Illinois women help drive landmark end-of-life reform


Advocates say Illinois women played a defining role in the state’s newly passed medical aid-in-dying law. Their stories and leadership helped shape the first legislation of its kind in the Midwest.


by Judith Ruiz-Branch
Public News Service


CHICAGO - March is Women’s History Month and an organization advocating for end-of-life reform is highlighting the significant role of women from Illinois in driving the movement.

The state recently became the first in the Midwest to legalize medical aid in dying.

Callie Riley, regional advocacy director for Compassion & Choices, said Illinois residents Suzy Flack and Deborah Robertson were instrumental in getting the legislation passed. Riley noted the bill is nicknamed “Deb's Law” because of Robertson, who served as a leader despite living with a rare form of cancer.

"The work we do is really driven by the stories of people who are directly impacted by both good end-of-life care and end-of-life care that falls short," Riley explained. "In my experience, so many of our storytellers, our volunteers, our leaders, our advocates are women."

Riley pointed out Flack became an advocate after witnessing her son, who was diagnosed with terminal cancer, die peacefully and autonomously using medical aid in another state. Deb’s Law takes effect in Illinois in September.

Riley added the historical roots of the movement for better end-of-life-care dates back to the early HIV epidemic. Alternative care networks developed because people living with HIV and AIDS did not receive adequate care from the traditional medical system.

"It was predominantly women providing that care; queer women, straight women, people who knew and loved people who were living with HIV," Riley recounted. "To me, it's not surprising that has continued."

Riley stressed increased advocacy has created a dialogue about the importance of autonomy in end-of-life decisions, with supporters long pushing for medical aid in dying legislation in Illinois. It is currently legal in 12 other states.




TAGS: Illinois women advocates, Deb’s Law Illinois, medical aid in dying Midwest, Compassion & Choices Illinois, end-of-life reform movement

Guest Commentary |
A public health perspective on Iran: They are more like us than we think


oursentinel.com viewpoint
A global health expert's research revealed unexpected similarities between Iran and the United States—comparable life expectancy, higher literacy rates, and superior childhood immunization coverage—before U.S. and Israeli strikes began destroying hospitals, killing 160 schoolgirls, and creating food shortages. The data suggests Iranians lived lives not so different from Americans just weeks ago.


oursentinel.com viewpoint
by Mary Anne Mercer, MPH, DrPH


My work in global health always nudges me to learn about places and people I read about in the news. Right now: Iran, of course. Though I’ve never been there, I knew it was an incredibly old civilization, dating back several millennia with a vibrant culture and elegant, stunning architecture from the past. In recent decades it’s been led by a dictatorial, hard-line Muslim, the Supreme Leader.

I investigated a few facts about the country because understanding how the health of people in other settings compares with ours is often enlightening. Iran is poorer economically than the U.S., so the population probably would have lower living standards, life expectancy, and literacy rates than we do. I’ve worked in public health in a number of low-income countries, so I also expected that use of important services like immunizations for children and family planning for women would be limited.

A quick web search revealed that, indeed, our population is much wealthier than Iran’s. That country has a median income of $4300, compared to the U.S. with around $19,300.

But the other assumptions didn’t fit what I expected. A surprising 100% of the population has access to electricity. Much lower life expectancy? No, they are not dying at young ages: the average Iranian man in 2024 would live to be 76 years old, not far behind the American man at 77 years. I also didn’t expect that most of the main causes of death were the same as ours – heart disease, stroke, hypertension and injuries. Adult literacy, an important social determinant of health, was even more perplexing: only 11% of Iranians were nonliterate in 2023, compared to 21% of Americans around that time.

Maternal and child health practices are important monitors of a population’s well-being. So, another surprise: over 99% of Iranian children have the full set of immunizations by age five--while in the U.S. that rate is only 94% and said to be dropping. For women, childbearing patterns hint at their roles in family decision-making. How does that work in this solidly Muslim country? Another puzzler: at today’s birth rates, both Iranian and American women will have, on average, fewer than two children over their lifetimes.

Pondering these numbers, I couldn’t escape the feeling that Iranians were, put simply, very much like us. They have strong families, send their children off to school every day, have basic conveniences and an efficient public health system.

Or at least they did, until the current military onslaught by the U.S. and Israel began. Since then, the devastation of the country has been relentless: bombing of military targets with unknown numbers of civilian deaths— including the well-documented strike that killed some 160 schoolgirls. Over a dozen hospitals have been bombed, a pall of toxic “black rain” has fallen on Tehran as a result of the destruction of oil facilities, and food shortages in the cities are under way. It appears, however, that to date the death, destruction and massive displacement inflicted on their country has only strengthened the determination of the Iranian leadership, and also perhaps its people, to endure.

At some point this war will end. Until then the people of Iran, whose everyday lives had not been so very different from ours just a few weeks ago, will continue to go to bed every night wondering what hell the Americans and Israelis will inflict their country the next day.


About the author ~
Dr. Mary Anne Mercer is a University of Washington public health faculty member and author whose four-decade career has focused on maternal and child health in developing nations. Beginning with her transformative year providing immunizations in rural Nepal in 1978, she has developed health projects in 14 countries and authored books including Beyond the Next Village (2022) and Sickness and Wealth: The Corporate Assault on Global Health. Her recent work strengthening midwifery care through mobile technology in Timor-Leste has been adopted as a national program.





What do you think?
Whether you agree, disagree, or want to build on the ideas in this piece, we’d love to hear your voice. If you have an opinion you’d like to share — on this topic or any other — you can find our submission guidelines here: Sentinel submission guideline.

We welcome a wide range of viewpoints and would be glad to consider your perspective for publication on OurSentinel.com. . Send your letter or commentary to editor@oursentinel.com and help keep the community conversation moving forward.

