A Patient's Right To Be Killed: Some Call It Murder; I Call It Mercy
I guess today's become Euthanasia Debate Friday here at Advice Goddess Blog. Allison Pearson writes in the Telegraph/UK of a man whose stroke left him with "locked-in syndrome," and who now wants to persuade England's High Court to let someone kill him. For him (and I concur), this is mercy not murder:
What kind of person puts cancer at the top of their wish list? Maybe a parent who has watched their child suffering and has begged God to give the disease to them. Other than that you would have to be seriously warped, mad even, to choose a brutal, life-threatening illness. Yet Tony Nicklinson says he wants to get cancer. Cancer is Tony's best hope, unless he can persuade the High Court to let someone kill him and call it mercy not murder.Mr Nicklinson, a 53-year-old father of two from Wiltshire has "locked-in syndrome". Paralysed from the neck down after suffering a stroke in Athens six years ago, the former civil engineer is as helpless as a baby, though unlike a baby he is fully aware of every agonising limitation and indignity. "I cannot scratch if I itch, I cannot pick my nose if it is blocked and I can only eat if I'm fed... I have no privacy or dignity left."
He communicates by blinking at a Perspex board with letters and the words are interpreted by his wife, a former nurse. Anyone who heard Jane Nicklinson, her own life in a state of paralysis, saying that the only way to end her husband's suffering was to kill him will have been moved by the couple's predicament.
But what do we do about vexed cases like Tony Nicklinson? Do we say that good laws cannot be made for tragic exceptions, however heartbreaking? Or do we agree with wise Kent in King Lear: "Let him pass! He hates him that would upon the rack of this rough world stretch him out longer?"
"Am I grateful that the Athens doctors saved my life?" Tony Nicklinson asks. "No, I am not. If I had my time again I would not have called the ambulance but let nature take its course."
...He wants a landmark case. "I'm not vulnerable. I don't need help or protection from death or from those who would help me," says Tony Nicklinson. This summer, at a five-day hearing, he will argue for a drastic change in the law on murder, for death on demand. If he wins, any doctor who kills a profoundly disabled person can say: "But he wanted me to end his life, your Honour."







Those who insist life - of any quality - is more important than any other consideration, should be required to spend theirs in this condition.
Probably a day, maybe two, would be enough to get their attention.
While I agree that no one is guaranteed happiness or a pain-free existence, if there is help to end the suffering, it's criminal (or it should be) to require that the help be withheld if the suffering person wishes to be helped.
gharkness at March 16, 2012 9:00 AM
Sane adults should have the right. I am seriously considering hospice nursing. I feel pretty strongly about those who can make the choice for themselves about how they want to die, being allowed to do so.
SHould not be the Drs choice, though. And there obviously needs to be paperwork signed and witnessed, and probably we need to require legal representation for the wants-to-be-deceased as a protection.
momof4 at March 16, 2012 9:07 AM
what is with the over-reliance on govt? With this one and the guy and his laptop... who doesn't realize that best intentions count for nothing with government. Govt. is always like an avalanche, once you get the first pebble rolling, you can't stop it. On the other hand, they are oddly reticent on certain types of death, while meting out some other kinds without care...
I suppose the problem in Tony N.'s case is that insurance and whatnot frown on taking your own life, and you can't ask your wife to do it, can you?
The issue is, there is a lot of liability to be dealt with for that... best bet is prolly to take a trip somewhere in S/E Asia, give him something that will make his heart stop, and pay off the local police to not investigate closely.
'Course, how difficult is it to ask your loved one to kill you? The whole thing is ugly hard, and no good answers.
SwissArmyD at March 16, 2012 9:08 AM
The whole thing is ugly hard, and no good answers.
This is true. So sad. Even the "better" answers are painful.
gharkness at March 16, 2012 9:18 AM
Wonderful quote from King Lear.
>> On the other hand, they are oddly reticent on certain types of death, while meting out some other kinds without care...
Exactly on the money. I have put down several dogs I have loved with all my heart out of mercy and dignity. I wish we could put my Alzheimer's destroyed mother, who has no cognition left but went through months of agony with a broken pelvis. (PS- at a cost of $7,000 a month plus medical expenses.)
My great-grandfather in England was euthanized peacefully at home. It should be anyone's right to go peacefully, and for those who can't think or respond for themselves the choice should go to pre-designated loved ones. Why prolong the inevitable?
