Category Archives: Health Care

Activist Brownie Mary Jane

Activist Brownie Mary Jane

Mandatory Credit: Photo by Peter Brooker/Shutterstock (221195c). Mary Rathburn with Dennis Peron.  MARY RATHBUN WHO SUPPLIED MARIJUANA TO AIDS VICTIMS – 1993

 

On December 22, 1922 a girl was born in Chicago.  The parents, Irish-Catholic and conservative in their views, named their baby Mary Jane. They had no irony in mind, but it would turn out to be exactly that.

Mary Jane Rathburn grew up in Minneapolis and attended a Catholic grammar school. As was the case in many schools during the 30s, teachers physically punished recalcitrant students.  The problem with caning a recalcitrant student is they might fight back.

Mary Jane did. Mary Jane left school. Mary Jane left home. Mary Jane became a waitress, a job that would be her primary one for most of her life. At least the primary one if someone asked her, “So what do you do for a living?”

Mary Jane was far more than a waitress.

Activist Brownie Mary Jane

Early activism

She campaigned for the right of miners to form unions. In the late 1940s, she worked as an activist promoting abortion rights for Minneapolis women.

In between, during World War II and living in San Francisco, she married, had a baby in 1955, and named her Peggy. Divorced, Mary Jane  and Peggy moved to Reno, Nevada. In  1974, a drunk driver hit and killed Peggy.

Activist Brownie Mary Jane

San Francisco again

Mary Jane moved back to San Francisco.

In 1974 she met fellow activist Dennis Peron at Cafe Flore. They shared a joint.

Cafe Flore was in the Castro district, a largely gay area of San Francisco. During the war, the armed services dishonorably discharged soldiers found to be gay and many of those discharges took place at the port of San Francisco. Many stayed.

Activist Brownie Mary Jane

Becoming Brownie Mary

In  the late 1970s Mary Jane began to supplement her income by baking brownies. She decided that adding marijuana to her brownies would make them what she described as “magically delicious.”

Mary Jane was not the first to use cannabis as an ingredient. Humans had been using it for centuries. Most famously in the west was the Alice B Toklas’s fudge recipe that was included in her 1954 cookbook.

In 1981 the law caught up with Mary.  It raided her apartment and hauled away “35 lbs of margarine, 50 lbs of flour and sugar, 22 dozen eggs, 21,000 sq ft of plastic wrap, and 20 lbs of high-grade cannabis.”

Mary was upset they said it was margarine. She said she only used the best butter.

In order to pay for her legal defense, she sold her belongings – including the kitchen table.

A judge sentenced her to 500 hours of community service which she willingly completed by working at a hospital with young men who were dying of the yet-unnamed AIDS.

For the rest of her life she continued to minister to AIDS patients and providing for some relief by bringing her increasingly famous brownies. She bought nearly all the ingredients with her own money. Somehow, the marijuana appeared for free from generous growers.

Two other arrests occurred, but her reputation of assistance led to a lenient sentence. The last charge was dropped.

Activist Brownie Mary Jane

Medical Marijuana

As the AIDS crisis grew and the use of cannabis demonstrated its  obvious and effective analgesic properties, Brownie Mary became increasingly involved in the Proposition P campaign to recommend its legalization for medicinal use in San Francisco in 1991.  She received a standing ovation at its hearings.

The proposition passed overwhelmingly but not until 1996’s passage of Proposition 215 was the recommendation legalized.

In 2008 the medical marijuana group “Americans for Safe Access” estimated that California had more than 200,000 doctor-qualified medical cannabis users.

Activist Brownie Mary Jane

 San Francisco Cannabis Buyers Club

Activist Brownie Mary Jane

In 1992 San Francisco declared a ‘Brownie Mary Day’  to honor her work with dying patients in the AIDS ward. 5,000 people rallied in her praise.

That same year, she and Dennis Peron founded the San Francisco Cannabis Buyers Club. The Buyers Club was meant to provide a place for safe distribution of medical cannabis to people with cancer, AIDS,  and other diseases. Akin somewhat to the Prohibition speakeasies of the 1920s, the product was illegal and raids regular.