TAGS: Iran United States health comparison literacy immunization, Iran childhood vaccination rates 99 percent, U.S. Iran war civilian casualties hospitals bombed, global health perspective Middle East conflict

Guest Commentary |
What Charlie Kirk’s assassination; his voice cost him his life


by Glenn Mollette, Guest Commentator


Charlie Kirk’s death echoes America’s tragic history of assassinated leaders, reminding us that violence cannot silence free speech.


Charlie Kirk was a man who had opinions and vocalized them. He believed in free speech. He also believed in the right of free speech for those who disagreed with him. In his Turning Point rallies, he gave untold numbers of people the opportunity to express their opinions and to debate him. He respectfully gave each person the time to state their case on whatever the subject. Charlie was adamant, profound and articulated strong convictions.

Glenn Mollette
Sadly, a deranged 22-year-old man from Utah took Charlie’s life. It has been reported that the gunman had previously stated at a family dinner that he thought Kirk was filled with hate.

When Kirk spoke at a University rally in Utah, the gunman plotted and positioned himself to shoot a single long-range rifle shot that took Kirk’s life. The man ran back to his home where he later had no choice but to confess to his father that he was indeed the man who had been videotaped at the rally who took Charlie Kirk’s life.

The lone assassin is an evil coward who silenced one of America’s star voices. At least he thought he did. Charlie Kirk has become more known and his sound clips have been heard more in the last few days than in his entire ministry/career. Kirk has been propelled by the assassin to a status in American culture that will never be forgotten. Instead of silencing Kirk he magnified Kirk’s voice and message a hundred or more times. Kirk is now being remembered around the world.


It’s one thing to have a hateful, negative thought, but it’s another to allow hate to act itself out in such a way.

Charlie Kirk used his voice. Every American is entitled to this freedom. His voice cost him his life.

Abraham Lincoln gave his life reuniting our country and abolishing slavery. A cowardly assassin took Lincoln’s life as he leisurely watched a play at Ford’s Theatre in Washington, D.C. John F. Kennedy used his voice to excite the American people and to bring about a positive attitude in the country, but was gunned down by an assassin from a hidden window in downtown Dallas, Texas. Martin Luther King, Jr. was a man with a great voice who stirred the hearts of millions of Americans and brought about liberating change for black Americans. An assassin who disagreed with King cowardly hid and took King’s life with a bullet. Malcom X and Bobby Kennedy were orators for positive change in America but someone who disagreed with their views killed them.

The greatest voice of hope, love, change and forgiveness, who ever lived, was Jesus Christ. A cowardly crowd yelled for him to be executed.

These mentioned voices were not silenced by hideous crowds or hidden gunmen. Each of their voices have rung loudly and clearly. Their legacies have only grown bolder and stronger.

It is sad that Charlie Kirk’s assassin did not go down to the rally, stand up like a man and challenge Kirk in a debate. He could have told Kirk what he thought about him and given Kirk a chance to respond. But no, he was a weak, spineless man filled with more hate than probably anyone in America at that given moment.

It’s one thing to have a hateful, negative thought, but it’s another to allow hate to act itself out in such a way.

Violence is never the answer. Let’s keep America free. Free to speak, free to debate, free to practice and express our religion. Let’s have peaceful and strong conversation not assassination.



About the author ~

Glen Mollett is the author of 13 books including Uncommom Sense, the Spiritual Chocolate series, Grandpa's Store, Minister's Guidebook insights from a fellow minister. His column is published weekly in over 600 publications in all 50 states.



These articles might also interest you:

The views expressed are those of the author and are not necessarily representative of any other group or organization. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.

Charlie Kirk assassination legacy, history of assassinated American leaders, free speech and violence in America, political debate versus violence, legacy of voices after tragedy

Guest Commentary |
Mass shootings, this has to be stopped



No family or child should ever have to worry that going to school might end in their last day of life.


by Glenn Mollette, Guest Commentator



Satan will do anything.

He knows no boundaries. He will do anything to kill or wound you or the most innocent, vulnerable people.

Little children sat in their school mass last week in Minneapolis, Minnesota. The students were at Annunciation Catholic Church which is also home to an elementary school. A shooter fired through stained glass windows into the church where students were attending mass, killing two and injuring 17 other people. They were in a place of reverence and worship. Yet, while they were inside a sanctuary of worship, in the middle of mass, an evil person invaded their sacred space and did the devil’s work of killing and wounding. What should have been moments of devotion turned into death and despair.

Glenn Mollette
I will not mention the shooter’s name because doing so only fulfills his/her goal to die with some kind of sick, horrific fame.

Let us please continue to pray for the hurting families in Minnesota who will never escape the pain of losing their little children who were simply in school and in a time of Christian worship.

No family or child should ever have to worry that going to school might end in their last day of life. Nor should anyone have to worry that going to church might be the most dangerous place they could ever be. Yet, we know that school and church shootings have become a sick routine of American life.

This has to be stopped. Please media people, please stop listing the names of those who commits such hellish acts.

Please, all school officials and church leaders, please know this only has to happen once to your local school or church. Once it does, you and your community will never get over it. Please utilize every means of security. Take nothing for granted. Prevention is the key. Uniformed security is vital. Terrorist shooters are cowards. They prey on the unprotected and the unsuspecting. They prey on little children, an unarmed class of kids or a church filled with unarmed people. They do not want to deal with uniformed, armed guards. They look for the most vulnerable.


We also must have stricter gun control

While many of us believe in prayer, it’s time to do more. Faith without works is dead. Social Media giants like Facebook, Instagram, X and TikTok, must start notifying police when posts are made that come across as being threatening to society. People with such problems need to be placed in mental hospitals for treatment and observation. While we cherish free speech, we are past the day of tolerating speech that is filled with threats. Over a year ago someone said “President Trump should be placed in the bull’s eye”. That was soon followed up by someone almost successfully taking his life.

