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Assisted Suicide: A Death Without Dignity

Posted: 02/15/2013 11:11 am

After Belgium, who's next?

Elie Wiesel wrote that to live as a man...means to say yes to life -- to fight -- even against the Almighty, for every spark, for every breath of life. This is from a man who survived the death camps of Nazi Germany. He wrote that living includes suffering. Adam and Eve suffered when escorted beyond the gates of the Garden. Their challenge, he said lay in defeating oblivion, not pain.

Brendan Marrocco, 26, a veteran of the Iraqi war, lost both arms and legs in a roadside bombing four years ago. He's the first soldier from the Iraqi war to have survived such traumatic injury.

He learned to live with prosthetic arms and legs. He became the recipient of two donor arms, just before Christmas. He has great plans, including driving his car, swimming and someday competing in a marathon using a handcycle. He's thrilled to get arms. He said you can live well without legs, but having arms opens the world to great possibilities. I watched him on TV. He has a great sense of humour.

Compare Brandon's choices to the twins in Belgium. They asked to be euthanized because they couldn't face the future possibility of not being able to see each other as blindness set in. They had no concern for the sibling and parents they would be leaving behind who would no longer be able to see them. And most recently, Ruth Goodman, took her life while still in great health but "feared becoming dependent."

I recently read The Republic of Suffering by Drew Gilpin Faust. It's a heart-breaking record of the effect multi-thousands of deaths had on the understanding of death and dying during the American Civil War. I had already developed a strong opinion about "death with dignity." This book moved me further.

I've come to believe we've lost the art of dying well: ars bene moriendi, because we've lost the meaning of a good death. Akheel A Syed, specialist registrar at the British Medical Journal wrote in 2003:

A good death is like the final chapter of a good book: it wraps up the story of 'life' with panache; is physically, emotionally, and spiritually satisfying to the author (the deceased) and the readers (kith and kin); and leaves no loose ends to be explained in a sequel.

Our understanding and discussion of death with dignity, today, would be anathema to the people of the Third World. It would be blasphemous to people whose idea of a death with dignity is one that ends naturally without the intervention of machete or machine gun, or death to ones' children from preventable diseases. We refer to these countries as "developing" while we think of ourselves as the developed world. Well, we have developed.

We are a society bloated with abundance and self-worth. We're self-centred and self-indulgent. It's all about me; my needs, my wants, my desires; a mean-spiritedness that excludes the feelings and emotions of others. I remember reading not too long ago a definition of today's society. It is the "i" generation-iPad, iPod, iPhone, iWant.

We live in a country that provides health care, hospice care and palliative care, the support of doctors, nurses, social workers and chaplains for those facing great health fears: life-threatening surgery, cancers, bacterial infections.

We cannot legally take our lives in the middle of a health crisis, no matter the pain or the fear. We will be forced to endure. But if we are told that we have six months to live, well, that's different. Even if not in pain, death can come not at any time, but on our time. At our convenience. As if death were ever meant to be convenient. Like banking hours.

We want to die on our own terms because of a fear of indignity to the human body. Fear of coma, of a diaper. We want to die while competent, alert, awake, aware, not detached, so that we can say what we want to say when we want to say it. On our own time. Scripted, like a movie. Peter Stockland wrote on the Cardus blog, if we had to end grandma's pain with a pillow over her face, holding her down while she struggled would we? But a pill? Well, that's okay. It's so much more convenient, less messy. It's faster. And one thing we want in this day and age is speed.

I have lost track of the number of times I have heard, "They shoot horses, don't they?" Yes, because they have become a burden to their owners. We don't put down pets only out of love for them; we do it because caring for them becomes too burdensome.

We don't want to put our puppies in diapers or carry them outside four or five times a day -- rain or shine. We "let them go" for selfish reasons, not just compassion. So do we want to treat people like our animals? "Let them go" because they are a burden?

Not too long ago, before anesthetic, pain killers, antibiotics, people fought to stay alive, knowing what was facing them, because for them life was worth the fight. Pain and suffering were worthy opponents. Life, ones own and that of loved ones, had value.

What has happened to us that we deem it normal to enter into discussions about assisted-suicide and euthanasia in our world of luxury? Have we become so entitled, soft, so weak-willed, so whiny and petulant that we cannot even bear the thought of future possible pain that we choose a lethal injection in expectation? Have we come to a place in time that leaving the ones who love us, need us, are not as important as our "dignity"? Have we become that self-serving?

