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Petition Tag - treatment
1. Advocating for more rights for families of mental health patients 
So many people today are affected, either directly or indirectly, by mental illness. Many times, patients suffering from mental illness are being helped or taken care of by family members. Unfortunately, family members have no rights when it comes to assisting with the treatment of their family members or gaining information for this treatment.
Families are often left in the dark when it comes to treatment plans for their loved ones. A plan has been put into place that allows, among many other things, to let families play an active role in the treatment of these patients.
By signing this petition, you are supporting the adoption and continued support of the Olmstead Plan for Mental Health and Disability Services: State Plan Framework. For mor information on this Plan, please visit http://iowamhdsplan.org/
Thank you for your support of our case.
2. PATIENTS' PETITION FOR BETTER DIAGNOSIS AND MANAGEMENT OF THYROID AND THYROID RELATED PROBLEMS 
Some of the background to this thyroid mess is a lack of proper definition of the word 'hypothyroidism'. When a patient is suffering symptoms, more than likely they do have (in the proper sense of the word) 'hypothyroidism' i.e. 'deficient secretion of hormone by the thyroid gland' and is usually treated successfully with synthetic thyroxine (T4).
But what endocrinology is failing to recognise are those who have similar symptoms, with normal thyroid function test results and who are suffering from failure of peripheral utilisation of thyroid hormone. These patients need a different diagnosis and a different thyroid hormone therapy, i.e. a combination of synthetic T4 and tri-iodothyronine (T3), T3 or natural desiccated thyroid extract (NDT) should be considered. (NDT was the only treatment for all sufferers of hypothyroid symptoms, prior to the introduction of synthetic T4–only therapy). Many patients using a T3 containing product are reporting a resolution of all the problems encountered whilst on T4-only.
This has been known about for half a century, yet endocrinology refuses to acknowledge it. Consequently, around 250,000 citizens in the UK alone (potentially millions world wide) are misdiagnosed and mis-treated.
Our experience and clinical presentation of the failure of T4-only therapy to relieve our symptoms for all sufferers has been repeatedly dismissed or ignored by doctors, who often attribute our continuing symptoms to a "somatoform disorder".
We recommend the following safety guidelines where the combination of synthetic T4/T3 or NDT are used, and in the following order:
1. -to screen patients with thyroid deficiency for low adrenal reserve (adrenal fatigue), a condition that may be more common than generally expected. Patients with weak adrenals may have difficulty tolerating the dose of thyroid hormone they need, and may experience "hyperthyroid" symptoms, even at low doses. In other patients with adrenal fatigue the problem may be the opposite: the patient may remain hypothyroid even at higher doses of thyroid hormones. Thyroid hormones can not be normally used by the cells and may instead build up too high in serum, leading doctor and patient to believe that a particular dose is too high and that the treatment doesn't work. The solution to both problems is to treat adrenal fatigue, prior to thyroid therapy, or simultaneously.
2. -to use the following laboratory tests as a guide in the assessment and treatment of those with hypothyroid symptoms: TSH, free T4, free T3, TPO and Tg Antibodies.
3. -to start the combination therapy at a safe low dose of synthetic T4/T3 or, if NDT is prescribed, familiarise themselves with the effects of combined therapy and prescribe a safe dose, e.g. 15mgs of NDT for patients with adrenal fatigue, or 30 to 60mgs otherwise, and to adjust the dose according to our clinical needs.
4. -to listen and give more credence to patients’ subjective reports of symptom continuance or resolution, rather than make laboratory results the sole guide in dosing.
We advocate that medical practitioners should have freedom of choice in prescribing T4 alone, combined synthetic T4/T3, T3 or NDT, without incurring the wrath of the mainstream establishment.
In conclusion, we strongly recommend that the selection of treatment, whether by synthetic or natural preparations, should be a matter for the patient and the doctor together, both having freedom of choice in this matter.
3. Approve life giving cancer drug Zytiga for funding by Ontario Ministry of Health 
The names on this petition support the funding of Zytiga for Ontario men who have castration-resistant prostate cancer (also known as CRPC, which is defined as prostate cancer that is resistant to medical or surgical treatments that lower testosterone) that has spread to other parts of the body (called metastatic castration-resistant prostate cancer, or mCRPC) and who have received chemotherapy with docetaxel.
