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Would you be in favour of assisted dying being introduced for terminally ill patients in your country?

With the discussion of whether assisted dying should be allowed in Scotland befing brought up again, I was wondering what other people thought of the topic.

Do you think people should be allowed to choose when to end their own life?

What laws need to be put into place to prevent abuses in the system?

How do we account for people changing their mind or mental decline causing people to no longer be able to consent to a procedure they previously requested?

90 comments
  • We humanely end the suffering of our old cat or dog. Heavens forbid we let grandma go out peacefully. Sorry gramma ya gotta slowly drown in your own blood because I’m afraid of theoretical scenarios in which the government decides to kill everyone.

  • I live in Oregon in the US and we've had it for a number of years. We had to fight hard for that and even so its fraught with BS, but a couple years ago I had a family member make use of it and I was very glad it was available.

  • It should be available to anyone as long as informed consent can be achieved and they're of sound mind in the view of at least a few medical professionals.

    I think it should be available as a medical directive, like a DNR order with specific criteria, and require several doctors to evaluate the criteria unanimously, and no family to object if the patient can't give informed consent, only whatever form of consent they can give.
    It should be called off if the patient objects, regardless of their ability to give informed consent.
    Scenario I'm picturing is a person with dementia who previously filled out a form stating that if they're no longer themselves or able to function, and other criteria they specified beforehand, and doctors agree the circumstances have been met, and the family doesn't object, it should be able to proceed even though someone with advanced dementia cannot consent because they cannot fully understand. If they say no it must stop.

    I feel concern about people with mood disorders seeking that route, which is why I want a medical professional to say they're of sound mind.
    Ultimately it's your life and your body, so you should be able to have that autonomy, but I think it's responsible to pause if a doctor says you're not in a rational place to make that type of choice.

  • I think in utopia it'd be great, but we don't live in utopia, and in the world we do live in, assisted suicide is just an easy out for ableist society to push us towards, because it's significantly easier to dispose of us from behind the alarmingly thin veil of "compassion" than it is to create a world where we don't struggle and suffer by default just for existing as ill or disabled people.

    And it's so much easier mostly because the first step to creating an actually compassionate and inclusive world, is facing the fact that society and the individuals in it treats disabled people so badly and sees so little value in our lives, which is why so many abled people (including those making legislation, because disabled people sure aren't) would "rather die than be disabled" in the first place (or why so many disabled people have been denied treatment because their lives were deemed "not worth saving", which happens a lot more often than most people would be comfortable acknowledging), and that's simply not something most abled people are willing to do, never mind actually acting on these facts to change them.

    This kind of legislation is closer to eugenics than it is disability rights.

  • It does exist here.

    I opposed its legalization... but supported its existence in practice. In fact, I need its existence... Medical technology has created a lot of complicated situations because we have the ability to keep people alive to carry on in suffering even when there is no hope of recovery.

    It is the unspoken duty of a modern doctor to deliver a coup de grace when this point has been reached - I think even without asking permission. The old Greek or Mexican lady with a cross around her neck and the Priest coming to visit her and deliver communion can never assent to be euthanized.... She needs her doctor to read the situation and to send her off when recovery is impossible and only suffering remains.

    When we make it a process that requires her consent & signature, we deny her a peaceful death...

    And, when we legalize it, we open the door to some upsetting things, like the euthanization of people for merely mental health conditions. There's something profoundly ugly & disturbing about someone in their 20s being put to death by a doctor for their mental anguish. Yes, mental suffering is very real, and it should absolutely be addressed... But, just like in the case of prostitution, it is just not something the state can set a moral precedent of approving of it when it happens.

  • No, for several reasons.

    Death is final. There is no coming back from it.

    A cure, or at least an effective treatment, might be just around the corner. HIV used to be a death sentence; it isn't any more (and from what I understand, carriers can now have unprotected sex without passing it on). I wonder how much medical research into treating HIV wouldn't have been possible without sufferers to try out potential treatments. Maybe it would still be a death sentence today if assisted suicide had allowed people to escape it.

    There is no way to be 100% certain someone isn't being pressured to die. If they answer all the questions correctly, that only shows they know the right answers; it doesn't show they are being truthful.

    Justifying assisted suicide on the basis of the worst cases is not sufficient. There will always be worst cases. Let's say we define a limited set of the worst cases; those are now effectively solved and everything else jumps up a level. There is now a new set of worst cases. How long before someone catching the common cold gets put to death? You may say this is ridiculous but the worst case justification means that the cold WILL eventually rise to the top, and there WILL be arguments like "giving evolution a helping hand", or "for the benefit of the species", and as we will by then be routinely applying AS there'll only be a low bar to jump.

    If palliative care isn't producing sufficient quality of life, we can put people into a medically induced coma (IANAD so there may be good reasons we can't, but idk). There they stay until (a) a cure or treatment is available, or (b) they die naturally anyway.

    Obviously this needs sensible public healthcare in place. Where medical treatment is expensive and life is cheap, this won't work. I'm in the UK where healthcare is provided by the state and we have the luxury of considering life to be priceless.

    For those who say we euthanise animals - well society in general doesn't want to pay for their healthcare and doesn't consider their lives to be infinitely precious. Also there is the question of how much they understand what is happening to them; maybe the terror of being hooked up to a machine would make their QOL effectively non-existent anyway.

90 comments