSU Medical Students for Measure 51.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. [does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR t The effort to repeal Oregon's Measure 16, is not as much about assisted suicide as it is Most people know of someone diagnosed with a life-threatening illness, such as cancer, who about a flawed law-a fatally flawed law.That is why doctors, nurses, hospice workers- overcame the odds and lived.As amazing as it may seem,this happens frequently. If a doctor people across the state of Oregon-support Measure 51. did, by some chance, make a mistake and a patient really wasn't terminal, wouldn't that be a cause for celebration?Not with Oregon's seriously flawed assisted suicide law.Under this poorly OREGON MEDICAL ASSOCIATION written law,the misdiagnosed patient may die anyway. "OMA urges you to vote Yes on Measure 51 in November to repeal Oregon's flawed physician-assisted suicide law." The law allows physicians,who are quite capable of making mistakes,to write prescriptions for (Oregonian 8/17/97) lethal pills to end the lives of patients diagnosed with less than six months to live.And the pre- scription could actually be requested over the telephone, not in person. The physician does not PRESIDENT BILL CLINTON even need to be present at the time of the suicide attempt. "I believe it(assisted suicide)is wrong and I have always believed it to be wrong.The risks and consequences of physician-assisted The fact is that 50%of Oregon's doctors say they cannot accurately predict when someone will are simply too great."(Official Statement 6/26/97) die. According to an editorial by two prominent pathologists, autopsies show pre-death diag- noses were wrong in 10-15%of all hospital cases where deaths occur. "The Oregon Hospice Association is concerned that Oregon's assisted suicide law is not a good law,regardless of what an individual's position may be on physician-assisted suicide.But we are No matter how well intentioned doctors may be,and no matter how authoritative their research most concerned that Oregonians do not vote to keep Oregon's assisted suicide law because and tests may appear,they can,and do, make mistakes.Oregon's assisted suicide law will turn they believe their only choice is to suffer." these mistakes into deaths for patients who might otherwise have survived their illnesses and ANN JACKSON,OREGON HOSPICE ASSOCIATION gone on to live healthy,happy and productive lives.This is a risk I am not willing to take. SENATOR MARK O.HATFIELD No wonder the Oregon Medical Association recently declared that it"...urges you to vote Yes "During the 46 years I was honored to represent Oregonians in on Measure 51 in November to repeal Oregon's flawed physician-assisted suicide law." public office, I confronted many difficult and complex issues.I (Oregonian,8/17/97). Please join them,and me,in voting YES ON MEASURE 51! found that the greatest challenge was to stand firm when con- fronted with flawed solutions to very real human problems, Benneth Husted,M.D. and to reject the tempting,but simplistic answer.Though now retired from office, I still feel a great sense of commitment to (This information furnished by Benneth Husted,DO.) stay true to this conviction.That is why I am asking you to join me in supporting Measure 51." "AS ONE OF THE STATE'S LARGEST ADVOCACY GROUPS FOR SENIORS,WE ARE DEEPLY CONCERNED ABOUT OREGON'S ASSISTED SUICIDE LAW,AND THE THREAT THIS DANGEROUS LAW POSES TO OREGON'S SENIORS.THAT IS WHY THE OREGON STATE COUNCIL OF SENIOR CITIZENS ENDORSES THE PASSAGE OF MEASURE 51." OREGON STATE COUNCIL OF SENIOR CITIZENS If we are going to repeal Oregon's fatally flawed assisted suicide law we cannot make this stand alone.It will take all of us.Please vote yes on Measure 51. (This information furnished by Trish Conrad, Yes on 51 Committee.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor [The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. 5 I Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR A PERSONAL MESSAGE FROM SENATOR MARK 0.HATFIELD An important message from the Oregon State Council of Senior Citizens During the 46 years I was honored to represent Oregonians in public office, I confronted many As one of this state's largest advocacy groups for seniors, we are deeply concerned about difficult and complex issues. I found that the greatest challenge was to stand firm when confront- Oregon's assisted suicide law, and the threat this dangerous law poses to the well being of ed with flawed solutions to very real human problems, and to reject the tempting, but simplistic Oregon's seniors. That is why the Oregon State Council of Senior Citizens endorses the answer. Though now retired from office, I still feel a great sense of commitment to stay true to passage Measure 51. this conviction.That is why I am asking you to join me in supporting Measure 51. Senior citizens coping with their own terminal illness should not have to face this traumatic situa- When the American Medical Association addressed Congress last year, they stressed the tion alone. Certainly,no senior citizen should have to make the decision of ending their own life need to more aptly and compassionately care for the terminally ill. "The movement for legally without the support of loved ones. But, this law does not require family notification of the deci- sanctioning physician-assisted suicide is a sign of society's failure to address the complex sion to commit assisted suicide. A senior citizen could take their own life in complete isolation, issues raised at the end of Iife....Our response should be a better informed medical profession and in terrible fear.Not even the patient's physician need be present. and public,working together to preserve fundamental human values at the end of life."t I could not agree more. This law also victimizes seniors suffering from the emotional devastation that often accompanies j a diagnosis of terminal illness.Without a requirement for mental health counseling,or a waiting After careful consideration, I have found that the numerous flaws in Oregon's assisted suicide period that allows sufficient time to make an emotional adjustment to the diagnosis, a patient law outweigh any potential relief for our terminally ill. could resort to assisted suicide without truly considering or comprehending the consequences of w this very final decision. • It lacks the safeguards needed to protect our most vulnerable citizens, such as seniors with limited resources who fear becoming an economic burden on their loved ones. Under this assisted suicide law. the "right to die" could become the "duty to die" for many of J Oregon's seniors. Rising health care costs coupled with dwindling resources could pressure • It fails to require mental health counseling for patients seeking assisted suicide.Undetected or seniors to end their lives rather than become an economic burden on their family. It would be untreated depression could effect the patient's ability to truly consider the consequences of tragic if money became the controlling factor in a senior's decision to end their life,but this could this choice. certainly be the case if we retain this fatally flawed assisted suicide law. • It relies upon a doctor's ability to accurately predict how long a terminal patient has to live, Oregon's assisted suicide law targets some of the most vulnerable people in our society.That is while they admit they cannot in 50%of all cases. why the Oregon State Council of Senior Citizens urges you to join them in repealing this dangerously flawed law—VOTE YES ON MEASURE 51! 1 While you may even support the concept of assisted suicide, I am sure you would not want a dangerously flawed law.Oregon deserves better. (This information furnished by James A.Davis,D.Ed.,Oregon State Council 01 Senior Citizens.) j Please join me.Vote yes on Measure 51. j AMA Statement,House Judiciary Subcommittee,4/29/96. (This information furnished by Trish Conrad, Yes on 51 Committee.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor ! does the state warrant the accuracy or truth of any statement made in the argument. [does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR ASSISTED SUICIDE LAW LACKS SAFEGUARDS Oregon Pharmacist Opposes Assisted Suicide Law There is no more final decision than a terminally ill person choosing assisted suicide. It is a As a licensed pharmacist in the state of Oregon, I must speak up concerning this vague and serious decision that cannot be taken lightly. Any law that permits assisted suicide must include badly-written assisted suicide law which changes the role of all pharmacists dramatically. safeguards that ensure this decision is not made recklessly. For many years the pharmacy profession has been regarded as highly respected by all,because Unfortunately, Oregon's assisted suicide law does not. The current law lacks adequate safe- your life,health and well-being has been highly respected by your pharmacist. uards. Unlike the physicians, the pharmacists may not have the use of the "freedom of conscience" There is no requirement for mental health counseling. The decision to refer a patient for con- clause, which would permit them to refuse to participate in assisted suicides. The law provides sultation is solely at the doctor's discretion, who often lacks the training necessary to detect no specific legal protections for the pharmacist when a prescription for a lethal drug is filled. depression or mental illness. Under this law,a patient diagnosed with terminal illness could suf- fer depression and choose suicide without truly considering the consequences of such a drastic There could be an enormous increase in malpractice suits in the state,as a result of this badly- step. written law. There is a 25% possibility that the patient will live after swallowing the prescribed pills,perhaps suffering a painful reaction to the drugs and possibly being worse off than before. The waiting period is too short. Fifteen days does not give a person receiving the emotionally devastating diagnosis of terminal illness sufficient time to mentally adjust and consider the This lack of legal protection means pharmacists could find themselves hard-pressed to obtain options clearly.This recovery could take up to five weeks. malpractice coverage if they dispense lethal drugs. There is no real residency requirement. Since"resident of Oregon"is not specifically defined, Oregon's assisted suicide law threatens the integrity of my profession,and endangers my people from out-of-state,like California or Washington,could come to Oregon just to commit sui- ability to perform my work.Please vote to repeal it by voting Yes on 51. cide. This would make Oregon the "death capital"of the nation and taxpayer money might be needed for the burial of the victims. John Gabaldon R.Ph. It lacks strong reporting rye uirements. There is no enforceable mandate for doctors to report (This information furnished by John Gabaldon R.Ph.) their assisted suicides and doctors are not allowed to indicate assisted suicides on death certifi- cates. Only a "sample" of records needs to be reviewed by the proper authorities and these records are barred from public examination.Tracking abuses under the current law will be nearly impossible.If the death is an assisted suicide,why not record it as death by assisted suicide? As a hospice nurse, I believe the terminally ill,and all Oregonians,deserve an assisted suicide law that includes adequate protections. This law does not. It should be repealed. Please vote Yes on Measure 51! David A.Abbott,R.N. (This information furnished by David A.Abbott R.N.