I used to be very strongly in favour of the legal right to assisted suicide, but now that I am getting older I’m beginning to share some of Splinty’s misgivings. It’s not just age either. This particular cause is gaining momentum at the same time as a number of other ideas: the idea that longevity is in itself a problem, for instance, along with the subsidiary ideas that reaching a particular age should not bring an entitlement to a pension, which is what the whole working beyond retirement debate is actually about once you get down to the actuarials.
There are the constant sneers about “ageing baby boomers”, ie the latest cohort of people in or entering retirement and the notion that pensions themselves represent “intergenerational slavery”, as I believe the phrase goes. There’s the increasing tendency to force the costs of caring for the elderly on to their families.
The whole thing also dovetails pretty neatly with the government’s constant nagging on public health issues. One must stay productive for the longest possible time, after all, before becoming a charge on family and state.
All in all, pressure to legalise assisted suicide seems to be emerging as part of a frankly disturbing useless mouths discourse. I don’t believe for a minute that the people going to court for the right to die are acting for any such motives. There’s still to my mind a very strong case for changing the law on personal autonomy grounds. But the reasons why changes in the law are advocated can be very different to the reasons why such changes are eventually adopted.
Looking back, my late mum used to say to me that she hoped I’d do the “decent thing with a shotgun” if she ever went senile. It never came to that, and I’m not sure if I’d been able to do it if it ever did. In fact I’m pretty sure I wouldn’t. But it does occur to me that if you’re prepared to do away with your old mum out of heartfelt dedication to her greater welfare that goes beyond ordinary questions of life and death, you shouldn’t be too shocked and appalled if a stretch of bird is part of the deal.
Maybe this is one of those issues – like over the legalising of prostitution - that actually goes beyond the law on the grounds that you have to consider carefully the situation that you presume to liberate people into. In this case, the needs of the suicides to be and those who would help them may be better addressed by much greater judicial discretion. At the very least, any such case should trigger a pretty rigorous police investigation including full access to the financials.
All in all, pressure to legalise assisted suicide seems to be emerging as part of a frankly disturbing useless mouths discourse.
Are there any actual examples of people arguing for assisted suicide on that basis?
Posted by: ejh | August 02, 2009 at 06:03 PM
In fact I'd offer you a rather different set of circumstances that has brought the discussion to its present state:
(a) massive improvements in medical care which mean people live - and can live - much longer than they used to, sometimes in a prolonged condition which people often do not find tolerable (either thinking about it as a prospect, or actually living through it) and which would, in earlier times, probably have killed them relatively quickly ;
(b) increasing awareness that this doesn't have to be the case because the means to reliably put an end to life are available ;
(c) a number of instances of such cases reaching public attention and making, cumulatively, a critical mass ;
(d) the impossibility of maintaining the previous situation of having laws saying one thing and practice doing another, simply because of the public nature of these cases and the fact that they have challenged that existing law ;
(e) a much wider process in which people have discovered that they have access to personal rights in law - both those explicitly written and those which may be inferred or argued for - and have a desire and the will to exercise those rights.
None of these factors affect the fact that as a practical matter, assisted suicide is fraught with all sorts of difficulties including some very obvious possibilities for abuse, but that neither means that the present situation of hypocrisy can stand, nor that this is the reason why it is being challenged. Finding a satisfactory solution is quite likely beyond the wit of anybody, but this one is out of the box now and it won't go back in.
Posted by: ejh | August 02, 2009 at 06:17 PM
The whole thing also dovetails pretty neatly with the government’s constant nagging on public health issues. One must stay productive for the longest possible time, after all, before becoming a charge on family and state.
But this isn't the government's nagging; or at least, it's not only them doing the nagging. I want my colleagues, friends, family, team members, etc. to remain in good shape; that is, avoid the bad stuff, whether that's value packs of Twinkies or tar pits. I'd say it's a fairly near universal norm. What's repellent about New Labour is their persistent blind spot; blame poor individuals for choosing badly, do nothing to moderate the ways in which foodstuffs, alcohol, etc. are produced and marketed by organisations with an advantage. Normatively, they are a lopsided broadcaster.
Posted by: Charlie | August 02, 2009 at 07:57 PM
Are there any actual examples of people arguing for assisted suicide on that basis?
Not now, but the idea that the old and ill are useless tends to erode the basis of the opposition to it: it's the shadow side of the personal autonomy argument. On the positive arguments I think your schema is right and I think it'll happen sooner or later, but I think a lot of the consequences are likely to be pretty horrible. It gives a means of putting all sorts of horrible ideas floating out there into action.
Posted by: jamie | August 02, 2009 at 08:11 PM
"In this case, the needs of the suicides to be and those who would help them may be better addressed by much greater judicial discretion. At the very least, any such case should trigger a pretty rigorous police investigation including full access to the financials. "
Quite, keep it a crime to be investigated and let a jury sort out whether it was indeed mercy killing or not, truly desired by the deceased or not.
Posted by: Tim Worstall | August 03, 2009 at 09:35 AM
Worstall in absence of compassion and reality-avoidance shock
Posted by: ejh | August 03, 2009 at 10:00 AM
Actually, the only people I've seen arguing this are Whatshername "whose kid are you?" Scarisbrick and. ahem, Tim Worstall.
Posted by: Alex | August 03, 2009 at 10:00 AM
One thing to be really wary of is the comparative lack of hospices. A good hospice can make a huge difference to quality of life and pain management. People wanting to end it despite having the best access to pain management/care is one thing, people wanting to end it without that access is something else entirely. But I suspect without public pressure that is what we'll get.
Posted by: Cian O'Connor | August 03, 2009 at 11:00 AM
Another thing. We live in a culture where "Do Not Resucitate" notices are routinely placed over the beds of physically disabled and mentally impaired individuals, without asking their opinion (yes this probably illegal, or at least against guidelines, but it's still routine). Given this, what are the odds that legalised euthenasia will be responsibly administered?
Posted by: Cian O'Connor | August 03, 2009 at 11:05 AM
Meanwhile, while everyone here gets all tore up about Dignitas, Tory snackthinker A.N. Wilson comes right out with it, gets his crazy on, and demands the establishment of T-4 and the compulsory sterilisation of life unworthy of life.
I am not joking. Stand here while we sort out your housing benefit form! *Bzzt*
Posted by: Alex | August 03, 2009 at 11:40 PM