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Why don’t funeral directors just ask?

“This article is not going to endear me to many funeral directors but I’m willing to take the risk for the sake of the best care for the bereaved.” [the Author]

At a recent funeral service at one of my regular funeral homes I was working with a funeral director, who recently joined the team. We had a moment to chat and I asked him why I was not seeing any referrals or cases from him. It was very unusual because the other funeral directors on staff called frequently with requests for services. His answer was a bit shocking: “They don’t ask.” He meant the bereaved families don’t ask.

Well, when a funeral director takes the first call alerting him of a death, or when the family comes in for the arrangements meeting, they shouldn’t have to ask. Part of deathcare is asking the right questions and the religion- spirituality question”, or even “Would you like to speak to our bereavement chaplain about the service?” or “Would you like us to have our chaplain join us at the arrangements meeting?” are among the “right” questions.

Asking the right questions; giving the right answers.
The arrangements meeting.

The fact is, any funeral director should be trained and interested enough to ask all the right questions; after all, the family is coming to the funeral director to have him or her ask the right questions and give the right answers. I have never met a family facing the recent death of a loved one come in with a laundry list of Questions to Ask. Families don’t have a FAQs page when in the grip of acute bereavement! Wake up! You deathcare professionals — if I can use the term “deathcare” these days — need to re-join the care team.

Get it done and move on!

Reason No. 1: Time

One of the reasons for this conspicuous thoughtlessness and lack of real compassion is that most mortuary science programs don’t teach deathcare; they teach the business of funeral directing and how to pass the boards. When a graduate finishes his two-year course, he goes into a one-year residency program with a funeral home, where he again learns the “business.” He has to sell the funeral home’s facilities, their merchandise, the skills of the preparation team, and his time. Of course there are the other items like removal of the deceased, paperwork required by law and cemeteries, etc. But it’s all about the “product.” What the funeral director is selling is turnkey disposal of the deceased, and he’s doing that with time in mind. It’s a question of turnaround. Finish up this case, get back to the funeral home, get the messages and move on to the next removal. All of this involves time.

So the real reason most bereaved families don’t get spiritual, religious, or officiant services is because the funeral director does not ask. The funeral director doesn’t ask because such services are not part of what he sells; he has to get them from the outside, and he calls those costs “out-of-pocket” expenses, because either he has to pay them and get reimbursed or the family pays for them directly. He or she does not ask because a religious or spiritual funeral service takes time — it adds about an hour to the entire program. And those hours add up and translate into dollars, thousands of dollars for the funeral home. Keep the disposal time down to a minimum and feed the bottom line.

The regrettable fact today is that most funeral directors spend very little time with the family or the survivors, the bereaved. He probably receives the first call through a third party answering service, he makes the removal as quickly and cleanly as possible, he sits through the arrangements meeting with the family and showcases his services and merchandise, greets the family and mourners at the door, and stands by during the visitation hours (usually 3-4 hours at most), if any, and stands by and directs the final viewing and funeral (usually 2-3 hours). That’s it. The only direct contact with the family is perhaps 1 hour during removal and during the arrangements meeting. The rest of the 2-7 hours of visitation and funeral operations he’s standing by, ensuring that things go per script, and there’s little or no contact with the bereaved, much less any attempt at bereavement support. That’s the chaplain’s job but what if there’s no chaplain to do that?

Corporate and Factory Funerals Services.

The situation is even worse with the factory funeral services providers like Newcomer and Service Corporation International (SCI and their Dignity Memorial). These corporations work on volume and marketing. They offer “the lowest cost” in the area and then pick up the slack with factory-style services and nickle-and-diming the bereaved with the little “extras.” If your thought the small funeral home operator was on a tight schedule, you haven’t experienced the factory funerals. Because funeral homes work with a time-focus, they are likely to promote the easiest and quickest disposal methods to the bereaved, using the sales pitch that “it’s the least expensive” of the disposal methods: direct cremation or direct burial. Nothing between death and disposal. Grandpa dies, gets carted off and shipped directly to the crematorium, or he gets buried almost immediately. No frills, no time lost. After all, you have better things to do with your time than deal with death. Right? Funeral director gets back for the next case, and the relatives get on with whatever they think is more important than honoring their dead.

Reason No. 2:  Money

While time in the funeral services business may equate with money more than in other businesses, money and expenses factor into this dehumanizing equation.

While cutting quality of services.

But leaving the fact that time is money for a moment, a well-orchestrated funeral or memorial service can be complicated and involve additional costs. Of course, the funeral director does not have to pay those costs but he does have to persuade the family to agree to them and ultimately to pay for them. There was a time when the deceased was laid out for 2-3 viewings: the first was the family private viewing. The next evening would be the visitation viewing when friends and acquaintances would “pay their respects,” and offer condolences to the family. The third viewing, if there were one, would be a public viewing, perhaps with a prayer service, or it would be on the morning of the actual funeral either in the funeral home or crematorium chapel, or in a church or temple, followed by the procession to the place of final disposition. Those days are gone. History.

While all of this added time to the event and locked up the funeral home’s resources for the duration, such a funeral also required additional arrangements (time etc.), equipment (vehicles, transportation, etc.), personnel, and outside professionals (clergy), and even outside facilities (church, chapel). Today’s funerals are much different in terms of visitation and receiving friends and acquaintances: There may be a funeral home chapel service before processing to the place of final disposition. There may or may not be a wake or prayer service or even a public viewing the day before the actual funeral. In other words, the funeral home facilities have become one of the products sold and all other services have been cut to the absolute minimum, including any bereavement support and any spiritual or religious support.

In other words, by not asking or offering bereavement support in the form of spiritual or religious services, the funeral home is saving time and, hence, money. The funeral director saves time and effort by not asking if the family wants spiritual or religious support, and he doesn’t bring up the subject. He thus does not have to plan in the time for coordinating with the chaplain or clergyman nor does he have to tie up personnel and facilities and time for an in-house funeral service, much less an off-site church service.

The savvy funeral director is aware that if he doesn’t offer, the bereaved are unlikely to ask for spiritual or religious services.

There is an exception to this “rule:” Many funeral homes have close connections with a local church or several churches for a very special reason: when a congregation or parish member dies, he gets the body and the pastor gets the honorarium for the use of the church and for officiating at the funeral. This is the one instance where the pastor or the church administrator will promote the services of the funeral director and the funeral director ensures that the church gets the case. That’s why we most often see a funeral home sponsoring a church’s calendar and advertising in the church bulletin. Funeral director and pastor tend to partner and profit by this relationship. Funeral home gets the body and the pastor gets the honorarium. Works well for both. And at least the family gets the appearance of religion or spirituality but it’s just the appearance. We’ve all experienced the funeral service where the officiant clergyman has no idea who the person was but does the service anyway. That’s insensitive and unethical. But it apparently works for most everybody, however.

Reason No. 3: Ignorance

As I mentioned above, most graduates of mortuary science programs learn how to run a funeral services business, that is, the body disposal business. Most graduates leave the program with little or no understanding of spirituality or religion, or even of the psychology of grief and coping with bereavement. They go through the coursework and the motions but what they’re really interested in is the business. After all, it’s one of the only businesses that will always have a customer pool.

I have to ask: “How much can anyone learn about these fundamentally human aspects of deathcare in a mere two-year course that includes business studies, including business law and the legal aspects of deathcare, the basic sciences of death and post-mortem preparation of the deceased, cosmetology, etc.”

Truth be told, many young people go into the mortuary science programs with the best of intentions but then something ugly happens; they see what was once a noble profession from the inside. It’s like admiring a beautiful medieval tapestry and then looking at the back and seeing the ugly knots and strings. What’s more, at 18 or 21 years old, they generally lack the maturity to make good judgments and they have no life experience to fuel any sort of wisdom. They go in as sponges and come out saturated with misconceptions and deranged values. So now you are sitting across from an ignorant 20-something funeral director who is going to tell you all about death and grief! He could be your grandson!!!

Here’s my point: A professional chaplain will have at least a four-year undergraduate degree and then at least a professional degree at the master’s level (masters degree in pastoral studies, religion, theology, or the gold-standard professional degree, the Master of Divinity). For example, a very good friend of mine has a graduate degree in psychology with a degree in literature, and a master of divinity degree, plus formal healthcare chaplaincy training. Most masters degrees require only 12-30 credits of graduate level study; the masters degree in divinity requires at least 75-90, frequently up to 120 credits of graduate level study! In other words, the professional chaplain is likely to have as much training as a physician, and at least 2-3x more training than most graduate degree programs. A professional chaplain is also very likely better trained that the vast majority of so-called denominational clergy, most of whom get their credentials from a so-called denominational “bible school” or from some unaccredited school of ministry. The bible-school graduates are cheap but ineffectual; the real professionals are not all that expensive but are professionals and some ignorant business owners don’t like to get too involved with professionals.

So who do you think is the best qualified to provide acute, short-term, or long-term bereavement support?

Please don’t misunderstand what I am saying here. Many funeral directors are very intelligent, skilled, and compassionate people who have chosen a very thankless, but very essential line of work. While there are some crooks and some very incompetent weasels among them as in any profession, most are very good at what they do: (1) serve the public in an essential role, (2) run a business, (3) participate in important community organizations and activities. From personal experience, I have worked with some saints but have also to admit that I have experienced some real ignorant sickos.