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. [does the state warrant the accuracy or truth of any statement made in the argument. 6 Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR OREGON PHYSICIANS FAVOR MEASURE 51 'Right to Die'Becomes'Duty to Die' In 1994, many physicians in Oregon were unaware of significant issues and risks associated Doctors serve the sick by curing disease when possible and/or providing 'comfort care' to with Measure 16. In the three years since the narrow passage of Measure 16, physicians in relieve suffering. In Holland for two decades, laws have allowed doctors to kill informed and Oregon have seriously studied,evaluated and are now responding to Measure 16. rational terminally-ill patients at their request,using pills(assisted suicide)and/or lethal injection (euthanasia).Oregon's Measure 16 identifies such a patient group. The more we have learned,the more we realize the significant harm and danger of Measure 16. It will be harmful to patients and to physicians. Measure 16 represents a reversal from the Despite written safeguards(stronger than those in Measure 16),Dutch doctors have expanded proper role of physician as healer, comforter, consoler; to an improper role of helping patients assisted suicide and euthanasia to include other patients.At least 21-30%of all patients receiv- commit suicide, where physicians provide the means and the instructions. Physician-assisted ing assisted suicide or euthanasia are killed without their consent, often as a convenience for suicide is really"physician-directed suicide" because it uses.the physician's prescription, which doctors and/or families. Consequently, Dutch comfort care is underdeveloped. Many patients is a written"order or direction"to the patient.How can physicians now order and direct the death there must choose to be killed to get pain relief. of patients? Holland provides free health care for all its people, so money issues do not impact their We should not be misled by the faulty evidence and reasoning that has been used to promote patients,families and doctors. By contrast,American health care is heavily money-driven.Many Measure 16. Physicians must use and continue to improve their knowledge and skills in order to patients have no insurance, being poor or have become poor paying for expensive health care. comfort and care for patients,not to encourage and assist in their death.We do not want to learn Many others are treated under capitation payment systems imposed by medical and government how to kill patients.Those of us who are teaching physicians do not want to teach medical stu- bureaucracies,having doctors pay for their patient's care. Doctors,CEOs and stockholders thus dents,interns,or residents how to perform physician-assisted suicide. profit from earlier deaths of'expensive' patients. Patients often feel guilty for being a burden to their families.For them,the'right to die'becomes the'duty to die'. Measure 16 will have a devastating effect on the practice of medicine in Oregon. It will have a devastating effect on patients and their ability to trust their physicians. WJ Smith put it bluntly in'Forced Exit: The Slippery Slope from Assisted Suicide to Legalized Murder', 1997, page 14: "The day doctors are legally allowed to kill patients, Wall Street The Oregon Medical Association has carefully and thoroughly evaluated Measure 16, and investors in for-profit HMOs will be dancing in the streets."We must restructure our health care overwhelmingly"opposes Measure 16 as seriously flawed".(Oregonian,August 17,1997) system and improve pain management,not do the easiest and cheapest thing by killing patients. It is critical for Oregonians to reject Measure 16 by voting Yes on Measure 51. Please vote YES on Measure 51 to prevent implementation of Measure 16. Lynne Bissonnette MD PhD Miles Edwards,M.D. Richard L.DeKlotz MD Lung Specialist(retired), Portland. John W.Kendall MD Rob Boone,M.D. Naima S.Panow MD William M.Petty MD Cancer Specialist, Bend. Thomas M.Pitre MD James Ch Donald Schroeder MD Practice, M.D. William L.Toffler MD Family Practice, Portland Fran Yuhas MD (This information furnished by W.L.Toffler,MD.) (This information furnished by Miles J.Edwards,M.D.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does'not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR Deceit is no basis for sound public policy in Oregon or anywhere else.Yet,deceit was used to MEASURE 16 DESTROYS TRUST BETWEEN PATIENT AND PHYSICIAN mislead voters into supporting Oregon's assisted suicide law in 1994. In addition to 30 years experience as a physician treating over 8000 cancer patients in Oregon, A chief spokeswoman for assisted suicide appeared in television commercials telling I have personal experience regarding the harmful effects of physician-assisted suicide on trust in Oregonians how her dying daughter had slipped away peacefully after taking a lethal dose of the relationship between patient and physician. pills.However,that was not the whole story. We had been married for 18 years and had 6 children. For three years my wife had been suf- In reality, her mother later admitted what the pills caused was so gruesome, her son was fering from advancing malignant lymphoma. It had spread from the lymph nodes to her brain,to tempted to suffocate the girl with a pillow."In the end, Rosen,a registered nurse,said she'hit a her spinal cord and to her bones.She had received extensive chemotherapy and radiation treat- vein,' suggesting she had to use an injection to end her daughter's life." (Mark O'Keefe, ments. She required considerable pain medication, antidepressants and other supportive mea- Oregonian 6/29/97). sures.In late May, 1982,we met again with her physician to review what more could be done.It was obvious that there was no further treatment which would halt the cancer's progressive The voters were not told that the key flaw in Oregon's assisted suicide law was clearly repre- nature. sented in that case—pills don't work.They have a failure rate as high as 25%,a figure admit- ted to by one of assisted suicide's strongest supporters, "right to die" advocate and Hemlock As we were about to leave his office, her physician said,"Well, I could write a prescription for Society President,Derek Humphrey. an`extra large' amount of pain medication-for you."He did not say it was for her to hasten her death, but she and I both felt his intended message.We knew that was the intent of his words. In addition to this potential for failure the law's lethal Rills can have dreadful unintended side We declined the prescription. effects.After swallowing the suggested dose of 60-100 pills, many people suffer vomiting, con- vulsions and brain damage.Victims may suffer in agony for days. As I helped her to our car,she said,"He wants me to kill myself."She and I were devastated. How could her trusted physician subtly suggest to her that she take her own life with lethal Since this fatally flawed law does not allow for lethal injection to end the drug-induced trauma, drugs?We had felt much discouragement during the prior three years, but not the deep despair the ghastly option of suffocating the suffering patient by placing a plastic bag over their head that we felt at that time when her physician, her trusted physician,subtly suggested that suicide may be the only other available option to"complete"this clearly less than dignified suicide. should be considered. His subtle message to her was,"Your life is no longer of value, you are better off dead." Had Oregonians been told in 1994 that the assisted suicide law's sole method(lethal pills)was Six days later she died peacefully, naturally, with dignity and at ease in her bed, without the ineffective and unreliable, leaving only suffocation as a sure way to"finish the job,"would they still have voted the same way? suggested lethal drugs. Now that we know the rest of the story. I urge you to repeal Oregon's fatally flawed assisted MEASURE 16 DESTROYS TRUST BETWEEN PATIENT AND PHYSICIAN suicide law. VOTE YES ON 51 VOTE YES ON MEASURE 51! Kenneth R.Stevens,Jr.,M.D. Dr.N.Gregory Hamilton (This information furnished by Kenneth R.Stevens,Jr.,MD.) (This information furnished by Dr.N.Gregory Hamilton.) (This space purchased for$300 in accordance with DRS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. Official 1997 November Special Election Voters'Pamphlet MEASURE NO. ARGUMENT IN FAVOR ARGUMENT IN FAVOR "The OMA specifically opposes Oregon's Death With Dignity Act as seriously flawed." Undignified Death After Suicide Attempt (Oregonian, 8/17/97). In doing so, they have joined physicians across the nation calling for the repeal Oregon's dangerously flawed assisted suicide law. In my earlier career as an ICU physician, I saw many people die.The case that stands out to me as the most tragic was that of a young man in his early 20s who had attempted suicide(after While many of these flaws are evident to even the most casual observer, my overriding con- break-up with his girl friend). The evening before I first met him, he had swallowed over 60 cern is the way this law compromises the integrity of the medical profession, and my ability to Seconal tablets (the same medication and dose recommended by proponents of assisted sui- treat patients in a humane and dignified fashion. cide).He then became unconscious and then vomited his full stomach contents into his lungs(a common consequence of this scenario). As a physician who treats cancer patients on a daily basis, I understand the need for uncom- promising care at the end of life. Oregon's assisted suicide law does nothing to address that By the time he arrived in our ICU,he was regaining consciousness(the Seconal'wearing off) need. and was coughing up much very smelly sputum (like that of a watery diarrhea).We diagnosed this condition as aspiration pneumonia with 'putrid' lung abscesses. The bacterial organisms • It is neither humane nor dignified to prescribe a dose of 60 to 100 pills to a terminally ill causing such a pneumonia are bowel bacteria similar to those in diarrhea. I performed a bron- patient. Even if they are able to swallow them, they still may suffer a lingering coma or a choscopy and observed very burned appearing, inflamed airway membranes with copious foul prolonged,painful death. brownish fluid coming from extensive areas of the lungs. • There is nothing compassionate about saying, "There is nothing more I can do,"writing a This young man suffered not only the physical discomfort of tasting this putrid sputum but was prescription, and wishing the patient, "good luck"The law allows the physician to take no very embarrassed by realizing he smelled so bad to others.The room reeked with the smell.He responsibility,while giving them a new lethal power. greatly regretted his suicide attempt and wanted to live. Unfortunately, despite our giving him massive doses of antibiotics,he died of this pneumonia two days later. It stands out as the most • It is wrong to allow a patient to request a lethal prescription by telephone.It is also wrong to undignified death I ever witnessed in 35 years of medical practice. allow a patient to take those pills without the physician present, leaving the physician with no control over when the event occurs or its outcome. The Dutch experience tells us that about 20-25% of assisted suicide attempts 'fail', patients don't die immediately as planned.One of the leading complications of this approach is aspiration • The law lowers the standard of medical care.It allows doctors to act negligently and not be pneumonia as with this unfortunate young man, a scenario which will be particularly likely in held liable for botched suicide attempts,or inadequate end of life care. already nauseated cancer patients. • The law is open to abuse as it fails to require strict record keeping on the number of assist- Please vote YES on Measure 51 to prevent implementation of Measure 16. ed suicides. Miles Edwards,M.D. i The OMA is right to call for the repeal of Oregon's flawed assisted suicide law. Any physician Lung Specialist(retired), 1 committed to compassionate care of the dying will agree. Portland. VOTE YES ON MEASURE 511 (This information furnished by Miles J.Edwards,M.D.) Dr.Gary L.Lee Oncology Associates of Oregon (This information furnished by Gary L.Lee,M.D.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor rThe printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR ORAL MEDICATIONS DON'T WORK WHY WE PHYSICIANS FAVOR MEASURE 51 Measure 16 is Harmful to Patients. People attempting suicide with medications fail to kill themselves from 20%to 88%of the time. Surveys have shown that cancer patients and AIDS patients with pain are more likely than The only method of suicide specified in Measure 16 is by ingestion, which means taking medi- others to oppose physician-assisted suicide. cine by mouth. These patients view Measure 16 with alarm and are concerned it may decrease access to proper pain treatment. The most effective medicines to cause death are the old fashioned sleeping pills, the barbitu- Oral lethal drugs used in physician-assisted suicide are not effective 25% of the time, and rates.They are bitter and cause nausea and vomiting.They must be swallowed rapidly and kept may increase discomfort in dying. i down in large amounts to cause death. Economics of managed care and catastrophic illness may encourage vulnerable patients to choose physician-assisted suicide. Most terminally ill people have difficulty eating rapidly or keeping food and medicines down. Economics of managed care and catastrophic illness may result in physicians biasing patients Cancer patients lose their appetites and vomit easily. Patients with heart failure or pulmonary to choose physician-assisted suicide. failure have difficulty breathing and so eat slowly. People with neurological disorders often eat Measure 16 is Harmful to Physicians slowly. A prescription is a directive and order from a physician; Measure 16 results in physicians directing the death of their patients. So the target population for physician assisted suicide,the terminally ill,will not be able to com- Measure 16 is destructive to the trust in the patient-physician relationship. mit suicide under Measure 16. Measure 16 has a harmful psychological effect on physicians who may be involved with directing the death of their patients. I MEASURE 16 IS NOT DEATH WITH DIGNITY. VOTE YES ON MEASURE 51 TO REPEAL Psychiatrists become gate-keepers of physician-assisted suicide. MEASURE 16. Measure 16 is Harmful to Society i • The very ill and weak are most vulnerable to influence by others to choose physician-assisted ' William M.Petty,M.D., suicide. Gynecologic Oncology The value of terminally ill individuals is decreased. • Suicide may be looked upon as a proper response to life's difficulties. (This information furnished by William M.Petty,MD,Oncologist.) Access to proper medical care for the very ill may decrease. • Measure 16,over time,may encourage a cultural shift to a duty to die. As caring physicians we urge your support for Measure 51 and the repeal of Measure 16. VOTE YES ON MEASURE 51 Gerald B.Ahmann MD Leon Harrington MD Joseph P.Amato MD Mark O'Hollaren MD William M.Bennett MD Donald Orwick MD William E.Connor MD William M.Petty MD Pam Edwards MD Jana M.Reddoch MD Jerry Flaming MD Neal Rendleman MD Milton D.Hyman MD Paul C.Tseng MD Selma Hyman MD Thomas Van Veen MD John W.Kendall MD Earl Van Volkinburg MD Laura A.Miller MD This information furnished by William M.Petty,MD,Oncologist.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made.in the argument. does the state warrant the accuracy or truth of any statement made in the argument. 8 Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR MEASURE 16 DISCOUNTS THE DISABLED Statement of Endorsement Being disabled,I know the discrimination and abuse that is directed toward anyone in our soci- Measure 51 ety perceived as"different"or outside the mainstream.Many challenge the contributions that dis- abled people make to our society, considering them"burdens,"or as not making positive contri- We stand united in opposition to any legislation promoting assisted suicide. butions. This image is slowly changing. Recent years have seen progress in recognizing the rights of Optimal management of end-of-life issues can be achieved. the disabled. Passage of the landmark Americans with Disabilities Act(ADA)in 1990 is a prime We urge all voters to understand the distinction between active termination and compassionate example. treatment. However I and many other disabled people fear that Oregon's dangerously flawed assisted Barbara A.Zavanelli-Morgan,MD suicide law will reverse this progress and be a step backward to the days when the disabled were seen as"expendable." Endocrinologist This faulty law discriminates against those disabled by terminal illness,withholding from them Stuart Morgan,MD the same protections from premature termination of life that others enjoy.This law deems the life internist of a person suffering a terminal illness less worthy of the state's protection than the life of a healthy,able-bodied person. (This information furnished by Barbara A.Zavanelli-Morgan,MD.) Oregon's law poses additional dangers to the disabled. By defining`terminal illness"vaguely, countless disabling conditions could quality as"terminal"A new spinal cord injury is one exam- ple. The law allows individuals with certain disabilities to die within fifteen days of the first request,before gaining access to available therapies and rehabilitation. Members of vulnerable groups are destined to become the chief victims of assisted suicide.A disabled person could see the "right to die" become the "duty to die," as subtle pressure for assisted suicide surfaces due to financial considerations,fears of being a burden on the family or a lack of independent living opportunities. Let's not reverse the progress society has made in recognizing and responding to the rights and needs of the disabled.Please vote Yes on Measure 51. Ellie Jenny Founder,Not Dead Yet-Oregon (This information furnished by Ellie Jenny,Not Dead Yet.