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.

Extending Life Without Quality of Life

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.

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

MAID Law Experiment in Canada

MAID Law in Canada

One of the most challenging issues today is the question of how to die. Thanks to medical advancements, a person with a terminal illness can be kept alive for a very long time with no quality of life. This has resulted in a worldwide push for the adoption of euthanasia. In 2015 the Supreme Court of Canada ruled that criminalizing euthanasia violated the Canadian Charter of Rights and Freedoms. In 2016, the Canadian Parliament passed Bill C-14, the Medical Assistance In Dying or MAID law.

In 2021, the Canadian Parliament passed a more expansive MAID law called C-7, allowing mental disorders to be sufficient grounds for euthanasia. That year, euthanasia became Canada’s sixth leading cause of death, with 10,064 deaths reported. The expanded MAID law allows people who are nowhere near death to be euthanized. Anyone experiencing dependence or feeling that their life lacks dignity is a fit candidate for euthanasia under C-7. Having to wear diapers or drooling could potentially qualify a person. In addition, persons with disabilities who can’t afford housing that would meet their needs are being euthanized.

One of the main problems with legalizing euthanasia is the “slippery slope” it creates. That is already becoming evident in Canada. The Quebec College of Physicians recently called for parents to be allowed to euthanize infants younger than one year. Nevertheless, various churches in Canada have not opposed MAID. The United Church, Canada’s largest Protestant denomination, released a statement saying, “we are not opposed in principle to the legislation allowing assistance in dying.” The Anglican Church of Canada and the Evangelical Lutheran Church in Canada have supported MAID.

Evangelical, Pentecostal, Anabaptist, Roman Catholic, and Orthodox Church leaders, along with Jews and Muslims, have opposed MAID. Also, various disability organizations, such as the Canadian Council on Disabilities, have been vocal against the euthanasia issue.

The Canadian experiment with the MAID law should alert us that euthanasia is not the answer to what to do with the disabled or those in extreme pain. Instead, in our day of medical advances, the emphasis should be on combatting pain and allowing people with disabilities to live productive, dignified lives. Just as Jesus ministered to the poor and disadvantaged, so should we.

— John N. Clayton © 2023

Reference: “Where Are the Churches in Canada’s Euthanasia Experiment?” by Benjamin Crosby, Plough magazine for Spring 2023

Should We Treat an Aborted Fetus as a Deceased Person?

Should We Treat an Aborted Fetus as a Deceased Person?

In 2016, when Mike Pence was governor, the state of Indiana passed a law requiring “the burial or cremation of any fetus.” The question at hand is should we treat an aborted fetus as a deceased person? Planned Parenthood filed a lawsuit against the state, which went all the way to the U.S. Supreme Court. Finally, in 2019, the court ruled that Indiana law had a legitimate interest in disposing of fetal remains.

In 2020, a group of women who had abortions in Indiana, along with abortion providers and an abortion clinic, filed a lawsuit in the U.S. District Court for the Southern District of Indiana. They said that the requirements caused abortion and miscarriage patients “shame, stigma, anguish, and anger” because they “send the unmistakable message that someone who has had an abortion or miscarriage is responsible for the death of a person.”

In September of 2022, U.S. District Judge Richard L. Young ruled that the law violated the U.S. Constitution because it infringes upon the religious and free speech rights of people who don’t believe that aborted fetuses have any rights.

Whether we should treat an aborted fetus as a deceased person highlights the real issue in the abortion question. That is, whether or not a baby is a human before birth. Those who argue for abortion do not have scientific support for their position. The unborn child is not “an extension of the mother’s body.” Every medical attempt to define when a baby is a human fails because of the criteria used. Using brain waves, the ability to live outside the womb, the heartbeat, or when the fetus responds to outside stimuli are all arbitrary and change as technology advances.

