So, What about Death Control? [in progress]
“Thinking about Death” was the title of my Feb. 23 blog post, and it was partly about what I called “death control.” Since that is such an important, and controversial, issue, I am posting this article that deals more with that matter.
Death Control is Not Euthanasia
First, it is important to note that “death control” is not euthanasia, which is illegal in every state in the U.S.
One page on The CompassionAndChoices.org website (see here) states this clearly: “Medical aid in dying is fundamentally different from euthanasia.” Here’s why:
Euthanasia is an intentional act by which another person (not the dying person) administers the medication. By contrast, medical aid in dying requires the patient to be able to take the medication themselves and therefore always remain in control.
Thus, if used soon enough, MAID (medical aid [or assistance] in dying) can be used for people suffering from cancer, ALS, MS, or other progressively debilitating diseases—but not with those suffering from acute dementia. (This latter is a very sticky issue that I will think/write more about later.)
Death Control is Not Suicide
The term “physician assisted suicide” (PAS) has long been used, and terminally ill people who have taken means to end their lives have often been said to have committed suicide. But increasingly, that is seen to be a negative/judgmental term to be avoided.
Citing the same CompassionAndChoices webpage, many leading medical organizations “have all adopted policies opposing the use of the terms ‘suicide’ and ‘assisted suicide’ to describe the medical practice of aid in dying.”
Here are some differences between MAID and suicide (h/t to suicideinfo.ca):
** Suicide is often carried out alone and in secrecy, leaving loved ones with devastating grief; MAID involves decision-making informed by medical personnel and often includes loved ones.
** Suicide is usually due to mental pain: distress, loss of meaning and purpose in life, and psychological burdens considered too heavy to bear any longer; MAID is chosen by those whose death is apparently inevitable in a reasonably short period of time ahead.
** Suicide is often carried out in violent ways (such as by self-inflicted gunshot); MAID uses non-violent means provided by trained professional.
So, What is Death Control?
Death control is providing terminally ill people with the choice of being able to end their life at the time and place of their choice—and with grace and dignity. Such is the purpose of these organizations in the U.S.:
Death with Dignity National Center
These organizations are seeking among other things to increase the number of states where MAID is legal, and this seems to be a good and important work. Several states are considering legislation at the present time; sadly, neither Missouri or Kansas is. (See this map of the situation in all states.)
Links to articles related to “death with dignity”
Twelve Myths About Physician Assisted Suicide and Medical Aid In Dying | HCPLive - Clinical news for connected physicians (7/7/18) [questionable]
Ten Facts About Medical Aid in Dying | HCPLive - Clinical news for connected physicians (8/28/18) [good]
FS-Medical-Aid-in-Dying-Is-Not-Suicide-FINAL-3.20.19-Approved-for-Public-Distribution.pdf (compassionandchoices.org) (3/18/19) [good and important]