Extending Life Without Quality of Life

One of the challenges produced by the progress in medicine is the question of the role of doctors when a patient nears the time of death. In the old days, doctors had a code that said they would “do no harm,” which resulted in extending life without quality of life.

I had a personal experience with this issue when my disabled son Timothy was in the hospital after contracting COVID from a care worker. Doctors told me that Tim would never recover, but they had to give him a standard COVID treatment. Tim did survive but was not allowed to have any contact with family. He could not talk, was blind, could not stand or sit up, and could not feed himself. Eventually he was placed in a nursing home where I was allowed to visit him, and I did weekly. Although he could hear me, he was unable to respond. I read to him, tried to feed him, and ensured his stuffed animals were around him. After more than a year in the nursing home, he died.

The question in a case like Timothy’s becomes whether a doctor should be allowed to assist in dying when the apparent result was extending life without quality of life. Laws in Belgium, the Netherlands, and Canada allow doctors to administer euthanasia. The next step in these countries is to allow physicians to provide medical assistance in dying for the mentally ill. Canada has delayed the implementation of that option for physicians until 2027 to allow doctors and facilities time to adjust to this new law. Peter Singer, the DeCamp Professor of Bioethics at Princeton University, has advocated for euthanasia for virtually any cause.

For Christians, the issue is especially relevant. The New Testament in 1 Corinthians 3:16-17 says that God’s Spirit lives in our bodies and that the body is sacred for that reason. I Corinthians 6:15-17 uses that view to explain why prostitution is a sin. As modern medical science has advanced to the point of extending human life, it has also found ways to eliminate pain, but my son never showed evidence of suffering from pain. The problem remains of extending life without quality of life.

Euthanasia involves the same issues as abortion. Singer would empty prisons, nursing homes, and mental facilities by applying euthanasia to the people there. The fact is that much of the money spent on medical treatment is spent during the last year of life. Think of the savings if we were to eliminate everyone deemed to be within a year of dying. Do we really want to live in a culture that uses death as a means of removing a person who is inconvenient or difficult to sustain? But isn’t that what abortion is all about?

— John N. Clayton 2024

Reference: “Canada again delays assisted dying for the mentally ill” on BBC News for February 1, 2024.