Ontario is one of only two provinces not currently funding this life giving drug.
4. VA Aspire Center CUP Approval 
The Aspire Center is a Domiciliary Residential Rehabilitation Treatment Program (DRRTP). There are 107 domiciliary programs throughout the U.S. DRRTPs provide a structured and supportive residential environment as part of rehabilitation for U.S. Veterans with medical, mental health, and/or substance use problems. San Diego has been selected as one of five new sites for a DRRTP as part the national initiative to end homelessness. In order to open, the Aspire Center must be approved for a Conditional Use Permit (CUP) by San Diego's City Council. As disclosure, fears have been raised by some about the safety of children attending the Old Town Academy Charter School across the street from the chosen site at the old Thomas Jefferson School of Law building.
The Aspire Center will be a unique DRRTP in that it will focus on aiding Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans to reintegrate into civilian life once discharged from active duty. The goal is for all Veterans to leave the program with the basic skills necessary for leading a self-sufficient and independent life, including gaining employment and maintaining housing.
To be admitted into the Aspire Center, all Veterans must undergo screening through an intake process that occurs at the La Jolla VA Medical Center (no walk-ins are allowed). Each candidate for admission to the Aspire Center will undergo a comprehensive intake evaluation that integrates information from medical records, interview, and physical examination. The Aspire Center treatment team, which includes physicians, psychologists, social workers, nurses and allied health professionals, will determine if the Veteran meets criteria for admission. If the Veteran does not meet criteria for admission, he or she will be offered other services.
All Veterans must…
1. Be honorably discharged from the armed forces.
2. Have identified treatment and rehabilitation needs, which can be met by the program.
3. Be lacking a stable lifestyle or living arrangement that is conducive to recovery.
4. Have tried a less restrictive treatment alternative, or one was unavailable.
5. Be assessed as requiring the structure and support of a residential treatment environment.
6. Be capable of basic self-care (such as dressing, eating).
7. Voluntarily commit to participate in program activities and to abide by program rules
Veterans CANNOT be admitted if they…
1. Have a history of violent behavior, aggression, or behavioral “flags” on their medical record.
2. Are a registered sex offender or are on parole.
3. Have emergent medical needs (such as chest pain or difficulty breathing; these Veterans may be
admitted to the medicine ward in La Jolla).
4. Have acute psychiatric needs, such as being assessed as at risk for being a danger to themselves or
others (these Veterans will be admitted to the inpatient psychiatry ward in La Jolla).
5. Need acute detoxification from drugs or alcohol (these Veterans will be admitted to the Alcohol &
Drug Treatment Program in La Jolla).
Of utmost concern is the ability to provide a center that is safe for our Veteran residents as well as the neighboring community. A 7-layer system will be in place to ensure safety including: careful prescreening, rules, evidence-based treatment, close monitoring, strong communication, zero-tolerance violent behavior/drug abuse policy, and security.
5. Produce more of the childhood cancer drug Methotrexate for our angel's sake 
Medication used to treat the most common form of childhood leukemia is in short supply, adding to the largest nationwide shortage of critical lifesaving hospital medications in nearly a decade.
All five pharmaceutical companies that make the injection drug methotrexate, which treats acute lymphoblastic leukemia by slowing the growth of cancer cells, have either slowed and stopped manufacturing of the drug, according to the U.S. Food and Drug Administration. The companies have cited high demand or manufacturing delays as reasons for the shortage.
If the shortage continues, physicians and pharmacists fear thousands of children will be left without lifesaving treatment.
6. Does a Child have Rights, if so PLEASE SIGN OUR PETITION 
Please read our letter that we submitted to "Letter to the Editor" on Aug. 25th.
Please go to www.nunatsiaq.com
Letter to the Editor
Titled: Couple Seeks Inquiry Over Treatment Of Special Needs Child
This was a cover-up that failed, Please read. We sincerely thank all that signs and God Bless.
7. Cure for cancer = Traitement contre le cancer 
Cette pétition a bout but de demander au gouvernement canadien de dépenser des fonds de recherche et de faciliter la mise en circulation du DCA pour guérir le cancer.
This petition aims to ask the canadian government to invest in research and facilitate the marketing of DCA to help cure cancer.
