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shrike

(3,817 posts)
Tue Sep 1, 2015, 03:11 PM Sep 2015

When should people with a non-terminal illness be helped to die?

This was published back in June; sorry if it's been posted here before. Very interesting.

http://www.newyorker.com/magazine/2015/06/22/the-death-treatment


The right-to-die movement has gained momentum at a time of anxiety about the graying of the population; people who are older than sixty-five represent the fastest-growing demographic in the United States, Canada, and much of Europe. But the laws seem to be motivated less by the desires of the elderly than by the concerns of a younger generation, whose members derive comfort from the knowledge that they can control the end of their lives. Diane Meier, a professor of geriatrics at Mount Sinai School of Medicine, in New York, and one of the leading palliative-care physicians in the country, told me that “the movement to legalize assisted suicide is driven by the ‘worried well,’ by people who are terrified of the unknown and want to take back control.” She added, “That is not to say that the medical profession doesn’t do a horrible job of protecting people from preventable suffering.” Like most doctors who specialize in palliative care, a field focused on quality of life for patients with severe and terminal illnesses, she thinks legalizing assisted suicide is unnecessary. “The notion that if people don’t kill themselves they’re going to die on a ventilator in the hospital would be humorous if it weren’t so serious,” she said. She believes that the angst propelling the movement would be diminished if patients had greater access to palliative care and if doctors were more attentive to their patients’ psychological suffering.

snip

Opponents have warned for years that legalization will lead to a “slippery slope,” but in Oregon fewer than nine hundred people have used lethal prescriptions since the law was passed, and they represent the demographic that is least likely to be coerced: they are overwhelmingly white, educated, and well-off. In Belgium and in the Netherlands, where patients can be euthanized even if they do not have a terminal illness, the laws seem to have permeated the medical establishment more deeply than elsewhere, perhaps because of the central role granted to doctors: in the majority of cases, it is the doctor, not the patient, who commits the final act. In the past five years, the number of euthanasia and assisted-suicide deaths in the Netherlands has doubled, and in Belgium it has increased by more than a hundred and fifty per cent. Although most of the Belgian patients had cancer, people have also been euthanized because they had autism, anorexia, borderline personality disorder, chronic-fatigue syndrome, partial paralysis, blindness coupled with deafness, and manic depression. In 2013, Wim Distelmans euthanized a forty-four-year-old transgender man, Nathan Verhelst, because Verhelst was devastated by the failure of his sex-change surgeries; he said that he felt like a monster when he looked in the mirror. “Farewell, everybody,” Verhelst said from his hospital bed, seconds before receiving a lethal injection.

snip

The right to a dignified death is viewed as an accomplishment of secular humanism, one of seven belief systems that are officially recognized by the government. Belgian humanism, which was deeply influenced by the nineteenth-century Freemasonry movement, offered an outlet for those who felt oppressed by the Church, but it has increasingly come to resemble the kind of institution that it once defined itself against. Since 1981, the Belgian government has paid for “humanist counsellors,” the secular equivalent of clergy, to provide moral guidance in hospitals, prisons, and the armed forces. Humanist values are also taught in state schools, in a course called non-confessional ethics, which is taken by secular children from first through twelfth grade, while religious students pursue theological studies. The course emphasizes autonomy, free inquiry, democracy, and an ethics based on reason and science, not on revelation. Jan Bernheim, an emeritus professor of medicine at the Free University of Brussels, who studies ethics and quality of life, told me that euthanasia is “part of a philosophy of taking control of one’s own existence and improving the objective conditions for happiness. There is an arrow of evolution that goes toward ever more reducing of suffering and maximizing of enjoyment.”

snip

Last year, thirteen per cent of the Belgians who were euthanized did not have a terminal condition, and roughly three per cent suffered from psychiatric disorders. In Flanders, where the dominant language is Dutch, euthanasia accounts for nearly five per cent of all deaths. (The percentage is lower in the southern, French-speaking parts of Belgium.) The Flemish media have adopted a mostly uncritical approach to euthanasia, running numerous articles about the courage of people who have chosen to die. Last year, De Standaard, a prominent Flemish newspaper, published a long tribute to a depressed mother who was euthanized after being abandoned by her boyfriend and becoming disillusioned by her psychiatric care. “I am forever grateful to her that she handled this so well,” her twenty-four-year-old son told the paper. “I am so glad we were able to say goodbye in a beautiful way.”

