Most Difficult Issues of Life

I believe that one of the most difficult issues of life is what to do when…
…you have been told you are going to die
…you are in enormous pain
…there seems to be no hope of recovery
…your care is using up the inheritance of your children
…and quality of life for you is absolutely zero with no hope it will ever get better.

I have seen friends and family in that situation and observed it in people with Alzheimer’s and dementia. This issue is a growing problem because our population is aging. At my age, I find that when I read the obituaries in the South Bend Tribune, there is someone I know listed nearly every day. We are not talking about “pulling the plug,” where a mechanical device keeps a body technically alive. We are talking about physically doing something to a patient that will result in death.

In 2019, New Jersey, Maine, Oregon, Hawaii, and New York all passed laws that either allowed medical aid in dying or made it easier to get help to die. Hearings that will lead to medical assistance bills were conducted in Connecticut, Maryland, Massachusetts, Minnesota, New Mexico, and Nevada. An organization called “Compassion and Choices” has spearheaded a national movement to promote physician assisted suicide, and they have enormous support from celebrities and academics.

The fact is that death remains one of the most difficult issues of life. The arguments against physician assisted suicide are especially emotional. By choosing that path, we are trusting human judgment about whether death is close at hand. There are cases where someone who was expected to die made an amazing recovery. Psychological and spiritual healing sometimes results when a person knows that they are about to die. Support as friends and family rally around a dying person can rebuild relationships and restore family unity that is rare in today’s world. Many believe that leaving the time of one’s death in the hands of God is a necessary spiritual responsibility.

There is no question that we need to make changes in the laws and practices concerning the most difficult issues of life and death. Dealing with Alzheimers and dementia is very different from dying of cancer. Huge medical strides are making judgment difficult in all of these cases. Making a person comfortable throughout the last stages of life should be a priority for geriatric medicine. Limiting the use of medications and devices to relieve pain for a dying person is not only cruel but unnecessary. We should be able to win life’s final war with pain without resorting to terminating life.
— John N. Clayton © 2019