But today the bottom line is unquestionably business success, and that means turnover. Turnover is important in the short term because it provides the funeral director with a lifestyle; in the long-term it shows that the business can make money and, when it comes to retirement time, the funeral director wants to sell the business for as much as he can get. My point is that the funeral director is not trained to provide bereavement support or religious/spiritual support, or even to officiate or to design a funeral service; he’s trained in the business and technology of body disposal and running a funeral home.[1]

Reason No. 4: They don’t care.

While ignorance is not restricted only to the scope of training but can also be observed on the personal level in some funeral directors. It can come into play in other ways: a “not knowing” that results in “not caring” or indifference to the spiritual needs of the customer. Or, the funeral director has a more subtle agenda: he simply does not believe or does not have a connection with spirituality or religion, or he is simply anticlerical or anti-religion, and, paradoxically, he man not feel comfortable talking about the subject of death and spirituality much less even including it in their offerings. He doesn’t care what the bereaved believe, he doesn’t believe that is important.

And then you have the feminist funeral director whose main objective is to make an incursion into what was historically a male-dominated profession. Her self-loathing and hatred of being a woman blinds her to all else, including the needs of the bereaved. Like so many women who enter into previously male-dominated professions, they exaggerate everything, even the insincerity and unauthentic compassion they offer. They have an agenda, not a vocation. But that’s not limited to the funeral business.

That is a problem in many ways but the most insidious way is that they are promoting personal beliefs at the expense of individuals in a very vulnerable situation who might benefit from religious or spiritual support. Moreover, the funeral director in such situations in in a control and power situation vis-à-vis the bereaved, and is misusing that situation in an unethical manner. Again, ethics is not a hot topic in mortuary science curricula, unless it’s basic ethics to keep the potential funeral director out of legal hot water.

If a funeral director finds he does not believe or is anticlerical or anti-religion and, during the arrangements meeting finds that the family has a faith or belief tradition, whether they practice or not, he should refer the case to a colleague who can best serve that family. You can be certain that in the very policy-aligned corporate funeral homes (Newcomer, Service Corporation International, Dignity, etc.) this is not going to happen. It probably won’t happen even in a larger privately owned funeral home group.


This article was inspired by the statement of a funeral director, which in turn resulted in reflection on why an experienced deathcare provider would make such a statement. It is not my intention to indict any funeral director or to paint all funeral directors in the same color, but to make the point that regardless of the reasonable presumption that the funeral director is a business man and, for obvious reasons, must operate a funeral home as a business, there are some essential services that must be offered, even if the client does not specifically or explicitly request them, and which might require the funeral director to make the effort to ask directly, “Have you given any thought to a religious or spiritual service as part of the final arrangements?” or at least to review the death documents to ascertain whether the deceased had a religious or spiritual preference, and then proceeding on the basis of that information. It’s as simple as that.

If they don’t ask, you ask. Period.


This article is courtesy of Compassionate Care Associates, marriage celebrants and funeral and memorial officiants serving the Greater Capital District Area of Albany, Schenectady, Rensselaer, Columbia, Ulster, Greene counties in New York. Visit the website at Compassionate Care Associates.


[1] I do know some clergy who are “working clergy,” that is, they are ordained by their denomination as clergy but work in the funeral services sector as “funeral directors.” Depending on the denomination, their “clergy” training may be minimal or it may be accredited by a national or international agency, but they are denominational clergy, that is, they are trained in a specific faith or belief tradition, and are bound by that tradition. They don’t bite the hand that feeds them. A professional interfaith chaplain may be ordained or licensed but he does not serve a specific denomination, and he is most likely adept in several faith or belief traditions as well as in non-religious traditions. That’s the big difference between denominational clergy and the interfaith chaplain. To ensure the best service, the best choice is the professional interfaith chaplain.

Furthermore, the interfaith professional chaplain likely specializes in a narrow field of expertise such as bereavement, crisis intervention, healthcare, etc. Beware, though, of the so-called “board-certified” log-rollers and club members; the board-certified chaplain is no better than the denominational clergyman; both serve a master and that master is not the bereaved or the client! The majority of “board-certified” log-rollers have little or no training in ministry, theology, pastoral care, or religious studies. If you hear the words “evidence based” you know they’re robots. Membership in an organization and that organization’s “certification” keeps the organization in business but doesn’t to a thing for the bereaved. Most are narcissists and incompetent. Same generally applies to most careerist clergy.

 

 

The Greed and Insanity of the American Funeral Industry: Dissolving your dead.

Editor’s Forward

From Deathcare Professional to Disposal Professional

At some point in time, the American funeral director has gone from deathcare professional to disposal professional. It’s really gotten out of hand and it’s time the American people started thinking better about themselves and started telling the government and the corporations to stop treating us like so much municipal waste. This doesn’t happen without the involvement of legislators and government. If funeral directors are forced into providing an immoral but legal service, who’s to blame them? We can boycott them and refuse to use them, and send our loved ones to someone who can treat them with human dignity. It’s our choice and we’d better start thinking about it before someone else makes the choices for us. This new movement in the funeral industry is just disgusting!

The Editor


Excerpt from the article by
Republished with Permission of the Author
Rev. Ch. Harold W. Vadney, BA, [MA], MDiv
Interfaith Bereavement Chaplain/Thanatologist

Dissolve and Flush: Funeralized Alkaline Hydrolysis.

The Newest Technology for Disposing of Dead Human Beings.


In the West, interment, inhumation, entombment have been the traditional  methods of disposing of dead human bodies, that is, prior to the late 19th century with the revival of cremation as an alternative. Until about 1880, cremation was anathema, unless, occasionally, at times of extraordinarily large numbers or dead, such as during war time, during epidemics, or following natural disasters, mass graves or incineration of the corpses was preferred to avoid further catastrophe in terms of public health. Fire cremation was revived in the West as a quasi-pagan option attributed to non-Christian freethinkers and masons or simply to anti-social elements but then took a different tack by appealing to the public health and environmentally conscious elements in conventional society. Today, economic concerns both consumer and industrial take precedence. The dominant market economies in the industrialized West, particularly in the USA, UK, and some Western European countries, as well as the insatiable appetite of post-modern, post-Christian cultures for novelty and individualism, have left the door ajar for the entry into the funeralization professions of an industrialized process called alkaline hydrolysis (AH), an industrial process invented in the late 19th century as a way of dissolving in strong chemicals farm animal waste for use as fertilizer.[1]


“Omnes homines terra et cinis” Sirach 12:32
[“All human beings are earth and ashes”]

In a particularly beautiful description of how the pre-Vatican II Church thought of the human being, and in poetry that was possible only in a more sensitive epoch of human history, one reads:[2]

“The old Church holds on to her dead with eternal affection. The dead body is the body of her child. It is sacred flesh. It has been the temple of a regenerated soul. She blessed it in baptism, poured the saving waters on its head, anointed it with holy oil on breast and back, put the blessed salt on its lips, and touched its nose and ears in benediction when it was only the flesh of a babe; and then, in growing youth, reconsecrated it by confirmation; and, before its dissolution in death, she again blessed and sanctified its organs, its hands and its feet, as well as its more important members. Even after death she blesses it with holy water, and incenses it before her altar, amid the solemnity of the great sacrifice of the New Law, and surrounded by mourners who rejoice even in their tears, for they believe in the communion of saints, and are united in prayer with the dead happy in heaven, as well as with those who are temporarily suffering in purgatory. The old Church, the kind old mother of regenerated humanity, follows the dead body of her child into the very grave. She will not throw it into the common ditch, or into unhallowed ground; no, it is the flesh of her son. She sanctifies and jealously guards from desecration the spot where it is to rest until the final resurrection; and day by day, until the end of the world, she thinks of her dead, and prays for them at every Mass that is celebrated; for, even amid the joys of Easter and of Christmas, the memento for the dead is never omitted from the Canon. She even holds annually a solemn feast of the dead, the day after “All Saints,” in November, when the melancholy days are on the wane, the saddest of the year, and the fallen leaves and chilly blasts presage the season of nature’s death.”[3]

The Church of bygone days frequently used prose poetically and quoted liberally from the Church Fathers and even from the ancient philosophers and historiographers like Plato, Seneca, Socrates, Cicero many of whom, though pre-Christian, did not eschew the notion of the immortal soul.  St Augustine writes, “We should not despise nor reject the bodies of the dead; especially we should respect the corpses of the just and the faithful, which the Spirit hath piously used as instruments and vessels in the doing of good works…for those bodies are not mere ornaments but pertain to the very nature of humankind.”[4]

Cremation made an occasional appearance in isolated periods of Western history or in outlier regions where Christianity had not yet attained dominance; cremation was largely associated with non-Christian, pagan cultures.

In the East, in places where Hinduism and Buddhism had a firm foothold, cremation was and continues to be the norm. In some geographical areas such as in parts of Tibet, where the ground is unfavorable to interment and wood is a scarce and valuable resource, exposure of the corpse or dismemberment of the corpse and consumption by carrion-eating birds, so-called sky-burial or, in its form where the dismembered corpse is cast into a fiver for consumption by fishes, water burial, is practiced.

A similar practice of exposure is found in Zoroastrian communities in Iran, in the so-called towers of silence or dakhma, where the dead are brought, exposed, and consumed by vultures; the skeletal remains are then later collected for disposal.

