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Opinion: Let’s help Alzheimer’s patients manage their own lives with dignity

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Opinion: Let’s help Alzheimer’s patients manage their own lives with dignity


As we mark Alzheimer’s Awareness Month during September, we honor the millions of Americans and their families navigating the profound challenges of this devastating disease. Yet, amidst our awareness, we must confront a harsh reality: California’s Medical Aid in Dying (MAID) law currently excludes those who may need it the most — individuals in the early to mid-stages of Alzheimer’s disease who still possess cognitive capacity.

In 2020, roughly 720,000 Californians, or 12 percent of those over 65, were living with Alzheimer’s. This number will rise as the size of this age group continues to increase. Despite this growing crisis, our laws fail to provide a compassionate option for those facing the terrifying loss of cognitive function. Many people in the early to mid-stages of Alzheimer’s retain the mental ability to make informed decisions about their end-of-life care but live in fear of a future where that ability is lost. They are aware of what lies ahead — a slow decline into confusion and dependency. Allowing these individuals access to California’s Medical Aid in Dying would enable them to make a proactive, dignified choice about their end-of-life care, preserving their autonomy.

California’s End of Life Option Act, passed in 2016, was a significant step forward in providing terminally ill adults with the choice to end their lives peacefully and on their own terms. However, the law’s requirement for mental competence at the time of request, and the ability to self-administer the medication, effectively excludes Alzheimer’s patients, whose cognitive decline is a hallmark of their illness. While Alzheimer’s is undeniably a terminal illness, its progression is unpredictable, making it nearly impossible for patients to time a request for California’s Medical Aid in Dying before losing their decision-making capacity.

This is more than a legal issue — it is a moral one. By excluding those with Alzheimer’s from accessing California’s Medical Aid in Dying, we are denying them the right to die with dignity, forcing them to endure a prolonged and often agonizing decline. My mother was among those denied this choice. Diagnosed with Alzheimer’s, she made the brave decision to travel to Switzerland, where she could end her life on her terms, with dignity, and surrounded by her daughters. The fact that she had to leave her home and country to achieve this is a travesty. No one should have to cross international borders to die with dignity.

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California has long been a leader in end-of-life care, but it is time to extend this compassion and dignity to individuals with Alzheimer’s disease. We must revise the End of Life Option Act to allow those in the early to mid-stages of Alzheimer’s, who still have cognitive capacity, to qualify for California’s Medical Aid in Dying. Many people with dementia would prefer a peaceful, dignified death over years of decline in a care facility, even if it means giving up good days to avoid bad years. They deserve the right to make this choice.

My mother’s journey to Switzerland was not just an act of self-determination; it was an indictment of a system that forced her to leave her home to die peacefully. It’s time to change the law so that people like my mother can choose to die with dignity in their own homes, surrounded by loved ones, without the need for international travel. We owe it to those facing the devastating reality of Alzheimer’s to provide them with the same end-of-life choices available to others with terminal illnesses.

This Alzheimer’s Awareness Month, let’s take action. It’s time to ensure that those with Alzheimer’s can live their final days with dignity, compassion and control.

Golemb is a founding member of A Better Exit, a nonprofit dedicated to expanding California’s End of Life Option Act. She lives in Kensington.

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San Diego, CA

Daily Business Report: May 14, 2026, San Diego Metro Magazine

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Daily Business Report: May 14, 2026, San Diego Metro Magazine


Gloria relents on December Nights, some community cuts in budget revise, but arts funds still on chopping block

by City News Service | Times of San Diego

Some library and recreation center hours and December Nights support were restored in Mayor Todd Gloria’s revised Fiscal Year 2027 Budget Wednesday, but city funding for the arts could still be gutted.

Gloria was joined by civic leaders Wednesday morning to announce changes to his initial proposed budget, released last month. He added “targeted protections” of certain neighborhood priorities and maintained police and fire service levels while arriving at a balanced budget.

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Proposed additions include protecting rec center and library hours in Council Districts 4, 8 and 9, represented by Henry L. Foster III, Vivian Moreno and Sean Elo-Rivera, respectively.

