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I might of asked this question before but anyway should euthanasia be legalised?


Should people be allowed to die with dignity yes
  94% (35)
Or no.
  5% (2)


Total Votes : 37


(last vote on : 2/4/2008 3:42:26 AM)
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RE: I might of asked this question before but anyway sh... - 2/24/2007 1:59:19 AM   
SusanofO


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There is also the question of who will be able to afford it (or not).

We have a privatized health care system in the U.S., which (to me) potentially opens up a whole other set of questions...and a potential can of worms, maybe.

With the health care system the mess it currently is is the U.S., considering we cannot even insure health-coverage for children, does anyone eventually envison people euthanizing relatives whose health-care expenses are getting "too high?"  

I am sure on the surface, it probably wouldn't be made to look that way.
But - anyone ever work for an insurance company?

Can anyone envision insurance companies bribing or otherwise offerring incentives to doctors (maybe subtley, maybe not so subtely) in order to encourage the offing of patients if there is a question as far as their "quality if life?"

I can. Hey - it's a free-enterprise system - and I can see some less than comforting, warm-and-fuzzy potential implications, with this particular combination of circumstances.

I think if we're going to talk about euthanisia in the U.S. we should at least have the decency to make sure we have an organ donation program that is as effective and fair as possible, first. Yes, it's a voluntary program - but it sure as heck could use more publicity than it gets now (IMO). 

Which brings me to another question: If people cannot even legally sell their own organs in the U.S., why are considering telling them it is legally okay to end their own (or another's) life? (this line of reasoning may make no sense to some people, but it makes sense to me). 

- Susan

< Message edited by SusanofO -- 2/24/2007 2:19:29 AM >


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RE: I might of asked this question before but anyway sh... - 2/24/2007 2:07:08 AM   
NorthernGent


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We used to discuss euthanasia during our Religious Education lessons at school (13-14 years old) and I was always fascinated by it.

The problem is, where do you draw the line i.e. what constitutes an acceptable case for ending someone's life? It's allowing someone to play God and you're into the realms of a person's subjective point of view and something as simple as the person's outlook on life (e.g. positive or negative) could mean the wrong decision is made. I appreciate there is a case for law, but what if there are subtleties related to a particular case that a general law could never account for (thus leading to the wrong decision)?

I agree there is a good case for a humane approach to life, but on balance I'm not an advocate of euthanasia.




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RE: I might of asked this question before but anyway sh... - 2/24/2007 2:09:42 AM   
SusanofO


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I agree with you, for exactly the same reasons.

- Susan

< Message edited by SusanofO -- 2/24/2007 2:10:02 AM >


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And sings the tune without the words,
And never stops at all". - Emily Dickinson

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RE: I might of asked this question before but anyway sh... - 2/24/2007 2:22:37 AM   
NorthernGent


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quote:

ORIGINAL: SusanofO

I agree with you, for exactly the same reasons.

- Susan


...and I wasn't brought up a catholic :-)

To clarify, my post was around where someone is lying in their bed and a doctor or family member makes the decision.



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RE: I might of asked this question before but anyway sh... - 2/24/2007 2:26:35 AM   
MadameDahlia


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quote:

ORIGINAL: Lordandmaster

Since I don't believe the State has any right to keep you from killing yourself (either morally or constitutionally), I'm all in favor of euthanasia in theory.  The question becomes hairy when it involves the assistance of a doctor, because then it's no longer just one person killing himself (or herself); it's someone helping someone else, and there's the possibility of misunderstanding, which could, of course, have pretty disastrous results.  And therefore the State has a legitimate interest in overseeing what happens.

So...as long as there is some sort of legal procedure to make sure that the person is of sound mind and his or her desire to die is not being misconstrued, I'm in favor of doctor-assisted suicide under any circumstances, not just terminal illness.


I've always thought it pretty bizarre that suicide (and not the assisted sort) was illegal. What the hell are they going to do... scrape you off the pavement and haul your remains off to jail? Pft. I think it's probably the only crime they can't catch and try a person in court for if they've done it properly.