In today’s world, having an abortion is safer than natural childbirth. The number of women who die in childbirth worldwide is vast, and even in the United States, there is a risk in giving birth. When you look at the arguments for abortion, consider how they can be applied to euthanasia for a person with age or mental issues. Some people want to use similar arguments to eliminate the cost and personal inconvenience of people at the other end of life’s journey. Ethics proponents like Dr. Peter Singer use them to justify euthanizing the mentally ill and the severely physically disabled.

Should we treat an aborted fetus as a deceased person? As our civilization embraces atheism, naturalism, and humanism, will it embrace a 100% materialistic view of human value? The recent ruling in Indiana seems to indicate that is the case.

— John N. Clayton © 2022

Reference: Indianapolis Star and USA Today Network for September 30, 2022.

Knowing How to Die

Knowing How to Die

One of the significant challenges of living in the present age is knowing how to die. That may sound crazy, but it really is a problem. Thanks to medical advancements, people who would have died quickly and perhaps even died in their sleep are now kept alive by machines, drugs, and demands for their organs. Unfortunately, in some cases, this has caused enormous pain.

Knowing how to die has also created a whole industry ranging from medical practitioners to organizations that major in helping people die. Compassion and Choices, Zero Population Growth, and various hospice programs are involved in this issue and have publications promoting their services. Switzerland and Holland have made assisted suicide legal, and France is struggling with the problem. Some states in the U.S. have legalized doctor-assisted suicide, and other state legislatures are wrestling with the concept.

There are many challenging issues in this question. In 1 Corinthians 3:16, Paul wrote, “Do you not know that you are the temple of God, and that the Spirit of God dwells in you? If any man defiles the temple of God, God will destroy him; for the temple of God is holy and you are the temple of God.” Also, in that book, in chapter 6, verses 15-20, Paul condemns prostitution for the same reason.

The human body as a special creation of God is described beautifully in Psalms 139:14. Genesis 1:26-27 tells us that we are created in the image of God, referring to our spiritual makeup and not our physical bodies. However, the vehicle God created and in which His Spirit dwells is a wonderful creation we must protect. This principle prohibits suicide when the body can continue functioning if left alone. But if the body is dying and only medical intervention keeps it alive, that is certainly not the same as natural death.

When people know they are about to die, they have many things to do. Taking care of their possessions, repairing relationships, and making provisions for the next stage of existence are all essential. What we neglect to a great degree is the one thing we all fear the most–pain. In this day of medical advancement, we should be able to control pain in the physical body. Restricting the use of drugs to relieve pain in a dying person is cruel and flies in the face of what God has told us.

Proverbs 31:4-7 makes it clear that the “strong drink” of that day was not for Kings because it would pervert their judgment. Instead, it should be “for him that is ready to perish … let him drink and remember his misery no more.” God determines when a person dies, but we can address the pain involved and leave the difficult question of knowing how to die to the Lord.

— John N. Clayton © 2022

Life Issues from Beginning to End

Life Issues from Beginning to End

The media have recently reported on several life issues from beginning to end. Here are some examples:

The German Euthanasia Association has announced that those seeking euthanasia must produce proof of COVID vaccination
to legally end their lives. This is apparently to protect healthcare workers.

In Poland, the government has passed a law requiring doctors to report all pregnancies and miscarriages to a government database. The apparent reason for this is to make sure that all pregnancies end with a birth. Unfortunately, Poland has a shortage of workers, and this seems to be the government’s solution to the issue.

Research has shown that women who use marijuana during pregnancy are more than twice as likely to have aggressive, hyperactive children with heart rate and immunity issues.

Babies have a fragrance that comes from an organic compound called hexadecanal. It is found in human skin but is abundant in a baby’s scalp. Research shows that females exposed to the fragrance become more aggressive and strong defenders of their babies. On the other hand, men exposed to it become more gentle and speak with softer voices. Evolutionists claim that this is an evolutionary survival mechanism. We would suggest this is part of God’s design of the human reproductive system.

Research on adopted children shows that some traits are common to adopted children that do not commonly appear in children who are not adopted. In the nine months of pregnancy, there is a “primal bonding that happens by biological design.” Those of us with adopted children can attest to some behavior issues that may be related to the adoption process.

