"The idea that legalizing assisted suicide and euthanasia will somehow increase patient choice . . . is a society gone mad"

Dear Editor, 

Mark Hume's article cheering on the anonymous family "forced" to kill their parents is a not-so-subtle endorsement of the current challenge to our laws against assisted suicide and euthanasia. The article is titled "A.B.C.'s family's secret: how they helped their parents die." My question is, what were the family's other "secrets"? How much did they inherit, who got the house, or were the killings done as payback for long past wrongs? Elder abuse is a terrible problem in this country and the scenario I describe is not uncommon.

Hume's article also ignores that older people are already being killed in our health care facilities via dehydration, starvation, and/or morphine overdose. For one instance, see this article in the Winnipeg Free Press, "Alleged deprivation of senior probed: Denied food, water in hospital." ( http://www.winnipegfreepress.com/local/alleged-deprivation-of-senior-probed-132297303.html ) My own mother had a similar experience in an extended care facility in Nova Scotia. A mild stroke led to her forced starvation and dehydration. It didn't matter that she was conscious and trying to speak, or that she had indicated she wanted water.

As evidenced by the overreaching doctors described in the above article and my mother's experience, some doctors cannot be trusted with the power they already have. Legalizing assisted suicide and euthanasia will give them even more power to effect patient death. The idea that legalizing assisted suicide and euthanasia will somehow increase patient choice and autonomy is a society gone mad.

To read my mother's story, please click here: http://www.choiceillusion.org/p/mild-stroke-led-to-mothers-forced.html

Thank you,
Kate Kelly, B.A., B.Ed

[Ms Kelly is responding to this story:   http://www.theglobeandmail.com/life/health/end-of-life/shareTweet/article2262311/]

Oregon Doctor Speaks Out: "Help with Depression, not Suicide"

http://www.timescolonist.com/health/Help+with+depression+suicide/5754424/story.html

I am a physician practicing medicine in Oregon where physician-assisted suicide is legal. I disagree with a writer's assessment that Oregon's law has worked well.

As one example, a few years ago, my patient, a 76 year-old man presented with a sore on his arm which turned out to be cancer. I referred him to an cancer specialist for evaluation and therapy. He was an avid hiker and as he went through his therapy, he became less able to do this activity and became depressed, which was documented in his chart.

He expressed a wish for assisted-suicide to the cancer specialist, but rather than taking the time and effort to address his depression, or to contact me as his primary physician and as someone who knew him, she asked me to be the "second opinion" for his suicide. I told her that I did not concur and that addressing his depression would be better than simply giving him a lethal prescription. Unfortunately, two weeks later my patient was dead from an overdose prescribed by this doctor.

In most jurisdictions, suicidal ideation is interpreted as a cry for help. In Oregon, the only help my patient got was a lethal prescription intended to kill him.

Don't make Oregon's mistake.

Charles J. Bentz, MD
Division of General Medicine and Geriatrics Oregon Health & Sciences University Portland

Derek Miedema: My right to live trumps your right to die

http://www.nationalpost.com/scripts/right+live+trumps+your+right/5776028/story.html

Letter-writer Anneke Jansen thinks her two severely disabled sons would be better off dead (Bring An End To My Children’s ‘So-Called’ Life, Nov. 23). I give thanks every day that my disabled twin brother is alive.

Due to complications at birth, he is still in diapers and fed via a feeding tube even though he’s 39. He gets around in a wheelchair only when pushed by someone else. He can’t talk, and yet, he has taught me more about what it means to be human than anyone else I know.

Though the euthanasia question is framed in the language of choice and personal autonomy, the legalization of assisted suicide endangers those with no voice.

In Belgium, one-third of euthanasia deaths done by doctors occur without the explicit request of the person killed, according to a 2010 study of euthanasia in Belgium. Why? Some doctors decided for the patient that euthanasia was the best option. Though hard to believe, others thought the conversation about dying would be too stressful for the patient, so they killed them instead.


