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)

Compassion and Choices in Death

Compassion and Choices in Death

An organization that has been gaining a great deal of support by promoting medical aid in death is called Compassion and Choices. It has been instrumental in getting state legislators to consider end-of-life options, including hospice and medical assistance in dying. This is an emotional issue that virtually all of us have faced, are facing, or will face in the future. If someone is in the final stages of dying from an incurable illness, what would God have us do?

Compassion and Choices’ promoters make a strong case that it is cruel to make a loved one face their last hours alone. They say nobody should be allowed to remain in great pain while their loved ones are also in agony listening to them scream in a nearby room.

The Bible is not silent on this subject. Proverbs 31:6-7 says, “Give strong drink to the dying and wine to those who are in misery. Let him drink and forget his misfortune.” It has always interested me that when Jesus was crucified, his executioners offered him “wine mixed with myrrh” (Mark 15:23). Myrrh was a pain-killing drug, and He refused it. It is clear from the teachings of Jesus in Matthew 9:12 that He didn’t oppose physicians or the medical practices of the day. However, the pain of Jesus dying for our sins could not be diluted by using human pain-killers to reduce His sacrifice.

There is a difference between offering pain killers, counseling, support, and loving care to the dying and outright killing them prematurely. We have the capacity to make natural death quiet, dignified, compassionate, and of value without forcing our will upon God’s will. I have seen too many cases where a dying person used that moment to cement their relationship with others and with God. I have also seen a dying person bring comfort, support, and blessing to others. So-called mercy killing would not have allowed those things.

Jesus had a purpose in rejecting the myrrh. But for the rest of us, the medical establishment must provide palliative care. Compassion and choices should not mean that we deal with the crisis of the moment by using our technological ability to end life.

— John N. Clayton © 2020

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

Reaction to the Euthanasia Article

Reaction to the Euthanasia Article

Yesterday we discussed the push for euthanasia in secular society. We have received a massive reaction to the euthanasia article. Several people have asked what states in the U.S. allow assisted suicide. In addition to Washington, D.C., those states are California, Colorado, Hawaii, Maine, Montana, New Jersey, Oregon, Vermont, and Washington.

We received information about Professor Theo Boer, a Dutch ethicist who was a major supporter of the Netherlands’ 2002 Euthanasia legislation. Boer wrote to the British House of Lords in 2014, “We were wrong, terribly wrong. Assisted dying in the beginning was the odd exception, accepted by many including myself as a last resort.” He pointed out that what happened was that many patients who received euthanasia were patients who were depressed, lonely, or in bereavement. In Switzerland a woman paid to be euthanized because she no longer felt pretty. He concludes by saying, “Public opinion has shifted dramatically toward considering assisted dying a patient’s right and a physician’s duty.”

In Oregon, physician-assisted suicide was legalized in 1997 “for cases of suffering from terminal disease.” In 2018 a followup study found that 75% of the people who died by assisted suicide said their pain control was adequate, but over 50% were concerned about being a burden to their families.

We also received a story of Karen Welch, who was a missionary in Belgium. During a routine surgery, blood was cut off to her brain resulting in a stroke. After several days, doctors told her husband that her MRI showed dead brain cells and that there was no hope for her recovery. “Your wife will be a vegetable,” Mr. Welch was told. The medical establishment recommended euthanasia. To make a long story short, Karen Welch eventually walked out of the hospital, and that December, she played the piano and sang at the Belgium School Chapel Christmas program.

As we said in our original article, euthanasia is a highly complex issue. The reaction to the euthanasia article we posted indicates that people are concerned about the issue. Until you are involved in a personal situation where euthanasia is offered as a simple and inexpensive solution, it is easy to give simplistic answers. The critical thing to remember is that humans are not just animals. We are created in the image of God, so we must treat every human life as special.

— John N. Clayton © 2020

You can watch Bob and Karen Welch’s Story on YouTube. Also see AffirmDignity.org.

Advancement of Euthanasia

Advancement of Euthanasia

One of the spin offs of the approval of abortion has been the advancement of euthanasia. In virtually every country that has approved abortion, there has been an eventual acceptance of euthanasia, allowing a doctor to administer fatal drugs to a patient.

Abortion was instituted in Portugal in 2007, and in February 2020, Portugal’s parliament approved euthanasia for terminally ill people. Portugal now joins six other countries in sanctioning euthanasia – Belgium, Canada, Colombia, Luxembourg, the Netherlands, and Switzerland. In the United States, medically assisted suicide is permitted in which patients administer the lethal drug themselves.

