Ashley Treatment Draws Praise, Scorn

ashley2006

Ashley in her wheelchair, 2006.

Ashley is a nine-year-old girl who will never grow up. Her parents have made sure of it by having her uterus and breast tissue removed, and flooding her with hormones to ensure she remains in a child-like body.

Why would her parents do such a thing? Ashley has severe brain damage and developmental disabilities. Her condition has left her in an infant-like state, unable to sit up, roll over, walk, or talk. Her parents, who believe Ashley’s condition will never improve, decided to undergo this radical “growth stunting” procedure so that Ashley would forever remain “small and portable.” Ashley will never grow larger than 4’5” and top out at a weight of 75 pounds – about a foot shorter and 50 pounds lighter than a typical adult female.

“Ashley’s smaller and lighter size makes it more possible to include her in the typical family,” her parents wrote on their Internet blog. Her parents also say that keeping Ashley small will reduce the risk of bedsores and other conditions that can afflict bedridden patients. She’ll also never go through puberty, so she won’t experience the discomfort of periods or grow breasts that might develop breast cancer, which runs in her family.

ashley treatment

Supporters of The Ashley Treatment make their case.

Medical “Ethicists” Weigh In >

Since news of “The Ashley Treatment” broke earlier this month, medical “ethicists” and news pundits around the globe have debated the issue. Some feel Ashley’s parents are horrible monsters that are playing God for their own convenience. Others support their decision, claiming it is both a sensible and humane way to ensure their daughter lives the most comfortable life possible. As Ashley’s parents point out, the only people who have the right to comment on their decision are other parents of disabled children. “Unless you are living the experience, you are speculating, and you have no clue what it is like to be the bedridden child or their caregivers,” they write.

Well, I’m the parent of a child with permanent disabilities; my son has autism. While this is far from the “bedridden hell” Ashley and her parents must endure, having an autistic child is still quite a challenge. My wife and I hope that Rocco’s autism won’t be permanent – we’re trying everything possible to recover our son. One of the mysteries of autism, especially when your child is young, is that you don’t know how it’s going to turn out, just how disabling this disability will be. Autism is a spectrum disorder, meaning some people are deeply affected by it, others only mildly. Rocco’s future is uncertain, as are the futures of many children with autism.

Rocco is also an exceptionally cute kid. Like, baby-supermodel cute. I sound like a boastful Dad, but it’s true. Rocco’s a handsome little boy. Frankly, I think Rocco’s good looks have helped him overcome some of the barriers of autism. His blue eyes and brilliant smile get him extra attention from the “ladies” in his life: his Mom, his teachers, and his female classmates. Chicks dig Rocco. If he needs extra help with something, he always gets it.

But this might not always be the case. I’ve met autistic children of all ages. The trend seems to be that the young ones are really cute. But by the time they hit adolescence, they start to look…different. They look like there’s something wrong with them. The gap of social acceptance becomes wider, grows along with the rest of the delays, and gets harder to bridge. The breaks that come to all the beautiful people in this world stop coming.

“Pillow Angels” and “Forever Children” >

So, if I knew Rocco was never going to get better, that he would always have the mind of a child, would I keep him in the body of a child, too, if given the choice?

I don’t know. That’s a hard question to even consider. Part of me thinks I’d do it; I might keep my child a “forever child” if he were never going to get better.

But another part of me questions “The Ashley Treatment.” What will the mental and physical effects be as Ashley ages but doesn’t grow? What will the psychological and physical effects be on her family? Ashley’s parents are betting that the long-term benefits to their daughter’s overall health and quality of life will outweigh these potential pitfalls. They’re making choices now that permanently affect their daughter’s life forever. They’re making hard choices.

To a certain degree, this is the job of every parent, whether your child is typical, special-needs, or severely disabled. You have to constantly make choices—about what your kid eats, where they go to school, what they watch on TV, etc. Sometimes these choices reverberate, affecting your child’s life for years to come. Sometimes you don’t know you’ve made a bad choice until it’s too late. You try to make the best decisions you can; fill your head with knowledge, and keep your heart wide open. That’s what Ashley’s parents did. You don’t have to be an ethicist to see these people are doing what they believe is best for their child.

That’s all anyone can ask of a parent.

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Special Ed Crisis — The High Cost Of Autism Education

Here’s a story within a story within a story.

The first story starts with a local headline: “Escalating Special Ed Costs Impact Surplus.” The Bloomingdale, NJ Board of Ed recently had to move $238,000 from its $343,447 surplus to cover special education services. They also appropriated an additional $50,000 to pay litigation costs related to special education services.

Although matters of pending litigation could not be discussed, the story behind the story was clear: Bloomingdale is spending a boatload of money on Special Ed services, but it’s not enough. Evidently some parents want additional services, and are willing to take the borough to court.

Bloomingdale Board of Education

The Bloomingdale Board of Education considers special education costs before a gallery of groovy artwork.

Bloomingdale Board of Ed member Dan Schlotterbeck feels the state should help shoulder the cost of some of these services.

“These are necessary costs,” he said. “But we can’t do it alone.”

The Big Story >

And that’s where the story within the story lays — the big story. Special education costs are on the rise across the nation. Why? Autism rates are on the rise. An estimated 1-in-88 kids are being diagnosed with the developmental disorder. Nowhere is this felt more acutely than in New Jersey, where the rate of this disorder is 1-in-60; 1-in-30 boys in the state of New Jersey are being diagnosed with autism. That’s a lot of special education students. That’s a lot of special education students who have yet to be born.

Nearly eight years ago, the Government Accountability Office estimated the cost of educating an autistic child at $18,000 per year, nearly three times the cost of educating a typical student. It costs more to educate an autistic student than any other type of special education student. And states are mandated to educate autistic students until the age of 21.

It all adds up to a financial crisis that could bankrupt any educational system. It’s a financial crisis that’s already upon us, only its effects have yet to be fully felt. The Bloomingdale school board feels the pinch. They won’t be first. Things are going to get much worse.

High Price Tag, Sub-Par Service >

My son has autism, so I have firsthand knowledge of educating an autistic child. So far it has been a financial hot potato — a responsibility that everyone wants to quickly toss off to someone else. The state school board wants local towns to educate autistic students in-district; let each individual school board figure out how to pay for its autistic kids. But the smaller districts, like Bloomingdale (and the one I live in) aren’t equipped to handle the educational needs of ASD (Autism Spectrum Disorder) and PDD-NOS (Pervasive Developmental Disorder-Not Otherwise Specified) classified kids, so they look for out-of-district placements; they pay somebody else to educate their autistic kids.

But even if the price tag is high, the services can be sub-standard. The demand for a quality education for autistic children is simply overwhelming the supply; too many kids need help and there are not enough qualified staff to help them. I can sympathize with the parents of special-needs kids in Bloomingdale, the ones who are alluded to only between the lines of the story about school board bookkeeping. It costs a lot to educate an autistic student, but autism is such an individualized disorder that sometimes your kid still needs more.

Sometimes you have to fight to get it.

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