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Enforcing the "Right to Die":The Case of Terri Schiavo
Life Issues ^ | August 2003 | Nancy Valko

Posted on 09/07/2003 1:17:49 PM PDT by MarMema

Terri is not a convicted murderer. She is not terminally ill. Instead, she is a 39-year-old severely brain-injured woman whose parents and siblings, the Schindler family, have been waging a long legal battle to prevent Terri's husband and the legal system from ending her life.1

In July, 2003, Terri was granted perhaps her last "stay of execution" by a Florida appeals court before her case is returned to Judge George Greer, a Florida judge who has previously and repeatedly ordered Terri's tube feedings stopped. Although this will give the family's lawyers some time to file an appeal with the Florida Supreme Court, hope is slim because that court has declined to even hear Terri's case in the past.

The final hope to save Terri Schiavo's life may lay with Florida Governor Jeb Bush, who has recently received thousands of petitions for him to intervene to save Terri's life.2

Who is Terri Schiavo and Why Do Some People Believe She Should Die? In 1990, 26-year-old Terri Schiavo mysteriously collapsed at home and suffered brain damage as a result of oxygen deprivation. A medical malpractice suit ensued and a trust fund was established to pay for Terri's lifetime care. After the case was resolved, Terri's husband, Michael, claimed that he now remembered statements his wife had made in the past about not wanting to be kept alive in such a condition. (A former girlfriend has since disputed that claim because of statements Michael Schiavo made to her.) He petitioned a court for permission to stop her tube feedings and claimed that Terri was in a so-called "vegetative state", despite videotape evidence of Terri, showing her smiling, responding to her mother and even apparently trying to talk.

Florida law allows food and water to be withheld if a person meets the state's definition of "vegetative state" as "the absence of voluntary action or cognitive behavior of any kind" and "an inability to communicate or interact purposefully with the environment". Experts for the husband claim that Terri's visible responses are mere "reflexes" and disagree with other medical experts who have testified that Terri has at least some basic awareness and could possibly be helped with therapy.

Terri's parents and siblings volunteered to take responsibility for Terri's care, but Michael Schiavo has refused to relinquish guardianship or divorce Terri, despite living with and fathering a child by a girlfriend. He has also refused to allow rehabilitation services and, despite the fact that Terri is not terminally ill, had her transferred to a hospice facility three years ago.

Nevertheless, Judge Greer and the Florida courts have so far dismissed all concerns about the circumstances surrounding this case and maintain that the only issues are Terri's disabled condition and her alleged desire to die. As a Florida probate court said in June, "we understand why a parent who had raised and nurtured a child from conception would hold out hope that some level of cognitive function remained. If Mrs. Schiavo were our own daughter, we could not but hold to such a faith. But in the end, this case is not about the aspirations that loving parents have for their children. It is about Theresa Schiavo's right to make her own decision, independent of her parents and independent of her husband".3

While the Schindler family endures such portrayals of themselves as being in denial over Terri's condition -- and incurs enormous legal bills fighting to save her -- the courts have allowed Michael Schiavo to use the funds for Terri's care to pay legal bills. George Felos, Mr. Schiavo's lawyer who has been involved in several other "right to die" cases, has reportedly received over $600,000 so far from the fund. His main medical expert was Dr. Ronald Cranford, who has testified in many "right to die" cases and who does not support even spoon-feeding for the so-called "vegetative" and people he terms "minimally conscious".

Although Terri Schiavo's case has received only a smattering of national media coverage, disability, pro-life, and other groups throughout the country have expressed outrage and alarm over this precedent-setting case. Terri's case is being seen as the final dismantling of any legal safeguards to protect the mentally disabled from the deliberate starvation and dehydration that would be unthinkable for a convicted murderer or even an animal.

The Catholic Connection

As Catholics, Terri's parents Bob and Mary Schindler requested the help of their local bishop, Bishop Robert Lynch of the Diocese of St. Petersburg, Florida, to help save their daughter's life.4 Instead, Bishop Lynch issued a statement that "The Catholic Church would prefer to see all parties take the safer path but it must and will refrain from characterizing the actions of anyone in this tragic moment".5

This statement was particularly discouraging since Father Gerard Murphy, a pastor and former hospital chaplain, had already testified for Terri's husband that withdrawing Terri's tube feedings "would be consistent with the teaching of the Catholic church".6

Unfortunately, there is a long history of Catholic priests and ethicists who have given similar testimony in other public "right to die" cases without rebuttal by the local bishop, despite Church documents and a 1998 statement by Pope John Paul II emphasizing that "the omission of nutrition and hydration intended to cause a patient's death must be rejected".7 Instead, these priests and ethicists uniformly mischaracterize people like Terri Schiavo as "gravely ill" and simple feeding tubes as "prolonging death".