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RE: I might of asked this question before but anyway sh... - 2/24/2007 2:47:28 AM   
SusanofO


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Dutch doctors now annually "euthanize" at least 1,000 patients a year who have not requested it. In fact, this practice has become so common that it now has a term: "Termination without consent or request". Maybe it's just me, but that sounds a little bit like murder. 

Despite a lot of feel-good talk about how it would all work in practice, once it was legalized, it became easier to "just do it". These doctors rarely receive more than a slap on the wrist for this practice, despite the fact it goes against every aspect of Dutch law.

They also regularly euthanize 8% of infants - those born with birth defects, whose lives have been deemed "unliveable" by doctors, die by lethal injection - these, of course, are also "terminations without request or consent." 

"Protective" guidelines are no really longer viewed as guidelines - but rather as impediments to be overcome.

Dutch doctors now routinely "euthanize" chronically ill people who ask for it, disabled people who ask for it, and depressed people who ask for it, despite the fact the law was originally designed to euthanize only the sickest patients, and ameliorate "overhelming suffering."

The categories of "euthanizable people" seems to much expand, once the concept is made a legal reality. Some Dutch doctors are now organizing a lobby to legalize "termination without request or consent."

The day after the law was enacted, the health minister there advocated for suicide pills to be made available to the elderly - the ones who do not qualify for euthanization under Dutch law. 

I am not saying this is  inherently "good" or "bad" (although I definitily have some personal opinions on this)- I am saying that the reassurances that people get that "precautions against abuses" will stay stable are a lot easier to erase, once the original law has been made legal. Ironic, maybe, but it seems to be somewhat true, at least in the Netherlands.

- Susan

< Message edited by SusanofO -- 2/24/2007 3:43:34 AM >


_____________________________

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And sings the tune without the words,
And never stops at all". - Emily Dickinson

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RE: I might of asked this question before but anyway sh... - 2/24/2007 2:49:58 AM   
NorthernGent


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quote:

ORIGINAL: SusanofO

Dutch doctors now routinely "euthanize" chronically ill people who ask for it, disabled people who ask for it, and depressed people who ask for it, despite the fact the law was origianlly designed to euthaize only the sickest patients, and ameliorate "overhelming suffering."

- Susan


Susan, I would be really interested to see a link for this. Can you post one?

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RE: I might of asked this question before but anyway sh... - 2/24/2007 2:55:10 AM   
SusanofO


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I am terrible at transferring links (am a complete non-tecchie, I am truly sorry, and am reallly trying but for now -  if you look up this article, it is "conservative", but very factual - it's great (it's the one you asked for).

So try Googling this: "Continent Death - Euthanasia in Europe"  (it's by Wesley J. Smith - he is an author for the National Review). I found it very informative - it's a lot longer than the bits I posted here.

Also, if you Google the words: Euthanasia in Europe - there are scads of articles (some good, some so-so).

*Euthanasia is also legal in Belgium, and according to this article, over 1,000 "euthanizations" that take place each year are simply not recorded or reported at all - which is definitely a violation of their law.

There is a consortium of doctors lobbying in Belgium, to force the doctors who are morally opposed to this practice to have to partiicpate in doing it anyway, if patients request it, even if they can easily be sent to another doctor who doesn't object to the practice.  

*Switzerland has turned into a "Suicide tourist mecca" because there, you don't need physician's assistance - it can be assisted by a lay-person, and thus it can be a lot less expensive and complicated to do.

-Susan

< Message edited by SusanofO -- 2/24/2007 3:47:27 AM >


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RE: I might of asked this question before but anyway sh... - 2/24/2007 3:20:35 AM   
cjenny


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I met Jack Kevorkian a few years ago. Dr Death for those unfamiliar with his real name. The elderly and ill man spent his imprisonment just up the road from me.
Agreed with those that say once a third party is involved then it becomes problematic.

I think (not positive) that it is more that ATTEMPTED suicide is illegal heh not the real act.. tis unenforcable once the person is dead.

Slippery slope indeed, do you want your sibling with the grudge to make that decision if you cannot speak?