While isolated instances of cremation are reported both in the Old Testament and in the New Testament, burial or entombment was conspicuously the norm. In the Judeo-Christian tradition, burning of a corpse was a final act of abomination, reserved for only the worst elements of society.

One of the common misapprehensions of the Church’s aversion to or discouragement of incineration of the human body as a routinely available option for final disposal is that it was associated with pagan or freethinker practice, or with attempts to dissuade believers from faith in a bodily resurrection. While this might have some historical substance and may be represented by some early writers, it is but a minor hypothesis.

Ancient flame cremation practiced by the ancients.

As Eusebius describes early Christian aversion to flame cremation in a statement that still holds plausible, “” they (the Pagans) did this (cremated) to show that they could conquer God and destroy the resurrection of the bodies, saying, now let us see if they will arise.” In other words, cremation was a challenge to the belief in bodily resurrection as taught and believed in the early Church.

Furthermore, no less a figure than Cicero advances the notion that incineration was of ancient practice in Rome, and suggests that inhumation was a practice that predated the Roman practice of cremation. In fact, some noble Roman families never permitted their bodies to be burned, and Sulla is said to have been the first Roman who ordered his body to be cremated after death, lest his bones should be scattered by his enemies.[5] The pontiffs of pagan Rome would not acknowledge a funeral to be complete unless at least a single bone cut off from the corpse, or rescued from the flames, had been de posited in the earth.

Ancient Greece and Rome did practice cremation at various points in their histories but the ultimate disposal of the remains continued to be burial; either a part not consumed by the flames or the “bones” of the cremated corpse were ultimately buried in the earth. Cremation was by no means consistently the norm or the preferred method of disposal in Greece or in Rome.

Pope Boniface VIII forbade all violent modes of disposing of the dead as savoring of barbarism. “The respect due to the human body requires that it should be allowed to decay naturally, without having recourse to any violent system;” so says Grandclaude. A forcible argument against cremation is also found in the Catholic custom of preserving and honoring the relics of the Saints and putting their bodies or portions of them in the altar. It would be no longer possible to have the most important relics of future Saints if their flesh were to be consumed by fire.

That brief sampling of ancient teachings and beliefs regarding the question of incineration of human remains, arguably a “violent system” of disposing of human remains, should suffice to provide a background for the remainder of this discussion. For a more detailed discussion, I refer the reader to the Reverend Bann’s article cited above.

It was only in the late 19th century that a cremation movement came into being, and then only owing to the deplorable conditions in the cities which were rapidly outgrowing their boundaries due to immigration from rural areas, and the resulting encroachments on the previously outlying churchyards and, with population growth and densification, poor sanitation, and high mortality rates, consequent overfilling of existing cemeteries literally to the point of overflowing.

The urban slums of the Industrial Age.

Such were the conditions that gave rise to the public health concerns of reformers who claimed that the dead in the cemeteries were evil, that their miasmas leached out into the water and the spaces of the living, causing disease, suffering, and death. It was the evil dead rotting in the earth and their juices that were public health enemy No. 1. The open sewers and living conditions of the larger cities, and the putrid waters of the rivers flowing through them, of course, were not to blame.

And so, an alternative method of disposal of the dangerous and filthy dead had to be found, one that did not threaten to gobble up valuable real estate, and one that could be justified in the face of Church and religious objections. Cremation was the most obvious answer for purifying the unclean corpses. After all, since time immemorial fire was the great purifier.

In the beginning, therefore, the initial impetus was the miasma theory of pestilence, and corpses were to blame. Then, around 1880, the germ theory of disease was born. It debunked the established miasma theory of disease, and stated that disease was caused by specific organisms, germs. No problem for the cremationists, who were quite agile in dropping the miasma theory and accepting the germ theory but corpses were not yet off the hook, so to speak.

If germs were the cause of many of the diseases afflicting the population, wouldn’t the putrid rotting corpse be germ heaven? And if you have all those corpses lying about doing nothing but what corpses do, that is, rotting and defiling the air with the aromas of putrecine and cadaverine. Those same rotting corpses were breeding grounds for pestilence and a simple hole in the ground was not very likely to contain the little vermin. Cremation, the great sterilizer, would be the cremationists’ next slogan. But it didn’t last long.

The interests of the economic-minded would carry the day both in terms of the environment and the economy, and that campaign agenda is with us to this day. Basically, the dirge goes: “Why allocate so much valuable land to the dead when the living can profit by it?” Land for the living! After all, as corporations like StoneMor can confirm, cemetery real estate and the real estate occupied by the cemeteries represents a vast fortune. Someone has to tap into it.

The countries of Europe afflicted with the spirit of rationalism had no problem dealing with cemeteries; they just overruled the Church and legislated that the state had ultimate control of the citizen in life and in death. The Church could fall back on canon law but ultimately had to acquiesce to the state’s overwhelming power, and so the cemeteries were secularized. Once secularized they were emptied and their occupants relegated to ossuaries or catacombs en masse, and anonymous in their tens, even hundreds of thousands. In many instances, their eviction from the cemeteries and relocation to the quarries was done under cover of night, in order not to offend the living or present an obstacle to commerce.

France was one of the first Western nations to desecrate consecrated ground and defile the dead.

In countries where the Church, Roman Catholic or mainstream Protestant dominated, the faithful were expected under established sanctions, to obey the doctrines of their faith. For most mainstream Christians, and for all Orthodox Jews and Muslims, cremation was an abomination, and burial in the earth or entombment were the only acceptable methods of sepulture. And so it remained until 1963, when the Roman Catholic Church relieved it’s ban on cremation and, while not encouraging cremation, did not censure those who opted for incineration as their preferred method of disposal. Upto then, those choosing cremation were pro forma classified as apostates, atheists, pagans, free-thinkers, or Masons.

The 1960’s was a decade of revolutionary reform in practically every aspect of life: politics, religion, morals, education, all of which ultimately found expression in attitudes towards life, death, dying and after-death.

Alkaline hydrolysis (AH)[6], aquamation[7], resomation[8], biocremation[9], call it whatever you like it all literally boils down [no pun intended] to taking a dead human body, placing it into a pressure cooker, adding water and chemicals, heating, cooking, draining, rinsing. The dissolved flesh and organic matter is then flushing into the sewer system. What is left is bones and any metallic or synthetic material in the body (artificial joints, pacemakers, sutures, etc.). The metal such as artificial joints etc. will be recycled or “repurposed.”  The bones will be dried and ground up into a sandlike powder and returned to the family or otherwise disposed of.

The actual patented process, alkaline hydrolysis (AH) is a process developed for waste disposal. “Waste disposal” is the actual term used in the patents. AH was developed for disposal of infectious or hazardous waste by dissolving it into a “safe and sanitary” end-product. In fact, the actual wording of one of the patents is: “it is an object of this invention to provide a system and method for safely treating and disposing of waste matter containing undesirable elements, such as infectious, biohazardous, hazardous, or radioactive elements or agents.”

AH was developed for dissolving, liquefying organic matter into a disposable liquid that can be recycled as a fertilizer or simply flushed down the drain. It’s actually a technology that was developed in the late 19th century for disposing of animal waste, and which was developed in the mid-20th century for disposal of farm slaughter waste and for elimination of medical school cadavers, is now being promoted as the new eco-friendly take on cremation. Alkaline hydrolysis a.k.a. water cremation a.k.a. biocremation —  in reality just using a Draino®-like chemical to dissolve the dead human body and flush the remaining human sludge down the drain into the public sewer system — is the new rage in technology. Some funeral homes in about 14 states, where the process is now legal in the United States are now offering it as an alternative to cremation. It’s disgusting and will be a hard sell, since it will be acceptable only to the really bizarre element out there. I hope to clarify some of the issues in this article.

This is not how human beings should be treating their dead.

Download the complete article here:
Dissolve and Flush_article draft


Notes

[1] See also History of Alkaline Hydrolysis by Joseph Wilson. Wilson is the chief executive officer of Bio-Response Solutions, one of the first companies involved in the industrialization and marketing of alkaline hydrolysis for the disposition of human bodies. Joseph H. Wilson, The History of Alkaline Hydrolysis, e-pub, September 2013, 3, http://www.goodfuneralguide.co.uk/wp-content/uploads/2013/09/History-of-Alkaline-Hydrolysis.pdf last accessed on October 29, 2017). The original patent filed by A.H. Hobson, U.S. Patent No. 394982 (1888), describes the process as a “… process of treating bones, which consists in digesting the bones in an alkaline solution in the presence of heat, then separating and concentrating the solution, thereby forming glue, gelatine, or size, in then digesting the remaining hone in a strong alkaline solution, so as to completely dissolve the remaining nitrogenous matter, and bring-the same into a more readily assimilable form…” (Claim 2), and as “certain new and useful improvements in the treatment of bones and animal waste or refuse generally for the purpose of rendering the same more suited for fertilizing purposes, and for obtaining gelatine, glue, and size…” (https://docs.google.com/viewer?url=patentimages.storage.googleapis.com/pdfs/US394982.pdf last accessed on October 28, 2017).

