Euthanasia? All life is terminal!

While I appreciate that the Hippocratic Oath in effect stipulates physicians should  “do no harm”, this is not the end of the matter.

To only allow (or disallow) a “terminally” ill person to decide when they wish to end their life is looking at this problem from the wrong end. It is not if they are ill, terminally or otherwise, but a person’s quality of life – their perception of that quality, which should be the main issue.

Recall and understand that all life, repeat ALL life, is terminal – we cannot escape the end. It is terminal! Sooner or later we all die – ill or not. Palliative care, however well administered, will not halt this process. Furthermore it is impossible to accurately determine the exact time or date in the future as to when a person will die. So to stipulate a time or date (following the Victorian “model”, six months is suggested), sometime in the future which may determine whether or not a person is “allowed to die” is regrettable, to say the least. 

Furthermore, why should anyone have to “live” according to another person’s expectations? We have no “right” to interfere. It is not our life; it is not our choice.

We, and by “we” I include all humans, were presumably born to live in the world. Now if a human being decides, because of the status of their health, that the life he or she is currently experiencing in the world is not a “quality life”, who is to say they are wrong? We, you or I, cannot experience that person’s view with all the emotional, stressful or painful events they may have suffered or endured during their life to date. How can anyone, other than the person concerned, determine what level of “quality” is acceptable or unacceptable? 

We can have no idea how this expression of life plays out; or how life events (particularly their health) affect a person’s outlook, towards themselves or others – no one can “know” this except the person concerned. They make a choice based on such experience – good, bad or indifferent. It is their decision. You or I are in no position to say they are wrong. 

Similarly, what evidence, what insight do we have such that we can proclaim that a particular person’s view or expression of life (as currently experienced) is wrong and that we (or at least the “experts”) alone know better? We may not like or approve of their view but - so what! 

Likewise, what evidence is there for the “experts” to state that those who wish to end their life may be suffering from a “mental disorder” (hence the proposed requirement - for a totally subjective - psychiatric assessment on any person wishing to end their life). Disordered from what? From “normal”? As far as I can determine there is no accepted definition of “normal”. Possibly those considered “mentally disordered” react to life’s trials and tribulations differently from those around them. Are they “wrong”? Or are those who condemn euthanasia just being intolerant and lacking in understanding, compassion or empathy? 

Then there is widespread over prescription of antidepressant and antipsychotic medications (remember that, allegedly, one in five people (1 in 5) will, allegedly, suffer from a “mental illness” in their lifetime). There are many reasons why all concerned should be critical about psycho-pharmaceutical drug treatment, such as uncertainty regarding the causes of mental disorders, the problematic accuracy of the few diagnostic tools available, poor understanding regarding the mechanism of drug actions and their many side-effects together with the related problem of publication bias. Then there is commercial conflict of interest, [Note:The reanalysis of the – originally ghost written - GlaxoSmithKline Study 329 relating totheir antidepressant drug formulation paroxetine,Paxil, (also known as Serotax or Aropax) provides an illuminating, if unfortunate, example of these issues]. 

Also there is extreme pain. Anything that results in an actual or perceived loss of personal control will (possibly) bring about a loss of dignity and of “hope” - those most subjective attitudes of mind.

Furthermore for some to say that only God can decide when any person dies is surely a gross over assumption – how do they know? What special insight do they possess? Is it not possible, because (I assume) God gave us free will, that God may have already decided to allow a person who wants to die, to die?

Then what about those who say that the legalization of euthanasia would see the end of compassion? Surely it would be more compassionate to allow someone who wishes to end their life to do so in a private setting of their choice, with (possibly) family and friends in attendance?

Far rather this than, to get their way, forcing a person to take extreme actions – starving, drinking or drugging themselves to death; shooting themselves; jumping off a high rise building or cliff; driving at high speed into the support column of a freeway overpass or into a tree on a country road; consume rat poison or drink some corrosive liquid (such as ammonia) and take four days, in agony, to die.

Recall also that the British philosopher David Hume (1711 –1776) said, “I believe that no man ever threw away Life while it was worth keeping.” 

Finally I will repeat a quote, from the Indian sageJiddu Krishnamurti (1895-1986), who said, “It is no measure of health to be well adjusted to a profoundly sick society”. 

There we have it – in a nutshell! 

Why is suicide considered a bad thing?

Amended September 11, 2018:

I know this is quite an old post but I strongly believe it is as relevant as ever. Some people do commit suicide and this has surely happened since humans first walked the earth.

This is not a treatise on the causes or possible reasons for suicide but the complexities behind the act have puzzled me for many years. In particularly our seeming abhorrence and our obvious dismay, regret and great sadness that anyone should even contemplate the need to end their life, by whatever means has taxed my understanding and the meaning of my life.

What follows below is my considered opinion:-

I ask the question – why is suicide considered such a bad thing? Now I am not advocating that anyone should commit suicide. I am just trying to pick apart the emotional clutter that accompanies this very personal and private act. The only answers I get are that it is a waste of a (usually) young person’s life; that they were loved; that they had unlimited potential, now never to be realised; that they had a future to live for – etc., etc.

This is partially correct but is not a real answer. The person concerned – the person now deceased – obviously had a different view of life. Their view, which I am not discussing (I have no idea what that was); I am discussing our view; that of the outsider; the ones left behind.

