<i>In June the hospital decided he had aged-out of pediatrics and transferred him to adult care, where the doctors and nurses were not trained to deal with severely disabled patients—because they didn’t usually live this long and because, to be honest, they were not profitable. The doctors and nurses botched routine procedures but blamed the hole in his gut on the group-home nurses. Everyone disavowed responsibility, which did nothing to close the hole.<p>My mother stared down at the age spots on her hands. “I want him to die with dignity,” she said. “I want to save him from future pain. They’ll tech him out. They’ll torture him. I think I’m just quitting and he’s not, but that’s not true. He’s ready to go, too.” Her voice broke. “I just feel like I’m killing my child.”</i><p>It's a very poignant piece about a family with a severely medically disabled member as told by his twin brother.