Yes, I need coffee that is why this is so choppy lol.

Lastly.. OP? If you think you posted this once, why on earth didn't you 'search' to find out?

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RE: I might of asked this question before but anyway sh... - 2/24/2007 3:50:29 AM   
NorthernGent


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quote:

ORIGINAL: SusanofO

I am terrible at transferring links (am a complete non-tecchie, I am truly sorry, and am reallly trying but for now -  if you look up this article, it is "conservative", but very factual - it's great (it's the one you asked for).



Click on the website address of the article you want to post to the forums, press "control" and "c" (at the same time), take your hands off your keyboard, click on the area where you want to insert your link and press "control" and "v" (at the same time). Link posted.

quote:

ORIGINAL: SusanofO

So try Googling this: "Continent Death - Euthanasia in Europe"  (it's by Wesley J. Smith - he is an author for the National Review). I found it very informative - it's a lot longer than the bits I posted here.



Had a quick google, but couldn't find it.

Your source is not inconsistent with less conservative sources. The British Medical Association found (in a 1995 study on Dutch euthanasia) that 1 in 5 cases of euthanasia occurred without the patient's explicit request. It appears Dutch doctors are not operating within the law. Dutch law requires patients to experience "unbearable suffering" to justify euthanasia but, in the same study, more than half the doctors surveyed said the main reason given for the request was "loss of dignity". The study also claims almost two thirds of cases of euthanasia and physician assisted suicide are unreported (it doesn't state how they arrived at this conclusion).

"Unbearable suffering" is in the realms of the subjective. I wouldn't want a doctor deciding what is unbearable suffering for my parents. I found an interesting article on Dutch culture and euthanasia. It claims The Netherlands is quite unique in that doctors are held in such high esteem. The reason being, during the Nazi occupation, doctors refused to give patients details and were sent to camps. As per this article, there are a whole load of cultural issues specific to The Netherlands which makes it an unsual case and one where the cultural background should be taken into account.

Edited for spelling


< Message edited by NorthernGent -- 2/24/2007 3:52:20 AM >


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RE: I might of asked this question before but anyway sh... - 2/24/2007 3:55:33 AM   
cjenny


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NorthernGent would you mind posting a link to the article on Dutch culture/euthanasia? It sounds both frightening & interesting.

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RE: I might of asked this question before but anyway sh... - 2/24/2007 4:06:17 AM   
NorthernGent


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Here you are, Jenny.

http://www.euthanasia.cc/dutch.html

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RE: I might of asked this question before but anyway sh... - 2/24/2007 4:08:04 AM   
cjenny


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 Thankyou. I'm not sure if this will make for good breakfast reading or not...

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RE: I might of asked this question before but anyway sh... - 2/24/2007 4:19:16 AM   
NorthernGent


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It's quite interesting, you should enjoy it.

I can't knock the Dutch for trying to do the right thing. They're taking a view on life and trying to be as humane as possible, rather than basing law on religious dogma and self-interest. The problem is, the practicalities of euthanasia make it such a difficult area to master. Trying to do the right thing is open to abuse as a consequence of human frailty.

P.S. if your breakfast is anything like mine you'll be busy munching your way through the best part of a pig. Quite apt for a killing topic :-)







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RE: I might of asked this question before but anyway sh... - 2/24/2007 8:01:34 AM   
juliaoceania


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quote:

Not with consent" would definitely be murder in my book, too. That's what I mean about fuzzy boundaries. It scares me. I'm gonna be old someday. I don't want my nephew bumping me off, just  because he's tired of visiting me in the Nursing home.



Then you should specify that in a living will

quote:

It's a slippery slope, because I see it as effectively eventually legitimizing all forms of suicide - erasing a taboo that has existed in every culture for centuries.



I am not religious. I do not think people go to hell for killing themselves, and I do not think that there should be a taboo against this personally. It is about freedom in my mind. I believe that if our quality of life will never improve we should have the right to go on to the afterlife.

quote:

To me, especially with regulated pysician-assisted suicide, as legalizing it would mean, the question of who and how "quality of life" is ultimately determined definitely and clearly comes into play - yet the resolution to this question still does not. I am not sure "qaulity of life" from a spiritual standpoint can be defined in mere clinical terms.