God gave us the ideal arrangement for family–one man and one woman in love with each other produce children they love and care for. Unfortunately, that arrangement is not always possible. Understanding the stress and feelings involved can go a long way toward making adoption a good experience.

As we examine life issues from beginning to end, we know that every child needs a loving family, and every senior adult needs someone who loves them.

— John N. Clayton © 2021

The above information is from a series of articles in The Week for December 10 and 17, 2021.

Physician-Assisted Death

Physician-Assisted Death

One of the facts of life is that eventually, we will all die. Many of us have seen people endure enormous pain over a long period before death finally came. I am thankful that my wife Phyllis and my son Tim did not go through months of intense pain before passing on. Medical science has made great progress in extending life but has not been as effective in relieving pain. That is part of the reason we have seen a movement for legalizing physician-assisted death.

New Jersey passed a “Medical Aid-in-Dying” law two years ago, and last year 33 terminally ill people in the state ended their lives. Since 2016, California has had “The End of Life Option Act.” New York has a “Good Death” Act moving through the legislative process. The movement to legalize physician-assisted death is not confined to America. Holland was perhaps the pioneer of physician-assisted death in Europe. Columbia became the leader in South America back in 1997. The “Colombian Pain Institute” administers euthanasia for “intense physical or mental suffering due to an injury or incurable illness.”

The Week magazine for October 22, 2021 (page 8) carried a report demonstrating the difficulty of legalizing physician-assisted death. In Colombia, a 51-year-old woman named Martha Sepulveda has ALS and was scheduled to be euthanized. She would be the first person in Colombia to receive physician-assisted death without a terminal prognosis. However, the Colombian Pain Institute concluded that “her condition had improved” so she is no longer qualified for the procedure. Now she has a lawyer fighting for her right to die because she “is not willing to continue to live.”

Christians have concerns in this matter. In 1 Corinthians 3:16, we read that our body is “the temple of God and that the Spirit of God dwells in us.” The next verse tells us not to defile the temple. This concept is continued in 1 Corinthians 6:15-20, which teaches why a Christian should not be involved in prostitution. In ancient times, death came more quickly than in today’s world with modern medicines. Therefore, a person near death today deserves special attention and Christian compassion. In Proverbs 31:6-7, we read, “Give strong drink to those who are ready to perish, and wine to those who are of heavy hearts.” When David was near death, he was chilled, and a woman came to warm him not for sexual purposes but to relieve his discomfort. (See 1 Kings 1: 1-4).

The doctors I know are horrified at the prospect of deciding to end someone’s life. It is hard to assess the collateral damage of someone saying, “I choose to die rather than blessing others, especially my family.” In many cases, financial concerns are a significant motivation for ending life, and there are horror stories of involuntary euthanasia in Holland. Christians should lead the charge to develop medical steps to relieve suffering and pain. Financial problems should not be an issue in a wealthy country like the United States.

From an atheist’s viewpoint, death is the end, and physician-assisted death is merely the solution to suffering. However, I continue to be reminded of my son’s last words to me before he died. He said, “Dad, I am going to see Mom, and I will actually be able to see her and be with Jesus.” These words were from a blind, mentally challenged, COVID-ravaged young man who had battled muscular dystrophy, cerebral palsy, and schizophrenia all of his life. He was ready to move on to something better.

— John N. Clayton © 2021

Tim Clayton’s story was told by John N. Clayton in the book Timothy: My Son and My Teacher available HERE.

The organization Compassion and Choices has been a leader in the movement to legalize physician-assisted euthanasia.

Assistance in Dying is a Difficult Issue

Assistance in Dying is a Difficult Issue

We have had several personal experiences with a person approaching death that brought up the issue of assistance in dying. One of the cases in our family involved a loved one dying in an Asian country. The belief in that country was that life is all there is, so a person should be kept alive at all costs, no matter what. Our loved one was in enormous pain and begging to die, but his Asian wife refused to allow him to receive any drug that might shorten his life. Drugs such as morphine can relieve pain, but they can also shorten life, so she did not allow those drugs.

