I, __________________________, being of sound mind and body,
do not wish to be kept alive indefinitely by artificial means.
Under no circumstances should my fate be put in the hands of
pinhead politicians who couldn't pass ninth-grade biology if their lives
depended on it or lawyers/doctors interested in simply running up the
bills.
If a reasonable amount of time passes and I fail to ask for at least one of the following:
______a Bloody Mary,
______a Margarita
______a Scotch and soda
______a Martini
______a Bud Lite
______a Steak
______Lobster or crab legs
______The remote control,
______a Bowl of ice cream
______The sports page,
______Chocolate
______Sex
it should be presumed that I won't ever get better.
When such a determination is reached, I hereby instruct my appointed person and
attending physicians to pull the plug, reel in the tubes and call it a day.