I believe that this is why we all need living wills, because many of us would not want to be kept like a vegetable (I would not want to be Terry Schiavo, I think her wishes should have been honored long ago). Your spiritual concept is different from my spiritual concept, and this is why I think that living wills are crucial so other people do not make those decisions for you... for example, I would not want someone that believed all life was worth saving no matter how tortured having control over my end.

quote:

I envision people who are merely very unhappy with their lives, and no longer see life as a gift (for whatever reason) perhaps being able to simply just end it, because the taboo will gradually be erased and it will become more of an acceptable thing to do.


People kill themselves now over depression, I fail to see how allowing those who will never get better end it will lead to more suicide from depression. Most of us have the will to survive, and those who do not are not going to be more likely to cash in their chips because a few terminally ill people do.

quote:

It might be worth noting that pain and suffering aren't always non-valuable conditions, from a spiritual perspective. Personally, I've learned more (and perhaps taught other peopel more, for all I know) form stuggling with adversity than I think I may have learned from times my life was going extra easily and I had no problems to deal with. I guess my basic question then is - what is the definition of "quality of life?"


But you are trying to force other people into your views of spirituality, which I stated earlier I do not share with you. I do not see why people should be forced to endure for other people's life lessons...

quote:

Because if people are going to talk about terms like ending "pain" and "suffering", then they're goingto have to define what contitutes those concepts pretty definitively (IMO), especially when enacting a Euthanasia law


Like I said, people should make sure they define these things themselves before they get sick. I have made my wishes well known to all that love me... and because of this I know who I would want and who I would not want in charge of me if something happened. The ability to extend human life does not mean that we should always do so.
quote:

It's easy to see where this is an easy decision (a child born with huge and painful birth defects with no hope of the pain ameliorating, ever) - but eventually, I see the line continually blurring as we ease into just accepting it's an okay thing to end your own life, even in cases where the hopelessness of a situation isn't so easily measured.


This is comparing apples and oranges... a terminal disease that will never get better and only get worse where the person expressly stated their wishes is much different than this.

quote:

And I find that kind of disturbing, since it negates the idea (for me) that life is a gift.



That is just it, for you it negates life as a gift. Not everyone feels life is a gift, and even those of us that feel it is do not think we should have the power to force adults to live in a world they do not want to.

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RE: I might of asked this question before but anyway sh... - 2/24/2007 8:06:42 AM   
cjenny


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quote:

ORIGINAL: NorthernGent

It's quite interesting, you should enjoy it.

I can't knock the Dutch for trying to do the right thing. They're taking a view on life and trying to be as humane as possible, rather than basing law on religious dogma and self-interest. The problem is, the practicalities of euthanasia make it such a difficult area to master. Trying to do the right thing is open to abuse as a consequence of human frailty.

P.S. if your breakfast is anything like mine you'll be busy munching your way through the best part of a pig. Quite apt for a killing topic :-)



It was interesting, particularly the level of trust that physicians have there.
No piggies for breakfast here today, stir fried vegetables instead!


juliaoceana, I wholeheartedly agree with your post.

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RE: I might of asked this question before but anyway sh... - 2/24/2007 9:09:47 AM   
SusanofO


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NorthenGent: Most people cannot believe I am this big a techno-idiot, bt I am (I am goin gto try now to insert the link you kindly posted - and tahnks for the instructions.  I do appreciate it.). I do apologoze (truly. It is highly frustratingbecause it's a good article). Okay - let's see me try to do this...

http://www.nationalreview.com/comment/smith200312230101.asp


YayyyY!! Oh Northern Gent - it worked! Wow - you actually taught me how to so this (no kidding, I really didn't know, and was always screwing it up before, when I tried. Thank you!!)

