Many hotly debated social questions revolve around choice:
Giving same-sex couples a
choice of whether or not to marry;
Allowing women the freedom to choose to have an abortion,
if they consider that to the be least worst option;
Giving 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:
Who is terminally ill, and
Who feels that their life is not worth living because of intractable
pain, and/or loss
of dignity, and/or loss of capability and
Who repeatedly and actively asks for help in committing suicide and
Who is of sound mind and not suffering from depression
be given assistance in dying?
Euthanasia is not:
Whether a person should be free to ask a physician for assistance in
dying. A patient can ask any question of their doctor.
Whether a particular physician should take the initiative to kill a
patient. The dying person must be the person to take the initiative.
Whether a person should be allowed to commit suicide. In most jurisdictions, suicide is
a legal act, and has been so for decades.
Whether 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.
Whether 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.
Whether 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.
Whether 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:
Conservative religious groups. They are often the same organizations which oppose access
to abortion, same-sex marriage, etc.
Medical associations whose members are dedicated to saving and extending life, and feel
uncomfortable helping people end their lives.
Groups concerned with disabilities, who fear that euthanasia is the first step towards a
society that will kill disabled people against their will.
Sponsored link:
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:
Some 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.
Some 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.
Even 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.
Dr. 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 "Oregons 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 arent
sick, those who dont 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.