Baby Receives Tracheotomy After End-of-Life Dispute


The controversy has sparked heated debate throughout North America, and the hospital has even reportedly received several threats from people in the United States and Canada. Support for the Maraachlis has swelled in recent days, and people have come together in at least two different Facebook groups to stand behind the family.

One group, Save Baby Joseph, has more than 13,000 members, and another, Save Baby Joseph Maraachli, has more than 1,300 members.

Some have even argued that the government overriding a parents' wishes would not happen in the United States because Americans personally pay for medical expenses, while Canada has a publicly funded medical system.

But Schadenberg said the main question here is: who really has the right to decide on this baby's fate?

Personal Stories of Decision and Fate

Tina Jones has had first-hand experience with such an excruciating decision.

Doctors told Jones that her daughter, Kassandra, would likely die soon after birth. But Baby Kassie, born in 2000, beat the doctors' predictions and survived. Despite being born with cytomegalovirus, a virus that can cause life-threatening disease in people with weakened immune systems, she has survived for more than a decade.

After coming down with several respiratory illnesses, Baby Kassie went into respiratory failure. Doctors didn't believe she would survive the infections, but Jones and her family requested that surgeons perform a tracheotomy.

"We've always looked at quality of life instead of quantity and we never wanted to go for a tracheotomy or ventilator," said Jones from Tremble County, Ohio. "But then we looked at the big picture after talking to our doctors and knew that the tracheotomy would take away a lot of her suffering."

Kassandra is now 11 years old and lives comfortably at home, her mother said.

While Jones and Kassie's doctors talked at length about options, the physicians never disagreed with the ultimate decision to keep Kassie on life support.

"I don't think such a decision should be anyone's but the parents," Jones said. "This has given us more time with Kassie. We don't know when she'll pass, but even if it's just a few more months, we're going to enjoy these few more months."

Misty McMahan, a mother who also had to make a difficult decision about her baby's life, also said end-of-life care should ultimately be up to the family. But unlike Jones, McMahan made an equally harrowing decision of fate for her child.

After McMahan's son Nathaniel was born with Menkes syndrome, a genetic defect that makes it difficult for the brain and other parts of the body to get enough copper, doctors offered surgery after surgery and treatment after treatment.

Baby Nathaniel suffered from seizures, stroke, ear infections and scoliosis during his short life. He continued to come down with respiratory problems and doctors offered to perform a tracheotomy due to his severe breathing problems.

But, after much discussion with her husband and family, the family declined the tracheotomy and any further surgeries.

"We knew the diagnosis was poor and we didn't know how long we'd have with him," McMahan said. "But we did know that we didn't want Nathaniel to die, and say, 'We didn't make the right decision.'"

Two days after the McMahans declined, doctors told the family that Nathaniel's system was shutting down.

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