Spain passes law allowing euthanasia
bbc.co.uk
bbc.co.uk
I watched my Dad die of cancer - and for the last week it was simply inhumane that we didn't let him die sooner through a cocktail of drugs. Others who have watched their loved ones die slow painful deaths will broadly agree.
Besides, people can still kill themselves regardless of laws. They can take their own lives in various gruesome ways. They can also fly to a euthanasia centre like Dignitas.
LAws were supposed to protect people from each other, not from ourselves.
It's about time all governments reconsidered their laws on euthanasia.
a related question: do we really seek to protect others from harming themselves, or merely to protect ourselves from having to watch?
If I was having severe mania or a psychotic episode, the legal frameworks we have in place would allow me to be sectioned to prevent me causing harm to myself and others.
Surely that is a worthwhile law?
to an extent yes. I think there is some value in having a "cool-off period". many problems in life do not seem so bad a year, a month, or even a week later. but there are also people who are physically well but live their entire lives in misery. I don't think our current system treats them humanely.
This is because we value human life more than animal life.
This philosophical view is summarized by "Kantianism for people, Utilitarianism for animals." From this perspective, human life is an end-in-itself and animal life is not.
People who have this perspective (including me) feel that there is no scientific, empirical reason to value human life at all. Therefore putting the value of human life in utilitarian terms doesn't make sense and will lead to a devaluation of human life.
But obliviously not enough to let them to decide that for themselves.
We're not talking about turning grandma into soylent because the bills are getting too large, we're talking about two things first and foremost. Human dignity, and human autonomy over one's own body.
I can agree that euthanasia available for everyone for some sort of social or cost reason devalues life, but very few people are arguing this and it's not what the debate is about right now.
Because most arguments for euthanasia (in this thread and elsewhere) argue for maximizing utility/minimizing suffering.
> We're not talking about turning grandma into soylent because the bills are getting too large, we're talking about two things first and foremost. Human dignity, and human autonomy over one's own body.
Why not turn grandma into soylent? Doesn't cannibalism maximize utility? How can we cremate grandma when people around the world are starving?
What if the reason we don't eat each other is also the reason we shouldn't euthansize people?
> I can agree that euthanasia available for everyone for some sort of social or cost reason devalues life, but very few people are arguing this and it's not what the debate is about right now.
The post I responded to is saying "let's treat humans more like dogs". So, from my perspective, you aren't quite grasping what this debate is about.
The OP was saying that we give dogs more rights than people, not that dogs are worth less than humans. OP was saying we treat animals more dignified and with more compassion at the end of life than we treat ourselves, which is true ironically enough.
And sorry but what are you on about exactly? What has end of life euthanasia to do with cannibalism? Who is advocating we allow cannibalism or comparing it to euthanasia?
Most importantly, dogs have no way to deny being euthanized.
In general, humans have more rights given to allow them to stay alive than pets do.
Saying dogs can be killed by their owners so dogs have more rights than people doesn't make sense. If humans had owners, the owners could probably kill them too.
Disclaimer:
In case, it somehow is confused that I'm accused of advocating for slavery, murder, euthanasia, etc. then let it be known that I am not. I think life is an end into itself, and thus ought to be protected.
With that being said, there are rational arguments against euthanasia. You need to be extremely careful with creating legal ways to kill people. Recall what governments have tended to do in the past when given power over, for example, forced sterilization or forced institutional commitment. Now imagine what can happen with a hostile actor in the mix... rightfully a scary proposition!
I'm not against euthanasia, despite my counterarguments, but I do believe that this is the kind of thing that should be a constitutional right afforded to the individual and not a power that may be exercised over you by anyone else (not even by proxy or process). The stakes are simply too high, because there are no take-backs if someone screws up.
Dead people can't testify. If someone is euthanized, how do you show--after the fact--that the consent wasn't coerced? This is a problem that can be solved. But it is thorny, complicated and thus difficult.
Some power a government can exercise is toat least prevent life insurance companies from putting suicide clauses into plans. These clauses withhold paying out benefits due to suicide.
If you insure a car, then crash it for the payout, we would consider that insurance fraud. We make it against the law, because it has a negative externality in the form of making everyone else's insurance rates higher.