[2] By way of precluding any possible suggestion of supercessionism, I would like to state from the outset that I am citing Roman Catholic writers in much of this discussion not because I am so biased but because I would rather use as my foundation a more systematized, mature, and stringent authority, which, if necessary can be attenuated or mollified mutatis mutandi in further arguments, rather than a more loose, liberal, or permissive approach as represented by the more progressive Protestant or post-Christian denominations. Although I practice as an interfaith chaplain, I am steeped in a more classical tradition than many of my contemporaries, and I ask that my readers take that subjective proclivity into consideration when reading my statements.

[3] Brann, Rev. H.A., DD, “Christian Burial and Cremation.” American Catholic Quarterly Review, Vol. X (Jan-Oct 1885). Philadelphia: Hardy & Mahony. p. 679. Reverend Brann provides a rather comprehensive background and discussion of Roman Catholic sources and thinking on cremation, which, in my reading, is remarkable in its tolerance, given the sociopolitical climate in which it was written (1885-6).

[4] De Civ. Dei Cap. XIII, p. 27, Vol. 41, Migne’s Patrologia.

[5] Desecration by scattering of one’s bones appears to be a thread running through much of ancient human history. Compare Sulla’s concern with the Biblical account (I Kings 31:12) of the incineration of the bodies of Saul and his sons to prevent desecration by the Philistines.

[6] US Patents 5,332,532, 6,437,211, 6,472,580, 7,183,453, 7,829,755, and U.S. Patent No. 7,910,788 (method).

[7] “Aquamation: A Greener Alternative to Cremation?” By Marina Kamenev/Sydney, Tuesday, Sept. 28, 2010 (http://content.time.com/time/health/article/0,8599,2022206,00.html, last accessed on October 28, 2017)

[8] “Innovation in sustainable end of life choices” the slogan of the Scottish company Resomation®(http://resomation.com/, last accessed on October 28, 2017).

[9] “Biocremation. A Natural Choice.” (http://biocremationinfo.com/consumers/what-is-bio-cremation, last accessed on October 28, 2017)

 

Does your funeral home provide customer service or human service?

An Op-Ed Republished with Permission


As a provider of psychospiritual care to the bereaved, as a professional bereavement chaplain, theologian and thanatologist, I firmly believe that some things just have to be delivered locally and face-to-face; these include sex, making friends, spiritual care, funeralization services. Not necessarily in that order or priority ranking.


Grief work is not achieved in three days nor with an online consult. That’s purely and simply idiotic.

The saying goes thus: “Death is the great equalizer.” We are all equal in death. Presidents, kings, supreme court justices, movie stars, athletes all die, all decay, all go the same way as the homeless man on the corner. But would you think of direct burial or direct cremation for a president, a queen, Mohammed Ali? So why skimp on grandpa? We celebrate the deceased’s achievements in life, not the fact of his or her being dead. And we do it with pomp, ceremony, rites, ritual, tradition, dignity and respect. Virtual mourning is none of the above and the grief work is not achieved in three days nor with an online consult. That’s purely and simply idiotic.

Furthermore, a death is a social, political and community event. The emotions involved in the acute grief experience are far too complex and idiosyncratic to be amenable to one method, one technology, one dose. As a social, political and community event death care requires real community involvement, hands on, and that means a local group understanding the local cultures, a “neighborhood,” if you prefer. This is a physical community, complex, deep, involved, alive; not a virtual make-believe, conjured up community.

One more thing: We have to stop giving Jessica Mitford and her estate post-mortem kudos for a book and a sequel book that was not only self-serving and conflicted in its interests, but a masterpiece of biased muckraking appealing to the titillation lust of the masses and their denial of death anxieties. Mitford couldn’t attack Death itself nor could or would she attempt to attack institutionalized religion, so she went after the next best thing, the funeral services industry. I’ve cited Mitford several times on my various blogs so I won’t waste bytes on her here.

I place Mitford in the same category as Kübler-Ross in that neither of them can claim any objective or scientific credibility but their main contribution to Western, particularly American society, was to get people talking about death and deathcare services. That, my friends, was a big step in a society frozen in preadolescent fascinations, psychosocial pathological denial, anxiety and narcissism, steeped in materialist humanism and addicted to corporate-fed consumerism.

It’s progressively gotten worse with the public health problem of Internet Addiction Disorder and the pathological subset, Facebook Addiction Disorder, and the emergence of the multistate funeral services groups like Newcomer Funeral Services Group, Service Corporation International and their alter ego Dignity Memorial, and StoneMor, who have all added greed and indifference to the corporate mix of tastelessness and deception of the consumer public. and their dead Again, I’ve commented extensively on these ghouls of the funeral services niche so I won’t waste time or words on them here.

Newcomer, SCI/Dignity Memorial, StoneMor
Ghouls of Corporate Death Services

They want your money not your brains!

Like it or not, death is inevitable for every mortal creature from cockroaches to presidents and kings. No matter how you define or think about it, you will have to some day deal with death so get a grip. How you deal with the death of a significant other in your life, whether that loved one is a pet or a parent or a child–or your own death is a matter of what I will term befriending death. No, I don’t mean the superficial, make believe, virtual “befriending” most of you are addicted to on Facebook and other social media. I mean the kind of be-friending that involves learning about, nurturing an intimacy with, even trusting, welcoming into your world, and frequent contact. Being at ease with, acknowledging, being aware of death is key. That may sound a bit bizarre so let me explain.

Technology has evolved faster than we as human beings have done. We lag far behind technology in our understanding of it and our ability to wisely and prudently steward it. In fact, technology has overrun us and has taken over our lives; this can’t be denied. This fact has been used to the level of Dr Strangelove proportions by corporations and big business, and even by individuals with pathological ambitions like Donald Trump on Twitter and Mark Zuckerberg with the Facebook phenomenon. The medical, psychological and ethics journals are full of reports on the so-called Internet Addiction Disorder, which was described back in the 90’s, and now there’s a subset of that disorder termed the Facebook Addiction Disorder and the Internet Gaming Disorder, which all share the same symptoms as alcoholism and street drug addiction like heroin or the like. Of course, you don’t have to take my word for it, just go to Pubmed and plug in a couple search terms and you’ll get all the proof you’ll ever need of this fact.


Editor’s note: For those of you who are not familiar with Pubmed, it is the database and search engine maintained by the United States National Library of Medicine (NLM) at the National Institutes of Health; it provides access primarily to the MEDLINE database of references and abstracts on life sciences and biomedical topics. (Access Pubmed here. )


You have to admit you have a problem when you need Facebook to help you grieve!

The stimulus for this editorial, however, is not Newcomers or SCI. Nor is it Twitter or Facebook. The funeral service corporations and the social media and networking evils do figure in the theme of this communication, however.
If presidents and perverts have discovered social networking and social media, neither of which are social in the benevolent meaning of the word but serve a more sinister, asocial purpose of getting people hooked and then controlling them, just as the word “service” is used deceptively when used in conjunction with such greed mills as Newcomers or Service Corporation International.
The stimulus for this commentary is, in fact, an article that appeared in Forbes online, “Customer Service In Deathcare: How The Funeral Home Industry Cares For The Living” (contributed by Micah Solomon, MAY 26, 2017).—

Mr Solomon describes himself as a “customer service consultant” and “consumer trends expert,” — he doesn’t say how he got those credentials, though — catchy phrases but a bit too catchy to inspire any confidence or credibility. I’m a bit at a loss not at the What? but at the How? when Mr Solomon then goes on to say:

While some of my own work with the death care industry as a customer service consultant and consumer trends expert has been on innovation in the deathcare customer experience (methods for serving today’s far-flung bereaved customers by using connectivity, videoconferencing, and recording technologies to allow them to take part in memorial/celebration of life service) most of the work I do in this industry and that matters the most, in my opinion, is simply aimed at improving the customer experience, which, of course, is for the living.

Likewise unclear is Solomon’s terminology “far-flung bereaved customers” and “connectivity, videoconferencing, and recording technologies” to involve them in the “memorial/celebration of life service“. Maybe it’s Mr Solomon’s sense of compassion that is represented by his use of the term “far-flung” to describe the unfortunate mourners who are separated by distance from the event. Describing the bereaved as “customers” further chills the atmosphere he’s creating. Technical jargon like “connectivity, videoconferencing, and recording technologies” somehow put a damper on my sense that this guy has any clue about the nature of bereavement, acute grief, mourning, tradition, spirituality, cultural sensitivity, or even the characteristics of the vocation of funeral director. I’m therefore at something of a loss how he, with his frigid and disconnected technospeak, can improve the customer experience! This he leaves to the funeral directors he’s interviewing. Wisely so.

But even more poignant ar the three phrases caught my attention in that unimaginitive and deceptive title: “customer service,” “deathcare,” “funeral home industry.”

We alone, as moral agents and social actors, are responsible for what we do and how we do it

Inserting a bit of Kantian deontology that I’d like you to keep in the back of your mind while reading this, I’d like to say that we are not measured by what the other guy or gal does, but by what we do; we alone, as moral agents and social actors, are responsible for what we do and how we do it. It’s the quality of our values, morals and ethics that govern our behavior. As moral free agents we alone are responsible for what standards are used to guide our conduct.This applies not only to our inner forum, our conscience and how it guides us, but to the external forum, the community in which we live, work, and may disinterestedly interact.