Les premiers résultats diffusés sur la chaîne de télévision CBC en 2007 / First results were broadcasted on CBC television in 2007:
(http://www.youtube.com/watch?v=QGCEVy7OXuI).
Les derniers essais cliniques / latest clinical tests : (http://www.dca.med.ualberta.ca/Home/Updates/2010-05-12_Update.cfm).
Statistiques canadiennes sur le cancer / Canadian statistics on cancer:
(http://www40.statcan.gc.ca/l02/cst01/hlth61-fra.htm)
Antoine Lafortune
8. Rare Disorders Support from Canadian Political Parties 
Rare disorders affect about 1 in 12 persons, or 2.7 million Canadians. These people are Canada’s most vulnerable citizens and need your support. We are requesting that the political parties of Canada answer the following three questions on rare diseases in Canada.
Your name will be sent along with this petition to the political parties of Canada.
9. Stop taking funds out of cancer treatment in the Hunter 
Article in the Newcastle herald Monday Feb 7th 2011 .. reads that the hunter region is experiencing a crisis in cancer treatment services and that 30 people with just 2 types of cancers died last year in the hunter alone before even being able to see a cancer specialist.
Waiting times to see specialist and start chemotherapy are so extreme that two men responsible for the regions cancer service have gone public. The region only has about 55% of what is needed to cater to people with these needs. further more the hunter hasn't met the 2 week waiting time benchmarks for over 10 years n it has increased to waiting over 7 weeks last year alone and people are loosing their lives before being able to get treatments.
10. Oppose the Methadone Accountability Package 
Recently a package of legislation was introduced in the state senate, called the Methadone Accountability Package. These bills and a resolution include S.B. 1293, S.B. 1294 - the Methadone Addiction Prevention and Treatment Act, S.B. 1376, S.B. 1377, S.B. 1378, S.B. 1382, S.B. 1383, and S.R. 348.
This package of legislation would would limit the length of methadone therapy for addiction treatments. This act would intrude on Pennsylvanians doctor-patient relationship, by limiting the rights of doctors and patients. It would limit health care choice and would put addicts in treatment at risk of returning to illicit drug use, by forcing patients off of methadone prematurely.
The length of methadone therapy for addiction treatments should be determined by the doctor and their patient, depending on how the patient responds to the therapy. The scientific evidence that methadone remains one of the most effective ways of treating opioid addiction and dependence is overwhelming.
Doctors should be practicing medicine, not the legislature. We ask the members of the Pennsylvania state Senate Committee on Public Health & Welfare to oppose and vote against all legislation in the Methadone Accountability Package, should it come up for a vote in committee, and should it pass committee, to vote against passing the package's legislation in the General Assembly.
11. Petition to Senate regarding brain tumours 
To the Honourable President and members of the Senate in Parliament assembled:
The petition of the undersigned shows:
That each year in Australia approximately 1400 people are diagnosed with a primary malignant brain tumour and many others develop a so-called “benign” brain tumour, or metastases (secondaries) to the brain from another cancer elsewhere in the body.
That the diagnosis of a brain tumour can have a devastating effect on the individual and their caregivers because of the often poor prognosis and that brain tumours are the only cancer to affect both a person’s mental and physical capacities.
That brain tumour patients and their caregivers require special attention within the health system, bearing in mind that these tumours cannot be screened for or detected early, nor prevented by lifestyle changes, and can randomly affect the young and old, male or female.
Feathers that you use in your pillows, blankets and clothing come from somewhere. Most notably, from animals. This is deemed acceptable as it is cheap and 'humane' as there feathers are used after slaughter.
A new, horrifying treatment is plucking the feathers from live geese.
Instead of just plucking the bird once after slaughter you can pluck the bird several times while it is still alive. This equates to more money.
13. Support Billy Caldwell's Right To Life 
Little Billy Caldwell was born on the 26th July 2005 and at only 4 months of age little Billy awoke from his sleep stared wide-eyed for thirty second and then seemed to doze off. He repeated this two more times that night at thirty minute intervals.
Billy was eventually taken to the Royal Belfast Hospital for Sick Children for further care under a specialist Neurological Paediatrician. Billy remained in the RBHSC for the next fourteen weeks as Charlotte watched as the doctor experienced the full range of seizures Billy was now taken. Eventually Charlotte was told their was no more they could do for her son and prescribed to Charlotte that sh would be shown how to administrate Morphine to Billy To Make his last few months on Mother Earth a little bit comfortable.
