mr. speaker , this case , what we are doing here tonight , is not about terri schiavo .  the evidence for that begins in the way this was brought to this body , being brought in on st .  patrick 's day at 11 : 30 at night , with no hearings , no notice to the body , nothing .  it was going to be rammed through here without discussion .  and what troubles me , and i have heard my colleagues here , as a psychiatrist , i can not make diagnoses of people that i have not examined .  that is contrary to my profession , and i can be disciplined for doing that .  the rest of you can be doctors .  you can come out here and tell us anything you want .  but a doctor can not come out here and say anything really about somebody they have not examined .  so what you are now doing with this , and you want it both ways .  this is what troubles me about this .  on the one hand , you say this is not precedent .  this is only one case .  this is only one case .  what am i supposed to do as a physician like the gentleman from michigan ( mr. schwarz )  ?  as a psychiatrist , i dealt over and over and over again with family members facing this exact problem .  it is gut-wrenching .  you do not get any planning process here .  you do not get any , well , this is going to happen in a month , why do n't you get ready for it .  it happens and then you have got to make a decision .  and there you are as a family group .  everyone here is going to have this happen to them sometime .  when my father was 95 years old , he had had a couple of strokes .  on his first stroke , we talked to him .  he was 93 before we ever talked about a living will , okay ?  that is the way it is in america .  that is why we do not have terri 's words in a will .  you do not think about dying when you are young .  all right .  so my father has had a stroke .  we said to him , dad , what do you want us to do in terms of extending your life ?  he said , well , i do n't want any of those paddles that they use on er .  they can do artificial resuscitation , but i do n't want that paddle thing .  okay .  the doctor came to me and said to me , jim , the paddles are much more humane than doing artificial resuscitation .  if you press on an old man 's chest to try and start his heart from the external massage , you break the ribs .  then he has got pain from broken ribs .  actually , the paddle is much more humane .  so i went back to my father , and my brothers and i , we had a talk with him , and he said , well , i want it done the way it should be done .  then came the day when he had his third stroke and he could no longer swallow , and he was on ivs .  and so there were two brothers , a sister , and me and my mother , and we had to stand around and decide whether or not we were going to put in a stomach tube , a feeding tube .  anybody who stands out here and says that is not an extraordinary process is absolutely wrong .  it is no different than being on a ventilator , forcing air into someone 's lungs , than it is forcing food into them .  that is exactly what it is .  you are throwing all that up in the air and leaving families and doctors with nowhere to go because this is not setting precedent ; this is something to hide something else , some diversion of what is going on in this house .  