In Switzerland, a 23-year-old rugby player, paralyzed as a result of a training accident, was depressed. Who wouldn’t be? He was euthanized despite research that shows people with a spinal cord injury can and do create a satisfying quality of life with time and proper societal and family support.
Reports from the Netherlands indicate that 500 people died without their consent in 2005 alone. A woman in the advanced stages of dementia was recently euthanized there. A long-time supporter of euthanasia, doctors killed her even though she was incapable of deciding for or against the euthanasia decision at the time of her death.

"It's too dangerous to allow others to kill us"

http://www.calgaryherald.com/health/dangerous+allow+others+kill/5776735/story.html

By Brian Purdy - Calgary Herald - November 28, 2011

Suicide is legal, assisting it is not. The debate about the legalization of assisting suicide is in the news again, with another court case approaching the Supreme Court of Canada.

There are two points of view. The first is that every person has a right to end one's own life, so why should it not be legal to assist someone to do so? A person at the end of life can get help to end suffering and an unbearable dwindling away to an inevitable end. Why should a doctor or anyone else be made a criminal for an act of mercy?

The second view is that legalizing assisting a suicide is a dangerous slippery slope. Lord Acton, who famously said "Power corrupts, and absolute power corrupts absolutely," also said something else about power. He said, "do not grant powers on the assumption they will not be abused."  Those who take the second view think that legalizing assisting suicide would lead to the likes of "Dr. Death" Jack Kevorkian not only assisting but encouraging people to commit suicide, often in highly inappropriate cases. It might lead to "suicide parlours" where depressed but otherwise healthy people could have a final lethal cocktail. Doctors might rid themselves of long term comatose patients without proper consent. Licia Corbella has pointed out in these pages that a very large number of patients in the Netherlands have been terminated by their doctors without any consent by the patient.

When my mother died years ago, she was old, and in a hospital bed for the last 18 months. Before that, for years, she hadn't been able to care for herself. No one could say she was productive in her last years. There was constant, expensive care.

After she died, I thought again about intervention to end the life of people like Mother, who dwindle into a prolonged dying. She had, after all, been declining for years. Should she have been put out of her misery?

Well, she wasn't miserable, as far as anyone knows. She had strokes and couldn't talk for the last two years, but didn't seem to be in pain.

Besides, who would make that decision to end Mother's life? Me?

Another family member? Hell no. We stood to profit by inheriting her estate. And, we could eliminate our burden of care. Either way, definite conflict of interest, no matter how good the intentions. 

"We deserve the same suicide prevention as everybody else"

http://www.calgaryherald.com/opinion/letters/Suicide+prevention/5753866/story.html

By Diane Coleman, Calgary Herald - November 23, 2011

Re: "Trapped alive," Letter, Nov. 21.

James G. Swanson's letter demonstrates the profound devaluation that too many feel toward those of us with severe physical disabilities. Swanson describes his father and a friend, disabled by an accident and ALS, respectively, as "trapped" and "condemned to a life in hell." Social messages that one is "better off dead than disabled" permeate society, including our families.

Swanson's solution to the so-called problem of disability is assisted suicide. Like most, he hasn't noticed the difference between suicide and assisted suicide. Apparently, he doesn't think it matters if someone's family views their life as devoid of quality. There's no sign of concern that we might feel that our existence is a burden to those closest to us. The Council of Canadians with Disabilities rightly opposes assisted suicide. A society that not only agrees with a disabled person's suicide, but guarantees that our suicide attempt results in death, is not treating us as equals. We deserve the same suicide prevention as everybody else, not a streamlined path to death.

Diane Coleman, Rochester, N.Y. Diane Coleman is the founder of the disability rights organization Not Dead Yet.

Glad to be Alive

http://www.calgaryherald.com/opinion/letters/Glad+alive/5753865/story.html

By Alison Davis, Calgary Herald - November 23, 2011

Re: "No right to be killed; Doctor assisted suicide should not be allowed," Editorial, Nov. 20.