Parents must be in control of their houses. Know where every gun is and be sure they are locked up in safe places. Even if you have adult children living in your home you must be the ruler of the house. If they are living with you then you rule. Be a strict supervisor of all weapons.

We also must have stricter gun control such as mental health evaluations for all gun purchasers under 25 and longer waiting periods for buying semi-automatic weapons. Home visits should be made 30 days after the purchase of a semi-automatic weapon. This home visit would be to personally counsel the owner of the weapon about the safety and care of the weapon and also to do a mental health assessment. This all sounds invasive but we can’t keep saying just pray. It’s time to do something.



About the author ~

Glen Mollett is the author of 13 books including Uncommom Sense, the Spiritual Chocolate series, Grandpa's Store, Minister's Guidebook insights from a fellow minister. His column is published weekly in over 600 publications in all 50 states.



These articles might also interest you:

The views expressed are those of the author and are not necessarily representative of any other group or organization. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.

Vaccination is key to ending a resurgence of measles and stopping a preventable disease from spreading


Baby with measles spots
Photo: CDC/ James Goodson, M.P.H.

The number of reported measles cases has soared past the number in all of 2024 this week. In the past, the mortality rate of children worldwide has been reduce by 51% thanks to vaccinations. Unfortunately, measles is making a resurgence because of the current vaccine hesitancy trend.

by Colleen Reynolds
OSF Healthcare

PEORIA - The third week of March marked a regrettable milestone. The number of measles cases soared past the number in all of 2024. Dana DeShon, APRN for Peoria, Illinois-based OSF HealthCare, says globally the mortality rate of children worldwide has been reduce by 51% by just the act of vaccinating them. Vaccines save more than 4-5 million lives each year and have prevented approximately 50 million deaths between 2000-2019.

OSF Pediatric Nurse Dana DeShon
Dana DeShon, APRN

However, DeShon worries that in the United States, vaccine hesitancy will bring measles back as a public health crisis. The advanced practice registered nurse has been involved with the United Nations Foundation initiative called Shot@Life through which she and others lobby Congress to fund vaccine support for children in low-income countries. According to Deshon, the funding accounts for less than 1% of the total U.S budget but saves 2.5 million lives every year worldwide.

However, these days, she’s focused on vaccinations at home.
DeShon says most of the population hasn’t seen the devastating impact of the highly contagious measles because it was eradicated in 2000. But measles is making a resurgence because of vaccine hesitancy. And measles is the most contagious of all vaccine-preventable diseases.

It begins with a runny nose, watery eyes and then a rash so people can be walking around, spreading the airborne virus before severe symptoms develop.

Vaccine hesitancy was fueled in the 1990s by a bad study from a physician who has since lost his license to practice medicine.

“You’re contagious four days before that rash and up to four days after so we could have 8 to 10 days of people walking around not even knowing they have measles and then they’re just spreading it around to people at risk. Obviously, the people most at risk, are the people who are not vaccinated,” DeShon points out.

That includes babies who can’t be vaccinated until age 1, along with pregnant women and immunocompromised cancer patients who can’t get vaccinated.

Vaccine hesitancy was fueled in the 1990s by a bad study from a physician who has since lost his license to practice medicine. The research, published in a respected medical journal, The Lancet, involved only 12 patients and falsely linked vaccines with autism. DeShon said the study has been retracted and there is, in fact, NO scientific evidence that vaccines cause autism.

She emphasizes the National Institutes of Health (NIH) spent millions on research.

“Outside research was also done and there were no links that they could find from that original Lancet study. It got to the point that they said, ‘We’re not going to do anymore studies because they did not see a link between autism and the MMR (measles, mumps and rubella) vaccine.”

Measles vaccination rates are falling
The Kaiser Family Foundation says measles vaccination rates in most U.S. states have fallen below the 95% threshold scientists consider necessary for so called ‘herd immunity’ to control the disease, and those rates have continued to drop. That’s concerning for DeShon.

“How are we going to stop this? It is not vitamin A. Vitamin A is not going to stop the measles outbreak. We need vaccinations. That is what is going to stop the outbreak that we are seeing, not just in west Texas, but all over in these pockets we’re seeing in the United States right now.”

DeShon stresses when the population is vaccinated, measles goes away. Receiving one and two doses of measles vaccine is 93% and 97% effective, respectively, in preventing measles.

Photo: CDC

The torso of a child with a skin rash due to a case of the three-day measles.

She points to an outbreak at a Chicago migrant shelter last year. Fifty-seven measles cases were associated with people in the shelter. Most cases occurred in people who were unvaccinated. A prompt and coordinated response with a mass vaccination campaign reduced the size and duration of the outbreak and stopped what might have become a statewide public health concern.

The Centers for Disease Control and Prevention (CDC) says measles can lead to severe complications, including pneumonia, encephalitis (inflammation of the brain), and in some cases, death. Children, especially those younger than 5 years old, are at a higher risk of developing serious complications from measles.

A school-age child in Texas died from the measles and the New Mexico Department of Health is reporting the death of an unvaccinated adult who tested positive for measles. Even if a child survives measles, it can have long-lasting effects.

A condition called subacute sclerosing panencephalitis, or SSPE, a degenerative neurological condition can develop seven to 10 years after a measles infection, according to DeShon.

The disease carries a heavy toll. So DeShon reminds everyone that while vaccination is a personal decision, it impacts health systems, communities, and the most vulnerable among us.

“When it comes to the point that this is something that is so contagious, and now deadly, then we really need to stop and think, ‘We need to be doing this, not because of me but because of those around me.’”

If you’re unsure whether you have immunity against measles, talk to your health care provider about your options.