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR MEASURE 16 SUPPORTERS OPEN DOOR TO DEATH MACHINES MEASURE 16 IS"FATALLY FLAWED" In 1994, Measure 16 supporters told the citizens of Oregon that Measure 16 was for lethal VOTE YES ON 51 FOR ITS REPEAL drugs to be swallowed by the patients. Yet, one of the many flaws in Measure 16 is that pills cannot always be swallowed and don't always work. Recently, the Oregon Medical Association publicly urged a YES vote on Measure 51 to repeal The supporters of Measure 16 told us in 1994 and told the legislature in 1997 that Measure 16 Oregon's assisted suicide law. The physicians of Oregon noted that Measure 16 is "fatally did not permit Kervorkian-style suicide machines. flawed"and should be repealed.What is meant by the term"fatally flawed". Now they say the opposite! The answer resides in the drugs that would be used. In particular, physician assisted suicide In the Oregon Health Law Manual, published in August, 1997, Coombs Lee, Stutsman and relies on the use of Ica ohol and an old-fashioned class of drugs called barbiturates, both drugs Hagan write that the "route of administration" of lethal drugs "is also discretionary". They now administered orally,rather than injected into a vein.Administered orally,alcohol and barbiturates suggest that Kervorkian-style inhalation of lethal gas and intravenous infusions (allowing lethal merely induce a deep sleep.They do not stop the heart and only rarely do they stop breathing. drugs to flow through IV tubing by gravity)"may be used"by the patient, depending on judicial However,they can cause a lack of oxygen sufficient to cause permanent and irreversible brain interpretation. damage.To"complete"the suicide,one places a pillow or plastic bag over the victim's head and This is not what the voters of Oregon understood in 1994. waits for the person to die by suffocation. Have the voters of Oregon been tricked into legalizing being gassed,having lethal drugs flow- ing into their IV tubing and calling it something other than lethal injection or death machines? To effectively cause death, euthanasia must utilize injected drugs that stop the heart and stop Measure 16 supporters have said that no one wanted "infusion pumps" or Kervorkian-style breathing (for example, intravenous potassium chloride and curare). In such instance, death death-machines. Yet they now say that those same devices may be permitted under the scope invariably follows (as in lethal injections for criminal executions). Potassium and curare, howev- of Measure 16. er,must be given by injection(they are not effective when taken by mouth)and the victim must be watched by a physician and family until he/she is dead. Is this what Oregon voters really • Measure 16 is seriously flawed. want?I think not! • Voters thought they were voting for pills. • Pills fail frequently and can result in lingering deaths. The evidence is clear that orally administered alcohol and barbiturates are ineffective,and that • Voters didn't want death machines. lethal injection is the only reliable method to bring about death. Proposition 16, however, • Lethal gas machines may be permitted. appears to forbid such action.Measure 16 may be a first step(approval of a"fatally flawed,"inef- • Voters didn't want lethal drugs in their IV tubing. fective method)as a prelude to euthanasia by lethal injection. • Lethal drugs in IV tubing may be permitted. • Death machines can be abused to kill patients without their permission. Please vote YES on Measure 51 to repeal Oregon's fatally flawed physician assisted suicide law and stop the move towards euthanasia by lethal injection. VOTE YES ON MEASURE 51 REPEAL MEASURE 16 Robert M.Julien,M.D.,Ph.D. Robert W.DuPriest MD Physician,author and pharmacologist N.Gregory Hamilton MD Portland,Oregon Mark A.Kallgren MD Mark A.Kummer MD (This information furnished by Robert M.Julien,M.D.,Ph.D.,Physician,author,and pharmacologist) R. Eugene Lienert MD Leonard W.Ritzmann MD Kenneth R.Stevens MD William L.Totter MD (This information furnished by Al.Gregory Hamilton,MD.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. 9 Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 ARGUMENT IN FAVOR ARGUMENT IN FAVOR PATIENTS IN PAIN FEAR MEASURE 16 Measure 16 poses a striking danger to residents of Oregon and its quality of life.As resi- dents of Eastern Oregon we are alarmed by the following serious concerns: One of the chief arguments used to justify Measure 16, is that it would provide and "out'for terminally-ill individuals having pain. Yet, cancer patients with pain regard physician-assisted suicide (Measure 16) as a threat to Oregon voters were misled by pro-Measure 16 forces in 1994.The most glaring example was their receiving proper medical care. the chief spokesperson for the Measure 16 media campaign claiming that her daughter had "slipped peacefully away"after she was given lethal pills.She now admits the pills didn't work so The public,and even some physicians,are not aware of the new information regarding the fear she gave her daughter a lethal injection.(Oregonian 11-4-94) of physician-assisted suicide and euthanasia by cancer patients and by AIDS patients with expe- Hence with pain. Up to 100 pills must be taken,often causing difficulties leading to an agonizing lengthy death. Medical research has shown the following: • Cancer patients and AIDS patients with pain are more likely than others to oppose legalizing Measure 16 doesn't require counseling nor family notification before a loved one is put to physician-assisted suicide or euthanasia. death. • Cancer patients experiencing pain are less likely to trust a doctor if physician-assisted suicide or euthanasia is mentioned as part of a discussion of care at the end of life. • Cancer patients in pain were more likely to switch physicians if their doctor mentioned that Measure 16 doesn't define who is a resident of Oregon.Quite likely people will flock to Oregon they would be willing to perform euthanasia or physician-assisted suicide. from other states to commit suicide,leaving Oregonians to pay for the burial of the bodies.There • In The Netherlands,pain was the only reason for euthanasia in just 10%of cases and a con- is no provision for anyone to verity the patient's actual place of residence. Oregon should be tributing factor in less than 50%of cases. known as a great place to live,not a great place to die • Patients in pain do not view physician-assisted suicide or euthanasia as an appropriate response to inadequate pain management;they want to get rid of the pain in the patient, not Measure 16 goes against medical traditions of western civilization. It is a violation of the get rid of the patient in pain. Hippocratic Oath,"I will give no deadly medicine to any if asked,nor suggest any such counsel." • Cancer patients in pain are suspicious that if euthanasia or physician-assisted suicide are The OMA recently declared that they urge Oregonians to vote yes for the repeal of"Oregon's legalized,the medical care system may not focus sufficient resources on pain relief and pallia- flawed physician-assisted suicide law."(Oregonian 8-17-97) tive care. • Elderly patients are more likely to oppose physician-assisted suicide than are their relatives. Presently suicide is one of the leading causes of death among teenagers.We fear Measure 16 References: will accelerate this trend by giving youth the message that society wholeheartedly supports 1. The Lancet,347:1805-1810,1996. suicide! 2. Drug Use in Assisted Suicide and Euthanasia,Pharmaceutical Products Press, 1996,pp. 91-111. This summer in a rare unanimous decision the United States Supreme Court justices were of 3. Archives Internal Medicine 156:2240-2248,1996. one mind that there is no constitutional"right to die".(Oregonian 8-7-97) 4. The Atlantic Monthly,March,1997,pp.73-79. PROTECT PATIENTS WITH PAIN A fully informed Oregon electorate has the opportunity to repeal this seriously flawed PROTECT THE VULNERABLE ELDERLY assisted-suicide law. VOTE YES ON MEASURE 51 Ward Buckingham MD VOTE YES ON MEASURE 51. Thomas Comerford MD Carl Jenson MD (This information furnished by David Lodzinski,Friends of Malheur and Hamey Counties.) Kenneth Stevens MD John Vetto MD (This information furnished by Kenneth R.Stevens,Jr.,MD.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN OPPOSITION ARGUMENT IN OPPOSITION Oregon's Legislature was Wrong to Send Measure 16 Back to the Ballot. We are Oregonians who suffer with terminal diseases. Oregon Voters Have Already Spoken Let us keep the freedom of choice in this last great decision of our lives. Oregon's Legislature is Trying to Thwart the Will of Voters...Again We know we may soon face the pain,suffering and disability of the final stages of our illnesses. 627.980 Oregon voters approved the Oregon Death With Dignity Act(1994's Measure 16). 52 legislators overturned the will of voters and are forcing us to vote on the very same law again. We urge you to vote NO on Measure 51. When Oregon's legislature sent the Death With Dignity law back to the ballot, they told us that we just didn't know what we were doing when we passed Measure 16. When life has deteriorated to the point of a miserable, agonizing existence, we would like the choice to hasten the inevitable end,and to do so with the advice and help of a willing physician. The Legislature says it doesn't trust that voters made the right choice. r They said vote on the same law again. The Oregon Death With Dignity Law gives us that choice. The existence of the law gives us It's an insult to voters that this election is even being held. peace of mind and contentment now.We can focus on living, knowing that we have options at Worse yet,it's costing taxpayers nearly$1 million to hold this election. the end of our lives. We urge you to read the Legislative Argument in Support of Measure 51, This law provides choices for all Oregonians the Legislature's chance to tell you why you're voting on the very same law again. Ask yourself if there are any new issues listed there, The law does not require that anyone consider physician aid-in-dying.The law leaves this deci- or if these are just the same old political arguments we heard in 1994. sion up to the patient,and the patient only.The law requires that the patient make the request, So why are we voting again? both orally and in writing. It requires a waiting period of at least 15 days. It requires a second .•° Because our political opponents,with their powerful lobbyists and their minions in the doctor to concur that the patient is in the last phase(six months or less)of the terminal illness. It Legislature,just didn't like the result the first time around. requires treatment in case of mental depression. The law clearly states that medical care providers do not have to participate. Now its up to voters. A NO vote on Measure 51 is our chance to tell Legislators to keep their hands off Keep the Right to Choice of our initiative process...and ensure that dying Oregonians have the right to control their own VOTE NO ON MEASURE 51 end of life decisions. To the Legislature,it's just politics as usual. Keep the choice the current law provides to dying Oregonians. To terminally ill Oregonians,it's a choice between dying on their own terms...or on someone Honor us and other dying Oregonians by allowing all of us to make this last great choice for else's. ourselves. Don't let the Legislature take your vote away. Vote No on Measure 51. Get government out of this most personal decision of a dying person. Please Vote No on Measure 51. Barbara Oskamp Penny Schlueter Tim Shuck Barbara Coombs Lee,Elven Sinnard,Dr.Peter Goodwin (This information furnished by Barbara Oskamp.) Chief Petitioners of Measure 16 (This information furnished by Barbara Coombs Lee and Elven Al"Sinnard,Oregon Right to Die,and Peter Goodwin,M.D.,Physicians for Death with Dignity.