I was glad to see your excellent editorial stating the case against euthanasia. If [assisted suicide/euthanasia] had been available to me some years ago, I wouldn't now be writing to you. I have several severe disabling conditions. I use a wheelchair full time and a vent at night. I have severe pain, which even morphine can't control.

I wanted to die for more than 10 years, at a time when doctors thought my life expectancy was very short. I attempted suicide seriously several times, and was saved, only because friends found me in time and took me to the emergency room, where I was treated.

At first, I was angry with them for thwarting my wishes. Now, I'm eternally grateful. I want to live now, even though my pain is worse than it was when I wanted to die. What changed my mind is friends who refused to accept my view that my life had no value, and a group of very poor children, who loved me wonderfully and overwhelmingly. I found a reason to live in reaching out to help others, rather than turning the negativity on myself. If assisted suicide had been available then, no one would ever have known the doctors' prognosis was wrong, or that I'd be missing the best years of my life.

Alison Davis, Blandford Forum, U.K.

Doctor-assisted suicide is dangerous for us all

http://www.calgaryherald.com/news/Doctor+assisted+suicide+dangerous/5737414/story.html

By Licia Corbella, Calgary Herald

November 19, 2011 

It's been a sickly couple of weeks for life. This past Monday, a B.C. Supreme Court case kicked off in which five people are seeking the right to choose to be killed by a physician. The very next day, the Royal Society of Canada (RSC) released a report that urges the federal government to legalize assisted suicide in Canada. A summary of the End of Life Decision Making report states: "The evidence from years of experience and research where euthanasia and/or assisted suicide are permitted does not support claims that decriminalization will result in vulnerable persons being subjected to abuse or a slippery slope from voluntary to non-voluntary euthanasia."

Wow. The RSC panel members must be really lousy researchers. At the very least, someone should teach them how to use Google. Why? Because on Nov. 9, it was announced that a woman with advanced Alzheimer's disease was euthanized in the Netherlands in March. In Holland, this was not even big news.  The horror stories in the Netherlands, where euthanasia was legalized in April 2002, but where it was practised for years prior to that without censure, go way back and prove that there is not just a slippery slope, but a veritable vertical skating rink. Two comprehensive studies, headed up by the Attorney General of the High Council of the Netherlands - Prof. J. Remmelink - reveal utterly shocking examples of abuse, or rather, murder.The first of these reports was released in September 1991. It found that in 1990 alone:

Anti-Assisted Suicide Laws Have Served Him Well

http://www.timescolonist.com/health/Anti+suicide+laws+have+served+well/5731465/story.html

By John Coppard, Times Colonist, November 18, 2011

The editorial "Time to talk on right to die" asserts the time is now right to discuss this critically important topic (Nov. 16). 

I submit that the time passed a little over a year ago, when parliamentarians overwhelmingly rejected private member's bill C-384 seeking to legalize physician-assisted suicide and euthanasia by a vote of 228 to 59.

John Coppard

Representatives of all parties recognized the dire risks to public safety of giving physicians the legal right to take their patients' lives, and our health-care system, and even friends and relatives, the legal right to steer ill people toward suicide. Our democratic representatives correctly saw this as open to abuse, and bad public policy.

The "Carter case" now ongoing in Vancouver is an attempt to end-run Parliament.

As a person who is "grievously and irremediably ill" with Grade IV brain cancer, I would be affected should this case succeed. Two and a half years after being given a 20 per cent chance of surviving five years, I am doing very well on a medication approved by Health Canada only a year ago, within a week of my cancer coming back.

Had I been given the legal choice of assisted suicide when I first received my terrible prognosis, or when my cancer returned, when I felt hopeless, I don't know what I would have done.

Now I'm doing very well, thanks to medical advancements that are coming faster than at any time in our history. Our anti-suicide laws protected me and gave me a chance for a long and happy life, just as they were intended to do.