But Charlotte Caldwell Did not want her son to die so she researched and found a hospital in Chicago and today thanks to Charlotte Caldwell her son is alive but he needs special treatment which the Northern Ireland Government is now Refusing to give Billy.
14. Help Make cancer research and treatment a National priority 
Help make cancer research and treatment a National priority.
15. Bring back our medical consent rights 
I and many others suffer with type 1 brittle diabetes and mild Autism. I am seeing others suffering because of the pharmaceutical, even being forced by stupid and evil laws into Vaccines, behavior control drugs, prozac (used in probably many school shooters), now laws forcing Chemo, and laws helping the pharmaceutical companies but hurting and permanently damaging the people.
These pharmaceutical companies need to stop this and start making medicines to prevent and cure problems instead of causing them for more profits and turning our hospitals into primitive suffrage bases. Just because people are desperate to survive doesn't mean they should get more health problems, DNA Tampering and be forced into playing so much for medical they never really needed but are forced into it.
16. Revise Treatment Guidelines for Hepatitis C Patients 
1 in 12 Canadians live with either Hepatitis B or C. Each year, there are approximately 5,000 new cases of Hepatitis C infection and one-third of the Canadian population aren't even aware that they have the virus. Approximately 1,000 of those infected will die each year.
Hepatitis C is a silent killer for an infected person can do for 20 – 30 years asymptomatic. Current treatment guidelines are inconsistent with the Canadian Consensus Guidelines, which were last updated in 2007.
Hepatitis C is an epidemic that is being overlooked by the Government and other health care providers. This is something that we can eradicate, but will require the help of the government to see results.
17. Oxfordshire, Berkshire, Buckinghamshire, and Hampshire to end the Postcode Lottery 
End the postcode lottery for Oxfordshire, Berkshire, Buckinghamshire, and Hampshire
residents when it comes to IVF funding and to ensure that current guidelines for IVF funding are adhered to by Oxfordshire PCT, Buckinghamshire PCT, Milton Keynes PCT, Berkshire West PCT, Berkshire East PCT, Hampshire PCT, Southampton City PCT, Portsmouth City Teaching PCT and Isle of Wight PCT.
NICE clearly state in their guidelines for fertility;
“Couples in which the woman is aged 23-39 years at the time of treatment and who have an identified cause for their fertility problems (such as azoospermia or bilateral tubal occlusion) or who have infertility of at least 3 years’ duration should be offered up to three stimulated cycles of in vitro fertilization treatment.”
Unfortunately, many PCT’s do not adhere to this, leaving many couples facing a tough financial commitment or the bleak possibility of having to wait until they are old enough to meet the PCT’s criteria. Whereas some PCT’s do not offer funding for treatment at all.
Please note: Waiting for treatment reduces a women’s fertility rate.
It seems that funding for IVF is not given on the basis of fairness, but on where you live.
For example, if you are in the east of England, your local PCT may follow nice guidelines, however in Oxfordshire, Berkshire, Buckinghamshire, and Hampshire your PCT use their own rules which in some cases makes you wait until 35 years old. At this age success per cycle drops to only 23.6% (HFEA 2006).
This discrimination is unacceptable as National Health Insurance is not dependant on where you live, so why should healthcare be?
Former Secretary of State for Health, Dr John Reid, said that he wanted “all PCTs, including those who at present provide no IVF treatment, to offer at least one full cycle of treatment to all those eligible. In the longer term I would expect the NHS to make progress towards full implementation of the Nice guidance”. His deadline for this was April 2005, but little has changed
All we are asking for is - End the postcode lottery for Oxfordshire, Berkshire, Buckinghamshire, and Hampshire residents when it comes to IVF funding and ensure that current guidelines for IVF funding are adhered to by Oxfordshire PCT, Buckinghamshire PCT, Milton Keynes PCT, Berkshire West PCT, Berkshire East PCT, Hampshire PCT, Southampton City PCT, Portsmouth City Teaching PCT and Isle of Wight PCT.
