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Euthanasia and physician assisted suicide (PAS)

Info: The verbal battle

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The Verbal Battle over Euthanasia

Many hotly debated social questions revolve around choice: 

bulletGiving same-sex couples a choice of whether or not to marry
bulletAllowing women the freedom to choose to have an abortion, if they consider that to the be least worst option; 
bulletGiving people access to assistance in dying. 

All are emotionally laden questions. Discussions about euthanasia often get mired in a mountain of emotional accusations, such as charges that the "most vulnerable" of humans are "besieged by euthanasia practitioners" and that families must fight "anti-life assaults on their loved ones" which "threaten the lives of those who are medically vulnerable".

In reality, the basic question, posed by the euthanasia/assisted suicide laws in a few states, is: should a person:

bulletWho is terminally ill, and
bulletWho feels that their life is not worth living because of intractable pain, and/or loss of dignity, and/or loss of capability and
bulletWho repeatedly and actively asks for help in committing suicide and
bulletWho is of sound mind and not suffering from depression

be given assistance in dying?

Euthanasia is not:

bulletWhether a person should be free to ask a physician for assistance in dying. A patient can ask any question of their doctor.
 
bulletWhether a particular physician should take the initiative to kill a patient. The dying person must be the person to take the initiative.
 
bulletWhether a person should be allowed to commit suicide. In most jurisdictions, suicide is a legal act, and has been so for decades.
 
bulletWhether an otherwise healthy person who is going through a period of depression should be given help in committing suicide. They would not be given such assistance under any proposed or existing legislation. Instead, their depression would be treated.
 
bulletWhether a person's family should be allowed to initiate euthanasia; a request for aid in dying would have to come from the terminally ill person.
 
bulletWhether death squads should periodically visit hospitals and nursing homes in order to kill people who are no longer contributing to society. This is a red herring created to scare people.
 
bulletWhether everyone should select physician assisted suicide (PAS). Even if it were generally available, only a small percentage of people would request it.

Ultimately, euthanasia is a question of choice: empowering people to have control over their own bodies. As of 2009, unless a person lives in Colombia, Japan, the Netherlands or the state of Oregon or Washington, the only lawful option is to remain alive, sometimes in intractable pain, until their body finally collapses.

The main opposition comes from some:

bulletConservative religious groups. They are often the same organizations which oppose access to abortion, same-sex marriage, etc.
 
bulletMedical associations whose members are dedicated to saving and extending life, and feel uncomfortable helping people end their lives.
 
bulletGroups concerned with disabilities, who fear that euthanasia is the first step towards a society that will kill disabled people against their will.

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Groups that promote access to assisted suicide seem publicize cases where people have a terminal illness, are in intractable pain, and want to end their life. Although such cases do exist, they are in small minority. Many dying patients who are in serious pain have adequate access to pain-controlling medication. Most of those who would ask for assistance in dying may well be individuals concerned with quality of life or dignity issues.

Unfortunately, groups on all sides have resorted to scare tactics. They do not tackle the basic issue directly, but create false scenarios to alarm the public. These methods may work on the short term, but will only serve to eventually alienate the public:

bulletSome groups in the pro-choice faction have described horrendous cases of terminally ill individuals, suffering terribly, in intractable pain, even though such cases are not the norm.
 
bulletSome groups in the pro-life faction have been implying that "physician initiated murder" is the topic being debated, not PAS. They have been raising the specter that the Oregon law would permit roving gangs of bureaucrats to visit nursing homes and decide which residents deserve to live and which to die; then they will kill all of the residents who they consider to be not worthy of life. 
 
bulletEven Focus on the Family, a Fundamentalist Christian group who has a reasonably good record of accuracy on social questions, appears to have misrepresented the question under debate. In an end-of-the-year review for 1997, their founder and president, Dr. Dobson, wrote: "By a sizable margin of 60-40 percent, Oregnonians [sic] have authorized their doctors to administer lethal doses of poison to willing patients...For the moment, if you are elderly and ill, Oregon is the last place you should want to be." 1 Dr. Dobson seems to have implied that elderly, ill residents of Oregon are at risk of being murdered against their will.
 
bulletDr. Abraham Halpern, an ex-president of the American Association of Psychiatry and the Law, and Dr. Alfred Freedman, ex-president of the American Psychiatric Association, wrote an article in the New York Times, stating that "Oregon’s Death with Dignity Act...should be repealed. It greases the slippery slope and will surely result in undignified and unmerciful killings." 2 The implication is that if we allow some terminally ill patients to die that eventually laws will be created to allow the state to kill anyone that it deems to be worthless. Dr. Dobson agreed, stating: "We will eventually be killing those who aren’t sick, those who don’t ask to die, those who are young and depressed, those who someone considers to have a poor quality of life, and those who feel it is their obligation to 'get out of the way.'" 1 Of course, the future course of legislation cannot be predicted. But the present law that was approved by the voters of Oregon is very specific and narrow in application, and will never be used unless a terminally ill patient, who is of sound mind and not depressed, specifically requests assistance in dying on a repeated basis.

References used:

The following information sources were used to prepare and update the above essay. The hyperlinks are not necessarily still active today.

  1. James Dobson, "Dr. Dobson's Study: January 1998."
  2. A.L. Halpern.and A.M. Freedman, “Oregon’s Suicide Law Creates a Slippery Slope,” New York Times, New York, NY, 1997-NOV-2

Site navigation: Home page > "Hot" topics  > Assisted Suicide > here

or: Home page > "Hot" topics  > Suicide menu > Assisted Suicide > here

Copyright © 1997 to 2009 by Ontario Consultants on Religious Tolerance
Last updated on 2009-DEC-24
Hyperlinks checked on 2008-APR-22
Author: B.A. Robinson

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