What exactly are we teaching our children? I watched a programme where a mother with cancer decided to end her life before she suffered too much pain. She was leaving her eight-year-old son and husband behind. She had a good-bye party with friends and family. She danced and sang before she drank of the elixir. It was a happy time. Really? She's considered brave for taking her own life while well enough to dance and sing. I wonder how her son really felt. His mother was leaving him. He was eight years old. How will that affect his sense of abandonment and self-worth?

And then there was the story of Gloria Taylor. She was discussing her decision to kill herself with her son and granddaughter. I watched her son cry at the thought of his mother dying, leaving him and his daughter. I listened to her explain her decision to take her own life to her granddaughter. My first thought was: "Who in their right mind takes their own life?" How do we square the idea that we are aghast at suicide, a sign of mental illness,but we encourage assisted-suicide and euthanasia?

Organizations that assist with assisted-suicide have provided anti-anxiety medication prior to the killing dose. It seems people get anxious just before they kill themselves. That should send bells ringing. There should be no sense of anxiety if the person truly wants to end her life. And then there is the bag over the head-filled with helium.

Why do we elevate these people onto a pedestal? Why do we applaud their fear of future pain over unselfish love of family? Are they not, like so many others who choose early death, teaching their families to run from fear or even more importantly, to fear pain and suffering that come with living?

John Paul II recognized the insidious threat inherent in man's attempt to take the role of God into his own hands. From the "right to die," it would be only a matter of time until the old and infirm would have "a duty to die."

Death with dignity is an oxymoron. Dignity is in life. To die with dignity is to face death, boldly, calmly, graciously. A good death is one that honours the life before. Assisted suicide is a vulgar act of cowardice. It diminishes our species. It demeans and disrespects all those who fight each day for survival. It is deserving of the white feather.

 
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09:12 AM on 02/21/2013
I must disagree with the argument about shooting horses because they are inconvenient. There are a number of injuries and illnesses from which horses cannot recover, the obvious one being broken legs. Horses with broken legs are doomed to lives of increasing pain, with no hope of recovery. This is why they are killed. This is why the law looks harshly on owners who do not put down a fatally injured horse.
There may be an argument why this logic does not apply human beings. You have produced no such argument.
11:38 AM on 02/19/2013
A very simplistic article based on religious faith written by a young looking person who has probably never been around a terminally ill person suffering excruciating pain while knowing they are going to die in a relatively short amount of time. Those circumstances are eerily similar to someone who's being tortured. Besides to inflict political faith into another person's life trying to control what that person does or does not do with their body and their life, I repeat THEIR BODY THEIR LIFE, shows complete arrogance and a need to control others.
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Diane Weber Bederman
06:32 PM on 02/19/2013
Thank for your kind remarks. I am 62. I apologize, the picture needs updating-it is a year old. I have been around many people at the end of life, sat with them, and their families, and always honoured their wishes. None have asked for assistance to die. They haven't needed to ask. They have been kept comfortable and allowed to die with dignity. DWB
07:36 PM on 02/19/2013
It's fortunate for those people that can handle their death and not feel the need to ask for assistance to end their life. There are others that know they are facing incredible pain and/or loss of body functions, including maybe losing their mental faculties, that'll make their last days unbearable and they know they are in their last days. Why do you or anyone else for that matter feel the need to get involved when a that dying person is making their final decision in life? What do you feel gives you that right?
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10:50 PM on 02/17/2013
That religions and the faithful make unprovable promises of life after death cheapens life and death.

If religions stopped spreading their lies of an afterlife and people understood that this was it, this life is all you got, that would go a long way to helping dignify life.

Cowardice is believing in an immortal soul that is going to live on after you die in paradise with winged creatures and an old man with a beard and younger man with holes in his hands, regardless of whether that death is assisted or otherwise.

Religion poisons everything.
01:28 PM on 02/17/2013
This is the most insufferable article I’ve read on the issue of assisted dying. The author is telling people dying is tough so get used to the idea and if the process is demeaning, prolonged and painful consider that it’s god’s plan and be a martyr. This is the kind of article that gives religion a bad name.
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novabird
Lover of Life, Radical Centrist
09:43 PM on 02/17/2013
There are plenty of folks happy to give religion a bad name friend. But then there are plenty of folks who give atheists a bad name. There is more than enough righteous blame to smear both sides.
01:19 PM on 02/17/2013
Well, we now have a better understanding of your callous, dogmatic, narrow minded opinion; and I disagree with pretty much everything that you said. The individual’s right to choose should be what we are discussing.

