New Living Will Form for consideration:


I, __________________________, being of sound mind and
body, do not wish to be kept alive indefinitely by artificial means.

If a reasonable amount of time passes and I fail to
sit up and ask for:
(initial all that apply)

_________ a marguerita,

_________ a beer,

_________ narcotics,

_________ the remote control, or

_________ sex,
it should be presumed that I won't ever get better.
When such a
determination is reached, I hereby instruct my
appointed representative
and attending physicians to pull the plug, reel in the
tubes and call it
a day.
Under no circumstances shall my fate be put in the
hands of bonehead
politicians. I want no special law enacted to keep me
on life support.
It is my wish that our elected officials mind their
own darn business
and pay attention instead to the future of the
millions of Americans who aren't in a permanent coma.

Signature:___________________________

Date: ___________________________

Witness: ___________________________