Anyway, that's the article I was referring to - as I said, it is "conservative", but pretty stratight-forward, and defintiely full of food for thought, IMO.


juliaoceania: I agree (in principle) with everything you said. My point, really, was that the law has a few flaws (IMO) in terms of the way euthansia is practiced, even though the actual law states it will not and should not be practiced that way. There are other laws where this happens, fo course, too - the justice system isn't perfect as far as execution of the  law, and there have always been corrupt officials, doctors, etc.

I realize there are also many happy outcomes with the way it is currently being practiced.

But the article I just posted did give me pause, because they are apparently euthanizing more than a few folks in the Netherlands now - without their consent. It's more then a few. It's more than a few hundred, even, actually.

The reason this bothers me is - the nature of death is irrevocable. There are no second chances to re-think that decision. It's done, over, and very, very final (and I am not trying to be insulting or anything; I know you realize this as well. Just sayin. ). 

To anyone: I do see definite probelms with the implementation. Because whenever I hear people discuss this, I do think most picture a sceanrio exactly like the one where there is a happy outocme, no legal problems, no greedy heirs, no "death without consent." If that were the case, all of the time, I guess I wouldn't have a problem with it. But - I do have a few questions, too.

1) What about babies? If they are alive, they are not capable of making a decision to end thier own life. So - this is supposed to make it okay that their parents automatically get to make that decision instead, for them?

Personally, I have a real moral problem with this. Other people might not, but I don't think even a parent is in a position to decide whether or not their parental status makes them supposedly scarosanct enough to determine whether someone (their child) who clearly hasn't had a chance to live a full life , or even a couple of years of it - should be able to decide to end it - just because they (or a doctor) has deemed it "unliveable". 

There are plenty of severely handicapped kids in the world who've undoubtedly added to it in terms of what they had to offer to others, and in terms of how other people were probably able to grow via being touched throughtout their own lives by the fact they came into contact with them.

I admit that's pure opinion - but other people never seeem to consider these questions when they consider this overall question. Bottom line -IMO, it's not a parents' life to "end" - its the child's. They are a living human being, regardless of whether they are cognizant enough to make a decison - it's not a fetus, and emobryo, etc - we are talking about a living human. 

This kind of question really isn't an "individual decision" (IMO) - it's a cultural one.

2) What about situations where there are hundreds of cases of "termination without consent" arising - (because this will happen, it is happening now). Is this really acceptable? This circumstance in the Dutch culture has just become a "fact of life" (or rather death) these days. That does bother me, even though I realize that most people are going to be far more concerned about how they actually envision this circumstance working for themselves.

These folks do have a so-called "Living will." I think if a law like this is going to be enacted, it's been made clear that everyone (supposedly) has a living will already, simply due to the nature of the way the law is worded, adn how (in theory) it is supposed to work. It probably does, in fact, work that way much of the time - but rampant abuse of the intentions of peoples' living wills are still taking place. 

Maybe this is "inevitable" - but the fact that Dutch doctos are not presecuted when this happens, bothers me a lot, too.

3) And in the U.S., with the privatized health-care system, I see plenty of room for insurance companies to be making "quality of life" decisions based solely on the finacial implications of choosing to extend a life, or not, what the term "quality of life" means. I realize that in theory - it is doctors (supposedly) that will be determining this decision (along with a patient). But - in practice - it's often (today, right now) the insurance company - simply because they make the decision of who will receive re-imbursement for the care. It happens now - and it's only gonna get worse if we enact a Euthanasia law here in the U.S.

**I don't want Blue Cross, or anyother insurance company, making any more decisions about soething as serious about who gets to live or die -based on the fact that a person is poor, or "under-insured" - anymore than they do now - it's way to much power to determine life or death in the hands of a third-party with an obvious conflict-of-interest .

By the same token, I don't want the U.S. government deciding old folks, for example, on Medicare (or poor people whom are on Medicaid) are all supposed to take a "suicide pill" or something, because they are taking up "too much" of the national budget. Think it couldn't happen? In a nation where we are billions of dollars in debt, for a war we didn't want in the first place, I see this as a not that unlikely possibility. I realize they sometimes get screwed now, by the same budgetary reasons, but - death is pretty irrevocable.