Under Trump, how will gun violence prevention fare?


Photo: StockSnap/Pixabay

by Mike Moen
Minnesota News Connection


While the future is uncertain for this White House initiative, Trump has dismantled a new school safety committee that included parents of school shooting victims.


ST. PAUL - President Donald Trump has been busy signing executive orders since his inauguration.

Gun violence prevention advocates in Minnesota hope he isn't aggressive in undoing recent work to keep communities safer.

The White House website for the Office of Gun Violence Prevention, created under the Biden administration, recently went dark.

Staffers insist sudden online changes are a formality as they retool under new leadership, hinting that landing pages for key topics will be restored.

But Maggiy Emery, executive director of the group Protect Minnesota, said she doesn't feel reassured much of the office's mission will be maintained.

"We were finally seeing some of those rates of gun violence go down," said Emery, "you know, especially here in Minnesota."

Gun violence deaths in Minnesota were down 5% in 2023, the last year for available numbers.

And the national Brady organization credits the Office of Gun Violence Prevention for supporting the Bureau of Alcohol Tobacco and Firearms in shutting down more than 800 rogue gun dealers in the U.S.

While the future is uncertain for this White House initiative, Trump has dismantled a new school safety committee that included parents of school shooting victims.

Trump administration officials say they want to prioritize national security matters.

But Emery said despite recent progress, gun violence is still a public health crisis in the U.S.

She added that the initiative under President Joe Biden was bringing to light how rural areas affected.

"We know that the Office of Violence Prevention on the federal level was looking at what can we do to reduce rates of gun violence," said Emery, "not only in urban areas, but in rural areas where folks are really the most impacted in Minnesota. You know, guidances and legislation around safe storage is now looking more unlikely."

More than 70% of gun deaths in Minnesota are from suicides, and Emery said most are in rural areas.

If federal solutions fall by the wayside, she said she hopes Minnesota lawmakers pass a state law for safe gun storage this year.

In Trump's first term, bump stocks - the rapid-fire gun accessories - were banned. However, the U.S. Supreme Court later struck down that order.




Guest Commentary |
For better or worse


by Glenn Mollette, Guest Commentator


Words are easier than actions. For example, “for better, for worse.” Couples traditionally say these words when they marry. They mean the words at the time. They have no idea what they are saying.

No one can really know what they are saying because they are clueless what the future will bring. Sticking together in marriage is easier when it’s all “for better”. Often life changes direction and it seems everything becomes “for worse.”

Financial difficulties, troubled children, aging parents, life failures, addictions, personality disorders and sickness all have a way of cooling the marital flame.

When a couple first marries everything is about love and nothing else matters. However, eventually everyone faces problems. Sometimes they come early in life and sometimes not until the later years of life. Make no mistake, if you and your spouse live long enough you will face difficulties that will mentally and physically push you to and beyond your limits.

We have to grasp the fact that no matter who you live with there will come a time when you will be a caregiver or need someone to take care of you. The only way to avoid this is to die while you are still physically and mentally independent. There is some kind of weird blessing about just falling over dead or not waking up one morning. It’s a shock to those left behind but you avoid the nursing home and some of the crippling disabilities that eventually happen in life.

None of us want to just fall over dead during our active years. We all want to live to a 100 and then just suddenly move over into heaven. This may be the way you will go and maybe you won’t. None of us know how our lives will end. I suppose it’s best that we don’t know.

If you are blessed with a mate, reach a mutual understanding early on that you are going to see each other through the tough times. It might be all on you to do the caregiving and that’s never easy but it’s easier than being the one inflicted with the illness. If you are the caregiver you can get some rest and restore. The person who is sick never gets a break.

Sadly, some people can’t hold out and give up. People are human beings and not machines. People wear down and are often unable to cope when sickness and troubles are more than they can handle. Try to not be condemning of these people as you are not the one living their lives.

If two people can mutually hang tight through the “for worse” period of life they can help each other to discover a little more “better” even during the very worst of times.

For more insights into this column please read First Corinthians chapter 13 from the Bible. Keep in mind that hard times are not easy times but you can find joy and peace by seeing yourself and your mate through the “worse” times of life.


-----------------------------------------------------------

He is the author of 13 books including Uncommom Sense, the Spiritual Chocolate series, Grandpa's Store, Minister's Guidebook insights from a fellow minister. His column is published weekly in over 600 publications in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.


-----------------------------------------------------------


Guest Commentary | Women and the abortion issue will decide the 2024 election outcome


by Glenn Mollette, Guest Commentator


A woman has never told me she felt good about her abortion. For 39 years I served in pastoral roles in different places. I had numerous women tell me they felt like they had no choice. Some said they felt pressured to abort. Many were medical emergency situations and it was life or death for the mother.

A dear family I’ve known for a few years lost their daughter and the baby in what was supposed to be a delightful day of bringing a new baby into the world. Things went terribly wrong and they both died. Twenty-five years after that event the family still grieves that day. They would give anything to have their daughter and her baby back.


One of the hardest days of my life was when we had a full-term baby who apparently died about a day before the scheduled birth.

My late wife was very sick when she gave birth to our second son. She and he made it but it was a very treacherous night. Thankfully we had good medical care.

On too many occasions to count, we lost numerous babies. The pregnancy would start failing often times about two to three months into the pregnancy and the doctor would have to do a D and C. The babies had stopped growing or there was some other kind of internal malfunction.

One of the hardest days of my life was when we had a full-term baby who apparently died about a day before the scheduled birth. There was some kind of kink in the umbilical cord that had cut off oxygen to the baby. I was on cloud nine watching the birth of my two prior sons. I walked through hell the day I watched them deliver our dead son. For hours I sat in a room holding our him and weeping like I had never wept before.