Just weeks before the Prop 215 vote, police arrested Dennis Peron.

Activist Brownie Mary Jane

Disabilities catch up

By the mid-1990s, arthritic knees forced her to retire but she continued to bake and support positive marijuana legislation.

A Marijuana dot com article said, “Her sympathies were always with the underdog, the poor, the busted and the downtrodden,” John Entwistle Jr., a former legalization advocate and longtime friend of Rathbun, told Marijuana.com. “One could see that she had overcome tremendous difficulties in her own life and that created a natural empathy and sense of compassion for others that was tangible and sincere.”

Brownie Mary  died of a heart attack at age 76 on April 10, 1999.

On April 17, 300 people, including her friend, district attorney Terence Hallinan, attended a candlelight vigil held in her honor in the Castro.

Hallinan told a crowd of several hundred people gathered at her memorial that she was a hero who will “one day be remembered as the Florence Nightingale of the medical marijuana movement.”

Friend and partner activist Dennis Peron said, “I figure right now she’s making a deal with God: If you let me in, I’ll make you a dozen brownies on the house.’ ”

Activist Brownie Mary Jane

COVID 19 Pandemic Begins

COVID 19 Pandemic Begins

Someone once described the start of the COVID-19 pandemic as happening in slow motion. It certainly seemed so at first. Here in the United States the initial report of a deadly virus in distant China was just that: distant news. Of passing interest, perhaps, but too far from home to be meaningful.

Even China’s initial reports minimized the disease’s danger and criticized those who, like Dr Li Wenliang. raised dire warnings.

This is a long chronology of a hideous sickness that most thought would be brief and harmless to most. I am dividing these posts into months and even with that each post is lengthy.

December 2019

In March 2020, the South Morning China Post reported that a 55-year-old individual from Hubei province in China may have been the first person to have contracted COVID-19 and that that case dates back to Nov. 17, 2019, but that was in March after thousands had already died.

COVID 19 Pandemic

December 6: according to a study in The Lancet, the symptom onset date of the first patient identified was “Dec 1, 2019 . . . 5 days after illness onset, his wife, a 53-year-old woman who had no known history of exposure to the market, also presented with pneumonia and was hospitalizein the isolation ward.” In other words, as early as the second week of December, Wuhan doctors were finding cases that indicated the virus was spreading from one human to another.

December 21: Wuhan doctors begin to notice a “cluster of pneumonia cases with an unknown cause.

December 25: Chinese medical staff in two hospitals in Wuhan are suspected of contracting viral pneumonia and are quarantined. This is additional strong evidence of human-to-human transmission. Sometime in “Late December”: Wuhan hospitals notice “an exponential increase” in the number of cases that cannot be linked back to the Huanan Seafood Wholesale Market, according to the New England Journal of Medicine.

COVID 19 Pandemic Begins

Dr. Li Wenliang

December 30: Dr. Li Wenliang sent a message to a group of other doctors warning them about a possible outbreak of an illness that resembled severe acute respiratory syndrome (SARS), urging them to take protective measures against infection.

December 31: The Wuhan Municipal Health Commission declared, “The investigation so far has not found any obvious human-to-human transmission and no medical staff infection.” This is the opposite of the belief of the doctors working on patients in Wuhan, and two doctors were already suspected of contracting the virus.

Three weeks after doctors first started noticing the cases, China contacted the World Health Organization.

COVID 19 Pandemic Begins

January 2020

January 1, 2020: Huanan Seafood Wholesale Market closes.

Dr Wenliang apologizes

The Wuhan Public Security Bureau issued summons to Dr. Li Wenliang, accusing him of “spreading rumors.” Two days later, at a police station, Dr. Li signed a statement acknowledging his “misdemeanor” and promising not to commit further “unlawful acts.”

Seven other people are arrested on similar charges and their fate was unknown.

January 1: the World Health Organization set up the IMST (Incident Management Support Team) across the three levels of the organization: headquarters, regional headquarters and country level, putting the organization on an emergency footing for dealing with the outbreak.

