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The Right to a Gentle
Death |
About a third of us will die in pain. To put it more strongly, death
for many will be agonising and protracted. Yet the law still refuses us
the right to ask a doctor to help us die with some dignity.
Why are we still denied the ownership of our own bodies? The religious
view, of course, is that our bodies do not belong to us at all. Life,
it is said, is a gift of God, and just as only God can give life so
only God can take life. Some religions even offer an 'explanation' of
terminal pain. The Papal Declaration on Euthanasia (1980) states:
"According to Christian teaching, suffering, especially suffering
during the last moments of life, has a special place in God's saving
plan; it is in fact a sharing in Christ’s passion".
Religious people are free to believe whatever nonsense they like.
Whether they have a right to impose their beliefs on others through the
law is an entirely different matter, especially in an increasingly
secular society. According to a recent poll, 40% of British people now
say they do not believe in a God, and the churches cannot be allowed to
dictate to them or even to the majority of their own followers who,
according to an NOP poll, are in favour of voluntary euthanasia for the
terminally ill.
In any case, most clerics who use this argument do not really believe
their own logic. If they did, they would oppose all medical progress
and all effort to preserve life. Life and death are subject to the laws
of nature and causation and our behaviour can determine them. As David
Hume put it: "Shall we assert that the Almighty has reserved to himself
in any peculiar manner the disposal of the lives of men, and has not
submitted that event in common with others, to the general laws by
which the universe is governed?" (Of Suicide). Doctors 'play at God' by
prolonging life; why then can they not also shorten it for us if we
wish?
And what are we to make of the argument from suffering? God appears to
act in a highly selective and arbitrary manner in choosing those who
will have the dubious privilege of re-enacting Christ's sacrifice. Many
of us, for no apparent reason, will thus be subjected to a living hell,
while others will die peacefully in our sleep. What sort of God would
contemplate this injustice?
This kind of twisted reasoning is nothing but a sadomasochistic
glorification of pain. To regard suffering as part of God's plan is not
far removed from justifying the infliction of suffering on other
humans. It is the type of pernicious logic which actually cheapens life.
This leads to another argument Whether from a religious perspective or
not, it is often claimed that euthanasia is a denial of the sanctity of
life. This doctrine may well have a religious origin, though it is now
part of a broadly secular ethic. But what exactly does it mean? Does it
imply that taking life is always intrinsically wrong? If so, it would
entail a commitment to absolute pacifism and absolute veganism. We
would totally oppose all war or killing animals, even putting the
incurably ill pet 'to sleep'. Surely not many would commit themselves
to such an extreme position? Most of us would accept that there are
special cases when taking life is justified, though we may disagree
about what they are. And this is the point voluntary euthanasia is one
of those special cases.
Again, it is often suggested that euthanasia devalues life by making it
disposable. Therefore, to allow voluntary euthanasia is the first step
on a slippery slope which ends with euthanasia becoming involuntary.
The spectre of mercenary relatives, eager to dispose of a burdensome
mother or father or to lay hands on their money, is often raised. At
the very least, many old people may feel that they are a nuisance to
others and so opt for euthanasia when in their hearts they want to
continue living. It was this argument which particularly concerned a
House of Lords Select Committee a few years ago. It felt that removing
the ban would put pressure on elderly or vulnerable people to request
'mercy killing': "It would be next to impossible to ensure that all
acts of euthanasia were truly voluntary and that any liberalisation of
the law was not abused".
Yet every right and every law faces the possibility of abuse. This fact
is hardly a convincing argument for having no rights or no laws. Should
we refuse to allow trade unions because some people may be bullied into
joining them? Should we ban all marriages because of wife beating? Of
course not. The absurdity of this argument should be abundantly clear.
In any case, safeguards against abuse ARE possible. In the Netherlands
doctors can practise voluntary euthanasia under strict guidelines laid
down in 1985. There are essentially three conditions: voluntariness -
the patient’s request must be persistent, conscious and freely made,
unbearable suffering - the patient’s suffering, including but not
limited to physical pain, cannot be relieved by other means; and
consultation - attending physician must consult with a colleague
regarding the patient’s condition and the genuineness and
appropriateness of the request for euthanasia.
A final argument against voluntary euthanasia is that it would harm the
doctor-patient relationship. The purpose of a doctor, it is said, is
not to shorter patient's life deliberately but to preserve it, as the
Hippocratic Oath in its original form clearly states. Yet the doctor
also have a duty to relieve pain, and one of the strongest arguments
FOR euthanasia is precisely a compassion for the suffering others. This
is why vets put suffering animals 'to sleep'. Why do we show LESS
compassion for humans on this matter?
The right to life is meaningless unless we can end it if we choose.
Moreover, as the BHA briefing on Voluntary Euthanasia suggests,
"individuals must be free to judge the value of their own lives". The
person who makes a genuinely free and rational choice to die is thus
exercising his or her right of self-determination. It is we ourselves
who own our own lives, not the state or churches or even doctors, and
the last right in our lives should be the right to end it the way we
want.
The fact of the matter is that the principle of autonomy exists in
regard to passive euthanasia. We can refuse treatment. The Voluntary
Euthanasia Society encourage us to sign Advance Directives in which we
state what treatment we do or do not want if we are rendered
incompetent and lose our capacity for rational existence. It is sad
that we can refuse treatment in order to die but we cannot yet ask our
fellow human beings to help us on our way.
Sooner or later, though, the law WILL change. The Northern Territory of
Australia led the way in 1996, making voluntary euthanasia legal if
life becomes, 'intolerable'. Small jurisdictions CAN make radical
changes.
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