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. t 10 Official 1997 November Special Election Voters'Pamphlet MEASURE NO. ARGUMENT IN OPPOSITION ARGUMENT IN OPPOSITION Governor John Kitzhaber Says He'll Vote No on Measure 51. OMA MEMBERS URGE A NO VOTE ON MEASURE 51. "As a physician,I can tell you there is a clear difference We are physicians and members of the Oregon Medical Association. We are opposed to the between prolonging someone's life and prolonging their death. DMA's recent position on Measure 51,the effort to repeal Oregon's Death With Dignity law that One of the down sides of modern medicine is that often it prolongs people's deaths, was passed by voters in 1994. which I am not sure is humane and I'm not sure is ethical." The OMA wisely voted to remain neutral in 1994,allowing physicians to be guided by their per- sonal convictions. As the OMA president said then, "Let the people of Oregon tell us what they want." should be able to make choices about the end of their life." Unfortunately, a group of doctors, whose single goal is to advocate for the repeal of 1994's "I don't think this issue is going to go away. We've got to get it out in the open... and come to Measure 16, took over the House of Delegates in 1997, forcing through a resolution opposing terms with those implementation questions." Measure 16.Most Oregon doctors do not support this position. "They[the legislature]didn't have the courage to repeal the measure.They didn't have the will to In the past, organized medicine has frequently lagged behind the needs and desires of make it work.They just sent it back to voters." patients.The American Medical Association opposed such common medical practices as smallpox vaccinations, Advance Directives, blood banks and even group health insur- "We're talking about giving an individual access to a means to not prolong their death." ance.The opposition of the OMA to Oregon's Death With Dignity law is just another example. The OMA House of Delegates does not speak for the majority of Oregon physicians who Governor John Kitzhaber support a law with well-defined safeguards giving patients' autonomy at the end of their The Sunday Oregonian lives.- August 2, 1997 Our patients have the right to hasten death under the limited circumstances outlined in Oregon's (This information furnished by Margaret Tafoya Surguine,Oregon Right To Die.) Death With Dignity Law. We believe Oregon's Death With Dignity Act(1994's Measure 16),is a carefully crafted law. We urge you to vote No on Measure 51 to keep Oregon's Death With Dignity Law. Under Oregon's Death With Dignity law any physician or health care provider may refuse to par- ticipate.The numerous safeguards ensure that patients are fully informed and acting completely voluntarily. Vote No on Measure 51. Keep Oregon's Death With Dignity Law. It's a good law. Dr.Peter Rasmussen Dr.Glenn Gordon,former OMA President Dr.Joan Tanner Dr.Calvin Collins Dr.Bruce Johnson Dr.Robert Hartog Dr.R.W.Gerber Dr.Peter Reagan (This information fumished by Dr.Joan Tanner,MD.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN OPPOSITION ARGUMENT IN OPPOSITION EMERSON HOOGSTRAAT HELPED PASS A Message from the Chief Psychologist and THE OREGON DEATH WITH DIGNITY ACT. Director of Mental Health Education for the State of Oregon Under BUT HE WAS DENIED THAT DIGNIFIED DEATH. Governor Tom McCall To the voters of Oregon: To the voters of Oregon: My husband Emerson was dying of prostate cancer. When the campaign to pass the Oregon I write to you as an older man who is now retired from a career devoted to the care of people Death With Dignity Law started in 1994, he decided to help. He volunteered at the campaign suffering from emotional difficulties. I am the former Chief Psychologist and Director of Mental office almost every day,using his skills as a Portland State University finance professor. Health Education under Governor Tom McCall. Emerson was proud of Oregonians for passing Measure 16 in 1994. One of the most tormenting issues my patients faced was the death of family members. The He felt an enormous sense of relief that he would not have to die a slow and painful death. trauma of seeing parents suffer for days and months during terminal illness was one of the most But soon after the election,the law was challenged in court. heart-breaking situations my patients faced. And Emerson's cancer began to spread to his bones. So often I heard terminally ill people pray for life to end as they watched their daily deterioration In his final months,Emerson lived in agony, and the consequent loss of dignity. They wished for death to restore peace, lift them from pain unable to use the law he helped to pass to end his own suffering. they could barely tolerate, and leave them with some measure of self-esteem. My own dear father was such a case. His bones became so brittle that they broke when he turned over. He lived in constant pain,no matter how much morphine was prescribed. I don't want to impose my views on others who,for religious reasons,don't want to choose to die with help. But I resent that sectarian views be imposed upon citizens who have already spoken _ My husband of 40 years died exactly the death he feared because opponents stopped the Death in favor of this issue. There should be a clear distinction between church dogma and state With Dignity Law in court. The courts have decided Measure 16 should become law,calling the issues for the population at large. Oregon Death With Dignity Act"carefully crafted." I beg of you to vote No on Measure 51. 1 am certain that within the next generation aid-in-dying Now a bunch of meddling, anti-choice legislators tell us our vote three years ago didn't count. will be accepted everywhere. We'll look back and wonder why such a humanitarian and logical They are asking us to repeal the law we passed in 1994. measure had such difficulty in getting approved by legislators. Especially since he died the death he feared the most, I know Emerson would tell Oregonians My wife,Susan Adele Pasarow,M.S.W.,who recently experienced the pain of helping a beloved they were right to pass the Oregon Death With Dignity law in 1994.And they will be right to vote aunt die, joins me in strongly endorsing individual freedom to die with compassionate under- No on Measure 51 to keep Oregon's Death With Dignity Law. standing, allowing the process of dying to become the last experience of growth, both for the patient and the family involved. Don't let even one more Oregonian die in agony,against their will. Tell the Legislature to respect our vote. Respectfully, Please Vote No on Measure 51. Andrew Berger,Ph.D. Susan Adele Pasarow,MSW Sincerely, Dorothy Hoogstraat (This information fumished by Andrew Berger.) (This information furnished by Dorothy B.Hoogstraat.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 ARGUMENT IN OPPOSITION ARGUMENT IN OPPOSITION Our loved ones wanted the choice to end their suffering. Nurses,Social Workers and Health Care Professionals Oppose Measure 51. Oregon voters gave them that right. Now the Legislature wants to take it away. We are the health care professionals who work closely with dying patients and their families.We watch the agony families face when loved ones end their lives by violent means.We watch the We are family members of terminally ill Oregonians who chose to end their lives. pain and suffering of terminally ill patients as they linger near death. Because the law said we could not help... or even be present... our loved ones were forced to The Death With Dignity Act Improves the Quality of Life of Dying Patients die alone. Families and physicians should be allowed to help if the patient chooses. Since voters passed the Oregon Death With Dignity Act three years ago, we have seen more hope than ever in our terminally ill patients. Many argue that just knowing this law exists greatly improves their peace of mind and quality of life;the fear is gone and they can concentrate on liv- We support the Oregon Death With Dignity Act(1994's Measure 16) because we believe physi- ing their last days to the fullest. cians should have the right to be with their dying patients to the end. All too often, patients feel abandoned, unsure of what to do, unable to get the advice and counsel they need because the law says our doctors cannot talk to us about death with dignity. Let Dying with Dignity be their Choice We helped change the law in 1994. If dying patients voluntarily seek this option... Now opponents want to turn the clock back. If health care professionals are willing to aid the dying patient... _ If families support the right of their loved ones to hasten death and end suffering... Groups like Oregon Right to Life and the religious extremists who oppose death with dignity Then we, as a society, should be willing to offer the legal means, and with appropriate safe- don't have the right to impose their views on us.The Death With Dignity Act lets any health care guards to protect the patient. provider refuse to participate. It ensures that the patients administer the medication themselves. And it allows us to be present when our loved ones die.The dying patient has that right...and so Please help the terminally ill patients we care for, and their families who support this do we. choice. Measure 51 is about politics. Vote No on Measure 51. j Not about helping dying patients. Keep the Oregon Death With Dignity Act. When the Legislature takes away our vote... when dying patients are forced to suffer against Carolyn Tomei Myriam Coppens Charla Richards-Krietzberg Ruth Matarazzo their will...you can be sure the reason is politics as usual,not compassionate care for the dying. Sterling Scott Gloria Bacon Harriet Kube Join us in voting No on Measure 51. (This information furnished by Carolyn Tomei.) Keep Oregon's Death with Dignity Act. Respectfully submitted, Dave Bartels Dorothy Hoogstraat Peggy Graden Damon Millican Patty Rosen Herb Crane (This information furnished by David K.Bartels.