Human to human transmission

January 2: One study of patients in Wuhan can only connect 27 of 41 infe cted patients to exposure to the Huanan seafood market — indicating human-to-human transmission away from the market. A report written later that month concludes, “evidence so far indicates human transmission for 2019-nCoV. We are concerned that 2019-nCoV could have acquired the ability for efficient human transmission.”

January 3: The Chinese government continued efforts to suppress all information about the virus: “China’s National Health Commission, the nation’s top health authority, ordered institutions not to publish any information related to the unknown disease, and ordered labs to transfer any samples they had to designated testing institutions, or to destroy them.

January 4: While Chinese authorities continued to insist that the virus could not spread from one person to another, doctors outside that country weren’t so convinced. The head of the University of Hong Kong’s Centre for Infection, Ho Pak-leung, warned that “the city should implement the strictest possible monitoring system for a mystery new viral pneumonia that has infected dozens of people on the mainland, as it is highly possible that the illness is spreading from human to human.”

January 4: the World Health organization reported on social media that there was a cluster of pneumonia cases – with no deaths – in Wuhan, Hubei province.

January 5: The Wuhan Municipal Health Commission put out a statement with updated numbers of cases but repeated, “preliminary investigations have shown no clear evidence of human-to-human transmission and no medical staff infections.

The WHO reported a “pneumonia of unknown cause” in Wuhan, China.

The health organization advised against restrictions to China: “WHO advises against the application of any travel or trade restrictions on China based on the current information available on this event.”

COVID 19 Pandemic Begins

COVID 19 Pandemic

January 6: The New York Times published its first report about the virus, declaring that “59 people in the central city of Wuhan have been sickened by a pneumonia-like illness.” That first report included these comments:

Wang Linfa, an expert on emerging infectious diseases at the Duke-NUS Medical School in Singapore, said he was frustrated that scientists in China were not allowed to speak to him about the outbreak. Dr. Wang said, however, that he thought the virus was likely not spreading from humans to humans because health workers had not contracted the disease. “We should not go into panic mode,” he said.

January 8: Chinese medical authorities claimed to have identified the virus. Those authorities claimed and Western media continue to repeat, “there is no evidence that the new virus is readily spread by humans, which would make it particularly dangerous, and it has not been tied to any deaths.

January 9: The WHO released a statement announcing the source of the disease: “Chinese authorities have made a preliminary determination of a novel (or new) coronavirus, identified in a hospitalized person with pneumonia in Wuhan.”

It added: “In the coming weeks, more comprehensive information is required to understand the current status and epidemiology of the outbreak, and the clinical picture.” [NPR timeline}

Dr. Li Wenliang

January 10: After unknowingly treating a patient with the coronavirus, Dr. Li Wenliang started coughing and developed a fever.

WHO

January 10: the World Health Organization issued a comprehensive package of technical guidance online with advice to all countries on how to detect, test and manage potential cases, based on what was known about the virus at the time. This guidance was shared with WHO’s regional emergency directors to share with WHO representatives in countries.

Based on experience with SARS and MERS and known modes of transmission of respiratory viruses, infection and prevention control guidance were published to protect health workers recommending droplet and contact precautions when caring for patients, and airborne precautions for aerosol generating procedures conducted by health workers

Wuhan City Health Commission

January 11: The Wuhan City Health Commission issued an update declaring, “All 739 close contacts, including 419 medical staff, have undergone medical observation and no related cases have been found . . . No new cases have been detected since January 3, 2020. At present, no medical staff infections have been found, and no clear evidence of human-to-human transmission has been found.” They issue a Q&A sheet later that day reemphasizing that “most of the unexplained viral pneumonia cases in Wuhan this time have a history of exposure to the South China seafood market. No clear evidence of human-to-human transmission has been found.

January 12, 2020: Dr. Li Wenliang hospitalized. China publicly  shared the genetic sequence of COVID-19.

COVID 19 Pandemic Begins

First case outside China

January 13: The first coronavirus case outside China reported in Thailand.  Authorities there detected the virus in a 61-year-old Chinese woman who was visiting from Wuhan, the first case outside of China.

