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Defending dignity in death

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Toula's Take

Toula's Take

Publié le 2 Décembre 2011
Le Magazine de L'île des Soeurs
Publié le 2 Décembre 2011
Sujets :
Royal Society of Canada , Journal de Montréal , Tha National Post , Switzerland , Belgium , Netherlands

The Royal Society of Canada (RSC) recently recommended that the Criminal Code of Canada be amended so that people in poor health (usually a terminal illness) would have the right to physician-assisted suicide or euthanasia. And just like that, Canadians have, once again, found themselves immersed in another heated debate on the issue. Cue the predictable fear mongering.

Few issues elicit the kind of passionate and polarizing resistance that euthanasia does. The most common argument used is that it’s a “slippery slope” from legalizing it to allowing and even aggressively promoting the death of those who become a burden to society. Opponents are fond of associating it with eugenics; casually reminding us of the Nazis’ murder of the disabled and other “undesirables”, as if it were one and the same thing. It’s a prediction I find is often made by those with no valid arguments.

Switzerland, Belgium and the Netherlands openly and legally authorize assisted suicides. The state of Oregon has had a physician-assisted suicide law since 1997. Since the “Death with Dignity Act” was enacted there, there’s been no evidence that the elderly or the disabled have suffered from abuse or exploitation. There are simply too many safeguards in place.

According to a recent article by The Ottawa Citizen’s Dan Gardner, a 2009 summary of research by Dutch scientists concluded that “there’s no evidence for a higher frequency of euthanasia among the elderly, people with low educational status, the poor, the physically disabled or chronically ill, minors, people with psychiatric illnesses including depression, or racial and ethnic minorities, compared with background population.”

So where’s the proof that legalizing assisted suicide opens the door to the elderly and the frail being hastened to death without their full consent? There simply isn’t any.

The Criminal Code of Canada outlaws suicide assistance, with penalties of up to 14 years in prison, even though many polls have indicated that a large majority of Canadians support the right to die for people enduring a terminal illness. I suspect the penalties are based on what is considered “morally” acceptable; driven by pro-life supporters, who champion the sanctity of life as a gift and as something that should not be deliberately thrown away.

Opponents of euthanasia are fond of associating it with eugenics; casually reminding us of the Nazis’ murder of the disabled and other “undesirables”, as if it were one and the same thing. -

Euthanasia literally means “good death”. Just like it is our soul’s obligation to seek happiness and fulfillment in life, it is perfectly reasonable to want a dignified death. We can philosophize all we want about the sanctity of life, but at the end of the day, if you were facing certain death from an incurable illness, while suffering intolerable pain, would you not want the option of ending it all, while you still had the capacity to? And wouldn’t you see that as the ultimate act of compassion; not as a crime? I know I would.

National Post columnist, Barbary Kay, claims the recent euthanasia reports are reassuring, but misleading, and questions why more people aren’t discussing improvements to end-of-life care, as if it were an “either/or” proposition.

Journal de Montréal journalist, Richard Martineau, whom I rarely agree with, made a valid point during his TV show a few weeks ago.

“Of course seniors get tired of living! They’re all alone! They die in their apartment and someone finds them two months later.”

There’s no question drastic improvements need to be made to how the physically frail, the financially unstable, and those with no social support system are treated in this disconnected society of ours.

That, however, doesn’t negate putting in place a system that allows for a dignified death.

When those against mercy killings talk about "the sanctity of life" are they willing to take into consideration its quality? A good death should be just as seminal as a good life and it's about time we had legislation that was honest enough, brave enough and –most importantly- compassionate enough to reflect a value that paradoxically at its core is much more life-affirming than what is currently in place.

 

 

 

Commentaires

  • Nom de l\'usager
    Linda Couture
    - December 8, 2011 at 11:19:18

    Typical fast-food approach journalism, taking their background information off the wire service without researching first hand documents. The British Medical Journal and CMAJ have documented the slippery slope in countries where euthanasia and assisted suicide is allowed. In the Netherlands, a government committee on euthanasia determined that 11.3% of deaths in the Netherlands are cases of involuntary euthanasia in which people are killed against their will. Disguised under the euphemism Dignity in death,in reality it is about giving someone the right to kill another person. We have forever allowed people to die with dignity but allowing euthanasia will allow someone to kill another person based on that person with and without consent. Are we to be a society that cares for and supports people and sees their value in them being people or are we to be a society that sees a person's value in their being a "productive" member and otherwise better off gone? To get informed and not to add to the confusion please visit www.vivredignite.com and http://vivredignite.blogspot.com/

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    • Nom de l\'usager
      Margaret Killin-deMello MSW
      - December 5, 2011 at 10:49:10

      Euthanasia and assisted suicide belong to a paradigm of social and health care, regulated by what Janice Stein calls, the ‘cult of efficiency’ . Efficiency has become both an ethic of practice and an end product inits own right ( Stein, J. ,2001. The Cult of Efficiency). It limits the ability of professionals to respond; to empathize and communicate with people who are suffering. Reference to Danish epidemiology is not relevant to Canada or the US. Canadian research shows that high morbidity and mortality rates, for a huge range of health conditions, are associated with a steep income gradient and other non-medical determinants ( Hertzmanand Keating,1999, Developmental Health and Wealth of Nations) . This is true for Canada and is recognized in British Columbia's Primary Health Care Charter,which can be found online. In Denmark, access to public social and health care services might be more evenly distributed than in Canada or the US, which probably explains the results of their population health study. In Canada we have a subtle practice of health care rationing. I have experienced this both in my clinical social work practice and as a patient. It means that some patients are on long wait lists for what is called tertiary care, like surgery. They wait on equally long lists, for primary care like pain management. In some communities, many of these services are simply not accessible. Some provinces have two tiered services, where by a minority of citizens can bypass public health care altogether, and access timely,private treatment. Others leave their province for treatment elsewhere. Therefore if it is legalized, some populations are more likely than others to be offered assisted suicide to relieve chronic suffering, Toula argues that it that it is expedient to offer assisted suicide to long suffering and elderly patients who might otherwise die alone in their rooms. From a social work perspective , and now as a patient, I would prefer to see urgently needed improvements to the quality,accessibility and continuity of public health care services. There is virtually no palliative care for children in Canada and eighty percent of adults needing palliative care, do not receive it. Canadians should not be compelled to end their lives because they lack appropriate treatment and social supports. This is not death with dignity - this is death in despair Margaret Killin-deMello MSW . --

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