The issues involved in the advancement of euthanasia are very complex. No one wants a loved one to continue suffering when eventual recovery does not seem to be possible. I have a family member who is in that situation. Prostate and Bone cancer have progressed to brain cancer, and the burden to family caregivers, the expense, and the level of pain present are all huge issues. In the progress of the disease, who would decide to administer euthanasia? The patient may not be able to make it. Family members may not want the emotional strain of making the decision, and who would trust the decision to the state? Other factors include when did the patient realize they were going to die? How important is closure for those left behind, especially children? Can doctors be wrong about a terminal diagnosis?

First Corinthians 3:16-17 tells us that the Holy Spirit dwells in us. The context of that passage and others is that God uses His children to reach out through His Spirit to help others. Paul, in Philippians 1:20-30, talks about being ready to die. He wrote, “For I am in a strait between the two, having a desire to depart and to be with Christ which is far better. Nevertheless, to abide in the flesh is more needful for you.” He talks about how he can help others and, for that reason, wants to continue to live.

One of the banners carried by protesters in Portugal says, “Euthanasia doesn’t end suffering, it ends life.” That is so very true. It isn’t the end of suffering for family, for friends, for those you have tried to teach, for those considering their own lives. In this day, there is no reason for physical suffering because medical science has ways to stop the physical pain. Ending life prematurely will generate pain for others. How long will it be after euthanasia is accepted before the state will determine who should survive and who should be euthanized?

The fundamental factor in the advancement of euthanasia centers around the value of a human being. If we consider humans to be special and created in the image of God, then human life is sacrosanct. Animal life does not have that same image of God, and survival of the fittest is in control in the animal world. If humans are just animals, then killing a human is no more of a problem than killing a bug. In that case, inconvenient or unfit humans, like all other animals, can just be eliminated. This is not a trivial issue, but one that deserves thoughtful attention.

— John N. Clayton © 2020

Data from Associated Press, 2/21/20.

Is It Worth the Price?

Is It Worth the Price? Yes, Timothy is worth it.
Every Wednesday morning I take my son Tim, who is 57 years old, out for breakfast. Tim is mentally challenged, blind, and has a mild form of muscular dystrophy. He also has cerebral palsy and schizophrenia. All of this has left him wheelchair-bound and with trembles that affect his ability to hold a cup to drink. Various government programs for the disabled have supported Tim since he became of school age. Some people have told me they resent their tax money being used to prolong my son’s suffering. I regularly receive brochures from pro-euthanasia groups promoting legislation that would terminate those who have “a low quality of life.” That brings up the question, “Is it worth the price?”

I suspect that we could reduce the massive amount of government deficit spending if we euthanized everyone in a mental hospital or care facility. We could expand that to include any prisoner who will always be incarcerated. We could also add anyone who is in a vegetative state due to brain injuries or congenital problems caused by disease, injury, stroke, or inadequate care. From an atheistic standpoint, the euthanizing of all of these individuals makes sense. Putting human life on the same level as animal life would allow involuntary euthanasia. The champion of this kind of thinking is Australian Dr. Peter Singer. He is the Ira W. Decamp Professor of bioethics at Princeton University. He is also the Australian Laureate Professor of Applied Philosophy and Public Ethics at the University of Melbourne.

From a Christian standpoint, these proposals are repugnant. To be clear, we are not talking about allowing a dying person to refuse a life support machine with no hope of ever being free of the machine. Christians do not view a human as “just another animal.” The Christian view is that ALL humans are created in the image of God. That means they have a spiritual makeup which is unique to humans. Christians reject the view that a human, a dog, and a pig are of equal value.

But is it worth the price of caring for those whom Singer and others would eliminate? There are a large number of objections to the views of the euthanasia advocates. Here are a few:

1) The handicapped historically have made significant contributions to all disciples of human activity. Would those who promote involuntary euthanasia suggest that Stephen Hawking’s life should have been terminated when he could no longer function without help? How many great musical composers have had major handicaps? Many times a handicap has led to a unique talent that blesses the lives of others.

2) How do you determine a “low quality of life”? My son has many things that bring him joy. He enjoys food and knows about the different foods of various cultures. He gets great pleasure from hearing about various religious beliefs. He enjoys music and loves to feel different textures. He does not agonize over his blindness or complain about not being able to play sports. He looks forward to my daily phone calls and loves eating out. From his perspective, his quality of life is very good.

3) Ignoring the spiritual dimension of life means not understanding what brings joy to many people. Galatians 5:19-25 describes the physical “works of the flesh,” and the “fruit of the Spirit.” The physical things are animal responses that involve the physical body. Verse 22 lists the fruits of the Spirit as “love, joy, peace, longsuffering, gentleness, goodness, faith, meekness, temperance..” My son has all of those. Not only does he have them, but he brings them into the lives of others.