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The Learning Curve: He’s San Diego Unified’s Next Trustee – No Race Needed

By Jakob McWhinney | Voice of San Diego

The primary is still nearly a month away. The general election is even further out. Still, it’s already clear that Hayden Gore will be San Diego Unified’s next trustee. That’s because he’s running unopposed to fill the seat left open by current Trustee Cody Petterson, who opted not to run for re-election.

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Though he’s a political newcomer, Gore was the early choice of San Diego Unified’s union. In fact, he was recruited by the former president of the San Diego Education Association to run for the seat.

It’s not hard to see why. He’s an avowed progressive and a longtime educator who led the then-newly formed union at High Tech High to its first contract. Exactly the kind of resume that would have SDEA champing at the bit.

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Join Us Friday, July 17, 2026 for the 11th Annual USD School of Law – RJS LAW Tax Institute

By RJS Law

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The Institute is the premier annual tax event in San Diego. The region’s top tax attorneys, enrolled agents (EAs), certified public accountants (CPAs), law and business school professors will discuss topics including government loan relief and abuses, challenges in cross-border transactions, and practical and realistic solutions in trust, estate planning, and tax matters.

DATE AND TIME

Friday, July 17, 2026 from 8:00 a.m. to 7:30 p.m.

LOCATION

Joan B. Kroc Institute for Peace and Justice, Theatre

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5555 Marian Way, San Diego, CA 92110

EVENT STATUS

Open to the Public

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San Diego library funding partially restored in mayor’s revised budget proposal

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San Diego library funding partially restored in mayor’s revised budget proposal


SAN DIEGO (KGTV) – For many families, libraries are a safe space for kids after school and a place to study.

After community outcry, the city is scaling down some of its proposed budget cuts, bringing the original $6.3 million in cuts to libraries down to $4.8 million.

Patrick Stewart, CEO of Library Foundation SD, said the change is a step in the right direction.

“We are very pleased. I think this moves the needle in the right direction.”

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Mayor Gloria’s revised budget proposal restores funding focused on youth-centered programs, which includes bringing back library hours in Council Districts 4, 8, and 9 — those in underserved communities.

“This is City Heights and San Isidro, Barrio Logan, and Oak Park, and traditionally, those are smaller branches. And the kids and the families in those communities frankly, they use their library very differently than in a lot of other communities, and it’s a lifeline to them,” said Stewart.

The City Heights library is among those included in the mayor’s revised budget to restore funding. While library officials say this is a good first step, there is still concern about long-term financial challenges.

In order to voice concerns about how deep the cuts go, the Library Foundation has created a way for supporters to express that through postcards. Thousands of cards have been mailed directly to Mayor Gloria and councilmembers.

Stewart said the effort is making an impact.

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“They’re seeing that this is hundreds and hundreds of people that are taking this very seriously, so it helps them to know immediately what their community feels like when it comes to these proposed cuts,” he added.

The restored funding would also keep Monday hours at Carmel Valley Library and protect the North Clairemont Library branch from closure.

Library officials remain optimistic as the revised budget heads back to the City Council.

This story was reported on-air by a journalist and has been converted to this platform with the assistance of AI. Our editorial team verifies all reporting on all platforms for fairness and accuracy.





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Suspect in fatal Barrio Logan shooting arrested

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Suspect in fatal Barrio Logan shooting arrested


A man suspected of a fatal shooting in Barrio Logan was arrested Tuesday.

Benito Garcia Jr., 31, was arrested in the 3600 block of Grand Avenue in San Marcos at about 1 p.m. Tuesday for allegedly gunning down 64-year-old Raul Torres near the east end of the Coronado Bridge, according to the San Diego Police Department.

Patrol officers responding to an anonymous report of a shooting found the mortally wounded victim on a sidewalk in the 2000 block of National Avenue, near Chicano Park, shortly after 10 p.m. last Tuesday. Torres died at the scene, SDPD Lt. Lou Maggi said.

Police have not disclosed a suspected motive for the slaying.

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Garcia was booked into San Diego Central Jail on suspicion of first- degree murder. He was being held without bail pending arraignment, scheduled for Thursday afternoon.



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