San Diego, CA
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.
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.
A person was fatally struck by a train in the Cardiff neighborhood of Encinitas early Wednesday afternoon, a sheriff’s official said.
The collision was reported just after 1 p.m. in the area of Chesterfield Drive at San Elijo Avenue, Lt. Joe Berry said.
The Sheriff’s Office’s Railroad Enforcement Unit is investigating the incident.
Chesterfield was briefly closed between San Elijo and Coast Highway 101 as first responders worked, but the road has since reopened.
In a post on social media platform X, the North County Transit District warned people to expect significant delays for Coaster service. Tracks were closed between Solana Beach and Encinitas stations, it said, and a Breeze bus bridge would be available for passengers between those stations.
Copyright 2026 San Diego Union-Tribune. All rights reserved. The use of any content on this website for the purpose of training artificial intelligence systems, algorithms, machine learning models, text and data mining, or similar use is strictly prohibited without explicit written consent.
SAN DIEGO (CNS) — Attendance at Balboa Park’s museums are down 34% on average since paid parking went into effect inside San Diego’s urban park, according to data released Tuesday by the Balboa Park Cultural Partnership.
In the analysis released Tuesday, the partnership found that between January and March of this year, attendance is down by that average of 34% compared to the previous year, with some institutions dropping by 60% over the same period.
“We’ve appreciated the city’s recent willingness to listen and take initial steps in response to community concerns,” Balboa Park Cultural Partnership Executive Director Peter Comiskey said. “However, the latest data make clear that those changes are not reversing the decline in visitation, and the impacts on our institutions are becoming more serious. We are urging additional action by our regional leaders before potentially irreversible damages take hold, and jobs and beloved programs or even organizations are lost.”
The report comes out as Mayor Todd Gloria’s draft budget for fiscal year 2027 proposes slashing arts funding by more than $11 million as a way to grapple with a structural deficit of more than $118 million.
Some of the park’s larger institutions predict more than $10 million lost in revenue from the lowered attendance alone, and jobs and program losses are a real threat, Comiskey said.
Visitors to Balboa Park were asked to pay to park their vehicles in city lots starting in January, breaking a tradition of more than 100 years of the city’s crown jewel being free for those in private vehicles.
San Diego residents are now able to purchase a monthly, quarterly or annual parking pass at a discounted rate by visiting sandiego.thepermitportal.com/. Residents can pay $30 for a monthly parking pass, $60 for a quarterly pass or $150 for an annual one. Non-residents can pay $40, $120 or $300 for the same levels.
The fiscal year 2026 budget passed last summer anticipated $15.5 million in parking revenue from Balboa Park. That number assumed $12.5 million in fee parking in Balboa Park and at least $3 million from zoo parking.
A revised figure presented to the City Council in November instead found the non-zoo parking might bring in just $2.9 million, or a decrease of $9.6 million from initial estimates.
The city originally planned to begin charging for parking in October, but delays prevented that and three months of revenue from happening. Expected parking rates have dropped as well.
The parking passes come under three pricing tiers, Levels 1, 2, and 3, based on demand and proximity:
— Level 1 lots, located in the core of the Central Mesa area, would be subject to the highest rate — $16 per day and $10 for up to four hours for nonresidents and $8 per day and $5 for up to four hours for city residents. These include Space Theater, Casa de Balboa, Alcazar, Organ Pavilion, Bea Evenson, Palisades and South Carousel;
— Level 2 lots would be priced at $10 per day for nonresidents and $5 per day for residents. These include Pepper Grove, Federal, Upper Inspiration Point and Marston Point;
— Level 3 lots would also be priced at $10 per day with the first three hours free, with a resident rate of $5 per day with the first three hours free. This includes the lower Inspiration Point lot.
The Office of the Independent Budget Analyst estimated revenues in this fiscal year from the non-zoo parking would be close to $4 million, still well short of plans.
The zoo, which operates on an independent lease from the city, will allow members to continue to park for free. For non-members and non-residents, general parking is $16 per vehicle, per day, $44 daily for oversized vehicles per day. City of San Diego resident rates are half that.
Revenues from the parking fees paid within the park must be spent on Balboa Park. The funds can support ongoing maintenance, infrastructure, and visitor amenities and may include road repaving, lighting upgrades, sign improvements and landscaping.
Gloria backed off some of the parking fees in February, citing overwhelming negative feedback.
City residents who have verified their address will again be able to park for free in the Pepper Grove, Federal, Upper Inspiration Point, Lower Inspiration Point, Marston Point, Palisades and Bea Evenson lots.
“Good governing also means listening. I’ve heard from residents and from members of the City Council about how this program is affecting San Diegans who love Balboa Park as much as I do,” Gloria said.
“That feedback matters, and it’s why I am eliminating parking fees for city residents in select lots in the park. This change will reduce revenue, and I have received a commitment from the City Council president as well as other council members to identify other service-level reductions in order to keep the budget balanced.”
Verified San Diego residents will still be charged to park in premium lots such as the Space Theater, Casa de Balboa, Alcazar, Organ Pavilion and South Carousel lots. The cost is $5 for up to four hours or $8 for a full day. Enforcement will now end at 6 p.m., instead of 8 p.m.
More than 3,000 San Diegans have registered to be verified for the resident free parking program, and the city has collected nearly $700,000 for operations and maintenance in Balboa Park.
Despite these changes, Comiskey and the cultural partnership said more must be done before summer, busy season for the park and the museums and cultural institutions within.
“The data show we are at a critical moment,” Comiskey said. “As we approach the summer tourism season, we need a clear, region-wide recovery solution that restores accessibility, rebuilds public trust, and sends a strong `welcome back’ message to residents and visitors alike.”
Copyright 2026, City News Service, Inc.
-
Detroit, MI12 minutes agoHow these Detroit farmers are fighting for neighborhood food security
-
San Francisco, CA24 minutes agoS.F. hospital stabbing analysis confirms Mission Local reporting on security lapses
-
Dallas, TX30 minutes agoIt’s a big week for restaurant openings and closings in Dallas
-
Miami, FL36 minutes agoCain, Kushner launch South Florida JV with plans for Edgewater rental tower
-
Boston, MA42 minutes agoMBTA Green Line trains out from Kenmore to Boston College on B branch through April 30
-
Denver, CO48 minutes agoNuggets vs. Timberwolves | 3 keys to a Denver win in Game 3
-
Seattle, WA54 minutes agoThe Honorable Brandon Lee Gowton Picks for Seattle at #32 | Field Gulls
-
San Diego, CA60 minutes agoPerson struck, killed by train in Encinitas