Thursday, September 10, 2015

Advances on Physician Assisted Suicide


 

Shedding the “aura of transgression,” physician-assisted suicide advances

By Dave Andrusko
GerbervanLoenenbookIn a series of two columns, the National Post’s Barbara Kay, one of my favorite writers from up North, recently explored a book written by Dutch journalist Gerbert van Loenen as a way of thinking through what physician-assisted suicide means in practice.
As van Loenen writes, the Netherlands is “a unique laboratory that all the world can come and visit.” But before exploring the Netherlands, it’s crucial to remember that the contagion has spread to Canada.
In editorializing about what physician-assisted suicide is coming to mean in Canada in general, Quebec in particular, Canada’s “national newspaper–The National Post–noted,
Assisted dying is rapidly acquiring the aura of a “right” that all enlightened and progressive-minded people should naturally embrace.
To its credit the Post writes
We resist that idea.
Back to the Netherland, Barbara Kay, and van Loenen’s book, Do You Call This a Life? Blurred Boundaries in the Netherlands’ Right-to-Die Laws.
In her first column, Kay explained that after Niek, van Loenen’s partner , died, van Loenen wrote that he heard a lot of negative commentary from “friends.” Niek has been sick for a long time, having suffered a brain injury during an operation to remove a small brain tumor. The injury left Niek “permanently disabled, yet still able to enjoy quality of life” and he died a natural death.
“It would have been better if he had died,” one “friend” said at the outset. Another told Niek when he expressed frustration, “You choose to go on living, so you have no right to complain.”
Kay observed, once “an average Dutchman who thought of euthanasia as one of the crown jewels of our liberal country,” van Loenen became “someone who was shocked by the harsh tone used by the Dutch when they talked about handicapped life.”
In the second column, Kay began with this gem of an opening paragraph:
I return this week to the topic of my last column: Euthanasia, considered until mere decades ago an audacious, immoral notion, has shed its aura of transgression. State endorsement was pioneered in the Netherlands, then taken up by Belgium, Luxembourg and, most recently, Quebec. Assisted suicide, euthanasia with a friendlier face, is legal in the U.S. states of Washington, Oregon, Montana – and, most brazenly, in Switzerland, where ordinary citizens, not just physicians, may help one another to exit life.
“Shed its aura of transgression.” Indeed.
What van Loenen explains (as summarized by Kay) is that it is almost impossible to set any boundaries once you buy into the logic that suffering justifies killing. Quicker than you could have possibly imagined, the “autonomy” argument gets turned on its head.
It’s not you asking for “assistance,” but a raft of people (particularly physicians and family members) who look at you coldly and conclude you are better off dead. And you cannot expect the courts to protect you. “[J]udges’ rulings tend to bend the law to satisfy the zeitgeist,” Kay explains
The willingness of physicians (and judges) paves the way to involuntary euthanasia in the Netherlands. There are (at least!) 300-1,000 instances each year where people are euthanasized without requesting it.
Kay writes that van Loenen offers up “the 22 most common arguments activists use to keep the goalposts moving.” Here are two examples:
·  the “equality argument”: if people of sound mind can request and get euthanasia, then equally miserable but incompetent patients should also have the right. This is “mercy killing,” the antithesis of “self-determination,” the alleged basis for the law;
·  the “post-Christian” argument: euthanasia activists often assume anti-euthanasists must be Christian, and therefore their views are irrelevant. But many Protestant churches enthusiastically promote euthanasia and many in opposition are secular. In any case, why should conscience-based arguments be ineligible, when emotion-based arguments are welcome?
Take a few minutes and read Part Two.
You will be struck by Kay’s insight and her brilliant explanation of just how powerful is the power of suggestion when it comes from a physician:
Suffering people usually don’t really want to die; they want surcease from pain. Physicians greatly influence their decision-making. In a 2001 interview Dutch physician Joke Groen-Evers noted that, when talking with a terminal patient, she would feel bound to bring up the subject of euthanasia: “And nine times out of 10 the patient would return with a request for euthanasia.” Finding herself more comfortable suggesting palliative care, she stopped using the “E-word.” “And what do you know: almost no one asks for it anymore! … If you mention euthanasia, they will ask for it. If you mention palliative care, then that is what they will choose.”

Source: NRLC News

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