You said that: “Death with dignity is an oxymoron. Dignity is in life". I think that to suffer indignity one has to be alive; therefore both indignity and dignity are in life. It is the indignity of a slow wasting death brought-on by disease that some would choose to avoid. I support that right to choose.

You also said that "To die with dignity is to face death, boldly, calmly, graciously"; well - is death with dignity an oxymoron or is it facing one's death with bold, calm grace? Actually that was just a pot-shot at your meandering, mean spirited blather.
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novabird
Lover of Life, Radical Centrist
09:46 PM on 02/17/2013
It is interesting to me that many of the folks posting diatribes here are clearly Huffpost newbies (the 0 fans and 1 fans gives is away). I wonder if Atheist and Right-to-Death message boards have been whipping up righteous indignation and sending people here.
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Medusa Sant
Jedi on the streets. Sith in the sheets.
11:25 PM on 02/17/2013
Oh, your opinion doesn't count... See, cos you don't have any fans here. So, there *facepalm*
As if all that counts is how many "fans" someone has here on the interweb.
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novabird
Lover of Life, Radical Centrist
05:43 AM on 02/18/2013
Really? You know as well as I that O or 1 fans indicates the poster is brand new here. As you are well aware, it certainly doesn't mean their "opinion doesn't count". It just means there are a lot of newbies commenting on this particular article. I simply pointed that out and questioned why.
12:11 PM on 02/17/2013
To deny a person (who is imminently facing death) the right to choose their final moments of existence is an act of moral cowardice and an act of religious imperialism. By denying that person their choice, you have reduced that person to a "means to an end" (your end) all for the glorification of your own ego and misplaced sense of piety and sense of self worth, and assumed narcissistic relationship with the alleged creator of the universe. You believe what you will but don't use others as pawns and instruments to be manipulated all for the glorification of your imagined creator and your own self-inflated ego. The ultimate act of removing someone's dignity is by removing their ability to choose and treating them as less-than fully human by denying them the self-same rights you claim for yourself; the right to live and die on one's own terms. The slippery slope argument is a vile one; (what if we give women the right to vote; what of we allow women priests...all these were and are used to justify irrational political and religious dogma based on ignorance and fear) if you have that much contempt for your fellow humans that you think at the first chance they would act against the will of a loved one to do them harm, then I fear that your opinion for humankind is sorely deluded.
02:18 PM on 02/17/2013
Fanned and Faved. Well said.
05:11 PM on 02/17/2013
Gracias.  Right back at ya.
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novabird
Lover of Life, Radical Centrist
09:54 PM on 02/17/2013
Standing up for death again I see, served up with a steaming veneer of lip curling contempt. How compassionate and loving of you.
And no big surprise that those who clamour so coldly and vehemently for death also show the least respect for their fellow human beings who choose to include a sacred element in their lives.
11:00 PM on 02/17/2013
Ah, you speak of the sacred nature of life as being restricted to the empire of organized religion...most likely your religion. Your churlish response informs me I am conversing with one who doesn't deal with the dying on a regular basis. I am a registered nurse where I deal with the dying on a daily basis. I allow within the confines of the law the person to die with dignity, as defined by that particular patient, and subject to the wishes and desires of that patient. Some choose to refuse treatment (as they say to lessen the prolongation of suffering and although much pain can be controlled this is not true in all cases), while some wish to delay the inevitable for many reasons: some for fear of losing contact with loved ones; some for fear of the thought of the extinction of the self; and some because they fear in death what they sowed in life (from a religious perspective). The sacred in life comes from being able to exercise choice and being authentic to one's true nature while respecting and honouring others; it would be a defilement of life and a profanity on the dying to intrude in their final moments and dictate your imagined idea of a good death into their unique and very personal existential moment of truth.
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newshoundmama
My bite's worse than my bark
11:24 PM on 02/17/2013
No one here is denying to you the right to not choose assisted death; you, on the other hand, seem to be quite invested in dictating to others what choices they may or may not make for themselves. That's neither compassionate nor loving, so don't self-flatter yourself; you're showing tremendous contempt and disrespect to people who view their own end-of-life decisions (notice the key words, THEIR OWN. . .) as none of your business.
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PortlandZoo
Wait... what?
10:59 AM on 02/17/2013
such old and tired arguments, not to to mention that they are rooted in religious dogma and out of date thinking. Why is it that religious types are so good shaming those who don't hold with their beliefs. Nasty article. And btw, a large percentage of people do not have access to end of life palliative care in North America so your contention on that subject is not supported by the facts.
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Diane Weber Bederman
01:12 PM on 02/17/2013
Let me see if I understand you. A large percentage of people in North America do not have access to palliative care. So your compassionate, secular, non-religious based solution is to encourage assisted-suicide/euthanasia.
Mine is spending money on those least able to care for themselves. Mine is supporting death-not causing it. It is shameful that in North America, land of plenty, we do not prioritize nor provide loving, compassionate care that does not champion euthanasia/assisted-suicide.DWB
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Simon Wagstaff
Friday the 13th comes on a Wednesday this month
02:19 PM on 02/17/2013
Assisted suicide isn't a means of population control, that is a myth used to scare folks. Assisted suicide is a means by which a person can choose to end their life as they have no quality of life left. But yes we do need to be loving, and compassionate about our care. But keeping someone "alive" when they have no desire for life because they don't see the worth of a life in a hospital bed with no quality of life, is anything but being compassionate, it is being torturous.
03:48 PM on 02/17/2013
PortlandZoo has encouraged no such thing... so, no, you didn't understand him. Why am i not surprised ?
08:09 AM on 02/17/2013
Your 2000 year old superstition has no place in the medical decisions of people you don't know.
Your article seethes with pious self-righteousness. The exact thing that turns people off your belief system.

