Having worked in hospital settings for many years, the sad truth is that even when a person writes Advanced Directives & they are supposedly put on the record, often they can't be found when needed, & know of situations where patients or families are pressured to give DNR orders a la "you don't want to be hooked up to tubes, do you? " & shame them into agreeing.
DAMN RIGHT I WANT TO BE HOOKED UP TO WHATEVER IT TAKES TO KEEP LIVING!
A sad story here in ABQ about a man who knew he had a terminal illness & with his family's agreement signed a contract to have his remains donated to UNM medical school when he passed, & his cremains would be returned to his family. There wasn't any fee involved, like in Charlotta situation
Well, sadly, when he did pass, UNM already had as many bodies as they could handle for the time period, & wouldn't take him, & his family had no $ to pay for his final needs. Finally, a tv station got involved, & he was taken care of with dignity by a private funeral home.