Medical Aid in Dying and Hospice Care

Medical Aid in Dying and Hospice Care

One of the many issues involved in the advancement of modern medicine is what to do when a person is slowly dying and has no quality of life. Should a lethal injection be given to end their struggle? “Medical aid in dying,” or MAiD, has been accepted in Europe, Canada, and other places. As expected, there have been abuses, and for that reason, the European Court of Human Rights recently ruled that access to assisted suicide is not a human right.

Contrastingly, the Human Population Group has promoted assisted suicide and has had success in getting various American states to accept it. Now, the Hospice and Palliative Nurses Association (HPNA) has announced a policy change that allows hospice nurses to participate in assisted suicide under the MAiD euphemism. The statement reads: “Nursing care for patients considering MAiD and their families is crucial to ensure that patients and families are not overtly or inadvertently disenfranchised or stigmatized as they proceed with MAiD and that they experience a safe and comfortable death, free from complications.”

This is a highly complex issue. Keeping someone alive when there is no hope of survival and no quality of life can be very expensive. Do you wipe out your loved one’s financial resources by continuing life in these situations? When a person has Alzheimer’s and doesn’t know anyone but is otherwise healthy, do you administer assisted suicide if they had requested it when they were rational? These issues touch many of us and will increase as our population ages.

Proponents of medical aid in dying argue that since we euthanize animals when they are suffering, we should extend that same option to humans. One prominent supporter of medically assisted suicide is Peter Singer, who is the DeCamp Professor of Bioethics at Princeton University. Singer would not only support medical aid in dying but would require the euthanization of prisoners who have life sentences and mentally ill patients who are beyond help.

For Christians, there are grave concerns with medically assisted suicide. In 1 Corinthians 3:16-17, we read, “Do you not know that you are the temple of God and that the Spirit of God has His home in you? If any man ruins the temple of God, God shall ruin him, for the temple of God is sacred, and that is what you are.” When hospice nurses are allowed to administer “medical aid in dying,” how long will it be before they are required to do so regardless of their religious and ethical objections?

There are no easy answers for any of us in this issue, but it seems that with modern medicine and technology, there should be an option other than giving a human a lethal injection to end their lives.

— John N. Clayton © 2024
Reference: The Life Legal Defense Foundation publication Lifeline for Summer 2024, pages 6-7.

How to Deal with Death

How to Deal with Death

One of the most significant challenges of our time is how to deal with death, and as medical science advances, the issue becomes more critical. Some project that by the year 2050, the U.S. government will spend a trillion dollars a year on millions of institutionalized Americans with Alzheimer’s and advanced stages of dementia. That is 50% more than all federal, state, and local agencies spend today on K-2 public education.

On a more personal level, Americans often spend the largest amount on medical care during the last year of life, depleting family resources and frequently leaving surviving family members destitute. I personally know of widows in our area who are living on a day-to-day basis because they spent all their savings caring for a dying husband. 

Medically assisted suicide is the current trend in how to deal with death. Ending one’s life at a time and in a place of their choosing is now legal in Australia, Austria, Belgium, Canada, Colombia, Luxembourg, the Netherlands, New Zealand, Spain, and Switzerland, where it has been legal since 1942. Organizations worldwide and in the United States assist people in arranging legal medically assisted suicide.

At the moment, there are ten states and the District of Columbia that have medically assisted right-to-die programs. This trend began on November 22, 1998, when 60 Minutes broadcast a video of Michigan physician Jack Kevorkian administering voluntary euthanasia to Thomas Youk, a 52-year-old man with advanced Lou Gehrig’s disease. Oregon passed the nation’s first “death with dignity” law four years later, and other states followed after 2016. 

In Canada, a person can end life as young as 18 and need not have any life-threatening illness. In 2021 over 10,000 Canadians ended their lives through state-approved euthanasia. This statistic highlights a significant “slippery slope” problem with euthanasia or assisted suicide laws. They can expand to include people who have minor mental or social struggles. 

St. Thomas Aquinas wrote, “It is altogether unlawful to kill oneself because life is God’s gift to man and subject to His power, Who kills and makes to live. Hence whoever takes his own life sins against God.” In 1 Corinthians 3:16-17, Paul wrote, “Do you not know that you are the temple of God and that the Spirit of God dwells in you? If anyone defiles the temple of God, God will destroy him. For the temple of God is holy, which temple you are.” There is no easy answer to this question of how to deal with death. However, many of us will face the hard choices the end of life can bring. 

— John N. Clayton © 2023

Reference: “Putting an End to It” by Terrence Keeley in Notre Dame Magazine for Spring 2023, pages 47-50

Legalizing Assisted Suicide in the Netherlands

Legalizing Assisted Suicide in the Netherlands

The Netherlands has been a trailblazer in legalizing abortion, same-sex marriage, and euthanasia. For many years, that country has had a euthanasia law that allows doctors to actively kill a patient with an injection of drugs. It is supposed to be done only under strict conditions, but some cases have resulted in criminal actions. Now a group has filed a suit to force the Dutch government into legalizing assisted suicide.

The group called Cooperative Last Will, which claims 30,000 members, brought the suit. They want to legalize assisted dying, in which patients are provided with a lethal substance they take themselves. Lawyers have presented their arguments both for and against assisted dying, and the Hague District Court will render a decision on December 14.

From a purely secular standpoint, there are obvious problems with this issue. There are times in life when you hit rock bottom, and dying can look pretty good. Taking your life might make sense if you believe you are an animal with no more value than any other animal. However, people thinking of taking their own life are not considering what their death does to those who love them, to material possessions, or their obligations to society.

The Christian view of life and the physical body is explained in 1 Corinthians 3:16-17. It tells us that the body is the temple of the Spirit and expresses God’s displeasure with anyone destroying it. I have been with several Christians when they died. Their expressions of love, forgiveness, sharing, and caring have impacted the lives of their family and friends. In some cases, the actions or words of one who was dying have changed the lives of others.

Assisted dying is a selfish, cowardly, atheistic choice by someone who may be influenced by any number of destructive agents. We need to work toward ending our lives in a positive way that expresses our love and the care that we have for others. Doctors need to work on relieving pain, not finding ways to terminate a life. Legalizing assisted suicide to allow distressed individuals to end their lives is filled with problems.

— John N. Clayton © 2022

Reference: Mike Corder in an Associated Press article for October 11, 2022. Featured in the South Bend Tribune for that date on page 6A.

Assisted Suicide and Choices

Assisted Suicide and Choices

In our March 16, 2020, post, we discussed the issue of suicide, and the Federal Communication Commission’s efforts to create a suicide hotline. We discussed the problem of assisted suicide or euthanasia in our February 24 and 25 posts. The March 20 issue of The Week magazine carried an article (page 11) titled “The Spread of Assisted Suicide.”

In addition to the data showing how much assisted suicide has increased, the article in The Week points out that assisted suicide is now available to people for various reasons. It is being made available to those who are in psychological pain, those who don’t want to go into a nursing home, and to minors with their parent’s permission. This is a significant problem with large numbers of people involved. In the Netherlands alone, there were 6585 assisted deaths in 2017.

Our biggest concern in this growing trend is the misinformation that the public is receiving. Dignitas, which is a Swiss organization assisting in suicides, says that assisted suicide is “far preferable to letting ill people make a lonely, risky suicide attempt.” Those are not the only choices available to a person who is depressed, in pain, or fearing dementia.

As life expectancy continues to climb, more and more people will struggle with emotional and physical pain. Our focus needs to be on solving those issues, not just in finding ways to destroy the “temple of God” (1 Corinthians 3:16).

— John N. Clayton © 2020