Bias Declaration: An inclination towards legalization of active and passive Euthanasia in terminally ill patients subject to control of misuse.
As I sat going through the 84 pages of research on the subject of Euthanasia, certain questions started plaguing my objectivity. The research was mainly about the legalities of Euthanasia, the social and religious acceptance, and the how the misuse of such a practice, is something that the system will be unable to have power over.
But then I stopped to think. What if I was the patient? What questions would I want addressed if I was in a terminally ill condition and wanted to end my suffering? The following came to mind.
Question 1: Who does my life belong to?
This argument rests of the assumption that every person has a right to make decisions about his or her life in absolute terms. If we consider a terminally ill patient with a family, the society conditions us to believe that the patient’s life also belongs to the family he leaves behind. But, in circumstances where the patient is the sufferer, what argument can we possibly give to negate the “sufferer’s autonomy”? Let’s take the example of a terminally ill patient who has cancer. In the last stages of his disease, when medicine gives up and cannot prolong his functioning life, who is to say that the patient needs to suffer endlessly, because the society needs him to? Assuming his family understands his will to die on his own terms, who else has the right to claim authority over whether he should suffer or not?When a person is riddled with disease, in pain, and no medicine can provide respite, forcing a person to suffer because the society considers it morally correct, is a third party consideration that does not take the patients pain into consideration at all.
Question 2: Sanctity of life Vs. Quality of life.
The basic presumption of sanctity of life is that human life is made in god’s image that gives it the utmost sacredness. So basically, the whole concept of sanctity of life is based in religion and spirituality. Quality of life on the other hand is a more practical concept.In a terminally ill patient, it should ideally be the patient who decides whether sanctity of life precedes quality of life for him. A deeply religious person may choose to suffer through the pain and agony to reach a natural end to his life. A person, who, on the other hand, is not as religious, may choose to terminate his life when he becomes completely dependent on care givers for basic daily needs. At the end of the day, shouldn't the sufferer be given the right to choose?
Question 3: Is the patient exercising his right to die mentally sound?
Simply put, no one can deny that careful assessment of the patient’s mental state is a must when talking of will to die. But since, we are talking about terminally ill patients only, I think a fair amount of depression can be assumed to be present in any case. What needs to be monitored here is whether the patients decision to end his/her life, is likely to change if they are given adequate counselling. If not, and if medicine indeed has no cure, the prolonging of life will in effect cause exponentially more mental agony than the willful termination of life.So in the end, if I put myself in the shoes of a terminally ill patient, I would like the following considerations to be addressed.
- That I was in complete control of my mental faculties when I decided.
- That I was given multiple opportunities to withdraw my request.
- That I was asked on multiple occasions with time lapses between assessments, to give me enough time to think over my decision.
- That I was assured, that my decision to withdraw my request, would not invite any negative action.
- That I received adequate psychological help, while I tried to process my decision
- That the system ensured, that my family and care givers also got adequate psychological help in the process of decision making.
My friend’s grandfather was a patient of prostate cancer. Unfortunately, he was diagnosed extremely late in the disease. The doctors were extremely forthcoming, and told them that even if chemotherapy was administered, the extremely invasive and painful treatment will not be able to prolong his life for more than a couple of months at most. They were faced with a challenging decision. Should they put him through all that pain, so they can spend an extra couple of months with him? Or should they simply opt for symptomatic treatment to make sure he’s comfortable in the last few months of his life. It was not an easy decision. He was 70, he had lived his life well, but being their rock, it was difficult to let go.
So finally, they decided to ask him. Her father sat next to his frail ailing body, held on to his long now bony fingers, and slowly told him what the doctors had told them. Her grand father suddenly had a far off look in his eyes. He thought long and hard before he said to that he had lived his life to the fullest. That he had seen his kid, his grand kids, and the children of his grand kids. And that since it’s his time to go, and the doctors can do nothing to stop it, he would like to stay at home with his family and go in peace. Not lying in some hospital bed, in hopes of getting an extra few days to live.
It wasn't easy for any of them. Knowing what the future held. But at least my friend’s grandfather went on his own terms. Because apart from the emotional agony they were going through, the true sufferer was her grandfather.
I later asked my friend, that if euthanasia was legal then, and her grandfather had requested them to help him relieve the pain a little sooner than god had planned, would she be OK with it.
Her answer was an affirmative. She looked at me and said that it is so much more difficult to watch someone you love suffer while waiting for death, than to just give them peace.