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. [does the state warrant the accuracy or truth of any statement made in the argument. MEASURE NO. 51 ARGUMENT IN OPPOSITION ARGUMENT IN OPPOSITION Editorial Boards across the state agree on one issue by a 23-2 margin: Physicians Urge a No Vote on Measure 51. THE LEGISLATURE WAS WRONG TO SEND As physicians,we support Oregon's Death With Dignity law passed by voters in 1994(Measure OREGON'S DEATH WITH DIGNITY LAW 16).It is a good law. BACK TO THE BALLOT FOR A SECOND VOTE. We believe our patients have the right to make their own end of life decisions. Our role is to "LEGISLATURE REJECTS WILL OF OREGON VOTERS." make sure that they are cared for completely and compassionately,and that they understand all Roseburg News Review,June 11,1997 available options at the end of life. "We hope Oregonians send the Legislature a clear message...: Leave Measure 16 alone and Most Oregon physicians support Death With Dignity. stop undermining measures already decided by the public....Contrary to what opponents claim, no significant new issues have been raised. Its insulting for opponents and some legislators to Surveys of Oregon doctors show over 60%support the legal right of the terminally ill to hasten suggest Oregonians did not know what they were doing." their own death in carefully defined circumstances. Physicians will follow Measure 16's well- Salem Statesman Journal,May 12,1997 defined process to make sure the patient is informed of all options,is acting completely voluntar- ily and has the mental capability to make his or her own health care choices. "DO VOTERS COUNTT' La Grande Observer,June 3,1997 Opponents are misleading the public when they say oral medication fails. "What's really going on here is not a sober assessment of new facts, but a power play by the A review of the medical literature confirms the proper use of oral medications is 100%effective. losers of the 1994 campaign,who clearly have more influence with the Legislature than with the We have the knowledge and the medication necessary to ensure a peaceful and humane death electorate." ' for our patients. Eugene Register-Guard,May 12,1997 Keep the politics out of medicine. "DYING PATIENTS NEED TO HAVE THE RIGHT TO CHOOSE." Medford Mail Tribune,July 9,1997 It is cruel to play politics with the comfort and care of our patients. Can we as doctors --or as Oregonians--deny dying patients the voluntary,informed choice to hasten their own death?The "Lawmakers need to remember what the voters'will is on this issue....They voted to respect the answer to us is clearly,"NO." needs of terminally ill patients for compassion and personal dignity, to allow these people a peaceful,legal exit,rather than one of interminable suffering or violent traumatic end." Vote No on Measure 51 The Dalles Chronicle,Feb.18,1997 Keep Oregon's Death With Dignity Law. Join these newspapers in opposing the repeal of Oregon's Death With Dignity law. Physicians for Death With Dignity (This information furnished by Geoff H.Sugerman,Oregon Right To Die.) Dr. Peter Rasmussen Dr.Glenn Gordon Dr. Peter Goodwin Dr.Joan Tanner Dr.Calvin Collins Dr.Bruce Johnson Dr.Robert Hartog Dr.R.W.Gerber Dr. Peter Reagan Dr.John McAnulty (This information furnished by Peter Goodwin,M.D.,Physicians for Death with Dignity.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. "" � 12 Official 1997 November Special Election Voters'Pamphlet _ MEASURE NO. 51 ARGUMENT IN OPPOSITION ARGUMENT IN OPPOSITION Safeguards in the Oregon Death With Dignity Act Now the opposition to Oregon's Death With Dignity law is crystal clear. There are numerous safeguards in the Oregon Death with Dignity Act, all designed to ensure It's the OCA,back again to spread its divisive message of hate throughout Oregon. that the terminally ill patient is making a voluntary,informed choice to hasten death through the self-administration of medication. The OCA Family Values PAC has registered with the Oregon Secretary of State to oppose Oregon's Death With Dignity law. Here is a list of safeguards. The OCA is joined by the Christian Coalition PAC and Oregon Right to Life as organizations • Requires fully informed,voluntary,repeated and steadfast decision. working for the repeal of the law you passed in 1994. • Does not allow lethal injection,active euthanasia or mercy killing. • Patients may change their minds at any time,for any reason and in any manner of communi- We all knew the political arm of the Oregon Catholic Conference wanted to impose its reli- cation. gious beliefs on the rest of us. • Applies only in the last six months of life (final stage of terminal illness--same standard as ice care). Now you know—with the OCA at their side--that the threat of forcing their narrow views hos p ) on the rest of us is much more dangerous. • Mandates psychological/psychiatric referral if mental capability is in question. • Requires two documented oral requests. While the majority of Catholics support a terminally ill patient's right to hasten death,the political • Requires a detailed written request witnessed by two others. arm of the Catholic Church has spent literally millions of dollars to try to convince voters they • Requires 15 day waiting period from initial oral request. were wrong. • Requires 48 hour waiting period from time of written request. Now the Catholic Church is linked up with the OCA and the Christian Coalition, pledging to • Encourages notification of next of kin. spend over$5 million to repeal Oregon's Death With Dignity Law. • Punishes coercion of patients. • Is it right for these groups to force their religious views on the rest of us? Applies only to residents of Oregon. • Physician must be licensed to practice in Oregon. Don't give them a victory at the ballot box. • Mandates Health Division review. The• Allows health care professionals to refuse to participate for any reason. al liberty otn death' cwith dignity and Right othe�issues, had this to st organization ayonthe ' opposing day the Oregon Senate Vote No on Measure 51. sent Measure 16 back to the ballot: Keep the Oregon Death With Dignity Act. It's a good law. "That was the biggest victory the pro-life community has had in at least 20 years in the ► It's a safe law. Oregon Legislature." Gayle Atterberry Chada Richards-Kreitzberg Salem Statesman Journal,June 16, 1997 Richard Bayer,MD ` Rebecca Elizabeth Bottero Vote No on Measure 51. Lela B.Radovich It's Your Choice...Not Theirs. Hank Robb (This information furnished by Chada Richards-Kreitzberg,R.N.BSN.) (This information furnished by Kalil K.Watanabe,Oregon flight To Die.) is space purchased for$300 in accordance with ORS 251.255.) (Thhis space purchased for$300 in accordance with ORS 251.255.) � � p - ` The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. ( ARGUMENT IN OPPOSITION ARGUMENT IN OPPOSITION A Majority of Oregon Psychiatrists Lies From Your Legislators Favor Implementation of the Oregon Death With Dignity Act The politicians against choice at the end of life want voters to repeal the Oregon Death With FACT:74%of Oregon psychiatrists say if they themselves had a terminal disease,there might Dignity Act(1994's Measure 16). be conditions under which they would consider asking for a physician's assistance to end life. These politicians talk about"new evidence."They claim that oral medications fail. FACT:56%of Oregon psychiatrists favor implementation of Oregon's Death With Dignity Act,as This is simply not true.There is no new evidence that oral medications fail. passed by voters in 1994. When we appeared at a hearing before the Secretary of State, we asked the supporters of Measure 51 to show us the"studies"they said prove oral medications.fail. FACT:69%of Oregon psychiatrists believe that under some circumstances,a physician should _ be permitted to write a prescription for medication whose sole purpose is to allow a terminally ill They couldn't show us the studies.Because there aren't any. person to end his or her life. Legislators like Ron Sunseri and Eileen Qutub are forcing taxpayers to waste money on an elec- Source: Ganzini, L.; Fenn, DS; Lee MA, et al: Attitudes of Oregon Psychiatrists tion--and their whole reason is based on falsehoods. Toward Physician Assisted Suicide. American Journal of Psychiatry, 1996: 153:1469- Supporters of Measure 51 point to two experts whose research,they say,supports their claims. 1475. One of those experts wrote a letter addressed to the people of Oregon saying that the claim of FACT: The Oregon Psychiatric Association has published guidelines for psychiatric evalua- failure has no foundation whatsoever, is misleading and completely wrong. He said there tion of terminally ill patients requesting to hasten their own death if the Oregon Death With are no scientific data nor hearsay to support it. Dignity Act becomes law. The other expert wrote to us and said that after using an oral prescription, EVERY patient will Source: Report of the Committee on the Ethics of Physician-Assisted Suicide die.No exceptions,no failures.After taking the medication,the patient is in a deep coma with- out awareness and so without any suffering. Oregon Psychiatric Association September, 1996 These two experts will not allow themselves to be used and manipulated by those opposed to death with dignity.Neither should you. The above study of Oregon psychiatrists, conducted after passage of the Oregon Death With Don't be fooled by the politicians'propaganda. Dignity Law in 1994,clearly shows strong support for a patient's right to hasten death.The study included 77%of Oregon psychiatrists. Take a stand for integrity and truth in government. Respectfully submitted by: Vote NO on Measure 51. Dr.David Smith Dr.David Pollack Dr.Peter Natsios John Duncan Hannah Davidson (This information furnished by David Smith,MD.) Oregon Death With Dignity Legal Defense and Education Center For more information about this research,contact Oregon Death With Dignity Legal Defense& Education Center,625 SW 10th Avenue,Suite 284C,Portland,OR 97205. (This information furnished by John Duncan,Oregon Death With Dignity legal Defense&Education Center.) ` (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. 