A disabled
man shares his personal experience
with euthanasia:
As a
quadriplegic who has been paralyzed
from the chest down for over 24
years, I want to address the
dangerous potential ramifications of
legalizing physician assisted
suicide (PAS) from a viewpoint of
personal experience. The past danger
I am referring to concerns the time
when I was first paralyzed. My
paralysis is the result of a broken
neck and spinal cord injury from a
car accident in 1975. Add to this
cheery scenario the fact that I was
soon greeted by a doctor who told me
I was not supposed to have lived as
long as I had, would most likely die
shortly, or, in the best case would
spend the remainder of my life
confined to a wheelchair and you
know I was not in the best of moods.
After I surprised the doctors and
lived to get into rehab, they told
me, at that time, the average
lifespan of a male quadriplegic was
36 years.
By then, I
would probably die from a pressure
sore, kidney failure, or other
related complication. That meant my
best hope was 15 more years
paralyzed. I'm 45 now and can look
back on that laughingly. It wasn't
so funny then. I spent 6 weeks
getting medically stable followed by
4 and a half months in
rehabilitation. During that period,
there were MANY times when I didn't
know if I wanted to go on. What have
I done since the accident? I have
lived semi-independently for nearly
23 years. In 1985, I graduated the
University of Southern Maine with a
B.A. in Communication. In 1989, I
graduated Regent University in
Virginia Beach with an M.A. in
Creative Writing/Journalism.
While there,
I also worked with a large
non-profit organization, received an
outstanding service award for
working 5 years in an inner city
project, wrote and sold 2 radio
dramas that were nationally
syndicated, wrote a one-act play
that was produced several times,
plus worked on a national
presidential campaign. To put it
simply, my life has been, and
continues to be, full and
productive. My past concern is
simple. What would I have done if
PAS had been an option when I was
first injured or during any of the
critical complications I've been
through since. In retrospect, there
were many times when I don't know. I
can't begin to express the roller
coaster of emotional ups and downs I
went through. Now, I'm incredibly
grateful that PAS wasn't an option
(How Physician Assisted Suicide
Could Affect People).
If this
disabled man was a resident in
Oregon, he would have had the option
of voluntary euthanasia. In the most
excruciating and painful moments, he
may have been compelled to request
to die. Luckily, the policies of the
legal system he lived within did not
permit euthanasia and he proceeded
to live a dignified life. The state
of Oregon is the only state in the
United States that allows voluntary
euthanasia to occur legally. On
January 1st, 2004, Oregon will be
entering its sixth year under the
Death with Dignity Act. The Death
and Dignity Act legalizes voluntary
euthanasia. It is imperative to
understand the particular
definitions of euthanasia to
comprehend the public policy
controversy.
The
International Task Force of
Euthanasia defines euthanasia as
"the intentional killing by act
or omission of a dependent human
being for his or her alleged
benefit. (The key word here is
‘intentional'. If death is not
intended, it is not an act of
euthanasia)" (Hamlon). There
are two distinct kinds of
euthanasia: voluntary and
non-voluntary (involuntary).
Voluntary euthanasia is when the
person who is killed has requested
to be killed whereas non-voluntary
or involuntary euthanasia is when
the person who is killed made no
request and gave no consent (Hamlon).
The actual act of doctors helping
patients to their death is referred
to as physican assisted suicide.
Oregon's Death with Dignity Act
allows voluntary euthanasia after
certain requirements have been met.
After
investigating each conflicting side
of euthanasia policy, it is apparent
that Oregon's Death and Dignity Act
negatively shapes society, denies
alternatives to pain, and provides
dangerous precedents. Therefore,
voluntary euthanasia should not be
legalized in Oregon. Legalization of
voluntary euthanasia in Oregon
shapes what Peter Saunders, General
surgeon and secretary of the
Christian Medical Fellowship, calls
"the public conscience"
(4). Oregon's Death and Dignity Act
encourages non-Oregonian citizens to
engage in a controversial debate
about public policy and rebel
against their state policies. The
fight for the "right to
die" is reflected through
opposing organizations and even in
particular cases in communities.
Recently, the Florida band
"Hell on Earth" began
planning to have a terminally ill
fan undergo euthanasia on the stage
during a concert in St. Petersburg
on October 4th (Kaufman).
The 2003
Florida Statutes declare that one
found guilty of assisting
self-murder will be guilty of
manslaughter and a felony of the
second degree (Florida Status). The
investigation is still underway, but
the lead singer states, "I
support the right to die with
dignity" (Kaufman). Because
euthanasia is legal in a region of
America, people are at ease with
using the topic of euthanasia to
gain publicity and social attention.
In a 1994-1995 publication of a
Committee Report addressing the
legalization of euthanasia, the
House of Lords of the UK Parliament
states, "The death of a person
affects the lives of others, often
in ways and to an extent which
cannot be foreseen. We believe that
the issue of euthanasia is one in
which the interest of the individual
cannot be separated from the
interest of society as a whole"
(qtd. in Gormally 4).
Accordingly,
the Hell of Earth fan should
consider the impact that his public
suicide will have on society,
especially since the setting is at a
rock concert. Unfortunately, the
influence of Oregon's Death and
Dignity Act supports and encourages
persons, such as the industrial rock
fan, to rebel against their own
state policies. Voluntary euthanasia
and assisted suicide is unnecessary
in Oregon because alternative
treatments exist. On October 2,
2002, Pope John Paul II stated:
In a
society, in which all too often it
seems that only good health and
profitability matter, it is
necessary to see weak persons or
those at the end of life with other
eyes; in particular, by applying and
developing palliative care for all
patients whose situation calls for
it (qtd. in Church).
