8 responses to “Assisted Dying – Why I’ve changed my mind”
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You lucidly illustrated an example of a family seeking to pressurise someone to influence the process of death. But what was possibly missing was the voice of the person nearing death. Where was their perspective, their reasoning? Assisted Dying starts and driven by the person dying. They are the ones who, with mental capacity, take those steps, if necessary, to expedite death at that final stage. They, together with medical experts, make those decisions.
The examples cited refer to a family desperate for a skiing holiday and your concern of funeral directors making money through direct cremations.
I fully agree with your desire for a better palliative care system. Having witnessed their work it is amazing. But that is another argument. To conflate the two dismisses the voice of those seeking assisted dying.
Your concern over assisted dying seems to be interwoven by a call for improved palliative care and a demise in direct cremations.-
Respectfully, Bob S, I think you’re overlooking the one thing that struck me very forcefully from this incident. I’ve always felt profoundly uneasy at the likelihood – I’d say ‘moral certainty’ – that the voice of the dying will in some cases be influenced, even swayed, by the dying person’s assumptions, inferences or intuitions (correct or not) about the needs of those closest to them, and even their desires. These desires might not be articulated, or even correctly guessed – but they might, and as soon as the dying person is subject to them, they are, by definition, influenced in their decision. At that point, Assisted Dying can no longer be said “to start and driven by the person dying.” I’ve been there for a long time – but what I suddenly realized reading Kelvin Holdsworth’s post, was that there’s a much darker issue here, and it relates to a fundamental principle to which I’ve always adhered. Please bear with me, and entertain for a moment an analogy which you might consider to be extreme, and which I’d be appalled to hear deployed by the religiously fanatical opponents of Assisted Dying. It’s this. I have always been opposed to the death penalty for a number of reasons, but very prominent among them is that it takes to an extreme the testing of a fundamental principle of justice (which I know I’m modifyng here to make the analogy a better fit, and of course, you’re free to take issue with that): “It is better that a hundred guilty men go free than that one innocent person be punished unjustly.” I’m aware that there’s a very significant separation between that and this, but I don’t believe it amounts to ‘clear blue water’. Let me try and articulate my conviction in a reasonable way, for you to consider, even if you reject it. I think that there’s a huge danger inscribed in legislation which will, of a moral certainty, permit circumstances in which unwilling dying individuals give assent under pressure to the active premature termination of their lives. This holds true even if a hundred times as many individuals assent freely, and even actively seek, such termination. One of the things that always made me uneasy about the Vulcans was the assertion that “The needs of the many outweigh the needs of the few”. There seems to me to be no way in any legislation to protect the needs and rights of the few in this issue. At the very least, I think that needs to be acknowledged openly by proponents of Assisted Dying. If we’re about to be taken across a Rubicon, I believe that everyone, on both sides of the decision, need to acknowledge that. (Incidentally, I completely agree with Kevin Holdsworth’s horror (I hope I’m expressing that fairly) at ‘Direct Cremations’ and the way they’re advertised. They seem to me to be open profiteering from the death-phobic culture in which we’re immersed. I fear that the impulses behind Assisted Dying as currently advocated may be a good-faith manifestation of the inability of society to look at the full actuality of human mortality and the relationship between life and death. I may be deluding myself, but I think I’d say that even if I were an atheist.
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Rev Owain, thank you for your response. I fear your analogy was stretched to fit your argument, and, apologies if my education lacked in this quarter, where the reference to Vulcans was applicable.
If we are concerned that a very small percentage will be wronged, then many practices today should be stopped. The statistical error you describe will always be possible, albeit minimised as much as possible.
The proposed law tries to cater for such concerns. What appears to be the argument against assisted dying is that it is not error proof.
If a person who is deemed to have mental capacity with less than six months to live, with suitable medical provision, seeks to alleviate their suffering, and is capable of themselves administering the medication to ultimately ease that pain, then their voice has been heard.
I also would hope that palliative care continues to improve but that is a separate argument, as are direct cremations, and now the cost of the funeral to families. These arguments are all used to conflate the underlying issue of assisted dying.
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You are wrong to connect funeral companies’ promotion of Direct Cremation with the push for assisted dying. Nowadays, many families simply cannot afford a “proper” funeral / cremation, and funeral grants come nowhere to covering the the costs. The funeral companies are simply responding to customer needs.
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I’m happy to speak out about funerals being too expensive. However, it is manifestly not the case taht funeral companies are simply responding to customer needs. If they did they would promote these as being about price. They don’t – they promote them as being about not causing a fuss, which is the point I’m making here.
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Thank you for your wise and persuasive words – may they influence MSPs to vote against the Bill.
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Thanks for this, Kelvin – I’ve been thinking more about this as contemporaries begin to vanish from this life.
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Thank you Kelvin. I am someone who has spent the majority of my working life caring for people at the end of their lives. You said exactly what I would want to.
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