Human service becomes “customer” service when an goods or services transaction forms the basis of the interaction

Customer service is at its most basic human service, service to human beings, human interaction, relationship building. By human services, I mean a broad range of interdisciplinary services whose commitment is jointly and individually to improve the overall quality of life in diverse populations through guidance in meeting basic human needs and support remediating real or perceived social challenges.  Human service becomes “customer” service when a goods or services transaction forms the basis of the interaction but it is still a subset of human services. Accordingly, customer service cannot separate itself from the humane aspect, the relationship aspect of its nature. The problem I have with the Forbes article is that, true to the materialist consumerist interests of Forbes, the article defines customer service purely in terms of selling and purchasing relationships but in the context of the so-called, malapropism, funeral service industry. Customer service must be human service, especially in the funeral services professions. Human service and hence customer service in this framework is near impossible on a corporate or industrial scale for reasons I’d be happy to substantiate in another article, if required.

Try doing this on Facebook or in cyberspace!

The second term that raised my suspicions is “deathcare.” We can defined death care as the care given to the dead or as post-mortem care. This would involve respectful and dignified custodianship and preparation of the dead body for whatever funeralization rites and rituals are appropriate as defined by the deceased individual during his or her life or as requested by the survivors. We must not oversimplify deathcare with the deathcare services businesses and industries that commonly provide services related to the dead body and death traditions, that is, preparation of the dead body (removal, embalming, cosmetology, etc.), funeral rituals, disposal (burial, cremation, etc.), and memorialization. The deathcare business includes for example funeral homes and their operations, including transporation services; containers like caskets, coffins, urns; accelerated decomposition services such as alkaline hydrolysis, cremation, etc.; cemeteries and burial plots, and headstones, markers, etc. What we most neglect in the discussion of deathcare services is psychospiritual care, and here we must include the professional bereavement chaplain and some but not most clergy.

The phrase that most raised my hackles is “funeral home industry.” First of all, the funeral home is not an industry. It may operate like a business but it is a professional operation requiring very specific training and licensure in most places. Most states require a trained and licensed funeral director to at least oversee the operations of a funeral home. The term “funeral home industry” is grossly misleading and deceptive because it creates an image of the traditional funeral home with all of its warmth and amenities together with the dignified and compassionate professional funeral director at its helm. Nothing could be farther from the truth if one looks at the funeral services industry, the more correct designation for the funeral services groups and corporations such as Newcomer Funeral Services Group, Service Corporation International (Dignity Memorial) or StoneMor, who operate more like waste disposal business than funeral homes. Remember corporations operate according to policies, procedures, protocols and most of all the bottom line and shareholder satisfaction. No room here for stuff like compassion, empathy, much less “human service”.

Their focus is twofold: dignified care of the dead and compassionate care of the living.

The traditional, community funeral home is a hub of interdisciplinary teamwork.

The role of the funeral services provider, more accurately the funeral services team, is just that: to provide human services. Those human services are provided by a team of specialists that range from the funeral home cleaning and maintenance person(s), to the housekeeper, the groundskeeper, the funeral home assistants, the behind the scenes professionals (the cosmetologist, the hair stylist, the embalmer), to the front of house staff (the assistants, the funeral director(s)), to the psychospiritual care provider (the funeral home chaplain or associated clergyperson). Their focus is twofold: dignified care of the dead and compassionate care of the living. The human services aspect persists far beyond the care provided with the first call, the removal, the arrangements conference, the chaplain visit and consultation, the visitation or the funeral; what happens at any of these milestones significantly affects the survivors during, immediately after the services, and well into the future, perhaps for years. That’s what the funeral services industry, the large groups, the corporations can’t provide but what the local family-owned funeral home pride themselves in: the human side of funeral services. So be clear on this point: once you start talking “industry” you are not talking “human”. Period.

So far I’ve taken issue only with three phrases that occur in the title of the article alone. But what about the remainder of the so-called article at issue? Well, there’s not much to say about it because the bulk of it is made up of questions put to three selected funeral directors and their responses. Their responses are totally acceptable in terms of the language, and to be honest I can’t find much with which I’d tend to disagree. The funeral directors seem to have their acts in order and say the right things. They are in a highly competitive business and have to be realistic, not necessarily traditional. Read into that what you like.

It should be clear by this point that I do not advocate virtual or technological or corporate solutions to anything as profound as the death experience or any occurrence of acute traumatic bereavement. Electronic signals, bits and bytes, virtual compassion just do not and cannot replace the warmth of human spirit, the compassionate embrace of a friend or loved one, the immediacy of the death experience, the real-ization of the death and its sequellae. The funeral home and its resident and on-call team members are the experts in offering compassion and comfort and no social networking scheme, no corporate disposal package, no virtual event and no DVD can replace the authenticity and true empathic response of face-to-face, human-to-human, verbal and non-verbal communications, the symbols and rituals that give meaning to this most mysterious of life events, death.

… some things just have to be delivered locally and face-to-face; these include sex, making friends, spiritual care, funeralization services.

This is what we do.

The Editor

 


Editor’s Note: Solomon’s self-description reads line a narcissist’s mini-bio: “I’m best known as an author, keynote speaker, consultant, and thought leader in customer service, customer experience, company culture, leadership, hospitality, innovation, entrepreneurship and consumer trends. I travel nationally and worldwide, and home base is metro Seattle. Reach me at 484-343-5881 or micah@micahsolomon.com or http://www.micahsolomon.com” We’ve contacted him for a comment on this editorial.


Acknowledgement: I’d like to extend my special thanks to my colleagues on LinkedIn, Ms Linda Williams M. Ed., M. Th., who describes herself as an Entrepreneur, Virtual Event Planner and Facilitator, Instructional Designer, Educator, Inspirational Speaker”.” Ms Williams describes her business, In-Person Away Virtual Events, as an operation that provides “our clients, their families, and friends with a virtual alternative to come together in an engaging, realistic and meaningful way, as well as host and attend social events, without breaking the bank on travel expenses.” Ms Williams does not advocate virtual resources as a substitute for real presence but only as a valuable alternative affording an opportunity to share where no other viable options are available. I agree.


 

Politics, Power, Patronage and Conflicts of Interest: The Albany County Coroners Office

From its Very Beginnings, the Office of the Coroner was Tainted by Politics, Greed and Corruption.

The office of the coroner has existed for about 800 years and began in England, in the 12th century (1194) when the office of the “crowner” was created to investigate suspected felony deaths. Then, as now, there was government interest in such deaths and it wasn’t justice or public health. You see, the coroner, if he found that the death was due to a felony, would then investigate and confiscate the felon’s property, which went to the crown. Of course the coroner would get a cut of the goods, too. So, from its very beginnings, the office of the coroner was tainted by politics, greed and corruption. Add to this toxic mix the Democrat political machine in Albany, and it can’t get much worse.


Three out of the four incumbent coroners are Guess what? funeral directors actively practicing in the Albany County region. Charles Smoot, the de rigueur token African American at the Albany County Coroner’s office, and one coroner the others would like to get rid of for a number of reasons, John Keegan, and Paul Marra are funeral directors and work as coroners. There’s a conflict of interest here because the coroner has to call a funeral director or funeral home to take custody of the body after the investigation. If you were in the business, who would you call?

Timothy Cavenaugh owes his claim to the coroner’s office to his political connections and to the fact that his father, James Cavenaugh, was Albany County Coroner before him. It appears that the Albany County coroner is not only political, it’s hereditary.

You’ve all seen the Newcomer Cryptkeeper ads on TV.

It does get worse, though, and here’s how: One of the contenders for the elected position is Frank Simmons, another funeral director, who — according to the recent Albany Times Union report —  works for Guess who? Newcomer Funerals and Cremations in Albany. Yes, that’s the same nickel-and-diming, factory funeral provider that’s part of the Newcomer Funeral Services Group, the funeral home chain that operates in some 10 states. Newcomer just opened a new location in Latham and it seems they need more bodies so why not run for coroner? Does anyone see the plan, the agenda, the potential for corruption and conflicts of interest in this coroner system as it operates in Albany County? (The Holubs dumpster-diving moghuls of the Ghettochopper, that is, Pricechopper fame have bought a share of Albany government; now it’s Newcomer Funerals and Cremations who what their share of the local action?)

In a 2010 article published in the Times Union  (Coroner saw much in his decades on job, Times Union, November 24, 2010) reported on an Albany County Coroner, Bill Loetterle (now deceased, see his obituary), in which Loetterle describes some of his experiences, and provides some insights into the operations of the coroner’s position in Albany County. He describes how in one case he was ready to call a murder, the police stepped in and overruled him calling it a suicide. Sends up red flags already. He describes serious mistakes being made in the coroner’s office like getting names wrong for the bodies in their custody. In that article, Dr Jeffrey Hubbard, a pathologist working with the Albany County Coroners Office is quoted as saying “the coroners office doesn’t have the answers and doesn’t know when they are going to come about. They are waiting for the pathologist, or pathology lab or for the police.” Makes you wonder why there’s a coroners office in the first place.
Then why have the extra level, the coroners, if they don’t have the answers and have to rely on the pathologist or the police? The County of Albany is already paying the pathologists and the police are already on the payroll. Sounds political and corrupt to us.

You might go back to Loetterle’s tale about the homicide called suicide by the police, overruling the opinion of the coroner. Do you really think that isn’t possible given the fact that the politics in Albany County run law enforcement and the coroners office? Better think again!