I put my hand on that baby’s face and begged God to let him wake and start breathing. What I wouldn’t do today or give to have that child Jesse Caleb Mollette in my life.

The pain of losing that child was devastating to my wife.

The point of all this is most women and men are not crazed baby killers, although abortion statistics indicate we have had a problem in this nation. In 2020 there were 639,898 abortions in America according to Pew Research org. Were all of those performed to save the life of the mother? Were many of them performed because rape or incest had taken place? I do not have the statistics to answer that question, if really good statistics are even available.

The hard reality is that sometimes a medically necessary abortion has to take place to save the life of the mother. Often, the fetus stops developing or begins to abort on its own and medical care is necessary. Women should never have to leave their state to obtain the care they need. Our local and federal government should never put women’s health in these kinds of dangerous situations.

Federal and state governments must take a realistic look at what they are expecting of women and try to put themselves in their places. I think we have too many 75-year-old men determining what should or shouldn’t be for young adult women. Or, maybe we have some older women politicians who have never been through a traumatic pregnancy.

If I go to my doctor for an appendicitis procedure, I don’t what him having to involve the Attorney General or state supreme court in my healthcare. It should be between my doctor and me. The same should be so for pregnant women. Their care should be between them and their doctors. Keep the politicians out of it.

If one of these old politicians is going to have their hemorrhoids cut out, they must likely don’t want the county attorney or judge up there too.

It’s a touchy issue. I’m for life all the way. I’m also for common sense. Something to keep in mind is that regardless of your party affiliation, religious beliefs, or who you know the best person for the job is, women and the abortion issue will decide the 2024 election outcome.


-----------------------------------------------------------

He is the author of 13 books including Uncommom Sense, the Spiritual Chocolate series, Grandpa's Store, Minister's Guidebook insights from a fellow minister. His column is published weekly in over 600 publications in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.

-----------------------------------------------------------

-----------------------------------------------------------

The power of listening when helping those with a terminal illness


by Tim Ditman
OSF Healthcare
“I was in my early forties with a lot of life before me when a moment came that stopped me on a dime.”

Country music star Tim McGraw’s “Live Like You Were Dying” tries to sum up the emotions of a terminal illness.


Rita Manning
Pastoral Care & Bereavement Coordinator
Photo provided

It’s not just Hollywood. Rita Manning counsels patients and their loved ones as a pastoral care professional and bereavement coordinator for OSF HealthCare. She says there are ways to make the person’s final days more peaceful.

Getting the diagnosis

Before the “what’s next?” phase sets in, Manning says gut reactions to a terminal illness diagnosis can vary widely. Some have been in declining health, and they may show less of an emotional response. Others learn the news unexpectedly and abruptly.

“Those that are broadsided probably have more of an impact of mental and emotional things,” Manning says.

People might talk about being afraid of death or ask lots of questions. Some may want to go “full speed ahead,” as Manning puts it, and do things while they can. They may travel or catch up with old friends. Others may retreat and want to contemplate the future alone. Depression and other mental health issues can follow.

Helping out

Here’s a phrase to try when starting the conversation with a loved one:

“You may not want to talk about this now. Just know that whenever you are ready, I’m ready to listen and be there,” Manning says, putting herself in the shoes of a caregiver.

In other words, try to meet the person where they are. Don’t try to fix something that can’t be fixed. Acknowledge that the news is tough. Sit and cry with your loved one if that’s the emotion they show. Or if you don’t wear your emotions on your sleeve, offer help in other ways. Offer to mow the yard or take care of groceries.

Manning advises to avoid cliché phrases like “How are you doing?” Instead, try “How’s your day treating you?”

Another poor phrase: “You’re going to a better place.”

“Those types of phrases might be factual for them in their faith journey. It still may not be the time they want to hear that,” Manning says.

End of life discussions

It’s not uncommon for an adult with a terminal illness to put off talking about their funeral, estate and other matters once they have passed away. But there comes a time when there’s little time left to get things in order. Approach it delicately, Manning suggests.

“We just want to honor your wishes,” Manning says, again posing as a caregiver. “If you could help us understand what those are, that would help us to know how to move forward.”

Other phrases that may work: What is your greatest concern? What is your greatest hope? How can we make your final days full and comfortable?

Children and terminal illnesses

Consoling and supporting a child who will soon pass away requires a different approach, Manning says. You should still be honest, but they may not understand death. So, explain it in a way they understand.

First, reassure the child that the situation is not their fault.

Try something like: “Sometimes people just get sick. As hard as we try, we just can’t find that solution to make you well again.”

If they ask a question, an adult may need to ask one back to make sure they grasp what the child is thinking. For example: does the child’s stomach hurt because they are nervous or because of the illness? The response will shape what the adult says.

Relate to what children know, like a pet who died or even leaves falling off trees in the winter. But don’t be afraid to use words like “death” and “dying.” Using words like “lost” may cause confusion, Manning says. For example: a parent says, “We lost grandma today.” A child may respond, “Let’s go find her.”

Manning adds that there are books from trusted sources that talk about death.

“They’re still going to have questions,” Manning points out. “But it starts the hard task. Reading helps them engage and understand better.”

Learn more

Learn more about resources for people nearing the end of their life on the OSF HealthCare website.


Related articles:

Your health: Excessive alcohol consumption can be deadly for young adults
For many adults, alcohol is part of unwinding after a stressful work week. There are the usual reminders about having a sober driver, knowing your limits and mixing in water between your beers. But experts are also warning about the dangers of excessive drinking or binge drinking, which is having several drinks on one occasion.

With heart attacks, timing is everything and it can save your life
To say time was of the essence for Tammi Fanson on July 18, 2022, would be an understatement.

The Gibson City, Illinois, woman had been dealing with high blood pressure, stress, fatigue and shortness of breath, but she chalked it up to life just being difficult. But on that day, ...