It's obvious your religion is based on fear and the people that choose to die with dignity are far more brave than you. Your imaginary friend's wrath has no power over them...and for that I am truly thankful.
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Copernicus TheWinner
12:51 AM on 02/17/2013
"I have lost track of the number of times I have heard, "They shoot horses, don't they?" Yes, because they have become a burden to their owners. We don't put down pets only out of love for them; we do it because caring for them becomes too burdensome."

This is pretty disgusting. People like that should not have pets if they put them down just because they are a "burden". a life is a life. they feel, they have emotions they don't deserve to be treated as a being not worth of living.

And when it comes to assisted suicide, it is the decision of the dying one, not that of anyone around it. If a person feels that he wants to end his life instead of dealing with pain, it should be their right. And nobody should have the right to either kill them against their will or force them to live.
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novabird
Lover of Life, Radical Centrist
10:04 PM on 02/17/2013
"And nobody should have the right to kill them"...
Right.
But once we accept that life is a cheap commodity to be discarded when times get tough I can assure you that is precisely what will happen to the sick, the vulnerable and the disabled. I don't hear the "Right to Death" folks speaking the language of humanity and love. What I hear death is good, death is right, death is desirable, death is merciful, death is not being a burden to your family.
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Copernicus TheWinner
11:07 AM on 02/18/2013
Sorry if you will get confused after reading my response and seeing that i faved your comment, i did it by mistake (even though you have a point in it).

You only quoted a part of what i said, and this gives my sentence a different meaning. I said nobody should have a right to kill them against their will. This is different. I think you make a valid argument that some people may be pressured in choosing to end their life. But this could be controlled.
First of all, assisted suicide should not be offered to everyone, but to the ones whose life is about to end anyways, where it is pretty sure that there is no help for them and what they have to go through from now is to suffer until death, which has nothing to do with actually "living life"
I also would never want let's say my parents to end their life because it takes me too much to take care of them. They are the ones who loved me and took care of me all my life and because of this I will do anything for them as long as their live. They will never be a "burden". Before assisted suicide it should always be possible to investigate what this family is like and if their relatives could indeed want them to die.
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Copernicus TheWinner
11:08 AM on 02/18/2013
I am not even talking about love and humanity, I am talking about RIGHT. My life, my right to end it or to live it.
And when it comes to death, i don't define it as either horrible or good. It all depends on the situation. I could see that someone who can't leave the bed, is on drugs, non functional, still feeling pains and unable to actually live may find it desirable. It is up to them,not me to decide how they should view death. If they find it desirable, they should get it.
Same goes for dying with dignity. It means different things for everyone. Some may say it is to die while they can still wipe their own butt, others feel it is to live it through suffering until the end. It is not up to me or the columnist or the politicians to define what dignity means. It is only up to the person in question.
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newshoundmama
My bite's worse than my bark
11:33 PM on 02/17/2013
The paragraph you quoted is a prime example of the author's projection of motives onto people she doesn't know and cannot speak for. Most people who have put down beloved pets have not done it out of feelings of being burdened. . .those of us who have been there have done it out of love and respect, and a wish to make the suffering go away. The author's tactics to frame someone else's positions, thoughts, motives and feelings in difficult circumstances in an effort to make her own motives seem less ugly than they are is repulsive.
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Copernicus TheWinner
11:12 AM on 02/18/2013
Absolutely :)