John Coppard
Victoria

The Carter Case and Assisted Suicide: A Recipe for Elder Abuse and a Threat to Individual Rights

For shorter print versions of this article, click here and here.
For talking points, click here.

Will Johnston, MD

Margaret Dore, JD
Alex Schadenberg
November 1, 2011

"Those who believe that legal

assisted suicide . . . will assure their
autonomy and choice are naive."

William Reichel, MD

Montreal Gazette,

May 30, 2010[1]

A.  Introduction

Carter vs. Attorney General of Canada brings a constitutional challenge to Canada's laws prohibiting assisted suicide and euthanasia.[2]  Carter also seeks to legalize these practices as a medical treatment.[3]  Last year, a bill in Parliament seeking a similar result was overwhelmingly defeated.[4] 

This article's focus is physician-assisted suicide.

Legalizing this practice would be a recipe for elder abuse.  Legalization would also empower the Canadian health care system to the detriment of individual patient rights.  There would be other problems.

B.  Parliament Rejected Assisted Suicide

On April 21, 2010, Parliament defeated Bill C-384, which would have legalized physician-assisted suicide and euthanasia in Canada.[5]  The vote was 228 to 59.[6]C.  The Carter Case

Patient wishes opposed

http://www.winnipegfreepress.com/opinion/letters_to_the_editor/132679923.html

I read with sadness the Oct. 21 article about Anne Rostecki, Alleged deprivation of senior probed, by Alexandra Paul.

My mother died in a similar situation. A mild stroke led to her involuntary starvation and dehydration in a Nova Scotia care facility.

There is now a push in Canada to legalize assisted suicide and euthanasia as a supposed voluntary choice. But as evidenced by my mother's and Rostecki's cases, doctors now impose their wishes on patients without their consent.

Doctors cannot be trusted with the power they have. Legalizing assisted suicide or euthanasia would give them even more power to effect patient deaths. The idea that legalizing these practices will somehow give patients more autonomy and choice indicates a society gone mad.

KATE KELLY
Coral Harbour, Nunavut

Assisted Suicide Too Easily Abused

http://www.timescolonist.com/news/Assisted+suicide+easily+abused/5525325/story.html

By John Coppard, Times ColonistOctober 9, 2011

Re: "Assisted dying should be an option," Oct. 4.

The danger in legalizing assisted suicide is that people's choices can so easily be undermined and abused. Whether it's greedy relatives hoping to speed up their inheritance, or cash-strapped bureaucrats looking to save on health-care costs, the weak and vulnerable can be all-tooeasily steered toward a death they do not truly want.

In Oregon, where physician-assisted suicide is legal and the government health plan is empowered to steer patients to suicide, two cases have gained public prominence - Barbara Wagner and Randy Stroup. Both wanted treatment, but their plan offered them suicide instead. Canadian laws prohibiting assisted suicide exist for a reason. Let's keep it that way.

John Coppard Victoria

What People Mean When They Say They Want to Die

 (originally published as a Statement for the BBC)

For a print version, click here. 

by William Toffler, MD

______________________________________________________

There has been a profound shift in attitude in my state since the voters of Oregon narrowly embraced assisted suicide 11 years ago.  A shift that, I believe, has been detrimental to our patients, degraded the quality of medical care, and compromised the integrity of my profession. 

Since assisted suicide has become an option, I have had at least a dozen patients discuss this option with me in my practice.  Most of the patients who have broached this issue weren't even terminal. 

One of my first encounters with this kind of request came from a patient with a progressive form of multiple sclerosis.  He was in a wheelchair yet lived a very active life. In fact, he was a general contractor and quite productive.  While I was seeing him, I asked him about how it affected his life.  He acknowledged that multiple sclerosis was a major challenge and told me that if he got too much worse, he might want to “just end it.” “ It sounds like you are telling me this because you might ultimately want assistance with your own assisted suicide- if things got a worse,” I said.  He nodded affirmatively, and seemed relieved that I seemed to really understand.