Unfortunately, these ethicists have often held prominent positions in Catholic health care and education for years. It has now become harder and harder to find a Catholic health facility that does more than provide mere lip service to principle on this crucial issue. It is telling that when Archbishop Justin Rigali of St. Louis issued a statement quoting Church teaching during the Steven Becker "right to die" case in 2000, many Catholic priests and ethicists from around the country criticized him for taking such an uninformed and "extreme" position in defense of life.8

Therefore, it is welcome news that Catholic groups are now challenging such misrepresentations in the Terri Schiavo case. Women for Faith and Family president Helen Hitchcock sent a letter to Florida Governor Jeb Bush asking him to "review Terri Schiavo's case and to intercede on her behalf", noting that Women for Faith and Family has filed amicus briefs in the similar Cruzan and Busalacchi cases.9 A Catholic media coalition sent a public letter to all the Florida bishops calling for them "to publicly condemn the injustice and moral evil of this deliberate act of euthanasia and to issue a plea for mercy to the Florida courts and to Governor Jeb Bush".10 The Catholic Medical Association issued a statement that "[d]iscontinuing nutrition and hydration in this circumstance violates in its intention the distinction between 'causing death' and 'allowing death'" and quotes the 1989 pastoral statement of the Bishops of Florida that states "We can never justify the withdrawal of sustenance on the basis of the quality of life of the patient".11

The National Catholic Partnership on Disability, which includes Cardinal Francis George on its board, has highlighted the differences between Terry Wallis, a man who recently regained full consciousness after 19 years when his family refused to give up, and Terri Schiavo, whose husband is seeking to end her life. In their press release, Mary Jane Owen, executive director of the partnership, states, "those of us who live with assorted disabilities are aware that when any of us is deprived of their essential dignity and worth, each of us face that same discounting by the judgments of the culture of death".12

A Precedent-Setting Case

The importance of saving Terri cannot be overestimated, not only for her right to live but also to apply a brake to the current "right to die" movement that seems bent on terminating people with severe brain injuries or conditions. It is no accident that people like Terri are put into hospices and cases like hers are included in "end of life" education programs for health care professionals and the public. It is no coincidence that withdrawal of treatment decisions have become the justification for the new non-heartbeating organ donation policies. And it is the ultimate irony that even families and patients who choose to live can now be overruled by medical futility policies being instituted at hospitals throughout the country.

Terri's family has put up a courageous fight to save their daughter's life and, if they finally lose, a terrible precedent will be set for coercing other families to give up fighting for their loved ones. If evidence of Terri's responsiveness, as well as questions of possible perjury and bias continue to be ignored by the courts, no one with a disability is ultimately safe from medical or legal discrimination.

Bob Schindler, Terri's father, poignantly observes, "We pay great lip service in this country to disability rights, but as the degree of a person's disability increases, the level of legal protection that person receives decreases".


TOPICS: Constitution/Conservatism; Culture/Society; Editorial; Government; News/Current Events; Philosophy
KEYWORDS: euthanasia; prolife; schiavo
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To: pram
subversion of churches

This is a serious phenomenon of the Age of Clinton too. Churches spend their time singing "choruses" that most have never heard and listening to "sermons" that are mostly pep talks about how good everybody in the congregation is. The Bible of course addresses this when it says in time men will not "stand sound doctrine." Were churches standing sound doctrine, there could be no euthanasia or abortion.

Has the Reverend Falwell spoken up on Terri's behalf? Did he take a stand on poor Hugh Finn in that Mr. Finn was starved to death in VA, supposedly a conservative state.
61 posted on 09/07/2003 5:10:31 PM PDT by Theodore R.
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To: MarMema
This wonderful woman is an expert in the matter, but no one in authority will listen. Their hearts are hardened against Terri.

I now do believe that Michael Schiavo may be on a "power trip" more so than in collecting remaining money in her fund.
62 posted on 09/07/2003 5:13:02 PM PDT by Theodore R.
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To: Sabatier
It seems like Mr. Finn may have starved in "conservative" VA because the "wife" would not let the parents "feed him by hand" after the feeding tube material was stopped. America is in deep "do-doo," as the first George Bush said, and I don't think electing more Republicans will solve our problems (though I always vote the Republican ticket.)
63 posted on 09/07/2003 5:14:58 PM PDT by Theodore R.
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To: MarMema
Orthodox church

This is supposed to be a very conservative body. In politics the most famous member of the Orthodox Church was probably former MA Gov. Michael Stanley Dukakis, whose liberalism, I assume, included support for euthanasia in cases like that of Terri.

Was Spiro T. Agnew also a member of the Orthodox Church?



64 posted on 09/07/2003 5:20:42 PM PDT by Theodore R.
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To: trussell
My mother is the one who holds my wishes. She knows what I want under several conditions. Much safer than a living will.

I think you have made an important suggestion.

65 posted on 09/07/2003 5:24:58 PM PDT by MarMema
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To: Sabatier
then removing the feeding tube in itself will not be the cause of death

It is posted that her husband has refused to allow her to have a swallowing test. In these many instances, they do not actually remove the tube anyway - they use it to administer sedatives, morphine, etc in order to make the dehydration experience less agonal.