Former Albany County Coroner William Loetterle was a Purchasing Agent at GE

So, Loetterle (A Democrat, of course!) came on board as an appointed part-time coroner in 1979 and stayed on the job until 2010, 30 years! Loetterle worked for GE as a purchasing agent. That’s the qualification of the guy who’s going to determine the circumstances of a suspicious or unattended death, whether on the street or in the hospital, and sign the death certificate. It’s no wonder that death statistics are so screwed up!

In the TU 2010 article, though, Mr Loetterle, if you don’t believe he was part of the machine, totally unqualified and just outright ignorant, we read that in his “educated” opinion, “having coroners is better than having medical examiners because it’s much less costly for the taxpayers.” We’ve done a thorough study of the coroner and ME system and we know that that statement is categorically untrue and incorrect, as we’ll point out below.

Albany County Coroners are so good that they actually sent a woman who was still alive to the morgue!

The coroner is poorly trained and doesn’t have the necessary education to do the job

Furthermore, the office of coroner is for all practical purposes antiquated and obsolete. Moreover, it’s more costly to taxpayers because it actually duplicates effort and costs, and is actually detrimental to the public health efforts and programs at state and federal level because the coroner is poorly trained and doesn’t have the necessary education to do the job. That and the fact that it’s an elected position and only those candidates that get local political party approval get on the ballot.


Incompetence goes viral….

In a New York Times article, the writer refers to the coroners office as a “relic.” The article goes on to describe how an elderly woman was found in her apartment in an Albany complex for the elderly:

The old woman was sprawled on her living room floor, cold and motionless, and the apartment manager who found her on Wednesday was sure she was gone. Paramedics and the Albany County Coroner… found no heartbeat, no pulse, no breath or other signs of life, and the [Albany] coroner declared her officially dead.

They zipped Mildred C. Clarke, 86, into a body bag, took her to the morgue at the Albany Medical Center Hospital and left her in a room where corpses are kept at 40 degrees, pending autopsies or funerals. About 90 minutes later, the chief morgue attendant went in to transfer her to a funeral home.  (NYTimes

Albany paramedics and an Albany County coroner declare the woman dead, transfer her to Albany Medical Center, and no one there has any interest in confirming she’s dead or alive, and she gets put into a refrigerator where she stays until a morgue attendant notices the body bag moving. Something out of a horror flick? Hell, NO! It’s Albany County and Albany Medical Center at work!

Lucky she wasn’t an organ donor! But according to a NYT follow-up report Mrs Clark later died a week later at Albany Medical Center of ‘undisclosed causes,’ according to an Albany Medical Center spokesperson. (NYTimes)

William X Kienzle even includes the incident in his book, Requiem for Moses  (Kienzle, William X. Requiem for Moses. Kansas City: Andrews McMeel Pub, 2013). That’s how Albany County gets on the map, we suppose.


So that brings us to another Times Union article published just recently, on May 23, 2017, entitled “Albany coroners race could have Democratic Primary. Democratic nominees face 4 others in Albany County” The reporter writes, “following a long, often contentious and disorganized Albany County Democratic Committee meeting…two incumbent coroners secured the Democratic nomination” for the coroner posts up for re-election. Four others were also endorsed by the Democrats. Can it get any more political?

Of course, the Albany County Democratic Committee chairman, Jack Flynn, would not comment on the strong interest in the coroner post but we will.

Albany County: No politics. No power. No patronage. No way!

A couple of years ago, Albany County considered changing over to the medical examiner system where a licensed and specially trained physician would do the death investigations (“Charter panel weighs coroner’s role,” Times Union, April 29, 2013). That article describes the Albany County Charter Committee as “11-member panel will tread lightly around the perception that it’s bent on curtailing anyone’s power.” Power. Not the public’s interests or welfare but power. The article is otherwise uninformative beyond confirming the corruption of the Albany Democratic machine and the infighting.

Somehow Albany has managed to misinform and keep the electorate ignorant and County Executive McCoy, Democratic Committee chairman Flynn, Majority Leader Frank Commisso (majority leader since 1993!), and certainly not the coroners or their highly-paid local pathologists or Albany Medical Center, whose facilities the Albany County Coroners Office uses for storing bodies and for forensic examinations. They all have an interest in keeping the obsolete and antiquated Albany County Coroners Office in place despite good evidence that it should be dumped and replaced by a medical examiner system. But no politics, no power, no patronage? No way!

This wouldn’t be a political position and would be governed by the professional ethics and oversight agencies that watchdog physician’s activities. But that wouldn’t be something the Albany Democrats would be interested in, would it? No politics. No power. No patrons. No way!

We should mention here that both Schenectady and Rensselaer Counties, as well as the majority of the rest of the country, especially those more advanced locales, have opted for the medical examiner system over and against the coroner system. There are many good reasons for this and we’ll be discussing them in future parts of this series of articles. The unfounded opinion of some supporters of the Albany County Coroners Office that the coroner system is less expensive to tax payers are misinformed and make no sense. The coroner system is in most studies of the system found to be incompetent, inefficient, expensive, and detrimental to the public’s health. Too many unqualified or politically ambitious people tend to seek these offices and should take their egos on a vacation. Coroners, at least the Albany County Coroners, have another agenda, as we’ll point out below.

But in the old days, local docs could be found who would sell their signature for a Tootsie Roll., and we have evidence of one physician, now deceased, who assisted the Office of the Albany County Coroner by signing death certificates for a fee-per-signature; he was actually selling his signature for a fee, and didn’t give a damn what was on the DC. His cause of death was always ASD, heart disease! If you examine the death certificates he signed you’ll find he certified almost every single death inappropriately using an abbreviation (more on this later), ASD, “arteriosclerotic disease”, making the false impression that almost every death investigated by the Office of the Coroner was due to heart disease. Think of what that could mean to national statistics on death due to heart disease if such corruption is widespread! It is. And published studies prove that fact. Scientific, peer-reviewed studies show that heart disease as a cause of death was a highly reported fake cause of death. It was over-reported by ignorant people completing death certificates with no qualifications, or who didn’t really care what the cause of death was, so cardiac death was an easy way out.  Frequently still is.

Investigating Deaths with Almost No Qualifications!

Studies also show that coroners and many physicians do not know how to properly complete a death certificate. And many physicians don’t know when they are legally authorized to sign a death certificate, frequently giving an incorrect cause of death. If physicians can make those blunders think of the damage an untrained, poorly educated coroner like Bill Loetterle, Charles Smoot and others like them can do!

The On-call coroner Frequently Doesn’t Even Go to the Scene but Completes and Signs a Death Certificate

If it works for one, it’ll work for many. This scandalous practice continues to be the case. We have received information from the Albany County Coroner’s office that when a call reporting a death is made to the Office of the Albany County Coroner, the coroner goes directly to the scene of the death, investigates, makes his report, and, depending on his findings, completes the death certificate and signs it. That’s what the coroner’s office tells us.  What we have learned from some professionals who work with the Albany County Coroner’s Office is that the on-call coroner frequently doesn’t even go to the scene but completes and signs a death certificate. Incredible? Maybe, but really quite likely knowing how Albany County operates.

Now let’s have a closer look at Albany County before we proceed with a more detailed discussion of what MEs and coroners are required to do and how it affects us as individuals, and as a state and nation. Albany has been a Democrat party stronghold literally for generations, and the Party has a stranglehold on public office. Most of the institutions in the City of Albany and Albany County are controlled by the local Democrats who have established a powerful system of patronage: If you’re not a Democrat and a log-roller, or you don’t know someone in City Hall, you simply don’t get a job or you don’t get elected. It’s a simple but corrupt system to say the least. Qualifications or credentials may play a role but it’s really who you know, not what you know. So it’s no big surprise to note that all of the Albany County Coroners, all elected officials, are all Democrats.

You may also find it interesting to know that two of the four coroners are licensed funeral directors running local funeral homes, Paul Marra of Marra Funeral Home (Cohoes), and John Keegan of Magin & Keegan Funeral Home (Albany). One of the coroners, Charles Smoot, claims to be a licensed funeral director, and if he is he must be doing behind the scenes work – so-called “trade” work — for other funeral homes; no one seems to know where he works but the Albany County Coroner’s office confirms that he is a licensed funeral director. Informants in the funeral services business in Albany tell us they never see him at any continuing education events, a requirement for funeral directors and for coroners. So Smoot, as we have mentioned, may be just a fixture in the Coroners Office, the token, but even so, he’s not popular in the Albany County Coroners Office. They’ve been trying to get rid of him for some time now, we hear. We also have information that alleged funeral director-coroner Charles Smoot has close connections with Anthony Perniciaro of the McLoughlin & Mason Funeral Home (Troy) so guess who’s likely to get Smoot’s bodies.

How Public Office is Inherited in Albany County

The fourth Albany County coroner is Timothy Cavanaugh is a good example of how positions in the Albany Democrat machine get handed out, or in Cavanaugh’s case, handed down. Timothy is the son of a former, now dead, Albany County coroner, James Cavanaugh. The Cavanaugh dynasty is an example of how public office is inherited in Albany County. The same is true of one other coroner, Paul Marra, son of former coroner John Marra, also of Marra funeral Home in Cohoes. See the patterns? We’d also like to note that Paul Marra and John Keegan are not listed as owners on their respective funeral home web pages. We find that rather questionable, since we feel that those web pages should list the owners’ names or at least let the visitor know who is running the show. Or is does this have more sinister implications related to the owner’s holding a public elected office and possible conflicts of interest. You know, of course, that the coroners have to contact a licensed funeral home to transfer and take custody of the body once the investigation is completed.