In principle, suicide clauses exist for the same reason. If they didn't exist, you would actually be incentivizing people to kill themselves and raising insurance premiums for everyone else. These are both bad things that most people would want to avoid. Then again, it's not like you can kill yourself twice, so, unlike car insurance fraud, this is a self-solving problem!
My gut tells me that awarding life insurance payouts to families of suicide victims is the wrong tool for this particular problem. Perhaps the government itself should insure individuals against family suicides? This would avoid creating undue drag upon the private insurance market while also ensuring that even poor families (those I suspect are most vulnerable to losing a bread-winner to suicide) are protected. Since the two systems are now decoupled, you could even independently disincentivize suicides for financial security by making the payout lower than a normal life-insurance payout typically would be.
To me it's pretty simple; unless it's medically necessary you don't do anything (in the context of irreversible medical procedures) against a creature's will. Be it human or otherwise.
The "do no harm" principle only comes into play after consent has been established.
If someone kills themselves (regardless of laws), they could forfeit some benefits of a "natural" death, like life assurance benefits (and I'm sure life assurance companies have some sway over the government regulation with regards to this).
I'm sure those considering suicide wouldn't be considering this, but this is the type of things where only governments can get involved to make a positive change for people's lives.
In it, there’s a woman with cancer who clearly enjoys living. She’s active, she participates in the world, she goes on despite her illness… until there’s no ability to experience joy.
Her body is being destroyed. She has a protrusion the size of a football in her midsection. She literally can’t function at a base level. Only then does she opt to end her life. She didn’t give up. She fought until she had no fight left.
Also contained within are obscene images of “pro-life” advocates fighting furiously to force people to suffer until the bitter end. They think themselves moral and just. They are, in fact, barbaric. It so angers me that religious people and institutions would inflict their beliefs on others in such a cruel way.
A peaceful death should be every person’s right.
He talks about it a lot, he's had a good life and now he's essentially decrepit. He can't really hear anything anymore so conversations are frustrating, he has no balance so can't really go far, he gets tired even just being taken for a drive, he gets sore sitting in front of the TV all day, he gains weight because he's not moving so he has to be careful about anything he eats. he has a type of dementia that thankfully hasnt stripped who he is, but has removed his ability to complete complex tasks or really anything more than a few steps. So now he can't use a laptop anymore, he can't login to any of his banking, he can't text or really use a mobile phone at all.
When he asks me what the point is I have no answer for him, he's lucky in many ways as he's got enough money to live in a comfortable flat, and cover all of his bills, etc. But he's not happy, and is sitting in that chair waiting, many times wishing, to die. He essentially played the role of my father when I was growing up, I used to utterly dread the day he passed, but now I can't help thinking I'll feel relief for him more than anything.
I see no reason why we shouldn't be able to gather the family, take him to place where we can all say our goodbyes and let him go on his own terms, with dignity.
This is a freedom for which many, including myself, may eventually benefit versus the alternative. I may want to make such a choice for myself (hopefully many years into the future!) rather than live in agony and I really hope the option will at least be there for me in my country.
The challenge is to have proper regulation, with the right checks and balances in place - I don't think anyone is suggesting you can just rock up to your local euthanasia corner-shop and say "can I haz dead pls?".
I don't think this is the case though, and I agree with all of your second paragraph. But I do think (and it seems that) potential to misuse a freedom is sometimes enough to restrict it, even completely.
- suffer a "serious or incurable illness" or a "chronic or incapacitating" condition that causes "intolerable suffering"
- be an adult Spanish national or a legal resident
- be "fully aware and conscious" when they make the request, which has to be submitted twice in writing, 15 days apart
There have been some cases where there was prosecution of doctors because of protocol violations.
But I can't recall any 'abuse' of killing of elderly people for the inheritance.
The reality is that nothing is fool-proof. In theory anything ever can be abused.
But the risk of harm vs. the risk of benefit is too great in favour of the benefit.
That's why we drive cars even though they kill 40K+ people a year in the USA.
So I don't think the theoretical risk of abuse is a good reason to not allow Euthanasia.
Edit: In The Netherlands, each case of Euthanasia / request for assisted suicide is evaluated by multiple doctors / psychiatrists. Each case has to be reported to a special Euthanasia commission that will also verify if things were done right. We don't go over it lightly.
Is anyone looking for it?