There is also a medical treatment called palliative sedation, which renders a person unconscious until they die. In the United States, hospice offers palliative care but does not hasten death. Individuals can use VSED, which is “voluntary stopping of eating and drinking.” The decision is difficult, and when the person loses consciousness, family members can override it.

Ten states and the District of Columbia now allow medical assistance in dying. Doctors in those states can prescribe a lethal dose of a drug if requested by the patient or their power of attorney. The states are Oregon, Washington, California, Montana, Vermont, Colorado, Hawaii, New Jersey, Maine, and New Mexico.

Several of our church friends have faced the issue of assistance in dying. Our current issue is our son Tim who is mentally incapable of deciding for himself and is in a pathetic condition. COVID-19 has activated his cerebral palsy complications and especially his muscular dystrophy, so he is bedfast and barely able to communicate. He is making no visible progress, and because of blindness, he has very little quality of life. I read to him daily over the phone. He can only eat pureed food because he can’t chew and swallow hard foods. He is cut off from friends or family because it is virtually impossible to understand his speech.

What do you do in a case like my son Tim? He is a physically strong person, so he may remain in this state for a very long time. Having a doctor inject him with a lethal dose of drugs might seem to be the merciful thing to do, but that is pure euthanasia and assumes he will never make any recovery. Who has that kind of knowledge?

We share this with you to underline the issue of assistance in dying. As our population ages and as medical care advances, this issue will only get more complex. Join us in praying that God will lead us to know how to deal with this new problem facing humanity, which is especially difficult for believers in God.

John N. Clayton © 2021

For two different views on the assistance in dying issue, you can turn to the websites of Compassion and Choices and the National Right to Life Committee.

Abortion Industry Taxpayer Supported

Abortion Industry Taxpayer Supported - Planned Parenthood

One of the most challenging decisions for a woman to make is what to do with an unwanted pregnancy. The difficulty of this decision is evident from the “no show rate” for abortion appointments, which can be as high as 75%. Tragically, the abortion industry has become taxpayer-supported.

Planned Parenthood has released numbers in a report for the years 2017-2018. That organization operated 590 locations and performed 332,757 abortions. Their total income for the year was 1.67 billion dollars, of which $563.8 million was in tax money. Because it is a business, Planned Parenthood has to produce an increasing number of abortions or run out of money and have to close. Since 1995, 37% of Planned Parenthood locations have closed, and many of them closed for financial reasons.

By their own data, 96% of “pregnancy resolution services” are completed with abortions without regard for the mental and emotional issues of the women involved. They report only one adoption referral for every 117 abortions. Those numbers tell us that Planned Parenthood is not a service-oriented organization but an industry that must create a market to secure income. We have reported on data about abortion clinics selling baby parts as a source of income for this industry.

The abortion industry has been involved in lobbying politicians to approve their activities and fund them. We now have a president and vice president who approve of abortion and funding organizations like Planned Parenthood. Because of the sensitivity of this issue, it is difficult to get politicians to deal with the facts. The reality is that our political system is now endorsing infanticide. Attempts to defend abortion by claiming the fetus is an extension of the mother’s body do not have scientific support. Morning sickness is because the woman’s body recognizes that the baby is not a part of her body, and her immune system reacts to it. Genetically, the baby is 100% human when the sperm fertilizes the egg.

Educating the public about the facts of the abortion industry and providing alternatives to abortion remains the best that we can do. Our society has now endorsed infanticide, and involuntary euthanasia is the next step in getting rid of inconvenient humans. Scholars like Peter Singer, the Ira W, DeCamp Professor of Bioethics at Princeton University, call for euthanizing the physically disabled and mentally ill. The question is whether this is the kind of world we want to live in and leave to our children?

— John N. Clayton © 2021

For facts about the abortion industry we recommend: To the Heart of the Matter by Shawn Carney (Cappella Books ISBN 978-1-7327417-44)