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.

Peaceful Death and God

Peaceful Death
One of the things that old age brings you is that you are constantly brought face-to-face with death. Since the start of 2018, eight people that I knew well have died. The most recent was my younger brother who died from a combination of cancer and Parkinson’s disease. All eight of those people died slowly over a period of months. All of them were aware of their impending death within their last week of life. None were sudden deaths due to an accident or an unexpected stroke or heart attack. Discover magazine (March 2018, pages 66-68) published an article about the connection between spirituality and peaceful death. It tells about a radiation oncologist named Tracy Balboni who is a researcher at Harvard Medical School and Dana-Farber Cancer Institute in Boston. A major part of the thrust of Dr. Balboni’s work is helping patients make important decisions about the end of life. They can choose whether to use every possible medical technique to prolong their life, or they can decline major interventions and use hospice care and medication for pain control.

I watched my brother die, and I have observed the difference between his dying and the death of atheists I know who died with similar ailments. Every atheist that I have observed exhausted every medical resource possible in an attempt to stay alive. Not only was it expensive, but it brought much suffering to them and anxiety to their family members. One man told me “If this life is all I have been given, then I want to hang onto it as long and as hard as I possibly can.”

In my brother’s case, two years ago this past November I baptized him into Christ. That was the culmination of a great struggle between the atheistic traditions he had grown up with, and the influence of his wife and myself encouraging him to embrace spirituality. When he accepted Christ, he was not facing death, but his mortality was obvious. In the last three months of his life, he became very weak, and his quality of life deteriorated significantly. In the last three weeks, he and I talked extensively. He was resolute in his determination to have no more medical treatments and to be in hospice. His death was a peaceful death.

Balboni has received a two-million-dollar research grant designed to put spirituality on solid ground. To those who would complain that you are measuring nothing in such studies, Balboni says: “No, no, no. There are too many associations that we’re seeing to say it’s spurious and meaningless. That argument doesn’t hold if you care for dying patients.”

A patient’s spirituality gives huge support at the end of life. In our day of rapidly expanding medical technology, faith is a very important tool for peaceful death.
–John N. Clayton © 2018