[^1] https://nos.nl/nieuwsuur/artikel/2301148-euthanasie-arts-voo...
Wikipedia article about the teenager [2]
[1] https://www.independent.co.uk/news/world/europe/euthanasia-c...
Also, political party D'66 is now pushing for the right for someone to end their life if they consider it "completed", without there being any serious suffering.
Note that not only the christian parties, but also the Socialist Party is very critical about broadening the criteria for euthanasia.
Thinking that your life is “completed” is related to suffering: if life is pointless or meaningless to you, having to go on is suffering.
As with all irreversible decisions (death) there's going to be plenty of paperwork - and rightly so.
Hence the heinous but popular crime of scamming seniors.
There once was a man who fought in Vietnam who was burned by napalm. He had 2nd and 3rd degree burns over almost his entire body, lost both arms, both legs, eyes, ears and most of his mouth. And yet he survived for weeks in agony, a literal hell on earth, typing out "kill me" in morse code with his head.
Surely, this person should be allowed to end his life as even people of faith should see this as a worse state than hell.
Therefore if this person should be allowed, then we just need to determine where the line is, not if it should be legal or not.
While I respect the principle of religious objections to assisted dying, if they don't extend to assisted life extension as well, I can't assign them much weight. There should be some serendipity to dying, and the religious objection seems to be about people making a decision that should be left to the sacred.
To compensate for this decision problem and the risks of non-consensual assisted suicide by a variety of legalistic players, a better solution could be to just liberalize rules on opioid pain killers for terminal pain management and improve self administration technology and management of the drugs.
The same people who argue against euthanasia are against this as well. Opioid pain killers are explicitly rationed in such a way that they make it very hard to "overdose". To me this is cruel and insane, but many people are apparently so afraid of death that won't even allow others in horrible pain to choose death.
The last year, he was confined to his bed, and needed 24/7 care to do pretty much anything. He simply could not move any distance himself, without passing out. Nor could he sleep, without feeling like drowning. As you can imagine, his life quality was inhumanely low.
Both him, and his son/my friend, agreed that there should have been some easier way out. "Luckily" he went out with a heart-attack, just as things started to get very bad.
It's a difficult topic. On one side, you have religious people with very negative views, and on the other side, you have medical professionals whos oath contradicts the action of assisted suicide.
If you wish to die because you are in such a pain, no problem.
But everybody knows that people are hurried along using a legal and ethical sleight of hand.
Next step: encouraging it. Why pay all those old-ish patients treatment, pensions, or end-of-life care? Encourage the poor to off themselves with "dignity".
Coming soon to a modern state near you...
And then you have people who would like to live but don't want to depend on family members for everything.
Death on command is the closest thing to Hitler's eugenics.
Precisely nobody is proposing "Death on command". From the article:
> ...the person must:
> - suffer a "serious or incurable illness" or a "chronic or incapacitating" condition that causes "intolerable suffering"
> - be an adult Spanish national or a legal resident
> - be "fully aware and conscious" when they make the request, which has to be submitted twice in writing, 15 days apart
> A doctor can reject the request if the requirements have not been met. It must be approved by a second medic and by an evaluation body.
> Any medic can withdraw on grounds of "conscience" from taking part in the procedure.
In fact they tried to downplay it at first. Only after Italy's massacre they picked up, and that's for optics, as it became an "arms race" between governments. You can't seem standing when others do something. Plus it was a good chance to increase tech profits, make structural changes they wanted to make, and get a "great reset". And a lot of cushy opportunities for big tenders...
You shouldn't have to off yourself, yet here we are.
For Spain in particular, the article states:
> Before the law's passage, helping somebody to die in Spain was potentially punishable by a jail term of up to 10 years.
https://en.wikipedia.org/wiki/Ramón_Sampedro
> Ramón Sampedro Cameán (5 January 1943 – 12 January 1998) was a Spanish seaman and writer. Sampedro became a quadriplegic at the age of 25 (on 23 August 1968), following a diving accident, and fought for his right to an assisted suicide for the following 29 years.
> ...
> Sampedro died on Monday 12 January 1998 in Boiro, Spain, from potassium cyanide poisoning.[2] Several days later, his close friend Ramona Maneiro was arrested and charged with assisting his suicide. Sampedro had divided the elements required to complete his suicide into individual tasks, each small enough that no single person could be convicted of assisting the suicide process entirely. Maneiro was released due to lack of evidence. No further charges were ever filed in connection with Sampedro's death.
