Two threads by me.
The Swiss death clinic, Dignitas, is in the news again.
Youll recall that Dignitas has gained notoriety as a fee-for-service killing venue for those who wish to die via assisted suicide. Dignitas has been most exposed by high-profile visits from UK citizens who travelled to the clinic to die because in the UK assisted suicide is illegal, and allows for the prosecution (at least on paper) of those who help people kill themselves.
However, theres a very ugly underbelly to all the spin that Dignitas is a haven of care and a celebration of human autonomy.
There have been reports of dingy and dirty surroundings, less than dignified treatment of those who come to be killed both before and after they die, and the nagging fact that this is all offered at a rather exorbitant fee.
It gets worse. Several months ago hundreds of urns with the cremated remains of Dignitas victims were discovered dumped in Lake Geneva. This matter is currently under investigation.
Dignitas is again in the news, and Im not sure why this latest issue so surprises the media, because Dignitas is doing exactly what it has always said it was doing: Helping anyone who wants to to kick the bucket.
The latest flap involves Dignitas providing a suicide kit to a 39 year-old Spanish man with severe psychological problems. From London's Daily Mail:
Swiss suicide clinic Dignitas is under investigation over claims that it ignored a patient's distressed mental condition to give him drugs to end his own life. . . . But now details have emerged of a patient who was allegedly given a DIY suicide kit prescribed by a Zurich gynaeologist despite suffering from paranoid schizophrenia. . . . But a Dignitas report on the 39-year-old Spanish man's mental state was a few lines that barely covered half a page of A4 paper, say local media reports on the death.
Oops.
Or maybe not.
Heres why: All the chatter about transparency, policies to protect, rigid controls to ensure that no mistakes are made is all smoke and mirrors on the way to the only goal the pro-death crowd have always wanted: Assisted suicide and euthanasia on demand and available for anyone, anywhere, at any time.
Dont take my word for it, take those of Dignitas owner Minelli:
'Every person in Europe has the right to choose to die, even if they are not terminally ill.'
Chilling.
__________________________________________________ Belgium has followed the Netherlands in jumping off a vertical moral cliff by embracing legalized euthanasia. The awful consequences that I predicted are now coming to pass; a steady increase in the number of cases, inadequate reporting, and a large percentage of non voluntary euthanasia deaths. Thus, I am anything but surprised by the study I analyze below, which echoes an earlier one reported here at SHS, that nearly as many Belgian euthanasia killings are non voluntary as of those that are voluntary (the concept of voluntary in this context being highly problematic, but lets not deal with that here). Why might that be? Euthanasia consciousness rests on two intellectual pillersthat killing is an acceptable answer to human suffering, and radical individualism in which we all own our bodies and have the absolute right to do what we wish with it, including make it dead. But interestingly, the latter ideaoften reduced to that most effective of all soundbites, choiceturns out to be far less robust than the acceptance of active killing as a proper method of ending suffering. In other words, once a society accepts killing as the answer to suffering, the request element becomes increasingly less important as doctors assume they are doing what is best for the patient by extinguishing their lives. This has been the case in the Netherlands for for decades. Amazingly, the phenomenon of terminations without request or consent is even worse in Flanders, Belgium. In the present survey of nurses, not only were nearly as many patients euthanized without no request120 in this surveyas those who asked to die128 in this surveybut often doctors have nurses do the dirty workand they arent supposed to engage in euthanasia at all. From a study published in the Canadian Medical Association Journal (download the PDF to see whole article): Second, we wonder why nurses more often administered the life-ending drugs in cases without an explicit patient request than in cases of euthanasia. Perhaps nurses took a more active role out of concern for frailer patients who could no longer communicate, or for very old patients because physicians are more reluctant to give assistance in dying when dealing with these patients.30 Further, in cases of euthanasia, communication between the physician and the patient is common. When the patient can no longer communicate, nurses are, by the nature of their work, more directly confronted with the patients suffering and may therefore wish to take a more active role in life-ending acts. We also have to consider that the administration of life-ending drugs without the patients explicit request may have included situations of terminal sedation or an increase in pain alleviation, in which the delegation by physicians to nurses to administer the drugs is considered common practice. Finally, although about half of the nurses reports indicated that there was no explicit request from the patient, it should be stated that the physicians and nurses probably acted according to the patients wishes. Not if they werent asked! This goes beyond terminal non judgmentalism to actively justifying illegal acts, and proves that once the euthanasia monster is let out of its cage, the guidelines and safeguards become less protective than wet tissue paper, not only in the country where euthanasia occurs, but among professional studies of the practices. And catch this bland conclusion: By administering life-ending drugs at the physicians request in some cases of euthanasia, and even more so in cases without an explicit request from the patient, the nurses in our study operated beyond the legal margins of their profession. Future research should closely monitor and examine the involvement of nurses in these practices nationally and internationally to allow comparisons between countries with and without euthanasia legislation. Talk about missing the obvious point. Heres the proper summary: This study shows that euthanasia poisons everything it touches. Legal guidelines dont protect vulnerable patients from abuse once euthanasia is legalized. Moreover, nurses are particularly susceptible to being caught up in acts that are illegal when doctors, who many not wish to take the final life-ending act themselves, order them to carry out the termination. We also note that this study demonstrates that once killing becomes part of the medical armamentarium, it leads directly to patient abuse and medical criminality. This study highlights a reason why legalizing euthanasia is bad ethics and ever worse public policy.Legalizing Euthanasia in Belgium Unleashes Nurses to Do Doctor-Ordered Non Voluntary Killing
I do not get upset if somebody calls me a name. But reading about Don Holley infuriated me. (also discussed in "No comfort for those who care" by Rebecca Hagelin, The Washington Times, June 7, 20010) She concludes:
". . . we can no longer assume that hospitals are places of healing and help. . . . There is an evil sweeping our nation that is using very clever, compasionate-sounding language to hasten the deaths of people who are inconvenient or who, the believe, don't contribute to society."