Thailand’s Ministry of Public Health, said the woman had not visited the Wuhan seafood market, and had come down with a fever on Jan. 5. However, the doctor said, the woman had visited a different, smaller market in Wuhan, in which live and freshly slaughtered animals were also sold.

January 14: Wuhan city health authorities release another statement declaring, “Among the close contacts, no related cases were found.” Wuhan doctors had known this was false since early December, from the first victim and his wife, who did not visit the market.

Based on the official announcement, The World Health Organization tweeted: “Preliminary investigations conducted by the Chinese authorities have found no clear evidence of human-to-human transmission of the novel #coronavirus (2019-nCoV) identified in #Wuhan#China.” [NPR timeline]

January 15: Japan reported its first case of coronavirus. Japan’s Health Ministry said the patient had not visited any seafood markets in China, adding that “it is possible that the patient had close contact with an unknown patient with lung inflammation while in China.”

January 17: The CDC and the Department of Homeland Security’s Customs and Border Protection announced that travelers from Wuhan to the United States would undergo entry screening for symptoms associated with 2019-nCoV at three U.S. airports that received most of the travelers from Wuhan, China: San Francisco, New York (JFK), and Los Angeles.

Trump more interested in vaping

COVID 19 Pandemic
Health and Human Services  Secretary Alex M Azar

January 18: Health and Human Services  Secretary Alex M Azar had his first discussion about the virus with President Trump. Unnamed “senior administration officials” told the Washington Post that “the president interjected to ask about vaping and when flavored vaping products would be back on the market.

Despite the fact that Wuhan doctors knew the virus was contagious, city authorities allowed 40,000 families to gather and share home-cooked food in a Lunar New Year banquet.

January 19: The Chinese National Health Commission declared the virus “still preventable and controllable.” The World Health Organization updated its statement, declaring, “Not enough is known to draw definitive conclusions about how it is transmitted, the clinical features of the disease, the extent to which it has spread, or its source, which remains unknown.”

January 20: The Wuhan Municipal Health Commission declared for the last time in its daily bulletin, “no related cases were found among the close contacts.

January 20 – 21: WHO experts from its China and Western Pacific regional offices conducted a brief field visit to Wuhan. [mission summary]

COVID 19 Pandemic Begins

First US case

January 21: The CDC announced the first U.S. case of a the coronavirus in a Snohomish County, Washington resident who returned from China six days earlier.

By this point, millions of people had left Wuhan, carrying the virus all around China and into other countries.

WHO director-general Tedros Adhanom Ghebreyesus

January 22: WHO director-general Tedros Adhanom Ghebreyesus continued to praise China’s handling of the outbreak. “I was very impressed by the detail and depth of China’s presentation. I also appreciate the cooperation of China’s Minister of Health, who I have spoken with directly during the last few days and weeks. His leadership and the intervention of President Xi and Premier Li have been invaluable, and all the measures they have taken to respond to the outbreak.”

COVID 19 Pandemic

Trump

January 22: President Trump, in an interview with CNBC at the World Economic Forum in Davos, Switzerland, declared, “We have it totally under control. It’s one person coming in from China. We have it under control. It’s going to be just fine.

January 23: Chinese authorities announced their first steps for a quarantine of Wuhan. By this point, millions had already visited the city and left it during the Lunar New Year celebrations. Singapore and Vietnam reported their first cases, and an unknown but significant number of Chinese citizens had traveled abroad as asymptomatic, oblivious carriers.

WHO Director-General Tedros Adhanom Ghebreyesus said in a statement that it was too early to declare the coronavirus outbreak a public health emergency of international concern. “Make no mistake. This is an emergency in China, but it has not yet become a global health emergency. It may yet become one.”

January 24: Vietnam reported person-to-person transmission, and Japan, South Korea, and the U.S reported their second cases. The second case was in Chicago.

Within two days, new cases were reported in Los Angeles, Orange County, and Arizona. The virus was in now in several locations in the United States, and the odds of preventing an outbreak had dwindled to zero.