Amenábar (from The Others) depicted the events in a movie (not sure if known outside of Spain).
Yes. When you have something less that should be treatable under good-ole socialized healthcare, but neo-liberal policies have privatized it, it shouldn't be encouraged to "not be a burden" or because they just wont treat you, though, and I'm pretty sure that will be the case...
Namely: same as people considering an abortion, people considering ending their life are in an incredibly difficult spot, and what they need is more options and help, not less.
The ultimate goal is to avoid suffering, and that includes being comfortable during a successful attempt, not just avoiding the I-have-no-mouth of being a vegetable. When it’s your turn, you all of a sudden realize that the brain remains active during and after the process of dying. And sure enough you will find the inconvenient fact buried: nobody is really dead until they are thoroughly dead. The idea of binary life/death only proliferated because for most of history science wasn’t around to illuminate the issue. You realize that people who are clinically dead are the most powerless, voiceless group of people in history and that their needs have been completely hidden or ignored even in the age of modern medicine, and that this weird and unfortunate situation has intersected with your story now and has completely fucked you over. You are tasked with cobbling together some kind of system that not only intelligently avoids the vegetable outcome, not only confronts the subtleties of what it really means to die and avoiding whatever strange things happen in the space between, but also performs flawlessly with an extremely low probability of failure. Because when it’s your skin that’s what you’ll want.
And of course this is the perfect situation for some kind of solution to have been developed. We often benefit from things that were developed over hundreds of years of trial and error. To realize you are at the bottom rung of that process is unpleasant. And you won’t until it becomes real to you.
The number of people who have a rational need for death, beyond and kind of doubt, is small at any given moment. It’s a minority group. Easy to sweep under the rug especially when the average person is not imaginative or able to think empathetically or creatively. Not able to understand until it’s them. I guess I’m guilty of that!
Al this while palliative care is not given to those who need it. Only 40% of them do receive some kind of treatment to relieve their pain. Guess what the other 60% will think about now...
Why the urgency; doesn't the shadows of euthanasia stand the piercing Sun of Righteousness?
Except for the typical extremes, people here has, generally speaking, a "live and let live" mentality. For example, the latests polls show over 70% of people pro-euthanasia and only 15% against it. Another poll shows that around 75% of the people declares themselves catholic. So when you picture a "Catholic Spain", imagine a lot of people that were born into a religion, they recognize themselves as catholic, but couldn't care less. This is a good place to live your religion or atheism in peace.
I was correcting the original comment, because it is a common misunderstanding. Spain is not officially catholic, and this is explicitly stated in the spanish constitution (Art. 16 section 3.)
https://app.congreso.es/consti/constitucion/indice/titulos/a...
I find Spain quite different from Turkey, for example, which is officially secular but the society is not.
This is a very blunt statement that you proffer as fact - it is, in fact, your opinion. Many other people feel differently, and your opinion doesn't change that.
> This viewpoint ignores the experience of the person actually wishing to end their life.
...there is an argument to be made that a person whose life has ended has no experience to consider, leaving an absolute moral/utils cost.
It's hard to say, honestly. Like, for all we know, if brain activity ceases to be measurable, then there is no experience. But how do we actually know that? One cannot know what the experience of death is like without actually experiencing it, just like we can never truly know what the living experience of others is like. I think there is much around the topic that we'll never truly be able to understand, simply because it's not a state we can enter and leave at will. The closest we can get to something like that, in my understanding, is a deep experience with DMT (or the more potent 5-MeO-DMT).
> it is always wrong to end your own life
If my options are a) two months of increasing agony followed by death and b) immediate painless death; and there was no c) option, then I think I'd rather skip the suffering, honestly. The fact that it would also mean needless spending is just icing on the cake. Let them use that hospital bed for some child with cancer.
If you choose a) I would certainly respect it. I would like my country to make your last days as comfortable as possible, with the resources available. I would certainly fight anyone who would impose b) onto you.
I only ask you do the same for me.
Your religion does not overrule other peoples rights.
I think the worst that can happen to a church is for it to become the cultural norm.