What are the downsides to a living will (advance health care directive) with respect to withholding of food and water in terminal illness?

How one goes about this is a personal decision. I did have a patient - a 102 year old woman who was mentally very competent - choose to stop eating and drinking in order to bring her life to an end. I saw her almost daily until she died and I cannot say I saw any signs of suffering. As she became dehydrated she gradually became obtunded, then unconscious and died after 10 days.I have instructed my children and my wife on what my desires are at the end of my life. If I have no chance of any meaningful recovery to a condition in which I could enjoy those things that are important to me, I have instructed them to discontinue hydration and feeding.

What would happen if Kerala split from India to form an independent country?What will be status of an independent Kerala? How will living standards, Health, HDI, Infrastructure, Development etc. be? Will it be considered a Developed Nation?

In fact, Kerala's predecessor Travancore kingdom did want to be a separate Hindu nation. Diwan Sir CP Ramaswami Aiyar and the Maharajah Chithira Thirunal were conservative Hindus and tried to stay out of the Congress led India. But, they knew that Nehru could march his army anytime. That fact has not changed much. Let's even assume that India lets go of Kerala without wars. If Kerala were independent, Kerala might not have been any better than what it is now. Kerala ranks #11 in per capita income rankings among Indian states [GDP per capita of Indian States]. If Kerala were independent, its per capita income of $2200 would it put it in rank 131 among the world nations, just behind Moldova and Honduras [List of countries by GDP (nominal) per capita].Moldova has a higher literacy rate [97%] than Kerala [94%]. In HDI, Kerala would beat Moldova though and would rank at par with Belarus or Uruguay [List of countries by Human Development Index]. How often do you read about these countries in the news? Since the Communists would have taken over the state anyway and would not have traded with the west anyway, an independent Kerala's trade options would have been limited West Asia and India. West Asia is not doing well anyway and in case of India the trade would have been worse than it is now as India is fairly closed to its neighbors. Keralites would not be able to easily get jobs in Bangalore or Mumbai, nor would be able to hire labor from other states. In that sense, an independent Kerala would be like Bangladesh, with just one huge neighbor and a big blue ocean. Bangladesh also has extremely good natural resources - lots of rivers, fishing grounds, rains, alluvial plains. Bengalis were also equally good in education as the Malayalis. That doesn't save the economy of Bangladesh though. At best it would be Cuba - with much higher literacy & HDI than Kerala, but with an economy shadowed by its huge northern neighbor. Any Indian state that harbors intention to secede must remember that, none of the states would be better than what they are now if they try to go independent.

If we suddenly take all the living beings out of earth, how long will it take for life to form here again?

Life would not form here as the current conditions are oxidative ones rather than what was 2.1 billion years ago. Apart from that, life comes from life. So, if all of life is taken then there are no precursors to the formation of life. Given that some spores (precursors) of life has been left, only selected bacterial species (mostly Archaebacteria) will survive because there would happen a dramatic climatic change.The complex diversity that we see today is a product of millions of years of Evolution and Emergence. There will be no hope for new species formation if in current environmental conditions all life forms are taken away.

If a foreign citizen lives in the US on a working visa for more than a year, then what is his status? What tax form will such a person fill out when filing for taxes at the end of the tax year? Is the 1040NR the form to fill out?

In most situations, a person who is physically present in the United States for at least 183 days out of any calendar year is a US resident for tax purposes and must file Form 1040 as a tax resident. There are exceptions to this general rule, but none of them apply to people who are present in the United States in H-1B (guest worker) status. Furthermore, H-1B workers are categorically resident aliens for tax purposes and must pay taxes on the income they earn while in H-1B status as a resident alien in every year in which they earn more than the personal exemption limit. This includes both the first year and last year, even if the first or last year contains less than 183 days of residence in the United States. The short years may result in a filing as a dual-status alien.An H-1B worker will therefore only file Form 1040NR as his or her primary tax return in the tax year in which he or she leaves the United States permanently, and all US-connected income during that year will be taxed as if the taxpayer was a US resident, under the dual-status rules. All other tax returns during that person’s residence in the United States will be on Form 1040. The first year’s return may be under dual-status rules, with a Form 1040NR attached as a dual status statement as per the procedure in Chapter 6 of Publication 519 (2016), U.S. Tax Guide for Aliens. A person who resides the entire year in the United States in H-1B status may not use Form 1040NR, and is required to pay US income tax on his or her worldwide income, excepting only that income which is subject to protection under a tax treaty.See Publication 519 (2016), U.S. Tax Guide for Aliens for more information. The use of a tax professional, especially in the first and last year of H-1B status, is highly recommended as completing a dual-status return correctly is exceedingly challenging.

A Data Entry Operator has been asked to fill 1000 forms. He fills 50 forms by the end of half-an hour, when he is joined by another steno who fills forms at the rate of 90 an hour. The entire work will be carried out in how many hours?

Work done by 1st person = 100 forms per hourWork done by 2nd person = 90 forms per hourSo, total work in 1 hour would be = 190 forms per hourWork done in 5hours = 190* 5 = 950Now, remaining work is only 50 formsIn 1 hour or 60minutes, 190 forms are filled and 50 forms will be filled in = 60/190 * 50 = 15.7minutes or 16minutes (approximaty)Total time = 5hours 16minutes

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Washington Statutory Equivalent of Living Will Health Care Directive Form

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Hi I'm Neil winger I'm a general interest to primary care doc, and also I work with the UCLA hEvalth ethics center, and I'm here to talk with you about advance directives what's an advance directive it's a legal document that allows you to indicate what kinds of things you would want done if you couldn't make decisions for yourself now why would that happen we know that optimally doctors and patients work together in shared decision-making to make sure that the kinds of treatments that patients receive reflect what patients would want but under unusual circumstances patients can't talk with their physicians about what they would want perhaps they're too sick or perhaps something horrible happened, and they're not awake under those circumstances who would you want the doctors to turn to help make decisions for you maybe it's a spouse perhaps a sibling maybe even a friend and if it is a friend with the doctors know to turn to that person probably not it's for those reasons that people ne

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