superstring01
Moderator
Going Gently
Jul 16th 2009
The Economist
The terminally ill should be helped to an easeful death, if they ask for it.
ON JULY 10th two people died whose lives, though long, were shortened by design and with others’ help. Sir Edward Downes, a British conductor, and his wife Joan had travelled to Switzerland, where the law on assisted suicide is the world’s most liberal. He was 85, partly deaf and almost completely blind; she was 74 and had terminal cancer. Holding hands and watched by their son and daughter, they drank a lethal dose of barbiturates and died.
In most of the Western world, suicide is not a crime, but helping another to commit it is. But not all the incapacitated, or terminally ill, or permanently despairing are willing to wait for a natural death, or to take messy and uncertain measures to kill themselves without medical help. Increasingly, they travel to Switzerland, where assisting suicide is a crime only if it is done for gain (around 100 foreigners each year die at Dignitas, a suicide clinic in Zurich) and lobby their governments to change the law at home. In only a few places—Belgium, Luxembourg, the Netherlands, the American states of Oregon and Washington—have such efforts succeeded. Most countries muddle along, turning a blind eye to those determined and rich enough to travel to Switzerland. Dignitas—which gives its proceeds to charity—charges SFr10,000 ($9,300).
Kindness and cruelty
British police are investigating the deaths of Sir Edward and Lady Downes, as they have previously investigated the deaths of at least 100 such “suicide tourists”. In no case have they prosecuted those who accompanied the suicides. But last week an amendment that would have guaranteed such people exemption from prosecution, subject to safeguards, was defeated in the House of Lords. The current law, said its defenders, showed a “stern face and a kind heart”, deterring the avaricious from shuffling elderly relatives off to die before they wasted their assets on nursing-home fees, while refraining from vengeance on the broken-hearted bereaved.
Legal fudge is never desirable, and in this case it is unnecessary. It is perfectly possible to frame a law that allows suffering people who are close to death to die quickly and peacefully, if they wish, without declaring open season on old folk. The suicide-seeker declares he is not being pressured to kill himself; two doctors agree, and testify that he is terminally ill and of sound mind. A waiting period before lethal drugs are dispensed ensures that the desire for death is a settled one. Apart from Switzerland, those places that allow assisted suicide have similar safeguards. Such systems do not seem to lead to the normalisation of unnatural death, and thus a steadily rising number of suicides; rather, after an initial surge, the number seeking help to die drops and then stays steady.
A law of this sort would have allowed Lady Downes to die as she wished in her own country. But it would not have covered Sir Edward, old, frail and soon to be bereaved one way or another—but not terminally ill. Nor would Daniel James, a 23-year-old Briton whose parents accompanied him to Dignitas last year, have come within its remit. He had been paralysed in a rugby accident, and wanted to die, but could not kill himself without help. Though severely disabled, he was not terminally ill and could have expected to live for many years.
There is a strong case for allowing people like Sir Edward and Mr James to be helped to die. Their lives were their own, and they wanted to end them. But there is too great a danger that if those who are not terminally ill are allowed an easy way out, greedy relations will put pressure on the elderly to choose to die. Such people should, therefore, be denied that right—however unkind that may seem. The terminally ill, however, should be offered the help they seek. To deny it to them is to add cruelty to misfortune.
This may already be a subject elsewhere, but I found this article interesting.
I've come to the conclusion that in our obsession with extending life has taken the dignity out of much of the twilight of our lives. To balance this fact, I think that under very controlled circumstances, people should be allowed to pass--with assistance if necessary--into death.
I figure that there comes a point where prolonging life is far more cruel and offensive to the person than forcing them to stay alive and endure only pain and suffering.
My personal perspective:
- If the content of pain so overshadows the purpose of living, then the individual should be given the choice.
- A doctor should be allowed to administer whatever levels of medicine is necessary to stop the patient's pain. If the dosage of medicine has the secondary effect of [for example]: harming organs, stopping cardio-pulminary and brain activity, then it should be permitted so long as the primary intention is to ease and stop the patient's suffering.
~String