Coping with grief during the holiday season with loved ones, here's how
During the holidays, societal norms expect us to be sociable and cheerful. But it can be difficult for people dealing with the loss of a loved one. A normal shopping trip may turn blue when you hear the song you used to dance to. Or the Christmas tradition of baking cookies...

More men than women die from melanoma; tips for men to stay alive longer
Let’s face it, fellas. We’re not always the best when it comes to taking care of ourselves.

That includes protecting one of our most vital and largest organs – our skin.

It’s that time of the year when people are outdoors for several reasons – sporting activities, vacations, and working outside jobs.

But under the brilliant sun rays lurks a potential danger especially to men – skin cancer, more specifically melanoma.


Sign up for the Sentinel

Air quaity becoming a growing risk for premature CVD death and disability worldwide


by The American Heart Association

DALLAS — The impact of particulate matter air pollution on death and disability is on the rise worldwide, according to new research published today in the Journal of the American Heart Association, an open access, peer-reviewed journal of the American Heart Association.

Previous research established the association of particulate matter (PM) pollution to CVD death and disability. However, questions remain about the worldwide impact from this type of pollution and how it has been changing over time, the study authors noted.

“We focused on examining the burden globally because particulate matter pollution is a widespread environmental risk factor that affects all populations worldwide, and understanding its impact on cardiovascular health can help guide public health interventions and policy decisions,” said Farshad Farzadfar, M.D., M.P.H., D.Sc., senior author of the study and a professor of medicine in the non-communicable diseases research center of the Endocrinology and Metabolism Research Institute at Tehran University of Medical Sciences in Iran.

The researchers analyzed PM pollution as a risk factor for death and disability using freely available data from 204 countries collected between 1990 and 2019 and detailed in the Global Burden of Disease (GBD) study. Exposure to PM pollution was estimated using a tool from the 2019 update to the GBD study that incorporated information from satellite and ground-level monitoring, computer models of chemicals in the atmosphere and land-use data.

Among the many types of heart disease, the current analysis of cardiovascular disease is restricted to stroke and ischemic heart disease (a lack of blood and oxygen supply to portions of the heart, usually due to plaque build-up in the arteries) because the 2019 GBD study on the global burden of disease attributed to PM pollution only examined these two diagnoses. The Institute for Health Metrics and Evaluation (IHME), which provides the GBD estimates, only reports data for a certain risk factor if there is a large body of evidence about its association with a disease, Farzadfar noted.

“Until now, only the association of PM pollution with ischemic heart disease and stroke has been demonstrated in a large number of studies,” Farzadfar said. “The IHME may include other CVDs in the future. Moreover, ischemic heart disease and stroke contribute to a significant majority of CVDs, and our estimates, despite having limitations, may be used as a good estimate of PM pollution burden on CVDs.”

The investigators analyzed changes over time in years of life lost due to premature death (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs). DALYs is a measure that considers both the loss of life and the impact on quality of life to assess the full impact of a health condition on a population. The cardiovascular disease burden was assessed both overall and with age standardization, which compares health outcomes across a population with a wide range of ages.

The analysis found:

  • The total number of premature deaths and years of cardiovascular disability from cardiovascular diseases attributable to PM air pollution rose from 6.8 million in 1990 to 8.9 million in 2019, a 31% worldwide increase.
  • The increase in overall deaths was unevenly distributed, with a 43% increase among men compared to a 28.2% increase among women.
  • Between 1990 and 2019, there was a 36.7% decrease in age-standardized premature deaths attributed to PM pollution, meaning that while fewer people had died from cardiovascular disease, people are living longer with disability.
  • Regions with higher socioeconomic conditions had the lowest number of lost years of life due to cardiovascular disease attributed to PM pollution, yet also the highest number of years lived with disability. The opposite was true in regions with lower socioeconomic conditions, with more lives lost and fewer years lived with disability.
  • Between 1990 and 2019, changes in the cardiovascular impact of PM pollution differed between men and women. In all measures, increases in disability and death from ambient PM air pollution were higher in men than women, while declines in disability and death from household PM air pollution were lower in women than men.

“The declines in deaths may be considered positive news, as they indicate improvements in health care, air pollution control measures and access to treatment. However, the increase in disability-adjusted life years suggests that although fewer people were dying from cardiovascular disease, more people were living with disability,” Farzadfar said.

The researchers also found that between 1990 and 2019, age-standardized CVD death and disability attributed to outdoor PM pollution rose by 8.1%, while age-standardized cardiovascular death and disability attributed to household PM pollution, which is produced by solid cooking fuels such as coal, charcoal, crop residue, dung and wood, fell by 65.4%.

“The reason for the decrease in the burden of household air pollution from solid fuels might be better access and use of cleaner fuels, such as refined biomass, ethanol, liquefied petroleum gas, solar and electricity. Moreover, structural changes, such as improved cookstoves and built-in stoves, chimney hoods and better ventilation, might be effective in reducing pollution exposure to solid fuels. Finally, the effects of educational and behavioral interventions should be considered,” Farzadfar said. “The shifting pattern from household air pollution due to solid fuels to outdoor, ambient PM pollution has important public policy implications.”

In a 2020 scientific statement and a 2020 policy statement, the American Heart Association details the latest science about air pollution exposure and the individual, industrial and policy measures to reduce the negative impact of poor air quality on cardiovascular health. Reducing exposure to air pollution and reversing the negative impact of poor air quality on cardiovascular health, including heart disease and stroke, is essential to reducing health inequities in Black and Hispanic communities, those that have been historically marginalized and under-resourced, and communities that have the highest levels of exposure to air pollution.