Eric at March 16, 2012 10:15 AM
Lots of differing thoughts about this sort of thing, depending on circumstances. For myself, I think someone who wants to die and is otherwise of sound mind should be allowed to do so. If done "properly" (e.g. self-disembowelment or falling upon one`s sword) some societies have actually honored the person.
Most, however, are against it. Probably from the time humans were small groups, and the loss of a person could conceivably put the whole tribe at risk. But that, after all, was about able-bodied people - anyone who was very sick would die quickly anyway...
But even if self-termination were legal, what to do about someone who is physically incapable of it? More complications.
If you have read this far, you know I have no solution[s], just an attitude that people should mostly br allowed to make such choices for themselves and get help if needed.
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If he wins, any doctor who kills a profoundly disabled person can say: "But he wanted me to end his life, your Honour."
I see "silly season" is still upon us.
John A at March 16, 2012 11:14 AM
I've made it very clear to my children that if I'm that position and I'm on life support, they're to pull the plug. My grandmother insisted on the same thing after watching my grandfather get repeatedly resuscitated against his will, extending his life by a very agonizing three weeks. (Several times, he pulled his IVs out and tried to walk out of the hospital so he could die in peace.)
Joe at March 16, 2012 1:01 PM
I've made it very clear to my children that if I'm that position and I'm on life support, they're to pull the plug.
I'd suggest you do more than tell them.
You would not believe how hard it was for me to let my parents die. Not emotionally: I knew it was the best thing for them. The system is really stacked against people who want to let their loves ones go, though.
Get a health care proxy and a living will, and give copies to multiple people, including one person you trust who is not named in these papers -- a personal attorney, if you have one. Get these papers done by a lawyer, even if it costs you more. Carry something in your wallet with information on who has these papers, too.
Even all of this might not help you if people are determined to keep you alive.
Thank God for the ER docs and nurses in my neighborhood, who had more of a grasp on what the death process looks like than primary care and specialist docs.
MonicaP at March 16, 2012 1:24 PM
I just had to say goodbye to my cat, Pete. He was in agony and our choices were to let him continue in agony and die a slow, painful death that could have lasted weeks or months OR to go the veterinarian and ask them to end his life quietly and peacefully.
Why does a cat have the right to a more peaceful, dignified death than a person does? I am not in favor of forced euthanasia by ANY MEANS. And I believe that if we do not know the person's wishes, we should do everything we can to save them because we can't un-kill them. However, a sane and rational man whose wishes to die should be allowed to.
I am reminded of the book "Johnny's Got a Gun," which is the fictional account of a young man who was horrifically wounded by a bomb or landmine, and was "saved" despite the fact that he lost his arms, legs, and FACE. He was "fed" intravenously, was absolutely aware, and when begged for death by banging his head (the only part of himself he could move) against the bed in Morse code, he was denied that and forced to live a life of silence, darkness, and loneliness.
The Original Kit at March 16, 2012 5:22 PM
This is like making suicide illegal.
But as far as it goes, I don't have much money or assets, but I'd rather let my family have it than to be spent keeping a turnip going.
As for the suicide clause -- I would want it written something along the lines:
Basically, you were in a car accident, you are now paralyzed from the neck down. You don't want to live that way, you opt to go out. The insurance company needs to pay out. But that is really a private contract matter.
Jim P. at March 17, 2012 7:36 AM
The law about collecting on a life insurance policy varies from state to state. Here in Colorado, if the policy was taken out a certain number of years before the death, the beneficiaries can still collect the proceeds.
I totally agree with Original Kit. We show more compassion to animals at the end of their lives than to humans. And yes, get a living will if you don't want to be a head in a bed.
Lori at March 17, 2012 11:39 AM
Society does not need to drag doctors into the mercy killing business. But people do to attempt to legitimize what they are advocating for. If courts legalize mercy killing hire killers who want to do the deed.
How about Mr. Nicholson choosing to do it himself by stopping eating or drinking. My 99 year old granny did this after a serious stroke. She died of her own conscious choice like that.
Nicholson demands government intervention into very private matters.
Sound familiar? E.
E. at March 17, 2012 2:56 PM
Sane folks shold have the right to end their own lives; but, if they are NOT of sound body how can we be sure that they are truly of sound mind?
Charles at March 17, 2012 8:13 PM
Charles,
That is a big question. Oh, you don't want to die... your just depressed that you have terminal cancer!
I think at that point, if your terminal an asking to go early I don't think it matters if you're depressed. But I would hope someone asked if your affairs were in order.
ZombieApocalypseKitten at March 17, 2012 8:35 PM
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