13 Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 51 ARGUMENT 19 OPPOSITION ARGUMENT IN OPPOSITION "No One Trusts the Dying to Know What They Want." VOTE....PLEASE VOTE. Excerpted from an article by Marcia Angell, No matter how you stand on the Oregon Death With Dignity Law,please vote on Measure 51. Executive Editor of the New England Journal of Medicine. A low turnout will be interpreted to mean that Oregonians are undecided, uncertain,or confused "Dying patients suffering intractably should have the option of taking an overdose, just as they about this topic,and that will guarantee this issue will be on the ballot again and again. In decid- have now the option of turning off life supports. Probably in most cases,they never would take ing how to vote,trust your own brain and your own judgment. Read the actual death with dignity the pills,but they would have the peace of mind of knowing they had a choice... law. Call 503-228-4415 for a copy, check oregondwd.org on the Internet, or read Oregon Revised Statutes(128.800)at your local library.See for yourself exactly what is says. "Compassionate doctors have always helped dying patients to end their lives. They do so not only by turning off life supports, but by giving large doses or morphine or by prescribing more Keep in mind that this law was initially passed by voters as a statute,not a constitutional amend- sleeping pills than necessary.The problem is that the practice is secret... ment,and can be amended by the legislature any time it meets. Instead of sending an amended version of the law back to you, as they did with Measure 50, they sent back the very same law "I wish the Supreme Court had recognized a constitutional right to doctor-assisted suicide for you approved in 1994. They said voters did not know what they were doing when they passed patients. It is the most personal and private matter, and it should be decided that way, not as a this law. political matter in state legislatures. But sooner or later, one way or another, the practice will become legal, because dying patients need that choice, and their doctors need to be able to If you believe that competent adult Oregonians who are near death should have a choice about help them. how they deal with dying,then keep the law and vote NO. "For the state to require dying patients to endure unrelievable suffering is callous and If you are not opposed to Death With Dignity, but have reservations about this law, VOTE NO. unseemly. Then call your senator and representative. Tell them to respect the voters' choice and amend the law. "Death is hard enough without being bullied." If you are personally opposed to Death With Dignity, please read the law again and note that Reprinted as: gnly the patient may request help. It is against this law for medical personnel or anyone else to "Dying Patients Need to Have the Right to Choose" suggest this before a patient makes a request. Medford Mail Tribune July 7, 1997 While you might not want this option for yourself, should you impose your personal wishes on others who have different values and beliefs? (This information furnished by Loretta Johnston,Oregon Right To Die.) MAKE UP YOUR OWN MIND.THEN VOTE. Penny Schlueter Terminal Ovarian Cancer Patient (This information furnished by Penny Schlueter.) (This space purchased for$300 in accordance with ORS 251.255.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. does the state warrant the accuracy or truth of any statement made in the argument. SENATE BILL 346—Referred to the Electorate of Oregon by the 1997 Legislature to be voted on Be It Enacted by the People of the State of Oregon: at the Special Election,November 4, 1997. SECTION 1.(1)The Legislative Assembly may enact legislation to establish a state edu- cation lottery bond program that provides financing for state education projects. The BALLOT TITLE Legislative Assembly may pay the debt service of state education lottery bonds from earnings on the Education Endowment Fund, unobligated net lottery proceeds and other moneys that the Legislative Assembly may appropriate for such purpose.State education 52 AUTHORIZES STATE LOTTERY BOND PROGRAM TO FINANCE PUBLIC lottery bonds may be issued in an aggregate principal amount that produces net pro- SCHOOL PROJECTS ceeds for state education projects that shall not exceed$150 million. RESULT OF"YES,"VOTE:"Yes"vote authorizes legislation establishing state education lottery', (2) As used in this section, "state education projects" means projects for the acquisi- bond program to finance public school projects. tion,construction,improvement,remodeling,maintenance or repair of public school facil- ities in the State of Oregon, including land,site preparation costs,permanent or portable RESULT OF"NO"VOTE:"No"vote rejects establishing state education lottery bond program to buildings and equipment,telecommunications equipment,computers,software and relat- finance public school projects, ed technology, textbooks, library books, furniture and furnishings, vehicles, costs of planning for bond issues and capital improvements,the payment of debt service on oblig- ations, other than general obligation bonds, issued for such projects and holding in SUMMARY:Measure authorizes legislation establishing revenue bond program to finance"state reserve for any of the purposes described in this subsection. education projects"for public schools."State education projects"means projects to acquire,con-`` struct, improve, remodel, maintain, repair public school facilities, including land, building costs; SECTION 2.This Act shall be submitted to the people for their approval or rejection at a computer,telecommunications equipment;books,furniture,furnishings,vehicles,planning costs, special election held throughout this state on November 4,1997. State repays bond debt using unobligated net lottery proceeds, earnings on Education Endowment Fund, other moneys appropriated by legislature. Net proceeds of bonds limited to $150 million. Implementing legislation, already enacted contingent on measure's passage,! NOTE: Boldfaced type indicates new language; [brackets and italic]type indicates deletions or appropriates funding only for school district projects. comments. i ESTIMATE OF FINANCIAL IMPACT: The measure authorizes the sale of Lottery-backed rev- enue bonds with a principal sum of up to$150 million,plus an amount equal to bond issuance costs and reserves.The proceeds are to be used for the acquisition,construction,improvement, 3 remodeling or repair of public school facilities throughout Oregon and the purchase of telecom- munications equipment,computers,software and related technology,books,furniture and vehi- cles. The°ponds, plus interest, will be repaid through 4,Lottery revenue allocation of approxi- mately$15 million per year beginning in fiscal year 2000.If issued at recent interest rates and a< A 15 year pay back period,.total interest costs are estimated at$71.4 million. 14 Official 1997 November Special Election Voters'Pamphlet MEASURE NO. 52 EXPLANATORY STATEMENT LEGISLATIVE ARGUMENT IN SUPPORT VOTE YES FOR CLASSROOMS This measure allows the Legislative Assembly to establish a state education lottery bond pro- FOR OREGON SCHOOL CHILDREN gram. The program would provide as much as $150 million for state education projects. The measure defines"state education projects." MEASURE 52 PROVIDES FUNDS FOR PUBLIC SCHOOL FACILITIES THROUGH With the passage of this measure, House Bill 3411 which establishes the Lottery Bond $150 MILLION OF STATE BONDS Program automatically takes effect. The proceeds will be distributed statewide to local school • Measure 52 helps provide more space for students and smaller classes. districts during the 98-99 school year. Local schools can build new classrooms and renovate existing classrooms. The debt service for the bonds will be paid from earnings on the Education p n Endowment Fund, Measure 52 helps student learning. lottery proceeds and other moneys appropriated by the Legislative Assembly for such purpose. Local schools can replace outdated textbooks and library books with new ones. This measure has no effect on local property taxes. . Measure 52 helps update classroom technology. Committee Members: Appointed by: Local schools can buy telecommunications equipment,software and computers. Senator Ken Baker President of the Senate Representative Ken Strobeck Speaker of the House Measure 52 reduces the need for new,locally-approved school bonds. Representative Jo Ann Bowman Secretary of State Senator Joan Dukes Secretary of State • Measure 52 does not increase property taxes. Delna Jones Members of the Committee • Measure 52 helps all school districts in each region of the state. (This committee was appointed to provide an impartial explanation of the ballot measure pursuant to ORS State bond money goes to all local school districts based on number of students. 251.215.) SUPPORT NEW CLASSROOMS AND MUCH NEEDED SCHOOL RENOVATIONS. SUPPORT STUDENT LEARNING IN CLASSROOMS EQUIPPED WITH NEW TECHNOLOGY. SUPPORT STATE FUNDING FOR NEW TEXTBOOKS AND LIBRARY RESOURCES. SUPPORT SCHOOLS WITHOUT RAISING TAXES. VOTE YES ON MEASURE 52. Committee Members: Appointed by: Senator Tom Hartung President of the Senate Representative Randall Edwards Speaker of the House Representative Ken Strobeck Speaker of the House _,. (This Joint Legislative Committee appointed to provide legislative argument in support of the ballot measure pursuant to ORS 251.245.) MEASURE NO. ARGUMENT IN OPPOSITION VOTE"NO"TO EXPAND OPTIONS FOR YOUR CHILDREN Charter schools would relieve public school crowding, save tax dollars, and allow you to choose schools best suited to your children's needs.Still,the legislature narrowly failed to pass a charterschool bill in this year's session.Legislators denied your children access to new educa- tional options but still wants more of your money. Voting yes tells legislators you support an antiquated school system that limits your children's opportunities.Voting NO tells legislators you want reforms like charter schools that save tax dol- lars while expanding educational opportunities. VOTE"NO"TO ENCOURAGE RESPONSIBILITY The money already allotted to schools represents the largest school budget in Oregon's histo- ry.The additional$150 million requested by Measure 52 is not specifically targeted.Would the money be spent on textbooks,cleaning supplies,or cellular phones for school administrators?If Measure 52 was to pass, do you know how your school district would spend the money? Find out before voting yes. Voting yes tells legislators you are willing to exceed record spending levels without demanding °+ accountability or an advance plan. Voting NO tells legislators to work within the limits of the largest school budget ever approved. VOTE"NO"TO HELP LEGISLATORS DO THEIR JOBS One of the responsibilities of our legislature is to fund public schools.This year, Republicans and Democrats could not agree to a dollar figure. Rather than doing their jobs by working it out, they dodged their responsibility and presented us with Ballot Measure 52. By asking us to do their work,legislators have set a dangerous precedent for our future. Voting yes tells legislators it is okay to skip tough issues and avoid their responsibilities.Voting NO tells legislators they are expected to do their jobs, make tough choices, and show political courage in the face of controversy. VOTE"NO"ON BALLOT MEASURE 52 (This information furnished by Richard P. Burke, Mainstream Liberty Caucus, affiliated with the Libertarian i. Party of Oregon.) (This space purchased for$300 in accordance with ORS 251.255.) The printing of this argument does not constitute an endorsement by the State of Oregon, nor does the state warrant the accuracy or truth of any statement made in the argument. z� 15 Official 1997 November Special Election Voters'Pamphlet INFORMATION VOTER REGISTRATION VOTE-BY-MAIL What if I have moved and have not updated my registration? If you were registered to vote by October 14 but now have a Who May Register To Vote What is Vote-by-Mail? different address, you must go to the county elections office. You may register to vote for the November 4, 1997, Special Vote-by-Mail is a method of conducting elections. Instead of They will update your voter registration and issue you a ballot Election if: using traditional polling places where voters go to cast ballots that must be voted at the elections office. 