The study has several limitations. Because the assessment of exposure to particulate matter pollution in the study is based on regional estimates, it may not accurately reflect individual exposure. In addition, results from this analysis of the association between particulate matter pollution and cardiovascular outcomes may not be generalizable to other health conditions or other pollutants.


Staying sun-smart: Remembering Jimmy Buffett


When enjoying the warm rays of the sun, use sun block. It is recommended you read the instructions for how often to apply it because it does wear off exposing your skin to harmful rays from the sun.
Photo: Igor Shalyminov/Unsplash

Matt Sheehan
OSF Healthcare

Evergreen Park - The month of September started on a somber note when country music superstar Jimmy Buffett passed away. The Margaritaville creator died from an aggressive form of skin cancer called Merkel cell carcinoma (MCC), a disease he battled the past four years.

MCC is a much rarer form of skin cancer, the Skin Cancer Foundation says, with one case per 130,000 people in the United States. Roughly 3,000 new cases are diagnosed a year, and the foundation says this is expected to increase to 3,250 cases a year by 2025.

OSF HealthCare advanced practice registered nurse Banesa Chavez warns people not to underestimate the signs of skin cancer.

“People think ‘oh this lesion is nothing,’ but you don’t know what’s underneath that lesion you see,” Chavez says. “You can have it there for years and it could have already spread elsewhere.”


If you notice any changes to your skin -- a lesion that’s growing, or something that’s new -- make sure you address it.

Chavez says the aggressiveness of Buffett’s MCC should be cause for concern for people, and a reminder to take good care of your skin.

“They found it (the cancer) in the last couple of years, so it progressed quickly. Or it was already metastasized by the time they found it.”

Chavez says skin cancer doesn’t discriminate based off age or overall health. But she notes it is harder to battle skin cancer at an older age.

“You’re healthier when you’re younger. When you’re older, your organs aren’t functioning as they would for a 20 or 30-year-old person,” Chavez says. “So your treatment options may vary based on your health.”

Tips to protect skin:

“If you notice any changes to your skin -- a lesion that’s growing, or something that’s new -- make sure you address it. Don’t ignore it. Also, apply sun block. When you apply sun block, look at the recommendations for how often you’re supposed to apply it. Because it does wear off.”

Chavez adds to wear a hat when you’re outside to avoid sun damage as well. She says if you do notice any changes in your skin, see your doctor as soon as possible so they can refer you to a dermatologist.

Skin cancer is by far the most common cancer. About one in five Americans will be diagnosed with skin cancer in their lifetime. When diagnosed early, the five-year survival rate for people with skin cancer is 99%.

To check on your skin’s health, you can get a baseline exam with a dermatologist. You can visit the OSF HealthCare website here to find a location near you to get seen.



How social media fuels today's gun violence - ‘All We Want Is Revenge’


Photo by Max Kleinen on Unsplash
by By Liz Szabo
Kaiser Health News

Juan Campos has been working to save at-risk teens from gun violence for 16 years.

As a street outreach worker in Oakland, California, he has seen the pull and power of gangs. And he offers teens support when they’ve emerged from the juvenile justice system, advocates for them in school, and, if needed, helps them find housing, mental health services, and treatment for substance abuse.

But, he said, he’s never confronted a force as formidable as social media, where small boasts and disputes online can escalate into deadly violence in schoolyards and on street corners.

Teens post photos or videos of themselves with guns and stacks of cash, sometimes calling out rivals, on Facebook, Instagram, Snapchat, or TikTok. When messages go viral, fueled by “likes” and comments, the danger is hard to contain, Campos said.

“It’s hundreds of people on social media, versus just one or two people trying to guide youth in a positive way,” he said. Sometimes his warnings are stark, telling kids, “I want to keep you alive.” But, he said, “it doesn’t work all the time.”

Shamari Martin Jr. was an outgoing 14-year-old and respectful to his teachers in Oakland. Mixed in with videos of smiling friends on his Instagram feed were images of Shamari casually waving a gun or with cash fanned across his face. In March 2022, he was shot when the car he was in took a hail of bullets. His body was left on the street, and emergency medical workers pronounced him dead at the scene.


More than a year later, Shamari’s death remains unsolved.

In Shamari’s neighborhood, kids join gangs when they’re as young as 9 or 10, sometimes carrying guns to elementary school, said Tonyia “Nina” Carter, a violence interrupter who knew Shamari and works with Youth Alive, which tries to prevent violence. Shamari “was somewhat affiliated with that culture” of gangs and guns, Carter said.

Shamari’s friends poured out their grief on Instagram with broken-heart emojis and comments such as “love you brother I’m heart hurt.”

One post was more ominous: “it’s blood inna water all we want is revenge.” Rivals posted videos of themselves kicking over flowers and candles at Shamari’s memorial.

Such online outpourings of grief often presage additional violence, said Desmond Patton, a University of Pennsylvania professor who studies social media and firearm violence.

More than a year later, Shamari’s death remains unsolved. But it’s still a volatile subject in Oakland, said Bernice Grisby, a counselor at the East Bay Asian Youth Center, who works with gang-involved youth.

“There’s still a lot of gang violence going on around his name,” she said. “It could be as simple as someone saying, ‘Forget him or F him’ — that can be a death sentence. Just being affiliated with his name in any sort can get you killed.”

The U.S. surgeon general last month issued a call to action about social media’s corrosive effects on child and adolescent mental health, warning of the “profound risk of harm” to young people, who can spend hours a day on their phones. The 25-page report highlighted the risks of cyberbullying and sexual exploitation. It failed to mention social media’s role in escalating gun violence.

Acutely aware of that role are researchers, community leaders, and police across the country — including in Baltimore, Chicago, Los Angeles, Oakland, Pittsburgh, St. Louis, and Washington, D.C. They describe social media as a relentless driver of gun violence.