The bottom line is, what kind of a world do we want to live in and leave to our children and grandchildren? Should it be a world that teaches survival of the fittest and the annihilation anyone that some person or group of people decides are not fit? Or should it be a world of love and gentleness and caring that treats every human with dignity and respect? It seems to me that the answer to this question is obvious. Is it worth the price? You bet it is! More on this tomorrow.
— John N. Clayton © 2019

Physician-Assisted Suicide and Wise Choices

Physician-Assisted Suicide
Citizen Magazine reported in August that over 50% of “Christians” approve physician-assisted suicide. As we get older, we have relatives and friends who no longer want to stay alive because their quality of life is poor and they see no hope of getting well. The question really is a matter of alternatives.

In previous years there was a group known as The Hemlock Society who campaigned for and supported physician-assisted suicide. They have renamed themselves Compassion and Choices. The title suggests that we need to have compassion for the dying and allow them to kill themselves with the assistance of a physician to make sure the suicide isn’t bungled.

They have it only half right. We must have compassion for the dying. In this culture and this time of medical advances, there is no reason why anyone should have to endure massive pain as life ebbs toward its end.

Seventy years ago my paternal grandmother had spinal cancer that was causing her massive pain. The doctor severed her spinal cord in a way that stopped the pain but rendered her unable to walk or control her bladder or bowels. She lived for 15 years after that surgery. I remember visiting with her, being taught by her, playing games with her, and hearing about ancestors that I would never see. She was positive and encouraging to me.

Suicide doesn’t allow some vital things needed by those left behind. My younger brother is suffering a similar disease situation as I write. He too has had surgery on his spine that has confined him to a wheelchair. It allows him to continue to enjoy family, his grandchildren and working with his wife on family issues and problems that she otherwise would have to face alone.

Humans are not robots. We are created in God’s image, and our relationship to God and one another is different from animals. The statement by a euthanasia proponent that putting down a human is no different than putting down a dog is incredibly ignorant. We need to have compassion for the survivors as well as the dying and make choices that benefit everyone.
–John N. Clayton © 2017

Alzheimer’s Disease and God

Alzheimer's Disease and God
The theme of the December 2017 issue of the Journal of the American Scientific Affiliation is “Understanding and Helping Those with Alzheimer’s.” The American Scientific Affiliation is an organization made up of scientists holding advanced science degrees who are believers in Jesus. This issue brings up questions regarding Alzheimer’s disease and God.

The World Health Organization reports that there are 47.5 million people with dementia worldwide. Alzheimer’s accounts for 60 to 70% of those. The WHO also tells us that 7.7 million new cases are added each year. The National Institute of Aging ranks Alzheimer’s as the third leading cause of death for older people–behind heart disease and cancer. There is still much that science does not understand about Alzheimer’s. Neuroscientist Michael Gazzaniga writes that “dementia including Alzheimer’s may simply be the result of our brains living beyond what they were designed for.”

The question concerning Alzheimer’s disease and God becomes whether God’s design is flawed or whether Alzheimer’s is something humans have brought on themselves. First, we need to understand that there are two forms of Alzheimer’s. One occurs early in life and is called familial Alzheimer’s. It is a rare disease accounting for less than 5% of all Alzheimer’s cases. The more common late-onset Alzheimer’s is associated with a gene called apolipoprotein E which is involved in metabolizing fats in the body. Studies have linked diet and environmental contaminants to Alzheimer’s. It now appears that Alzheimer’s is not a single disorder, but that there are many forms with many different causes. Obviously, that makes identifying the specific cause and treating patients very difficult.

The bigger question is how we handle people with Alzheimer’s. One solution is euthanasia at early stages of the disease. Dr. Jack Kevorkian, who developed a lethal injection system as a means for assisted suicide, promoted this view. The first patient he euthanized by his system was a 54-year-old Alzheimer’s patient. Peter Singer, who is the head of the ethics department at Princeton University, has promoted this view on an academic level.

Because the American Scientific Affiliation is a Christian organization, the euthanasia alternative is dismissed by the magazine. Instead, it suggests ways that faith can help patients and caregivers deal with the symptoms of Alzheimer’s.

If your view of life is that it is all about “survival of the fittest,” then Alzheimer’s is simply a demonstration that the patient is not fit. That would suggest a treatment that concerns itself more with those who are fit and doesn’t address the quality of life objective that Christ would teach for the patient. For more about ASA go to their website. To see the issue on Alzheimer’s Disease and God click here.
–John N. Clayton © 2017