1.You are a citizen of the United States; on election day, a ballot is automatically mailed to each regis- 2.You will be at least 18 years old by November 4, 1997;and tered voter.The ballot is then voted and returned to the coun- Do I have to mail my ballot back? 3.You are a resident of Oregon. ty clerk to be counted. You have the choice of mailing your ballot or returning it to any designated drop site in the state.The times and locations How To Register To Vote When are the ballots mailed to the voters? of drop sites will be publicized for each election. To register to vote in the November 4, 1997, election, your In Oregon,ballots can legally be mailed any time between the completed voter registration card must be delivered to a 20th and 14th days before the election. For state elections How much postage is required to mail the ballot back? county elections office by October 14, 1997. A voter registra- the window is narrowed to the 20th to 18th days in order to tion card received after October 14, 1997, that contains a have more consistency as to when voters will receive their Your voted ballot can be returned using a single 32� stamp, postmark of October 14, 1997, or sooner will be accepted. ballots. unless otherwise noted by your county elections office. You also may deliver your completed voter registration card to any Driver and Motor Vehicle Services (DMV) office by Who will get ballots? When must the voted ballot be returned? October 14, 1997. Each registered Oregon voter will receive a.November elec- The voted ballot must be received in any county elections tion ballot containing the two statewide measures and any office or designated drop site by 8:00 p.m. on election night. Affiliation Has Changed Your Name, Mailing Address or Political Party local measures which have been placed on the ballot. Postmarks do not count! A If you are currently registered to vote in Oregon but your As a voter,what do I have to do? name, mailing address or party affiliation has changed since Your ballot packet will automatically be mailed to you. Inside What if I forget el sign the return envelope? you last completed a voter registration card, complete a new the packet you will find the ballot, a secrecy envelope and a Generally, your elections office will either return it to you for signing or they will contact you, if possible, to come to the voter registration card and mail it to your county elections return envelope. Once you vote the ballot, place it in the office. secrecy envelope and seal it in the pre-addressed return elections office to sign it. If the return envelope does not get envelope. Be sure you sign the return envelope on the signed before 8:00 p.m. on November 4,the ballot will not be If Your Residence Address Has Changed appropriate line. After that just return the ballot either by counted. If you are currently registered to vote in Oregon but your resi- mail or at a designated drop site. dente address has changed since you last completed a voter Can the public watch the election process? registration card, complete a new voter registration card and What if I make a mistake? All steps of the process are open to observation by the public. mail it to your county elections office. If you make a mistake you may call your county elections Contact your county elections official to make arrangements. If you notify office and request a replacement ballot. One will be mailed to y y your county elections office of your change of you as long as you request it by October 30. After that, you When will election results be known? residence address after October 14, 1997, you must go to your county elections office to vote. may pick it up in person at the elections office. If your ballot is received by the elections office before you realize you made Ballot counting will not begin until election day. The results a mistake, you will not be able to get a replacement ballot that are released at 8:00 p.m. election night will include the Where to Obtain a Voter Registration Card because you have already cast a ballot in the election. majority of all the ballots cast. Results will continue to be Voter registration cards can be obtained from any county updated through election night until all ballots have been elections office, most banks and post offices, some state What if my ballot doesn't come? counted. agencies,and are also found in man telephone books. y p If you are registered to vote and do not receive a ballot, call your county elections office. They will check that your voter registration is current. If it is,they will mail you a replacement ballot. COUNTY ELECTIONS OFFICES Baker Curry Jacksonw Julia Woods Renee Kolen Kathy Beckett Malheur UmatNla Baker County Clerk Curry County Clerk Jackson County Clerk Deborah R. my le Patti Chapman Malheur County Cle 1995 3rd St.,Suite 150 PO Box 746 Courthouse, 10 S.Oakdale rk Director of Elections Baker City OR 97814-3398 Gold Beach,OR 97444 Medford,OR 97501-2902 251 ' O St.W.,Suite 4 PO Box 1227 (541)523-8207/7(541)523-8208 (541)247-7011,Ext.223/ (541)776-7181/7(541)776-7183 Vale,OR 97918 Pendleton,OR 97801 Benton 7(541)247-6440 Jefferson (541)473-5151/7(541)473-5157 (541)278-6254/7(541)278-6257 John Anderson,C.A.O. Deschutes Elaine L.Henderson Marion Union Elections Division Mary Sue(Susie)Penhollow Jefferson County Clerk Alan H.Davidson R.Nellie Bogue Hibbert PO Box 888 Deschutes County Clerk Courthouse,75 SE"C"St. Marion County Clerk Union County Clerk Corvallis,OR 97339-0888 Deschutes Services Bldg. adras,OR 97741 Elections Division 1001 4th St.Ste"D" (541)757-6756/7(541)757-5646 1340 NW Wall St. g (541)475 4451/((541)475 4451 4263 Commercial St.SE,#300 LaGrande,OR 97850 Bend,OR 97701 Salem,OR 97302-3987 (541)963-1006 Clackamas (541)388-6546/7(541)385-3203 Georgette Brown (503)588-5041/7(503)588-5610 John Kauffman Clackamas County Clerk Douglas Josephine County Clerk PO Box 69 Morrow Wallowa Elections Division Doyle Shaver,Jr. Grants Pass,OR 97528-0203 Barbara Bloodsworth Charlotte McIver 825 Portland Ave. Douglas County Clerk (541)474-5243/7 1-800-735-2900 Morrow County Clerk Wallowa County Clerk Gladstone,OR 97027-2195 PO Box 10 PO Box 338 101 S.River St.,Rm 100,Door 16 (503)655-8510/7(503)655-1685 Roseburg,OR 97470-0004 Klamath Heppner,OR 97836-0338 Enterprise,OR 97828-1335 (541)440-4252/((541)440-6092 Bernetha G.Letsch (541)676-9061 /f(541)676-9061 (541)426-4543,Ext. 15 Clatsop Klamath County Clerk Lori Davidson 507 Main St. Multnomah Gilliam Wasco Clatso County Clerk Klamath Falls,OR 97601 Vicki Ervin p ty Rena Kennedy (541)883-5134/7(541)883-5157 Dir./Elections Karen Count PO Box 178,749 Commercial Gilliam County Clerk Wasco County Clerk 'r Astoria,OR 97103-0178 Courthouse 1040 S.E.Morrison Courthouse,511 Washington St. (503)325-8511/7(503)325-8511 Condon, se 97823-0427 Lake Portland,OR 97214-2495 The Dalles,OR 97058 Karen O'Connor (503)248-3720/7 503 248-3729 The 296-6159/7(541)296-6159 Columbia (541)384-2311 Lake County Clerk ( ) 513 Center St. Elizabeth(Betty)Huser Grant Lakeview,OR 97630-1579 Polk Washington Columbia County Clerk Kathy McKinnon (541)947-6006/7(541)947-6007 Linda Dawson Ginny Kingsley Courthouse Grant County Clerk Polk County Clerk Elections Division St.Helens,OR 97051-2089 Lane Courthouse,Room 201 PO Box 39 155 N. 1 st Ave.,Suite B 10 (503)397-3796, Ext.8444/ Canyon City,OR 97820-0039 Annette Newingham Dallas,OR 97338-3179 Hillsboro,OR 97124 Chief Deputy County Clerk (503)623-9217/7(503)623-7557 (503)648-8670/7(503)693-4598 7(503)397-7246 (541)575-1675/((541)575-1675 135 E.6th Ave. • Coos Harney ugene,OR 97401-2671 Sherman Wheeler Mary Ann Wilson Maria Iturriaga (541)682-4234/7(541)682-4320 Linda Cornie Marilyn Garcia Coos County Clerk Harney County Clerk Lincoln Sherman County Clerk Wheeler County Clerk Courthouse Courthouse,450 N.Buena Vista Dana Jenkins Moro,Box 9 Fossil,Box R 97830-0327 (541)Coquille,OR 97423-1899 Burns,OR 97720 Lincoln County Clerk Moro,OR 97039 0365 Fossil, 3- 400/C(541 396-3121,Ext.301/ (541)573-6641 225 W.Olive St.,Room 201 (541)565 3606 (541)763 2400/7(541)763 2401 (541)396-2106 Newport,OR 97365 Hood River (541)265-4131 /7(541)265-4193 Tillamook Yamhill Crook Josephine Veltri Sandra Berry Charles Stern «- Deanna Dee Berman Linn Tillamook County Clerk (Dee) Dir.Assess/Rec tY Yamhill County Clerk i Crook County Clerk Courthouse,309 State St. Steve Druckenmiller 201 Laurel Ave. Courthouse,535 NE 5th St. 300 E.Third,Room 23 Hood River,OR 97031-2093 Linn County lerk Tillamook,OR 97141 Prineville,OR 97754-1919 4th&Broadalbin (503)842-3402 McMinnville,OR C 97128-4593 (503)4 4- (541)447-6553/7(541)447-6553 (541)386-1442 Albany,OR 97321 (503)434-7518/7(503)434 7519 (541)967-3831 /7(541)967-3833 16 SECRETARY OF STATE BULK RATE Phil Keisling CAR-RT SORT State Capitol Building U.S.Postage Salem,Oregon 97310-0722 A I D Porr tland,OR Permit No.815 RESIDENTIAL CUSTOMER votem I pamphlet O F' * O 1859 STATE OF OREGON SPECIAL ELECTION-NOVEMBER 49 1997 Please RECYCLE this pamphlet with your newspapers