Social media is an extremely powerful tool for metastasizing disrespect

Michel Moore, the Los Angeles police chief, called its impact “dramatic.”

“What used to be communicated on the street or in graffiti or tagging or rumors from one person to another, it’s now being distributed and amplified on social media,” he said. “It’s meant to embarrass and humiliate others.”

Many disputes stem from perceived disrespect among insecure young adults who may lack impulse control and conflict-management skills, said LJ Punch, a trauma surgeon and director of the Bullet-Related Injury Clinic in St. Louis.

“Social media is an extremely powerful tool for metastasizing disrespect,” Punch said. And of all the causes of gun violence, social media-fueled grudges are “the most impenetrable.”

Calls for Regulation

Social media companies are protected by a 1996 law that shields them from liability for content posted on their platforms. Yet the deaths of young people have led to calls to change that.


Photo by dole777 on Unsplash

“When you allow a video that leads to a shooting, you bear responsibility for what you put out there,” said Fred Fogg, national director of violence prevention for Youth Advocate Programs, a group that provides alternatives to youth incarceration. “Social media is addictive, and intentionally so.”

People note that social media can have a particularly pernicious effect in communities with high rates of gun violence.

“Social media companies need to be better regulated in order to make sure they aren’t encouraging violence in Black communities,” said Jabari Evans, an assistant professor of race and media at the University of South Carolina. But he said social media companies also should help “dismantle the structural racism” that places many Black youth “in circumstances that resign them to want to join gangs, carry guns to school, or take on violent personas for attention.”

L.A.’s Moore described social media companies as serving “in a reactionary role. They are profit-driven. They don’t want to have any type of control or restrictions that would suppress advertising.”

Social media companies say they remove content that violates their policies against threatening others or encouraging violence as quickly as possible. In a statement, YouTube spokesperson Jack Malon said the company “prohibits content reveling in or mocking the death or serious injury of an identifiable individual.”


As a company, we have every commercial and moral incentive to try to give the maximum number of people as much of a positive experience as possible on Facebook.

Social media companies said they act to protect the safety of their users, especially children.

Rachel Hamrick, a spokesperson for Meta, which owns Facebook and Instagram, said the company has spent about $16 billion in the past seven years to protect the safety of people who post on its apps, employing 40,000 people at Facebook who work on safety and security.

“We remove content, disable accounts and work with law enforcement when we believe there is a genuine risk of physical harm or direct threats to public safety,” Hamrick said. “As a company, we have every commercial and moral incentive to try to give the maximum number of people as much of a positive experience as possible on Facebook. That’s why we take steps to keep people safe even if it impacts our bottom line.”

Meta platforms generated revenue of over $116 billion in 2022, most of which came from advertising.

A spokesperson for Snapchat, Pete Boogaard, said the company deletes violent content within minutes of being notified of it. But, Fogg noted, by the time a video is removed, hundreds of people may have seen it.

Even critics acknowledge that the sheer volume of content on social media is difficult to control. Facebook has nearly 3 billion monthly users worldwide; YouTube has nearly 2.7 billion users; Instagram has 2 billion. If a company shuts down one account, a person can simply open a new one, said Tara Dabney, a director at the Institute for Nonviolence Chicago.

“Things could be going great in a community,” Fogg said, “and then the next thing you know, something happens on social media and folks are shooting at each other.”

Playing With Fire

At a time when virtually every teen has a cellphone, many have access to guns, and many are coping with mental and emotional health crises, some say it’s not surprising that violence features so heavily in children’s social media feeds.

High school “fight pages” are now common on social media, and teens are quick to record and share fights as soon as they break out.

“Social media puts everything on steroids,” said the Rev. Cornell Jones, the group violence intervention coordinator for Pittsburgh.

Like adults, many young people feel validated when their posts are liked and shared, Jones said.

“We are dealing with young people who don’t have great self-esteem, and this ‘love’ they are getting on social media can fill some of that void,” Jones said. “But it can end with them getting shot or going to the penitentiary.”

While many of today’s teens are technologically sophisticated — skilled at filming and editing professional-looking videos — they remain naive about the consequences of posting violent content, said Evans, of the University of South Carolina.

Police in Los Angeles now monitor social media for early signs of trouble, Moore said. Police also search social media after the fact to gather evidence against those involved in violence.

“People want to gain notoriety,” Moore said, “but they’re clearly implicating themselves and giving us an easy path to bring them to justice.”


They can come and scream and I won’t fuss at them.

In February, New Jersey police used a video of a 14-year-old girl’s vicious school beating to file criminal charges against four teens. The victim of the assault, Adriana Kuch, died by suicide two days after the video went viral.

Preventing the Next Tragedy

Glen Upshaw, who manages outreach workers at Youth Alive in Oakland, said he encourages teens to express their anger with him rather than on social media. He absorbs it, he said, to help prevent kids from doing something foolish.

“I’ve always offered youth the chance to call me and curse me out,” Upshaw said. “They can come and scream and I won’t fuss at them.”

Workers at Youth Advocate Programs monitor influential social media accounts in their communities to de-escalate conflicts. “The idea is to get on it as soon as possible,” Fogg said. “We don’t want people to die over a social media post.”

It’s sometimes impossible, Campos said. “You can’t tell them to delete their social media accounts,” he said. “Even a judge won’t tell them that. But I can tell them, ‘If I were you, since you’re on probation, I wouldn’t be posting those kinds of things.’”

When he first worked with teens at high risk of violence, “I said if I can save 10 lives out of 100, I’d be happy,” Campos said. “Now, if I can save one life out of 100, I’m happy.”


KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.


Editor's Choice


Prepared and aware: 4 travel safety tips for your 2026 getaway

If your next trip feels more complicated to plan than you remember, you're not imagining it. Fuel prices, geopolitical tension...


More Sentinel Stories