WHO

January 28: a senior WHO delegation led by the Director-General travelled to Beijing to meet China’s leadership, learn more about China’s response, and to offer any technical assistance.

While in Beijing, Dr. Tedros agreed with Chinese government leaders that an international team of leading scientists would travel to China on a mission to better understand the context, the overall response, and exchange information and experience.

January 29: Dr. Mike Ryan, head of the WHO’s Health Emergencies Programme, said, “The whole world needs to be on alert now. The whole world needs to take action and be ready for any cases that come from the epicenter or other epicenter that becomes established.” [NPR timeline]

COVID 19 Pandemic Begins

WHO declaration

COVID 19 Pandemic

January 30: the World Health Organization Amid officially declared a “public health emergency of international concern.

China’s Foreign Ministry spokeswoman said that it would continue to work with the W.H.O. and other countries to protect public health.

That same day, Trump addressed the coronavirus during a speech on trade in Michigan.

We think we have it very well under control,” Trump said. “We have very little problem in this country at this moment — five — and those people are all recuperating successfully. But we’re working very closely with China and other countries, and we think it’s going to have a very good ending for us.”

Hopefully it won’t be as bad as some people think it could be,” he added.

January 31: Trump blocked travel from China. The same night, he held a campaign rally in Iowa.

COVID 19 Pandemic Begins

Subsequent COVID 19 posts:

COVID 19 Pandemic Begins
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Doctor Jacob Jack Kevorkian

Doctor Jacob Jack Kevorkian

Doctor Jacob Jack Kevorkian

For most people, death is an uncomfortable topic, particularly one’s own mortality. We speak of people “passing,,” not dying. We choose healthy lifestyle, hoping to postpone the inevitable.

Others challenge the actuarial tables by smoking, drinking excessively, eating as much and whatever whenever, driving without seat belts, or something else society warns us not to do.

Doctor Jacob Jack Kevorkian

Only the good die young?

Regardless of our personal life style, regardless of others’ life styles, death comes. to the young, the old, those between, those healthy, and those ill. To all.

Many dream of a quiet death surrounded by loved ones who had the time to get to their bedside in a comfortable setting and with had the time to impart sage advice. Forgiveness.

For others, death  comes as a horrifically slow and painful chronic illness. 

Jack Kevorkian hoped to provide solace to the latter. 

Doctor Jacob Jack Kevorkian

Early life

Kevorkian was born in Pontiac, Michigan, on May 26, 1928.In 1952, he graduated from the University of Michigan Medical School. His parents had survived the Armenian holocaust in Turkey.

As a young doctor, some of his views were medically and socially non-traditional. For example, he proposed that society give death row prisoners  the choice to undergo capital punishment by medical experimentation while under anesthesia. 

The medical community denied any such procedure.

Kevorkian proposed, based on successful research, the transfusion of blood from dead patients to patients in need of blood. He proposed the idea to the military.

The military denied such a procedure.

Doctor Jacob Jack Kevorkian

Euthanasia

Doctor Jacob Jack Kevorkian

It is no surprise, then, that euthanasia became on of Kevorkian’s interests and on June 4, 1990 he was present at the death of Janet Adkins, a 54-year-old Portland, Oregon, woman with Alzheimer’s disease.

Her death occurred in Kevorkian’s 1968 Volkswagen van in Groveland Oaks Park near Holly, Michigan. 

He used a device he developed called that “Thanatron” from the Greek works for death and machine. It worked by the patient pushing a button to deliver the euthanizing drugs mechanically through an IV. It had three canisters mounted on a metal frame. Each bottle had a syringe that connected to a single IV line in the person’s arm. One contained saline, another contained a sleep-inducing barbiturate called sodium thiopental and the third a lethal mixture of potassium chloride, which immediately stopped the heart, and pancuronium bromide, a paralytic medication to prevent spasms during the dying process.