18. Destination Unknown - continued access to lifesaving HIV treatment 
On 5 May 2005 the House of Lords delivered a judgment on the matter of ‘N’ ([2005] UKHL31). It ruled that deportation of a person living with HIV to a country where s/he was unlikely to receive adequate HIV treatment was not incompatible with their right to be free of inhumane treatment under Article 3 of the European Convention on Human Rights. In concluding their written judgment, the Lords made it clear that the Home Office can exercise discretion in deciding not to return such individuals to their home countries, but that if it decides on deportation, it will not be operating in breach of human rights legislation. The European Courts for Human Rights reinforced this position in May 2008.
In the view of a number of HIV advocates, this decision essentially authorises many HIV-positive people living in the UK to be removed to their countries of origin without access to lifesaving treatment.
The African HIV Policy Network (AHPN) believes that there is a clear contradiction between the UK's policy aim of universal access to HIV treatment for all those who need it by 2010 and the removal of people living with HIV who are on treatment to countries where treatment is not readily available or affordable.
The withdrawal of treatment increases the body's vulnerability to opportunistic infection and will result in drastically shortened life expectancy.
There are strong public health arguments for allowing a concession. Those awaiting removal may go underground and fail to keep appointments resulting in an increased risk of opportunistic infection with the need for emergency treatment and an increased risk of onward transmission.
The UK is a signatory to the International Covenant on Economic, Social and Cultural Rights. Article 12(1) requires states to ‘recognise the right of everyone to the enjoyment of the highest attainable standard of physical and mental health’.
19. Support for Latter-day Saint women with Depression 
Reflections Recovery is a proposed 90-day residential treatment program governed by Latter-day Saint (LDS) principles of healing. Geared towards helping women ages 18 and older, we will provide a safe haven for those who struggle with addictions to drugs and alcohol and suffer from the pains of depression and abuse.
20. help William Regal's push for main events to be reistated 
As he is the the current king of the ring champion, We feel that that Regal should be headlining main events.
We find the treatment Regal has been receiving since his return from suspension to be unfair.
21. Methadone clinic for Englewood 
The town of Englewood Florida has a very bad, and out of control Drug Problem. I myself, and many people think that it should not be as hard as it is to get help with their addiction, through Methadone maintenance.
There are no clinics around here, if you want to get help, you have to drive to Tampa, or Fort Myers for treatment.
A clinic in this area would help a great deal, and stop drug related problems.
Omar Khadr is a Canadian citizen who is currently being held at Guantanamo Bay. Khadr was fifteen years old at the time of his capture. He is currently the only Western detainee at Guantanamo Bay, as the Canadian government has refused to extradite him. He is on trial for crimes that he allegedly committed at the age of 15.
New videos have come to light that illustrate the serious mistreatment that Khadr has faced while in Guantanamo.
23. PKU Low-Protein Food Coverage in Canada 
PKU (or Phenylketonuria) is an absence or deficiency of the Phenylalanine Hydroxylase Enzyme (PHE), which is responsible for converting the essential amino acid “Phenylalanine’ into another amino acid called ‘Tyrosine’ for use by the body. Without PHE, the Phenylalanine will build up abnormally in the blood and is toxic to the brain tissue.
Without treatment this can cause serious or life threatening side effects such as brain damage!
Treatment consists of Formula and Specially modified ‘low-protein’ foods, which have the phenylalanine extracted from them. These foods are expensive and can add hundreds of dollars to the monthly grocery bill.
Because these foods are so expensive, yet necessary for the individual’s survival, people with PKU often find themselves financially overwhelmed. In most places worldwide the formula is covered by the government, however the food is not. Having FULL COVERAGE of Low Protein foods is essential in PKU treatment.
24. Stop Spindles Farm Horse Abuse and Animal Cruelty 
Jamie Gray gave lots and lots of horses ill treatment at Spindles Farm. No, He isn't in prison though many horses, donkeys and ponies died and were seriously ill and injured. NOW HE HAS MORE HORSES, PONIES AND DONKEYS!
Should this be allowed? Sign the petition and we can help stop this. He should never be able to have animals again.
Please sign the petition. Help horses and animals to STOP be abused and given ill treatment.
25. Review Sylvan Shores Wastewater Treatment 
The city of East Gull Lake has proposed to connect the development of Sylvan Shores to city wastewater treatment.
It is our belief the City of East Gull Lake has not presented an adequate argument or data to support the need for city sewer.
