Categories
Blog

The biggest question of all in the campaign to introduce a law to allow assisted suicide/euthanasia is simple: should what one person wants be passed into law for everybody? There is no doubt that some people suffer at the end of their lives. We understand that, and have many examples in our own lives – disabled people too, have loved ones, relatives and friends and direct experience of suffering. We are neither immune to it in our own lives nor wish to ignore it in others. But we still feel that a law is both the wrong response to that suffering and brings dangers so wide and deep that they must be resisted at all costs. The introduction of a law to allow assisted suicide/euthanasia must involve a radically different way of thinking about people – all people. There is no choice about this change of mind-set because it is inherent, it is right there in the changes this law would bring. A law to introduce assisted suicide/euthanasia would therefore mean that some people will be counted as ‘good to continue’ (living) while others are seen as appropriate subjects to have their lives ended. In the overwhelming majority of cases, this decision will be taken by other people. That is the fundamental shift which arrives in a society with a law to allow assisted suicide/euthanasia, which we want to resist. It is abhorrent thinking and even if it is already present in some people, it is not backed up by a law in the UK. We shudder to think that it ever should be. Allowing assisted suicide/euthanasia doesn’t just send the message, ‘it’s better to be dead than sick or disabled’, it makes it ok – it validates the idea, reinforces it and human nature is such that once a law is passed, many will move without any deep reflection to accepting it. That widening of the attitude will make it seem more and more commonplace, and that is where the greatest dangers lie for disabled people – they will automatically be considered as appropriate subjects for consideration of assisted suicide/euthanasia and a number of people will think ‘that’s ok’. Some of the most chilling words in a long report full of them, from the Falconer ‘commission’, were the reported position of Dr Adrian Tookman: …[who] did not give his opinion on the rights or wrongs of assisted dying but said, ‘Personally if society said it was the right thing to do, I would have no problem supporting my patients through that process.’ I so hope this is a misrepresentation of Dr Tookman’s actual position which I suspect is far more complex, but at face value, it shows just how easy it is for people to give over responsibility for thinking about deep moral questions like this one, to a nameless, faceless ‘society’. The fundamental shift we are speaking about takes many forms and this one would be common enough, no doubt, amongst people who have no direct contact or requirement to think deeply about the matter of assisted suicide/euthanasia. But if a doctor might take that stance, how many more lay people will do exactly the same? Even if the word ‘society’ really referred to something tangible, it is the worst kind of lazy thinking to simply suggest that ‘I won’t take a moral position myself. I’ll let others decide my moral position and follow their lead if it gets into law.’ I find this so chilling especially because of the echoes of history which boom around it, which is why I hope it really is a misrepresentation. Not only does this put disabled or sick people at risk, it also changes their status as human beings while they are alive. At root of this way of thinking is the belief that some lives are not worth living, and that some people are entitled to make that judgement about the lives of others, and act upon it. Non-disabled people, who have none of the lived experience of disabled people, find it too easy for them to view ‘so-called quality of life’ from their own perspective, treating life as a disabled person as a disaster, filled with suffering and frustration, as inferior, or as a burden on society. In fact, some disabled people also fall into this trap too. It’s a form of the same trap that allows some people to say that society should prevent ‘defective’ people from having children. Or that anyone who can be considered by them, the non-disabled, as ‘a burden on society’, should be eliminated. We are disabled people and we don’t agree: · All people should have equal rights and opportunities to live well and disabled people should have the right to all necessary support to do so, not live in fear of being eliminated/killed · Most disabled people enjoy living and despite the hard cases where some don’t that includes many people with locked-in syndrome · Many non-disabled people don’t enjoy living, but no-one is threatening them · The notion of measuring the ‘quality of a person’s life’ is nonsense and dangerous nonsense, especially when judged by those who consider themselves to have a life worth living by comparison to those others · Proper support should be the first option including the best palliative care available at the end of life · Medical prognosis about the expected term of the end of someone’s life is notoriously unreliable, and cannot be given accurate time-limits There are many other reasons to go along with these…. To introduce a law to allow assisted suicide/euthanasia is to invite catastrophe and disabled people will be in the frontline. It is impossible that any who examines the evidence from Holland, Belgium, Oregon and all that has happened especially in our recent 20th century history, could be anything but clear about the dangers and particularly to disabled people. (I don’t propose to rehearse all that evidence here – it is available online at the click of a button in many places.) There are other big questions: some of them will be examined in later postings here on the Not Dead Yet UK website.