On June 5 he gave an interview to the NY Times about Adkins. In it he prophetically said that, “”They’ll all be after me for this. My ultimate aim is to make euthanasia a positive experience. I’m trying to knock the medical profession into accepting its responsibilities, and those responsibilities include assisting their patients with death.”

Doctor Jacob Jack Kevorkian

Legal issues begin

June 8, 1990: an Oakland County Circuit Court Judge enjoined Kevorkian from aiding in any suicides.

December 12, 1990: District Court Judge Gerald McNally dismissed the murder charge against Kevorkian in death of Adkins.

Doctor Jacob Jack Kevorkian

1991

February 5, 1991: a Michigan court barred Kevorkian from assisting in suicides.

October 23, 1991:  Kevokian attended the deaths of Marjorie Wantz, a 58-year-old Sodus, Michigan, woman with pelvic pain, and Sherry Miller, a 43-year-old Roseville, Michigan, woman with multiple sclerosis. The deaths occur at a rented state park cabin near Lake Orion, Michigan. Wantz died from the suicide machine’s lethal drugs, Miller from carbon monoxide poisoning inhaled through a face mask.

Doctor Jacob Jack Kevorkian

Kevorkian would stop using the Thantran and began to use what he called the Mercitron (“mercy machine”).  The Mercitron used a mask through which a person inhaled carbon dioxide. 

November 20, 1991: the Michigan state Board of Medicine summarily revoked Kevorkian’s license to practice medicine in Michigan.

Doctor Jacob Jack Kevorkian

1992

May 15, 1992: Susan Williams, a 52-year-old woman with multiple sclerosis, died from carbon monoxide poisoning in her home in Clawson, Michigan.

July 21, 1992: Oakland County Circuit Court Judge David Breck dismissed charges against Kevorkian in the deaths of Miller and Wantz.

September 26, 1992: Lois Hawes, 52, a Warren, Michigan, woman with lung and brain cancer, dies from carbon monoxide poisoning at the home of Kevorkian’s assistant Neal Nicol in Waterford Township, Michigan.

November 23, 1992: Catherine Andreyev of Moon Township, Pennsylvania, died in Kevorkian’s assistant Neil Nicol’s home. She was 45 and had cancer. Hers is the first of 10 deaths Kevorkian attended over the next three months; all die from inhaling carbon monoxide.

December 3, 1992: The Michigan Legislature passed a ban on assisted suicide to take effect on March 30, 1993.

Doctor Jacob Jack Kevorkian

1993

Doctor Jacob Jack Kevorkian
May 31, 1993 edition of Time magazine

February 15, 1993: Hugh Gale, a 70-year-old man with emphysema and congestive heart disease, died in his Roseville home. Prosecutors investigated after Right-to-Life advocates said that they found papers that showed Kevorkian altered his account of Gale’s death, deleting a reference to a request by Gale to halt the procedure.

The investigator’s follow up investigation read: “It is my decision that no charges will be filed against Dr. Jack Kevorkian or any other person in connection with the death of Hugh Gale. Mr. Gale’s death can only be regarded as a suicide. Those present at the time of his death did nothing more than provide the means for him to accomplish a result that he desired. The great weight of evidence is that he never faltered in that desire up to the point that he lost consciousness.”

February 25, 1993: Michigan Governor John Engler signs the legislation banning assisted suicide. It makes aiding in a suicide a four-year felony but allows law to expire after a blue-ribbon commission studies permanent legislation.

April 27, 1993: a California law judge suspended Kevokian’s medical license after a request from that state’s medical board.

August 4, 1993: Thomas Hyde, a 30-year-old Novi, Michigan, man with ALS, is found dead in Kevorkian’s van on Belle Isle, a Detroit park.

September 9, 1993: hours after a judge ordered him to stand trial in Thomas Hyde’s death, Kevorkian is present at the death of cancer patient Donald O’Keefe, 73, in Redford Township, Michigan.

November 5 – 8, 1993: Kevorkian fasts in Detroit jail after refusing to post $20,000 bond in case involving Hyde’s death.

November 29, 1993: Kevorkian begins fast in Oakland County jail for refusing to post $50,000 bond after being charged in the October death of Merian Frederick, 72. 

