Amos, I don't think the 'will' you posted captures any humor in this situation, nor satire, nor irony. It is rather crude and on a par with the stuff Rush Limbaugh uses in his heavy handed occasional attempt at levity. Please note, that is not in opposition to the content, just my aesthetic gut reaction.

1) "A Living Will" is a signed and witnessed legal document which should specify a range of situations that the signer might experience in an extreme care situation, and it usually has a menu with boxes for options to be taken. the signer fills in the boxes. This gives a ROUGH approximation of the wishes of the signer. The document might be called "Health Care Proxy" in some states.

2) Whatever it is called, to be any good the document should specify a person, often designated the "health care proxy". That person interprets the document, especially in cases that fall through the cracks as it is impossible to predict exactly what is going to happen to one. Medical professionals in my experience are very happy when such a document specifies someone to be in charge, and they can be very informative and cooperative with that person.

3) The document might be signed and sealed, but it does no good unless it is KNOWN TO EXIST and a legal copy is AVAILABLE. If there is no Health Care Proxy, who is going to make sure that the powers that be in the hospital or emergency room know your wishes?

So. Get the thing made out, get several copies made, specify the proxy, make sure the proxy knows he/she is it, have an ALTERNATE PROXY should the first not be available, and make sure they know from you how you want to be treated.

This is far more useful than merely end-of-life concerns. If you are in the hospital but weak, disoriented, drugged, etc, it is of primary importance to have someone else there who will act in your best interest, take notes, take names, take action. The hospitals I've seen are basically processing facilities. they will take you in and churn you out after a fashion, but you may have a hundred questions you will never get the answer to.