I told him that I could readily understand his fear and his frustration and even his belief that assisted suicide might be a good option for him. At the same time, I told him that should he become sicker or weaker, I would work to give him the best care and support available. I told him that no matter how debilitated he might become, that, at least to me, his life was, and would always be, inherently valuable. As such, I would not recommend, nor could I participate in his assisted-suicide.  He simply said, "Thank you."The truth is that we are not islands.  How physicians respond to the patient’s request has a profound effect, not only on a patient's choices, but also on their view of themselves and their inherent worth.

'I was afraid to leave my husband alone'”

Letter from Oregon resident, Kathryn Judson, Published in the Hawaii Free Press, February 15, 2011.  To view the original letter, click here and scroll down towards the bottom of the page.   

Dear Editor,

Hello from Oregon.

When my husband was seriously ill several years ago, I collapsed in a half-exhausted heap in a chair once I got him into the doctor's office, relieved that we were going to get badly needed help (or so I thought).

To my surprise and horror, during the exam I overheard the doctor giving my husband a sales pitch for assisted suicide. 'Think of what it will spare your wife, we need to think of her' he said, as a clincher.

Now, if the doctor had wanted to say 'I don't see any way I can help you, knowing what I know, and having the skills I have' that would have been one thing. If he'd wanted to opine that certain treatments weren't worth it as far as he could see, that would be one thing. But he was tempting my husband to commit suicide. And that is something different.

I was indignant that the doctor was not only trying to decide what was best for David, but also what was supposedly best for me (without even consulting me, no less).

We got a different doctor, and David lived another five years or so. But after that nightmare in the first doctor's office, and encounters with a 'death with dignity' inclined nurse, I was afraid to leave my husband alone again with doctors and nurses, for fear they'd morph from care providers to enemies, with no one around to stop them.

It's not a good thing, wondering who you can trust in a hospital or clinic. I hope you are spared this in Hawaii.

Sincerely,

Kathryn Judson, Oregon

" If my doctor had believed in assisted suicide, I would be dead"

I'm so glad doctor didn't assist me with thoughts of suicide
http://www.tcpalm.com/news/2010/oct/19/letter-im-so-glad-doctor-didnt... 

Letter, Tuesday, October 19, 2010

I disagree with Marshall Frank's column, "Florida ready for its own Death with Dignity Act, to give terminally ill patients a choice." Here in Oregon we have such a law. In other words, assisted suicide is legal. Our law was enacted via a ballot initiative that I voted for.

In 2000, I was diagnosed with cancer and told that I had six months to a year to live. I knew that our law had passed, but I didn't know exactly how to go about doing it. I tried to ask my doctor, but he didn't really answer me. I did not want to suffer. I wanted to die and I wanted my doctor to help me. Instead, he encouraged me to not give up and ultimately I decided to fight. I had both chemotherapy and radiation. I am so happy to be alive!

It is now nearly 10 years later. If my doctor had believed in
assisted suicide, I would be dead. I thank him and all my doctors for helping me choose "life with dignity." Assisted suicide should not be legal. Don't make Oregon's mistake.

Jeanette Hall
King City, Ore.

Terminal Uncertainty: "Washington's new 'Death With Dignity' law allows doctors to help people commit suicide once they've determined that the patient has only six months to live. But what if they're wrong?"

We almost lost her because she was having
too much fun, not from cancer" 

Click here for pdf

She noticed the back pain first. Driving to the grocery store, Maryanne Clayton would have to pull over to the side of the road in tears. Then 62, a retired computer technician, she went to see a doctor in the Tri-Cities, where she lived. The diagnosis was grim. She already had Stage IV lung cancer, the most advanced form there is. Her tumor had metastasized up her spine. The doctor gave Clayton two to four months to live.

That was almost four years ago.