9 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
When should people with a non-terminal illness be helped to die? (Original Post) shrike Sep 2015 OP
I don't know. lpbk2713 Sep 2015 #1
when they want to go dembotoz Sep 2015 #2
Exactly. Warpy Sep 2015 #6
When should people with a terminal illness be helped to die? KamaAina Sep 2015 #3
has the supply of humans out numbered the demand ? olddots Sep 2015 #4
When they need help. (n/t) Iggo Sep 2015 #5
When they want to and can cogently and consistently say why? whatthehey Sep 2015 #7
+1000 smirkymonkey Sep 2015 #8
Well said. +1000 beevul Sep 2015 #9

lpbk2713

(42,753 posts)
1. I don't know.
Tue Sep 1, 2015, 03:14 PM
Sep 2015



I would only offer an opinion on this topic if it involved myself directly.

It's not for me to say otherwise.

Warpy

(111,245 posts)
6. Exactly.
Tue Sep 1, 2015, 03:41 PM
Sep 2015

When my dad said he was tired and wanted to go, I talked to him about the various levels of DNR orders and assembled the troops to witness the paperwork. Hardest damned thing I ever did, but it's what he wanted. Had there been a euthanasia program in place, he'd most likely have taken advantage of it rather than go through his last day, which was a miserable one. I'd have supported that, too.

Then again, my mother did have the means and never used them. Just knowing a quick out was within reach gave her the peace of mind to enjoy what she could.

Once depression and pain have been treated, it's cruel not to support the wishes of old folks who say it's time, let me go. I'm sick to death of having our laws made by men who are afraid of dying and being judged at a set of pearly gates.

 

KamaAina

(78,249 posts)
3. When should people with a terminal illness be helped to die?
Tue Sep 1, 2015, 03:31 PM
Sep 2015

The question is nearly as troubling, especially when disability is involved. I explain why here, from just last night:

http://cpa.ds.npr.org/kalw/audio/2015/08/150831cv.mp3

 

olddots

(10,237 posts)
4. has the supply of humans out numbered the demand ?
Tue Sep 1, 2015, 03:32 PM
Sep 2015

Feeling that I could and in many cases have been replaced by robotics why shouldn't I be able to end my life if I cleaned up the mess I have made ? Maybe rhe point of life is to not only clean up our mess but to clean up around us .
At this point I get a splitting head ache thinking about this stuff that will probably be argued about untill we all go totally zeros or ones .

whatthehey

(3,660 posts)
7. When they want to and can cogently and consistently say why?
Tue Sep 1, 2015, 04:06 PM
Sep 2015

There is no more likely reasonable fear of mass eugenic slaughter if we allow voluntary euthanasia than there is a reasonable link between voluntary licit sex and rape.

The analog is exact. Allowing people to choose to die and supplying them the means to do so is light years away from killing them against their will, just as much as every day (every second) sex in society with motels and condoms and sex toys on the shelf is light years away from rape.


The complete water tight safeguards are so fucking childishly simple that anyone pretending fear of involuntary eugenics from euthanasia is either deliberately lying or obtuse beyond belief.

1) Do you have a signed, witnessed and notarized directive on how to treat you in the event of incapacitation, loss of ability to communicate, or loss of mental faculty to comprehend your situation? We'll follow that.

2) Regardless of your health are you willing to state your desire to die painlessly in front of a panel educated in law, medicine and psychotherapy as a first step, remain in a secure facility for 72 hours away from any drugs or alcohol to preclude any impairment, with access to counselling, medical and legal advice and even religious consolation as needed, then restate that same desire to the same panel? Then here's your Kervorkian cocktail with our sympathies and assistance as needed.

That's the only way a truly civilized society should treat self-aware human beings. If we don't own our own lives are we free? If we are only given options to end our lives if we choose that are either agonizing, uncertain, dangerous or emotionally devastating to those who find us dead, or some combination of them all, are we not slaves to an unfeeling cabal who has the means to help us go but refuses to do so?

Few rational balanced adults fear death. They may not welcome it. Most would prefer to delay it greatly, but really when you ask follow up questions it's not death that is a horrific terror to humankind, but dying. The pain, loss of control, loss of self even that is the end of life for millions who die "naturally" after being tied to machines or warehoused in ghastly holding pens in hopeless agony and/or ceaseless despair for weeks, months, years, decades. Remove that fear and we may be able to face death like grownups.



 

beevul

(12,194 posts)
9. Well said. +1000
Tue Sep 1, 2015, 05:15 PM
Sep 2015


I would expect some flack however, in the form of some sort of 'ayn rand' insinuation.

If we don't own our own lives are we free?


A better question is this: If we don't own our own lives, then who does own them?


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