I am not sure that any cmments along the lines of: Well it happens now anyaway... are a good enough reason to ensure circumstances where even more of this will happen.

- Susan.

< Message edited by SusanofO -- 2/24/2007 10:09:18 AM >


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And sings the tune without the words,
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RE: I might of asked this question before but anyway sh... - 2/24/2007 10:25:46 AM   
SusanofO


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NorthernGent: I just read the article you forwarded, and I must say that it really does look like they have good intentions,as far as how the laws are set up and worded, etc. It is also encouraging (if I lived there) to note that that country has the highest standard of Palliative care (to ease pain) in the world. It is a good article - thanks for forwarding it. 

Here in the U.S., I see us as having this entire question be a bit more of an issue that requires us to think it over deeply too, because it is a serious question, but also simply because we don't have national health care coverage for our citizens (I wish we did, but we don't).

I see a definite conflict-of-interest between insurance companies and their ability to make "quality of life" decisions, due to the financial implications, regradless of the fact it is supposed to be the doctor and-or the patient who makes the decision about what constitutes a "quality of life", and how much of an obigation they have to fund one. I think in some cases it may well be the insurance company who fundamentally is actually making the deicison about what is a "quality life." I also tend to see this as more blatant discrimination against the poor in the U.S. (or the otherwise under-insured,) with room for that gap to grow even wider.

I also think anyone in the U.S. who doesn't realize this will happen, is living in a dream world (because it happens now - it's just that it happens less blatantly often, and the consequence does not involve as blatantly irrevocable consequences.) 

- Susan

< Message edited by SusanofO -- 2/24/2007 10:55:19 AM >


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That perches in the soul,
And sings the tune without the words,
And never stops at all". - Emily Dickinson

(in reply to SusanofO)
Profile   Post #: 38
RE: I might of asked this question before but anyway sh... - 2/24/2007 10:49:34 AM   
RosaB


Posts: 852
Joined: 1/10/2005
Status: offline
quote:

ORIGINAL: Sinergy

quote:

ORIGINAL: RosaB

I've worked with hospice patients, most fought till the end, some not even knowing they were fighting a losing battle, (the not knowing at families request).  I did come across a few that wished to be put out of their misery.  They were, upon thier physicians orders, administered by the nurses, given morphine drips to relieve pain.  I can honestly say I'm able to see this from both sides of the coin and I lean more towards feeling it should be a legal option in some instances.  



I feel loss of life is a tragedy, but I support a person's right to decide to cash in their chips and leave the table.

It is not my place to render judgement on their reasons.

Sinergy


If it sounded as if I was making a judgement on the why, I was not.  My gray area is in having someone from the outside come in and assist or making that final call in the absence of the ill person having the clear ability to finalize that decision for themselves. I want to know that all the t's are crossed and i's are dotted before any plugs are pulled. 

On the lines of what someone else stated, I don't feel anyone should have the right to regulate when a person, of measurably sound mind chooses to end their life sick on not.  We just don't need a bunch of hungry vultures (next of kin, those to inherit the estate of the future dead,) circulating around the undead  happily waiting to make the call before need be.  And so in the climate of which we are referring, if the patient is ready to die, they should most certainly be allowed to pass on with dignity and if they so want, at their chosen time...

Rosa


< Message edited by RosaB -- 2/24/2007 11:02:40 AM >

(in reply to Sinergy)
Profile   Post #: 39
RE: I might of asked this question before but anyway sh... - 2/24/2007 10:59:33 AM   
SusanofO


Posts: 5672
Joined: 12/19/2005
Status: offline
The climate to which we refer might well be the one in which this decision is actaully made most of the time. But then again, it might not. I wish I had more stats on it, but to me, it looks like the climate includes a few wrinkles that definitely need further consideration.

- Susan

_____________________________

"Hope is the thing with feathers,
That perches in the soul,
And sings the tune without the words,
And never stops at all". - Emily Dickinson

(in reply to RosaB)
Profile   Post #: 40
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