Magin & Keegan Funeral Home, Cohoes

So we found it a bit suspicious when we asked about funeral homes used by the coroners, the Albany County Coroner’s Office could provide no information on which funeral homes the coroner’s tend to use for transferring the deceased. Three coroners who are funeral directors, two of whom own funeral homes, and one of which claims to be a licensed funeral director with close connections with a Troy funeral home. Now there couldn’t be any conflict or interest or abuse of public office here, could there? Not in Albany County?

And it does get even worse…

John Keegan not only co-owns and operates Capital District Affordable Cremations LLC in Albany, New York, Anthony Pernicaro of McLoughlan and Mason Funeral Home, Troy, is also one of the co-owners. That’s the same Anthony Pernicaro and the same McLoughlan and Mason Funeral Home we connected with Albany County Coroner Charles Smoot! Insider information received from local funeral home operators indicates that the three Albany County Coroner/Funeral Directors are abusing their positions to steer business to their own funeral homes and their other businesses.

Given the importance of ethics and integrity in public office and the adverse effect on health statistics information collected by death investigators like coroners, you’d think recordkeeping would be a high-priority item on the list of coroner administrative requirements; after all, it’s the office that is required to collect information and report it on such a serious occurrence such as a death. Well, recordkeeping is not really a very high priority in the Albany County Office of Coroners.

Here are just a couple of deficiencies we found in our investigation:

First of all, we place great value on documentation and fact-finding. This requires a system and it also requires a knowledge of how information and data collection affect other departments, programs and even government agencies. Apparently, the Albany County Coroners Office got left in the 1300s, while other locales changed over to the medical examiner system or at least developed data collection forms that reflect the importance of the death investigation data collected during the coroner call.

If anything clearly demonstrates the substandard workings of the Albany County Coroners Office, it’s the form used for documenting the death investigation. Here’s an Albany County Coroners Call Sheet used to document the facts of the scene investigation. Compare it to this one from Indiana (+coroners general death investigation protocol_indiana)or even this simplified one from Cleveland (+Coroner-Call Sheet (Cleveland Ohio)). But our investigation found even more substandard practices in the Albany County Coroners Office. Here are just a few:

  • No up-to-date or upgraded software for entering and administering information collected by coroners (A key employee of the Albany coroners’ office tells us that the software they are using dates back to the 1980’s and has not been updated; the office can’t do queries or generate reports from the software. What’s up with this, Albany County?) (Per information received from the Coroners Office, “The computer system used by The Albany County Coroner’s Office is an internal spread sheet that has been created for our use. All records are also kept as paper copy within the Albany County Hall of Records.”)
  • No way to determine which coroner had which case and when (Wouldn’t that be of interest when you consider almost 1000 coroner calls in 2015 and more than 900 coroner calls in 2016?)
  • No way to report cases that were closed without autopsy and those that went to autopsy
  • No way to determine which coroner used which funeral home to transfer the body Now that’s convenient, isn’t it, considering that three of the coroners are funeral directors, two of whom own funeral homes, and one of whom allegedly has a close connection with a Troy funeral home?)
  • An unacceptable delay in getting autopsy reports: up to 90 days! When cases go to autopsy, there is a significant delay in getting the autopsy reports from the medicolegal/forensic pathologist (the Albany coroners office has four pathologists on call Drs Hubbard, Sikirica, Balasubramaniam (“Dr Bala”), and a Dr Ing, and one physician assisting the coroners, a Dr John Len). So why the delay in the autopsy reports and the consequent delay in closing the case?
  • Apparently there is no way for the coroners office to report which cases are pending closure and which are closed.
  • Cases are not tabulated by coroner; they are tabulated only as a total The Albany County Office of Coroners is unable to list dates of coroner’s calls with a corresponding coroner’s name, location, funeral home, or case closing date. We find this to be gross dereliction of responsibilities!
  • The Albany County Office of Coroners does not keep a list of funeral homes used by the coroners. We don’t wonder Why? Do you?
  • Contrary to personal informal reports we have received, and which resulted in our interest in this topic, the Albany County Office of Coroners tells us that they have received no complaints regarding the performance of their coroners. (Per the Coroner’s Office, “As stated above any complaints against The Albany County Coroners would go through The Albany County Board of Legislators. In checking with them on this matter, no complaints have been filed against this office.” Do you wonder?)

Although the coroners have no medical training, and can be elected from any status in the general public, as long as they can get on the ballot. According to statute coroners must participate in a minimal death investigation course. The Albany County Office of Coroners reports that “all” county coroners receive annual training through the

  • New York State Association of Coroners and Medical Examiners (NYSACME)
  • The American Board of Medicolegal Death Investigation
  • The American Academy of Family Physicians (AAFP), and
  • Funeral Director CEU (continuing education units).

We note that the Albany County Office of Coroners response clearly reads “[a]ll of our coroners receive yearly training through those organizations. Does “all” mean all as in every, each? If it does we have some questions. One of those questions arise because we have personal communications from funeral professionals who state that they don’t see Charles Smoot at any of the funeral director continuing education events (CEU). Where is he getting his continuing training? Who’s paying for it? The answer to the first question is: Nobody knows. The answer to the second question is: We are.

Given the inadequate documentation, and without some documentation of a coroner’s whereabouts at a particular time a coroner’s case is called in and a death investigation is supposedly being done it will be very difficult if not impossible, to defend against any claims that the coroners are not attending at the death scene but are signing death certificates without due and diligent investigation. This is a serious issue and must be responded to and dealt with. We now publicly submit this question to the Albany County Office of Coroners and demand a response.

Here’s what the Albany County Budget for 2017 lists for the Albany County Coroners Office:

 Albany County Coroners Office Personnel Count

2015 2016 2017
A 1185 Personnel Count 6 6 6
A1185 Coroner $725,824 $733,039 $733,239
2014 2015 2016
A 1185 Personnel Count 6 6 6
A1185 Coroner $693,504 $727,294 $728,729

So the budget figures don’t lie but they also don’t tell the whole story. So we filed several demands for production of documents and information under the New York State Public Officers Law or the Freedom of Information Law. All criticisms aside, we have to give credit where credit is due: The clerk / administrator and confidential secretary at the Albany County Coroners Office have been very helpful and forthcoming, and we hope honest — in providing information in response to our demands. Unfortunately, much of what they provided does not speak in favor of the coroners office:

Albany Medical Center Propaganda

In 2015, Albany Medical Center performed all of 222 autopsies for the Albany County coroners. In 2016 , Albany Medical Center again performed a majority of our 230 autopsies for Albany County. Ellis Hospital began a contract with Albany County at this time but, according to the Coroners Office “a breakdown of these numbers is not possible with out going through each case by hand.” This is the 21st century, people! Everyone has computer software for keeping these sorts of records! Why doesn’t Albany County?

Albany County does not bill for out-of-county residence. If a person dies within Albany County, Albany County picks up the cost of Coroner involvement, pursuant to New York State Law. According to a Times Union report these costs totaled nearly $113,000 from January 2012 to August 2013 (“The dead’s tab: $61,426. When a patient flown to Albany Med dies, Albany County pays for the autopsy.” Times Union, November 25, 2014). During that same period the $61,426 for 56 outside cases in 2012 accounted for about 10 percent of the coroner’s overall $603,000 2013 budget. .But they can and should bill the cost back to the county of residence.

As mentioned above, the Albany County Coroners Office uses outside pathologists: Jeffrey Hubbard MD, Michael Sikirica MD, and Nadarajah Balasubramaniam MD a.k.a. Dr Bala. We demanded information regarding the costs of pathologist services and the Coroners Office provided these figures:

Pathology rates per patient:
Autopsy 770.00
Certification of Death 75.00
Review of records/exam/Certification 360.00
Amounts Paid to Pathologists
Per year
2015
Dr. Hubbard $46,980.00
Forensic Medical Services
Drs Sikirica and Balasubramaniam
$138,075.00
2016
Dr. Hubbard $68,125.00
Forensic Medical Services
Drs Sikirica and Balasubramaniam
$146,725.00

Albany Medical Center Autopsy Room

In addition to the three pathologists, John Len MD is a so-called physician assisting the coroners. Len was paid $3,350.00 in 2015, and $11,285.00 in 2016 for “assisting” Albany County coroners. Len, in other words, sells his signature to certify deaths when there is no personal physician.

Albany Medical Center has been the Albany County Coroners Office’s primary autopsy and lab and facility for the years 2015 and 2016. Ellis Hospital (Schenectady) began a contract with Albany County at the end of 2016, it is on a trial basis continuing through 2017.

Amount Paid to Albany Medical Center (Autopsy Services)
2015
Albany Medical Center $198,890.94
2016
Albany Medical Center $189,532.98
Ellis Hospital $6,550.00

Additional Laboratory Testing Services: In 2015 and 2016 National Medical and Bender Laboratories were used for additional toxicology services.