Many suggest
that there is no hope for terminally
ill patients and, therefore,
patients resort to euthanasia for
the easy escape. Saunders agrees
with the Pope when he states,
"Meticulous research in
palliative medicine has in recent
years shown that virtually all
unpleasant symptoms experienced win
the process of terminal illness can
be either relieved or substantially
alleviated by techniques already
available" (1). Hospice is a
kind of palliative care that has
aided in relieving pain of
terminally ill patients. Trixie
Lewis, an employee of the South
Pasadena Hospice Health Care Center
agrees that hospice is a better
alternative than euthanasia.
"Hospice when properly utilized
gives that relief to the terminally
ill and the family affected by the
illness" (2).
There are,
of course, extreme cases in which
palliative care does not relieve all
the pain of a terminally ill
patient. Controversially, there are
also cases in which patients
experience extreme difficulty during
the euthanasia process. According to
the International Task Force on
Euthanasia, Oregon does not report
or provide information about the
problems and complications with
euthanasia (Hamlon)."If it were
not for occasional news reports or
inadvertent disclosures, assisted
suicide in Oregon would seem problem
free" (Hamlon). The news
provides us with the troubling
account of Patrick Matheny and his
experience with euthanasia in
Oregon. After Oregon Health Sciences
University sent Matheny his lethal
dose of drugs via Federal Express,
Matheny neglected to take the lethal
dose for four months. Joe Hayes,
Matheny's brother in law, was there
on the day that Matheny died. Hayes
describes how he had to assist
Matheny to his death. "It
doesn't go smoothly for
everyone," Hayes said,
"For Pat, it was a huge
problem. It would not have worked
without help" (qtd. in Hamlon).
When advocates of euthanasia
consider the flaws of palliative
care, they should also consider the
painful risks of euthanasia. Instead
of resorting to euthanasia, the
ultimate solution is to encourage
more training and research to manage
the pain of the terminally ill.
Not everyone
agrees that alternative treatments
are effective. In Peter Singer's
essay, Freedom and the Right to Die,
he emphasizes the lack of options in
palliative care. Therefore, he
believes that if man is suffering,
then he has the right to die (2). He
suggests that patients that are not
worthy of living can be recognized
through a series of psychiatric
qualifications (Singer 2). He also
implies that there is training that
can advise a doctor how to make the
best decision concerning the patient
(2). Instead of Singer's idea of
devoting training efforts to
encourage euthanasia, training
efforts should be directed to
enhancing the quality of palliative
care.
The
legalization of voluntary euthanasia
in Oregon encourages involuntary
(without consent) euthanasia and
increases the occurrences of
involuntary euthanasia. Once
euthanasia is legalized, advocates
of euthanasia will expand the
extremities of its definition and
pressure other states to follow.
Burke Balch, director of the
Department of Medical Ethics at the
National Right to Life Committee,
said, "The Oregon law is merely
a foot in the door. Euthanasia
proponents have made it clear that
they intend to push America into
involuntary euthanasia"
(Allen). The Netherlands is a solid
example of how voluntary euthanasia
increases the accounts of
involuntary euthanasia.
Approximately a decade after the
Netherlands legalized voluntary
euthanasia, a growing acceptance for
involuntary euthanasia followed.
Luke Gormally, who was responsible
for influencing the Legislative
Assembly of the Northern Territory
of Australia to overturn the
legalization of euthanasia, writes
that, "Having worked for the
acceptance of what purported to be
the ‘strictly controlled' practice
of voluntary only, they are now
working for the acceptance of the
practice of non-voluntary
euthanasia"(1).
The
progression of acceptance can also
be seen in the Nazi holocaust. Much
of the cruel ideologies that
influenced the holocaust spawned
from the general attitude in nursing
homes, psychiatric hospitals, and
geriatric institutions. Leo
Alexander, a psychiatrist with the
Office of the Chief Counsel for War
Crimes at Nuremberg, describes the
progression of ideology to action.
The
beginnings at first were merely a
subtle shift in emphasis in the
basic attitude of the physician. It
started with the attitude, basic in
the euthanasia movement that there
is such a thing as a life not worthy
to be lived This attitude in its
early stages concerned itself merely
with the severely and chronically
sick. Gradually the sphere of those
to be included in this category was
enlarged to encompass the socially
unproductive, the ideologically
unwanted, the racially unwanted and
finally all non-Germans (qtd. in
Saunders).
Even though
the Oregon Death with Dignity Act
only permits voluntary euthanasia,
it is likely that Oregon will widen
its acceptance for involuntary
euthanasia alike the Netherlands and
the instances in the Nazi Holocaust.
Surgeon
General of the United States makes a
powerful statement about euthanasia.
He says:
While the
terror of state-sponsored euthanasia
may never grip America as it once
did Germany, it is possible that the
terror of the euthanasia ethic -
tolerated by medicine and an
indifferent public and practiced by
a few physicians - may grip many
invisible and vulnerable Americans.
Over fifty years ago, German doctors
and courts collaborated to identify
millions of people who were labeled
'devoid of value'. Some Americans
are labeled the same today: members
of a racial or ethnic 'underclass',
a sidewalk screamer ... an illegal
alien ... a nursing home resident
with Alzheimer's disease ... an
abandoned migrant worker ... or
anyone too old or weak or poor to
help himself or herself. For two
millennia the Hippocratic tradition
has stood for the 'sanctity' of
human life. We can alleviate the
unbearable in life better than ever
before. We can do that and not
eliminate life itself. As I have
said many times, medicine cannot be
both our healer and our killer (Koop).
Oregon's
Death with Dignity Act should be
abolished. Voluntary euthanasia is
illegitimate because it corrupts
society, neglects palliatives care
options, and may lead to the
dangerous acceptance of involuntary
euthanasia. In the end, eliminating
the mercy killing law in Oregon,
will protect society and preserve
the value of life
Works
Cited