But then again there is a scary amount of people who abandon their pets for reasons like "i had to move", "i had a baby", even though it would be possible to avoid with some effort which they were not willing to put into it. Unfortunately some people don't respect the living beings and see them as accessories....
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12:49 AM on 02/17/2013
The most telling part of your column is the irony of the last sentence. You would present the "white feather" to those who support the right for someone to choose how and when they die. Would you be humming Onward Christian Soldiers as you did so?
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Medusa Sant
Jedi on the streets. Sith in the sheets.
12:39 AM on 02/17/2013
I wonder how many people "diane the Chaplain" has passed judgement on in their last, dying days when she finds out they have decided to take their own lives???
(Lots. Dollars to doughnuts she LIKES passing judgement on those who are ALREADY suffering.)
I wonder if diane has the gall to call them vile, cowardly, entitled, soft, weak-willed, whiny and petulant to their faces???
(Probably, only the weakest, most petrified patients and those without any sort of protection or support got to hear these horrible names and accusations of demeaning our ENTIRE SPECIES.)
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novabird
Lover of Life, Radical Centrist
10:06 PM on 02/17/2013
There is a LOT of passing judgement in the comment section of this article, my death loving friend. (I notice your avatar is from the Day of the Dead)
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amitchell3251
Blues, guitars, motorcycles & Reformed Theology
09:11 PM on 02/16/2013
Thank you for this Diane. I have seen wonderful families do everything to care for dying loved ones. Mostly by sharing their love for them. With good palliative care and pain control, most can live comfortably to the end. Unfortunately, I have seen uncaring, angry, selfish family members make a dying person's life miserable. I worry that assisted suicide might become murder by proxy in many cases. To make life easier (and perhaps cheaper) by helping mum along. Thereby clearing the last obstacle to accessing mum's money, life insurance, etc. Should it become legal, it could also become the norm.
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Diane Weber Bederman
10:08 AM on 02/17/2013
There is a wonderful article in the Globe and Mail from Saturday Feb 16. All about end-of-life care. Sadly, our government ended funding for that care in 2007 yet the number of people in need of this care continues to grow. We are depending on volunteers for this care. But we don't depend on volunteers for other medical treatments-like coronary heart disease-or the beginning of life where all kinds of professionals are on hand.
That lack of professional care speaks to our lack of compassion and that is the slippery slope.

http://www.theglobeandmail.com/news/toronto/where-this-family-of-volunteers-help-death-is-a-constant-visitor/article8767301/ DWB
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novabird
Lover of Life, Radical Centrist
10:09 PM on 02/17/2013
Well said.
" I worry that assisted suicide might become murder by proxy in many cases. To make life easier (and perhaps cheaper) by helping mum along. Thereby clearing the last obstacle to accessing mum's money, life insurance, etc. Should it become legal, it could also become the norm."

Of course it will become the norm.
09:11 PM on 02/16/2013
You need to spend more time with the dying, my dear.

To be a fly on the wall when your day comes, to hear the apologies of "what have I done", to hear your own begging for mercy, for the end.
I wonder how much exposure to the process you've had with descriptions like "boldly, calmly, graciously"?

If you had spent some time with my sister at the end, when she was a third of her natural body weight, when the drugs had kept her alive so much longer than any natural method could have, much longer than she wanted, to hear the screams of a love one, to feel the helplessness, to suffer beyond comprehension, perhaps then you would have more empathy for the dying.

To say assisted suicide is a "vulgar act of cowardice" is shocking and an insult to me and anyone else that has had to care for a passing loved one that did not wish for prolonged suffering from a backwards political/medical community that values the $2k a day it take for protracted palliative care over the suffering of human beings.

My sister wanted it but could not afford to go to a country where it was legal, and she paid a price beyond description.