Why do we “outsiders” (I deliberately use this word because we are “outside’ that person’s inner world) consider suicide to be such a bad thing? Are we affronted because someone considers living – in their current situation – to be so bad, so threatening, so limiting as to be not worthwhile continuing? Are we discomforted because this rejection, this dismissal of all we has striven for (in “our” world), may reflect poorly on us, those left behind, regarding the way we have organised the world? Are we disturbed by the confronting prospect of having to admit that we make mistakes and that the way in which the economy, our legal, welfare and education systems are set up may actually cause distress, that we are not always fair or just in our dealings? Do we feel guilty that we have developed a financial system that promotes the massive imbalance between the very wealthy and the very poor and the disadvantaged?

We have to recognise that we are all, all, party to the ills of the world. We created them. If we look with even a modicum of insight we should see in ourselves the cause of these short comings and see ourselves reflected in the eyes of the distressed. And we should be dismayed.

Is this why we consider suicide a “bad thing” and are so shocked when it occurs?

It is needful to remember that we, each one of us, have our own experiences of life. These are our own. No one can see the world through our eyes with the same imagery and emotional response. No one can see the world through our eyes with our life experiences and our interpretations of those experiences – these are our own.

So I ask the question again – why is suicide considered such a bad thing? Obviously for the person concerned the prospect of death is more alluring than continuing living as currently experienced. What is “wrong” with that? It is their choice.

Then for some to say that only God can decide when or where a person dies is surely a gross over assumption - how do they know? What special insight do they possess? Is it not possible, because (I assume) God gave us free will that God may have already decided to allow a person who wants to die, to die?

Furthermore to declare (as some authority figures do) that most people who commit suicide suffer from a mental "illness" or disorder is surely wrong. It is also highly presumptuous on the part of the person making such a declaration – how do they ACTUALLY know! This is categorising a person, who now has no recourse or ability to refute the presumption. This is putting a label on someone. And then what about those “outsiders” left behind to live with the event – the family and friends? Are they to be made to suffer further pain with the stigma provided by so called experts who provide the “knowledge” that their son, daughter, friend, brother, sister “must have been mentally deranged” to have committed such an act. This implies that no “normal” person would ever do such a thing! What about self-sacrifice when there is loss of life? Isn’t this an act of suicide? But if it saves the life of others it is considered “noble”!! ("There is no greater love than this, that a man should lay down his life for his friends" - English King James Bible: John 15:13).

Research on completed suicides is notoriously difficult. It is always referring to an historic act – something that has already happened. Police, coronial, autopsy, psychiatric and psychological and counselling reports are analysed and carefully combed to try and establish some reason or motive for the suicide. This is fraught as it is impossible to know what was actually going through the person’s mind at the precise moment in time when they took their own life. At that moment they made a choice. Why? We can never know.

Shall we now look at what suicide actually is? Someone taking their own life – right? It seems that the “act” is only considered suicide if it results in the quick death of the person concerned. But what about those who commit suicide in the “long term”? Those who drink or drug themselves to death over a number of years, what about them? They may suffer from abuse, or from unbearable pressures associated with their domestic arrangements or at work. They may determine that the easiest and most “socially acceptable” way of easing this pressure or pain, is to get drunk or to get “stoned” on a regular basis. It may take some time but in possibly five or ten years they will be dead.   The emotional (and economic) “cost” of this (“long term suicide”) far exceeds that of any number of “quick” suicides.

To get back to the “mental illness or disorder” accusation. Disordered from what? What are these people supposed to be disordered from? From “normal”? As far as I can discover there is no accepted definition of “normal”. Possibly those considered “disordered” react to life’s trials and tribulations differently from those around them. Are they wrong? Or are we “outsiders” just being intolerant and lacking in understanding or compassion? Maybe these people are just eccentric – God knows there are enough odd ball people in the community!! Some behaviour may be considered mal-adaptive or possibly anti-social by “outsiders” but not by the people concerned – otherwise they wouldn’t act the way they do!

Similarly, why should anyone "live" according to another's expectations?  

There is an essay, “Suicide”, by the Scottish philosopher David Hume (1711 – 1776) wherein he wrote, “I believe that no man ever threw away Life while it was worth keeping.”

What follows below is a warning relating to anti-depressant drugs:-

USA Federal Drug Administration Product Information Warning

Patients with major depressive disorder, both adult and pediatric, may experience worsening of their

depression and/or the emergence of suicidal ideation and behavior (suicidality), whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. Although there has been a long-standing concern that antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients, a causal role for antidepressants in inducing such behaviors has not been established. Nevertheless, patients being treated with antidepressants should be observed closely for clinical worsening and suicidality, especially at the beginning of a course of drug therapy, or at the time of dose changes, either increases or decreases.

Consideration should be given to changing the therapeutic regimen, including possibly discontinuing the medication, in patients whose depression is persistently worse or whose emergent suicidality is severe, abrupt in onset, or was not part of the patient’s presenting symptoms.

From the above it is apparent that psycho-pharmceutical medications are not always the answer!

Finally I will repeat a quote, from the Indian sage Jiddu Krishnamurti (1895-1986), who said, "It is no measure of health to be well adjusted to a profoundly sick society"

There we have it - in a nutshell!