2016
National Medical $7,242.00
Bender Laboratories $27,500.00
2015
National Medical $13,881.66
Bender Laboratories $1770.00

We have demanded this same information from the Schenectady and Rensselaer Medical Examiner Offices and from the Greene County Office of the Coroner. As of this writing, their responses are still outstanding. Once we receive that information, we will publish a comparison of the systems.

Literally thousands, perhaps tens of thousands of deaths in Albany County are in a limbo land thanks to the decrepit and irresponsible administration of coroner records in the Albany County Coroners Office

Whereas the New York State Department of Health (NYDOH) has implemented an Electronic Death Registration System (EDRS) in a number of counties in New York State,  implementation of the system in 2017 does not alter the fact that substandard recordkeeping in the Albany County Coroners Office has prevented any attempt at quality control or even retrieval of important data for administrative, study or research purposes. This means that information on literally thousands, perhaps tens of thousands of deaths in Albany County are in a limbo land thanks to the decrepit and irresponsible administration of coroner records in the Albany County Coroners Office.

It’s too little too late for many and we really have to ask the burning question, “Who dropped the ball for so many years?”

It’s the 21st century and it was a long time in finally coming but is still not fully implemented throughout the state, New York State’s Electronic Death Registration System (EDRS) in a secure web-based system for electronically registering deaths. EDRS simplifies the data collection process and enhances communication between health care providers and medical certifiers, medical examiners/coroners, funeral directors, and local registrars as they work together to register deaths. That having been said, it’s too little too late for many and we really have to ask the burning question, “Who dropped the ball for so many years?”

For now, though, Albany County Residents and our readers far and wide can draw their own conclusions about Albany County and it’s questionable rationale in keeping the obsolete, inefficient, and antiquated Albany County Coroners Office, apart from the obvious corrupt and self-serving political, power, patronage and economic interests involved.

We’d like to invite you to share your experiences of the coroner and medical examiner system with us. We’ll share them with our readers to enable them to be better informed and to improve their public health systems.

It’s time to do a forensic autopsy on Albany County and the Albany County Coroners Office!

Time to Autopsy the
Albany County Coroners Office
The Editor


Editor’s Note

The Albany Times Union reported that Mr Frank Simmons, one of the controversial candidates for Albany County Coroner, is an employee of Newcomer Funerals and Cremations: “Simmons, a funeral home director at New Comer Funerals and Cremations, intend[s] to petition to be on the ballot for the Democratic primary in September.” We have received information from a reliable source and in the funeral service business that Simmons is not employed by Newcomer but by the John J. Sandvidge Funeral Home, Troy. We are looking into this information and have notified Ms Amanda Fries, author of the Times Union article.


 
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Posted by on May 25, 2017 in Abuse of Public Office, Albany, Albany County Coroner, Albany County Coroners Office, Albany County District Attorney, Albany County Elections, Albany County Executive, Albany County Executive, Albany County Legislature, Albany County Sheriff Department, Albany County Supervisor, Albany Police, Anthony Perniciaro, Arthur Fitch, Bill Loetterle, Bring out your dead, Bureau of Funeral Directing, Capital District, Charles Smoot, Conflict of Interest, Corruption, County Legislator, Craig D. Apple Sr., Dan McCoy, Daniel McCoy, David Soares, Death, Death Certificate, Death Investigation, Democratic Party Committee, Dignity Memorial, EDRS, Elected Official, Electronic Death Registration System, Favoritism, Frank Commisso, Frank Simmons, Freedom of Information Law, Greene County, Greene County Coroner, Greene County District Attorney, Greene County Sheriff, Hudson Valley, John Keegan, John Len, Law Enforcement, Licensed Funeral Director, Magin & Keegan Funeral Home, Marra Funeral Home, McLoughlin & Mason Funeral Home, Michael Sikirica, Nadarajah Balasubramaniam, National Funeral Directors Association, New York State, New York State Funeral Directors Association, Newcomer Funeral Home, Newcomer Funeral Services Group, Newcomer Funerals and Cremations, NYS Assembly, NYS Senate, P. David Soares, Paul Marra, Public Corruption, Rensselaer County Medical Examiner, Richard Touchette, Schenectady County Medical Examiner, SCI, Service Corporation International, StoneMor, Timmothy Cavanaugh, Uncategorized

 

FTC Sells Out Consumers AGAIN!

Republished with Permission from the Funeralization Blog.

This is where you will learn what the funeral chains and funeral corporations, and their lackey the Federal Trade Commission (the federal agency that approves interstate mergers) do not want you to know.


And I have a bridge to sell you…

While you were texting or farting around on Facebook, the U.S. Federal Trade Commission (FTC) was selling you out to the funeral corporations. Keep texting and finding “friends” on Facebook and they’ll be composting you for the Whitehouse flowerbeds! Well, that’s one of the directions the death industry is taking if a Seattle project moves forward. The project is called the Urban Death Project, and it describes the process of turning dead humans into food (A Seattle based eco-friendly ‘initiative’ proposes a radical solution for urban food production: using human corpses as compost to feed crops). And then there’s freeze-drying and pulverization, then packaging. Or you can go for “resomation”, that is, dissolving the body and flushing it down to the sewers. It’s a market economy and it gets as weird as the weirdest ones among us. That’s because our government is handing over control to the corporations who will titillate and tantalize you to buy just about anything, if it means happy shareholders, big dividends, and profit. The Federal Trade Commission is handing over consumers’  choice to the huge corporations, including your deathcare choices.

This is where you’re at now.


In her book “American Way of Death” (1963) Jessica Mitford stunned America with vivid accounts of corruption and abuse in the death industry; in the updated sequel she revised some of her findings as the “American Way of Death Revisited”, published after Mitford’s death in 1996. Mitford didn’t change her opinion to any substantial degree. Nevertheless and by any standard of literary criticism, Mitford’s book was extremely biased by her problematic background, and was written by an obviously very disordered person, resulting in the book becoming a bestseller in the United States. Of course. But that was a time when America still had a hypocrite’s sense of decency, moral and ethical substance, and values. A lot has changed since Mitford published her books; America no longer has even a hypocrite’s sensitivities, only a chronic anxiety and paranoia inspired by rampant greed, dissatisfaction, denial and suspicion. We’ve come a long way in those 30 or so years, haven’t we?

One of the significant developments, however, one that is anecdotally attributed to Mitford’s muckraking and biased exposé, was the action taken by the Federal Trade Commission with its so-called Funeral Rule, requiring disclosure of a General Price List by funeral homes. The Rule requires funeral homes to provide consumers with accurate, itemized price information and various other disclosures about funeral goods and services. Another interesting observation is that Mitford’s rants in 1963, and her revised rants in 1998 were, to some appreciable extent, prophetic— what in 1963-98 was “muckraking” and biased is true reality in 2017 — but the key players have changed.

Or Final Rites

With the growth of the “Walmart-style” [click here to read our article] funeral home chains and factory funeral home groups like Newcomer Funeral Service Group (HQ in Topeka, Kansas) and its Newcomer Funerals and Cremations (locally in Albany and Latham), Service Corporation International (SCI) a.k.a. Dignity Memorial, StoneMor , and others (See “10 Companies that Control the Death Industry”). Families are manipulated into buying expensive goods and services they don’t need or want. Prepaid funeral money vanishes into thin air. Body parts are sold on the black market. Eight states force families to pay a funeral director even if they conduct a home funeral with no need for help from outsiders — not that we are suggesting you should start doing DYI funerals at home without some expert inputs, we do object to the “requirement to pay” for services not necessarily needed. But a consumer movement is now awakening, and Americans are asserting their rights over a key part of life, just as they did in the past with the natural childbirth and right-to-die movements. The two most prominent leaders of that movement are the authors of the book Final Rights: Reclaiming the American Way of Death, Joshua Slocum, executive director of Funeral Consumers Alliance, and Lisa Carlson, executive director of Funeral Ethics Organization. In the book they join forces to expose wrongdoing, inform consumers of their rights, and propose legal reforms. The book includes state-by-state summaries of laws, regulations, services, and consumer concerns. (Final Rights: Reclaiming the American Way of Death  by Josh Slocum and Lisa Carlson; for other resources please see Funeral Consumers Alliance). Again, you have to be interested to pick up the book; and we advise caution whenever you read someone else’s interpretations, but it’s certainly better than continuing blindly.

Synergy Means the Corps get More Control for their Investment!

You’ve probably heard enough about Newcomer Funeral Service Group with its chain funeral homes in Albany and Latham, NY, and their questionable practices, smokescreen advertising, and irresponsible hiring practices so we’ll move on to more dangerous species of lurkers with their eyes on your credit card. This time we’ll go after Service Corporation International (SCI) who is known to consumers as Dignity Memorial, an addition you’ll probably see alongside the familiar family funeral home names that they’ve gobbled up. See Dignity Memorial, think Service Corporation International and think of a funeral-Walmart with more than 2,100 locations across the US, Canada, Puerto Rico and controlling more than 15% of the death market in the US. Think about a greedy corporation that is continuously grabbing for more and giving less. And we’ll look at another resident of the corporate Ghouls Gulch, StoneMor Partners, who are in the cemeteries acquisition business.

Synergy is the concept that the value and performance of two companies combined will be greater than the sum of the separate individual parts.