December 17, 1993: he ended fast and left jail after Oakland County Circuit Court Judge reduced bond to $100 in exchange for his vow not to assist in any more suicides until state courts resolved the legality of his practice.

Doctor Jacob Jack Kevorkian

1994

January 27, 1994:  a Circuit Court Judge dismissed charges against Kevorkian in two deaths, becoming the fifth lower court judge in Michigan to rule that assisted suicide was a constitutional right.

May 2, 1994: a Detroit jury acquitted Kevorkian of charges he violated the state’s assisted suicide ban in the death of Thomas Hyde.

May 10, 1994: The Michigan Court of Appeals strikes down the state’s ban on assisted suicide on the grounds it was enacted unlawfully.

November 8, 1994: Oregon became the first state to legalize assisted suicide when voters passed a tightly restricted Death with Dignity Act. Legal appeals kept the law from taking effect until 1997.

November 26, 1994: hours after Michigan’s ban on assisted suicide expired, 72-year-old Margaret Garrish died of carbon monoxide poisoning in her home in Royal Oak. She had arthritis and osteoporosis. Kevorkian was not present when police arrived. 

December 13, 1994: the Michigan Supreme Court upheld the constitutionality of Michigan’s 1993-94 ban on assisted suicide and also rules assisted suicide is illegal in Michigan under common law. The ruling reinstated cases against Kevorkian in four deaths

Doctor Jacob Jack Kevorkian

1995

June 26, 1995: Kevorkian opened a “suicide clinic” in an office in Springfield Township, Michigan. Erika Garcellano, a 60-year-old Kansas City, Missouri, woman with ALS, is the first client. A few days later, the building’s owner kicks out Kevorkian.

September 14, 1995: Kevorkian arrived at the Oakland County Courthouse in Pontiac, Michigan in homemade stocks with ball and chain. He is ordered to stand trial for assisting in the 1991 suicides of Sherry Miller and Marjorie Wantz.

October 30, 1995: a group of doctors and other medical experts in Michigan announced its support of Kevorkian , saying they will draw up a set of guiding principles for the “merciful, dignified, medically-assisted termination of life.”

Doctor Jacob Jack Kevorkian

1996

February 1, 1996: the New England Journal of Medicine published massive studies of physicians’ attitudes towards doctor-assisted suicide in Oregon and Michigan. The studies demonstrated that a large number of physicians surveyed support, in some conditions, doctor-assisted suicide. [2000 NEJM article]

March 6, 1996, : the 9th U.S. Circuit Court of Appeals in San Francisco ruled that mentally competent, terminally ill adults have a constitutional right to aid in dying from doctors, health care workers and family members. It is the first time a federal appeals court endorses assisted suicide.

March 8, 1996,  a jury acquitted Kevorkian in two deaths. 

March 20, 1996: Rep Dave Camp (R-MI), introduced a bill in the US House of Representatives to prohibit tax-payer funding of assisted suicide.

April 1, 1996,  trial began in Kevorkian’s home town of Pontiac in the deaths of Miller and Wantz. For the start of his third criminal trial, he wears colonial costume–tights, a white powdered wig, and big buckle shoes–a protest against the fact that he is being tried under centuries-old common law. He would face a maximum of five years in prison and a $10,000 fine if convicted in the Wantz/Miller deaths.

May 14, 1996: jury acquitted Kevorkian.

November 4, 1996: Kevorkian’s lawyer announced a previously unreported assisted suicide of a 54-year-old woman. This brought the total number of his assisted suicides, since 1990, to 46.

Doctor Jacob Jack Kevorkian

1997

June 12, 1997, in Kevorkian’s fourth trial, a judge declared a mistrial. The prosecution later dropped the case.

June 26, 1997: in Washington v. Glucksberg. The U.S. Supreme Court rules unanimously that state governments have the right to outlaw doctor-assisted suicide. The Court had been asked to decide whether state laws banning the practice in New York and Washington were unconstitutional. (Oyez article)

October 27,  1997: the Oregon Death with Dignity Act, which voters had approved by referendum on November 8, 1994, and which allowed voluntary end of life, took effect on this day. The law allowed individuals to voluntarily end their own lives by ingesting a life-ending drug that a licensed physician prescribed.