More and more horrid, isn't it? They keep the tube in but simply stop allowing the disabled person to have fluids or food.

In several of the cases I linked stories to on my FR page, the patients killed could and did chew food.

66 posted on 09/07/2003 5:27:32 PM PDT by MarMema
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To: AntiMatter
In this case, that would be fine, as her parents are capable and willing to pay for her care.

People who are disabled by a car accident should not be killed because they emerge with less mental functioning than the rest of us. In all of the cases I have read about there have been plenty of prolife groups willing to completely shoulder the care and costs of people who were disabled. But the family member in court still wanted that person killed, and more often than not, succeeded.

67 posted on 09/07/2003 5:31:06 PM PDT by MarMema
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To: AntiMatter
Methinks your likely good state of personal health clouds your intelligent judgment here.

Terri's parents have offered to take her home and drastically reduce medical costs involved in her care. It is the greedy government that refuses to let THEM cut the costs.
68 posted on 09/07/2003 5:31:50 PM PDT by Theodore R.
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To: passionfruit
Her husband is free to do the "honorable" thing and move on rather than engage in an expensive legal battle for her death by starvation and dehydration using the monies provided for her care.

You are making assumptions. Terri remains a living soul. You do not know her.
69 posted on 09/07/2003 5:51:48 PM PDT by ventana
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To: AnnaZ
but I lost it this morning in front of a live audience.

It is an entirely appropriate response to the situation.

70 posted on 09/07/2003 5:52:31 PM PDT by MarMema
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To: MarMema
For those interested in such trivia:

In the 1970 edition of Taber's Cyclopedic Medical Dictionary, the term vegetative state or persistent vegetative state is not to be found. The definition of coma is: "An abnormal deep stupor occurring in illness, or as a result of it, or it may be due to an injury. The patient cannot be aroused by stimuli." Tbaer's p.C-72 The 1982 edition of Stedman's Medical Dictionary has a similar definition for coma and nothing at all on vegetative state or persistent vegetative state.

Terri Schindler-Schiavo is not in a coma, obviously, since she is responsive to stimuli and has followed simple directions given to her. I'm trying to find a Medical Dictionary that actually lists PVS and then find when this term entered the regular medical vocabulary.

71 posted on 09/07/2003 6:06:57 PM PDT by MHGinTN (If you can read this, you've had life support from someone. Promote life support for others.)
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To: MHGinTN
Please do, I am very interested.
72 posted on 09/07/2003 6:13:41 PM PDT by MarMema
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To: MarMema
I think you have made an important suggestion.

Yes, of course. Always include your parents, if possible, in the decisions for your future. A parents love is forever, where a spouse's love can be situational.

73 posted on 09/07/2003 6:19:09 PM PDT by trussell (Pesky, hiding, blonde hair-causing a blonde moment!! Can't find it to pull it out!!)
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To: MarMema
The next several entries will serve as 'bumps'

'The term "persistent vegetative state" was introduced by Jennett and Plum in a 1972 article in the journal Lancet to describe the condition of patients with severe brain damage in whom coma has progressed to a state of "wakefulness without awareness" (795).' http://www.geocities.com/HotSprings/Oasis/2919/pvsirr.html

74 posted on 09/07/2003 6:22:37 PM PDT by MHGinTN (If you can read this, you've had life support from someone. Promote life support for others.)
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To: MarMema
The following link is quite instructive. It will occupy me for some time, to gain sufficient background for writing an op-ed addressing Terri's plight.

http://www.geocities.com/HotSprings/Oasis/2919/links.html

75 posted on 09/07/2003 6:24:21 PM PDT by MHGinTN (If you can read this, you've had life support from someone. Promote life support for others.)
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To: RJCogburn
A ping for an excellent writing on this topic.
76 posted on 09/07/2003 6:36:17 PM PDT by MarMema
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To: RJCogburn
Btw, I greatly appreciate your willingness and open mind.
This is about rights of an individual, imo.
77 posted on 09/07/2003 6:39:00 PM PDT by MarMema
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To: Ragtime Cowgirl; Robert Drobot
Please forgive me if this a second ping to you.
78 posted on 09/07/2003 6:41:25 PM PDT by MarMema
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To: MHGinTN
Taber's 1993 Cyclopedic Medical Dictionary: "vegetative state" page 2117:

An imprecise term indicating a patient who was previously comatose, but whose eyes are now open and give the appearance that he or she is awake. It is properly characterized as a severe dementia due to global damage to the cerebral cortex. THERE IS COMPLETE INABILITY TO RESPOND TO STIMULI OR TO COMMUNICATE.

79 posted on 09/07/2003 6:46:30 PM PDT by Pegita ('Tis so sweet to trust in Jesus, just to take Him at His word ...)
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To: All
Who has the final word on what the definition of "persistent vegetative state" is?
80 posted on 09/07/2003 6:50:50 PM PDT by Pegita ('Tis so sweet to trust in Jesus, just to take Him at His word ...)
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