This article is vulgar and cowardly and yet another example of why we need to get religion out of our politics, health care, and education.
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Imma Okay
05:15 PM on 02/16/2013
"Our bodies break down, sometimes when we're 90, sometimes before we're even born, but it always happens and there's never any dignity in it! I don't care if you can walk, see, wipe your own ass... it's always ugly - ALWAYS! You can live with dignity; you can't die with it! "

-Dr. House
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novabird
Lover of Life, Radical Centrist
08:30 PM on 02/16/2013
Dr. House may be cynical and hard bitten yet he fights death with every fibre of his being. He fights to save the lives of his critically ill patients because apparently life has value to him.
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Imma Okay
03:02 AM on 02/17/2013
He doesn't fight to save lives, he fights to solve puzzles. If one his patients wants to refuse treatment, he has no problem with that as long as he knows what they have so that they are fully informed.
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newshoundmama
My bite's worse than my bark
11:38 PM on 02/17/2013
No, he doesn't fight death with every fibre of his being. He's a fictional character. He's saved no one, other than other fictional characters, and your position otherwise is actually quite psychotic.
01:57 PM on 02/16/2013
Thank you, Diane, for taking time and answering (some) your opponents!

I respect your beliefs and would not belittle your health/mental condition.

I would ask you to trust that those who have different system of beliefs and different health conditions could be as good and moral people as you are (not cowards). And I would ask you to be compassionate enough to meet them where they are and support them where they are -- whether taking their life or deciding to fight.

I would ask you to be compassionate enough to allow other people to make their own choices and not judge them.

That's, actually, what they teach nurses and volunteers who work in End-Of-Life settings -- to meet patients where they are without judgement.
05:34 PM on 02/16/2013
Actually that's not what they teach nurses and volunteers, the right to die groups have to specifically counsel people to avoid palliative care workers because they meddle in other people's personal decisions when they want to check out on their own terms. The medical system encourages dependency and a slow drawn out death, it create a whole lot of jobs.
06:04 PM on 02/16/2013
Hmm, I would partially agree with you. In non-palliative setting--yes, I've seen a lot of it (when palliative patients are treated for cure, to prolong their physiological functioning as much as they can regardless of patient's suffering). But not in hospices (I've seen/worked at 4).
I am familiar with palliative training firsthand. I will assure you, it's one of cornerstone principals of palliative care: to meet a patient where they are without judgment. There are obviously some people in palliative system who push their (religious usually) agenda. My personal opinion: they are there for wrong reasons. They will "help" you no matter what--even if you ask them not to... I only hope that when I am dying, I won't have such people around me.
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novabird
Lover of Life, Radical Centrist
08:34 PM on 02/16/2013
Who is actually meddling with people's decisions? Apparently a "right to die" group has no agenda whatsoever, right? When I reach the end I don't want those death loving vultures anywhere near me.
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Diane Weber Bederman
10:19 AM on 02/17/2013
End-of-Life settings are the places that our dying have a right to be so that the end of their life is filled with compassion and dignity. We don't do that as a society. So we encourage people to have other people kill them and then we treat them as heroes which obfuscates the discussion.
Choosing to end one's life does not speak well of our country, our health care system. Whether the desire to commit suicide comes from bullying that triggers a mental illness or the fear of the end of life-which for many is normal, there is no excuse for taking one's life. It speaks to our failure in compassion and care for the weakest amongst us. Care for the stranger, the weak, the oppressed, the widow and orphan, burying the dead is the most important directive that comes to us from ethical monotheism. We are failing that directive. DWB
01:06 PM on 02/17/2013
You left aside one 'small' reason to end one's life (I don't know any of the cases where people request to end their life in Oregon program for reasons you mentioned). Unimaginable excruciating pain which cannot be helped is this "small reason". Do you know that, unfortunately, there are cases of such pain which modern medicine cannot help (it has nothing to do with our system or country, it's a scientific unfortunate fact)? It can be compared only with torture. Would you tell these people to suck it up?
I love life, but if I am in agonizing pain without a chance of relief, I don't want to live it. If you ever experienced it, you would know--it's not living. It is hell. Again, I am not talking about challenges of losing one's limbs or mobility. I am talking about agonizing physical pain. 24x7 without relief. How would you care for a person who cannot even hear you because of pain? Care for the stranger should be specific to be meaningful. It should be what this suffering person needs--not what you think they need. If a person needs their pain to stop and you cannot give it to them, your advice for them to take the pain in stride does not help.

And, nobody encourages anyone to kill other people (unless we send them to war...)! I work and do research in End-Of-Life field but never heard about such thing.