The law has survived two challenges. Oregon voters rejected a repeal measure by a margin of 60 percent in 1997. And in 2006, the Supreme Court upheld the law, in Gonzales v. Oregon. (Oregon Health Authority article)

Doctor Jacob Jack Kevorkian

1998

March 14, 1998: Kevorkian’s 100th assisted suicide, a 66-year-old Detroit man.

September 1, 1998: Michigan’s second law outlawing physician-assisted suicide goes into effect.

September 17, 1998: Kevorkian videotapesd the voluntary euthanasia of Thomas Youk, 52, who was in the final stages of amyotrophic lateral sclerosis. He sent the tape to CBS.

November 3, 1998: Michigan voters rejected a proposal to legalize physician-assisted suicide for the terminally ill.

November 22, 1998: CBS’s “60 Minutes” aired Kevorkian’s videotape of Thomas Youk.  The broadcast triggered an intense debate within medical, legal and media circles. [60 Minutes Overtime article]

November 25, 1998:  Michigan charged Kevorkian with first-degree murder, violating the assisted suicide law and delivering a controlled substance without a license in the death of Thomas Youk. Prosecutors later drop the suicide charge. Kevorkian insists on defending himself during the trial and threatens to starve himself if he is sent to jail.

Doctor Jacob Jack Kevorkian

1999

March 26, 1999: Kevorkian convicted of second-degree murder for giving a lethal injection to an ailing man whose death was shown on “60 Minutes.”

April 13, 1999: Michigan judge Jessica Cooper of Oakland County Circuit Court sentenced Kevorkian to 10 – 25 years in prison for conviction of second-degree murder and delivery of a controlled substance in the death of Thomas Youk. [CNN article]

Cooper denied bail pending appeal and said to Kevorkian that, “This trial was not about the political or moral correctness of euthanasia…It was about you, sir. It was about lawlessness.”

Doctor Jacob Jack Kevorkian

21st Century

September 29, 2005: in an MSNBC interview, by Rita Cosby Kevorkian said that if he were granted parole, he would not resume directly helping people die and would restrict himself to campaigning to have the law changed.

When asked if he had any regrets, he responded: “Well, I do a little.  It was disappointing because what I did turned out to be in vain, even though I know it could possibly end that way.  And my only regret was not having done it through the legal system, through legislation, possibly.”

December 22, 2005: Kevorkian was again denied parole by a board.

Doctor Jacob Jack Kevorkian

Paroled

June 1, 2007: paroled for good behavior. He had spent eight years and two and a half months in prison. On June 4, the NY Times published an interview with him following his release.

In it he said that, ““I said I won’t do it again,” he said, “and it’s not even worth doing again by me because it’d be counterproductive to what I’m fighting for. It’s up to others. If you people don’t want that right, then don’t do it. Then let your government trample all over you. If you don’t want to do it, it’s all right by me, but you don’t get me talking about it and going back to that thing called prison.”

Doctor Jacob Jack KevorkianApril 14 , 2010: the HBO film You Don’t Know Jack premiered at the Ziegfeld Theater in New York City. Kevorkian walked the red carpet alongside Al Pacino, who portrayed him in the film. Pacino received Emmy and Golden Globe awards for his portrayal, and personally thanked Kevorkian, who was in the audience, upon receiving both of these awards. Kevorkian stated that both the film and Pacino’s performance “brings tears to my eyes – and I lived through it.”

New York Times reviewer Alessandra Stanley wrote, “When it comes to assisted suicide, it is possible to love the sin and hate the sinner.”

Doctor Jacob Jack Kevorkian

Death

June 3, 2011: Kevorkian died after being hospitalized with kidney problems and pneumonia eight days earlier. (NYT obit)

Many of the dates from this chronology come from  PBS dot org Frontline 

Doctor Jacob Jack Kevorkian