Non-disabled people have none of the lived experience of disabled people and it is too easy for them to view ‘so-called quality of life’ from their own perspective, treating life as a disabled person as a disaster, filled with suffering and frustration, as inferior, or as a burden on society.

But as a few have shown, some disabled people also fall into this trap: just look at how Melanie Reid speaks about the subject in The Times (March 27, 2012).

‘From the vantage point of a severely crippled (sic) body…[in a] society facing an unaffordable explosion in dementia and age-related illness…Because of a religious minority, a few antediluvian pressure groups and the might of modern medicine, we are condemning growing numbers of elderly, terminally ill or disabled people to a terrible lingering twilight rather than a good death in the circumstances of their choosing… Yet we are being held back by a tiny number…who either believe the Bible rules it out or are so blinded by the doctrine of palliative care (or perhaps both), that they remove choice from the majority…In an age wedded to the gospel of human rights…we are denied the most basic human right of all… I get angry enough to wish that a few bishops, palliative care specialists and those dedicated campaigners from Care Not Killing — ah! what amazing arrogance lurks in a name — were in my skin, sitting in my shower chair, facing my future…Humanity and economics demand that…assisted dying is extended to become legally available to all those who seek it…’

This is just offensive: for one thing, as a spinally injured disabled person for nearly forty years (and not getting any better!), or as someone born with spinal muscular atrophy, or affected in childhood by polio, none of us can be so disparaged as a religious minority (at Not Dead Yet UK we espouse no religious views), or as arrogantly failing to understand the lived experience of disabled people (not that this is what Care Not Killing are doing, of course). Nor are we from prehistory, although if she cared to spend a moment examining even our recent history, we might hope she would understand a little better how this can go if such an abhorrent law is passed. The Hippocratic oath shows how ancient our reaction is, although neither would I want to appeal to a majority of opinion as any defence – just because a lot of people agree with something doesn’t make it right.

And dismissing those doctors opposed to euthanasia as only belonging to the small dedicated teams of palliative care specialists is just laziness. The poll taken by the BMJ after my head-to-head article with Prof Raymond Tallis showed nearly 70% of doctors against assisted suicide/euthanasia. Even the Falconer report cited research evidence to back up those percentages where in general the number of doctors willing to support assisted suicide/euthanasia fell below 25% –  they are the ones I most want to avoid when I become ill!

The fact is we are ‘in your skin’ Ms Reid and most of us know it whole lot longer than the 2 years you have lived as a disabled person. You do us no justice at all by dismissing us as cranks.

We know it takes time to adjust and humanity certainly demands that everyone gets more than a couple of years to do so, since it (quite evidently) takes longer for some than others. But the abuse of those who oppose a view and the demands of economics do not make Ms Reid’s argument any stronger.

And that an uneducated, ill-informed public or press knee-jerks into ‘you wouldn’t do it to a dog’ does not make her position right. Socrates was right: trial be media is no trial at all, rhetoric without truth is one of the greatest threats to a ‘good’ society.

The second big question is what kind of society do we want to live in? Ms Reid might prefer one in which human beings can be assessed for their worth and some judged not worth keeping alive. I prefer one in which every human being has worth first, and in those very few cases where people judge their lives not worth living we explore exactly why that is, and come to far more humane judgements not based on economic burden or the unreasonable and completely untrue notion that we will all die a long lingering horrible death.  That just ain’t so.

 

Skip to content