26. Patients Wanting Fairness and Accountability from Health Insurance Carriers 
Dear Patient:
In these times of escalating healthcare costs, it is important that consumers receive their full value for healthcare dollars spent on insurance premiums.
At times, and without your knowledge, health insurance carriers will not reimburse your doctor for a number of approved procedures that are used to help get you better.
By signing this online petition, you can request that the New Jersey Department of Banking and Insurance (DOBI) investigate and make sure that insurance companies are accurately paying for the care you receive, are accurately reimbursing for your care, and that they are not denying covered care without reason.
If appropriate, please forward to your friends/family.
27. Radiowave Therapy Clinic for East Coast 
Australian Dr John Holt's radiowave therapy is an alternative treatment for cancer that does not have side effects like chemotherapy.
There is a clinic in WA and one in Ireland. Jenny Barlow is trying to set one up on the East Coast of Australia to reduce waiting lists in Australia and also provide sick patients on the Eastern Seaboard with treatment as they can not travel to WA or overseas.
Radiowave therapy uses a specific frequency of 434 MHz (megahertz) in the UHF (ultra-high frequency) band to stress or activate cancer cells so that they can then be killed.
Dr Holt treated thousands of patients with one or other of his two radiowave therapies over a period of 30 years.
28. One Voice, One goal, Our Dream: to Stop the Unjust Treatment and Deportation of Undocumented Workers 
In Canada there are approximately 30,000 to 50,000 undocumented workers, many of whom are waiting for their application to be processed or who have been rejected. For those individuals seeking refuge a request for deportation means returning into an unsafe environment where they are at risk of harm, torture or death; the very reason why they fled. They are victims of human rights abusers and Canada should uphold their universal right to life, liberty, and security.
Up to 15,000 individuals in Ontario and 200,000 nationally have already been deported. For those that remain in Canada, the fear of deportation is constant, during which they are deprived of necessities such as medical access, safety, education, and decent wages for engaging in poor and unsafe work.
29. PETITION FOR RADIOTHERAPY UNIT TO BE PROVIDED AT KIDDERMINSTER HOSPITAL 
Update October 2007
Nigel says: "We now have 5,500 paper signatures.
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Update August 2007
Nigel says: "We now have over 4,500 paper signatures on the petition collected at Street Stalls throughout Wyre Forest."
Please continue to sign the online Petition.
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Nigel Knowles is running a campaign and a petition to have a Radiotherapy Unit placed at Kidderminster Hospital.
Nigel says “This Radiotherapy Unit could cost £2.5 million with the obvious on-going costs of operation. Cancer patients in Wyre Forest have to travel over 20 miles to New Cross Hospital Wolverhampton for their radiotherapy treatment. That is a very difficult journey for them to make many times for their treatment.
Worcestershire Acute Hospital Trust is currently looking at the possibility of providing a Radiotherapy Unit in Worcestershire, within the Three Counties Cancer Network. Kidderminster Hospital would be a great place to have it! We have the wonderful Millbrook Suite currently providing chemotherapy treatments for cancer patients and the Radiotherapy Unit would be a great extra provision for patients.
I think with Worcester Royal and the Redditch Hospitals being so busy, Kidderminster Hospital would be the best place. There is a great tradition of community support for Kidderminster Hospital and I’m certain the Radiotherapy Unit would be greatly welcomed by the people of Wyre Forest who have endured a difficult period of time in the transition between the transfer of A&E Services and the opening of our brilliant £26 million Treatment Centre in 2004”.
30. The Hilary Price Memorial Petition 
The Hilary Price Memorial Petition is aimed at catalysing a change in the law to enable seriously ill patients, who suffer from an otherwise untreatable condition, to receive medication which has yet to receive formal approval. Any such medication would be taken entirely at the patient’s own risk on an informed consent basis.
Hilary Price was a Multiple Sclerosis sufferer who desperately wanted to get better but gradually lost her fight in the long battle against MS, primarily because the right medication was not available in time to alleviate her problems. Eventually she suffered a massive stroke as a result of breathing complications caused by the MS and died a few days later. Our aim is to ensure that a patient’s health is no longer compromised in this fashion.
Proventus asks the government to implement a change in our laws to give the right to any sufferer when in a position of supreme disadvantage from their disorder/disease for that person to be able to make final full decisions regarding all available treatments and to accept total liability when so doing, instead of others making those decisions for them.
