Over twenty years of anti euthanasia advocacy, I have come to realize that many activists on the other side care little for the truth, or indeed, facts. They just want to win!
Hereโs a current example: Two of the countryโs premier suicide โaid in dyingโ pushersโBarbara Coombs Lee and Kathryn Tuckerโclaim in an article that a Supreme Court case to constitutionalize assisted suicide which Tucker lost unanimously, actually created a constitutional right to take a lethal amount of drugs to alleviate suffering.
First some background: In 1997 Kathryn Tucker challenged New Yorkโs law outlawing assisted suicide on behalf of assisted suicide doctor Timothy Quill, along with another case seeking to invalidate Washingtonโs law against assisted suicide (Washington v. Glucksberg).
Tuckerโs goal was to obtain an assisted suicide Roe v. Wade. She failed utterly, with two 9-0 decisionsโrare unanimity in the Supremes.
Of particular interest to this post, Vacco v. Quill rejected Tuckerโs argument that refusing unwanted life-sustaining medical treatment is the same thing as assisted suicide, even though such refusal can lead to natural death.
But look how Lee and Tucker spin that ruling about a case out of Pennsylvania of a woman accused of assisting the suicide of her father by handing him a jar of morphine pills. From, โOne Womanโs Future Depends on AG Kaneโs Constitutional Consistencyโ(my emphasis):
As attorneys, we agree it is unethical to defend unconstitutional laws. It follows that Kaneโs office should also not pursue a case that impinges on an individualโs constitutional rights. Thatโs why her office should drop an unsupportable assisted suicide case against a Philadelphia woman. Her preliminary hearing is today. Barbara Mancini was present when her 93-year-old, terminally ill father ingested morphine to relieve his agony. In a perversion of justice, the state filed assisted suicide charges against Barbara in the death of her father, Joe Yourshaw, who lived in Pottsville.
In 1997, the U.S. Supreme Court recognized that dying patients have a constitutional right to as much medicine as needed to relieve their pain even if it advances the time of death. The Courtโs finding came in two landmark cases, Washington v. Glucksberg and Vacco v. Quill, both brought by Compassion & Choicesโ predecessor organization, Compassion in Dying.
Justice Sandra Day OโConnor puts it this way in her often quoted concurring opinion in Washington v. Glucksberg โโฆa patient who is suffering from a terminal illness and who is experiencing great pain has no legal barriers to obtaining medication, from qualified physicians, to alleviate that suffering, even to the point of causing unconsciousness and hastening death.โ
Hold on now. As attorneys, surely Lee and Tucker know that a concurring opinion is not the rule of the case. In other words, it is not binding on Pennsylvania law enforcement.
Moreover, OโConnor wasnโt creating a constitutional doctrine, but merely noting existing law. Thatโs why Lee and Tucker used the ellipses in front of OโConnorโs quoteโto hide the context and thereby mask the true meaning of the statement. Hereโs the full quote from her short concurring opinion in Quill, the case in question (my emphasis):
The parties and amici agree that in these States a patient who is suffering from a terminal illness and who is experiencing great pain has no legal barriers to obtaining medication, from qualified physicians, to alleviate that suffering, even to the point of causing unconsciousness and hastening death. In this light, even assuming that we would recognize such an interest, I agree that the Stateโs interests in protecting those who are not truly competent or facing imminent death, or those whose decisions to hasten death would not truly be voluntary, are sufficiently weighty to justify a prohibition against physician-assisted suicide.
Thus, OโConnorโs statement merely summarized the thenโand nowโexisting law. (I represented the International Anti-Euthanasia Task Forceโnow, the Patients Rights Councilโone of the amici that filed briefs in both cases.) It did not set forth any constitutional doctrine. (The quote in Glucksberg is identical.) Meaning, it is flatly dishonest to contend that the โSupreme Court recognized that dying patients have a constitutional right to as much medicine as neededโฆโ
Hereโs what the Court actually ruled 9-0 in Vacco v. Quill (my emphasis):
This Court has also recognized, at least implicitly, the distinction between letting a patient die and making that patient die. Cruzan v. Director, Mo. Dept. of Health, 497 U. S. 261, 278 (1990), we concluded that โ[t]he principle that a competent person has a constitutionally protected liberty interest in refusing unwanted medical treatment may be inferred from our prior decisions,โ and we assumed the existence of such a right for purposes of that case, But our assumption of a right to refuse treatment was grounded notโฆon the proposition that patients have a general and abstract โright to hasten death, but on well-established, traditional rights to bodily integrity and freedom from unwanted touching. In fact, we observed that โthe majority of States in this country have laws imposing criminal penalties on one who assists another to commit suicide.โCruzan therefore provides no support for the notion that refusing life-sustaining medical treatment is โnothing more nor less than suicide.โ
Logic and contemporary practice support New Yorkโs judgment that the two acts are different, and New York may therefore, consistent with the Constitution, treat them differently. By permitting everyone to refuse unwanted medical treatment while prohibiting anyone from assisting a suicide, New York law follows a longstanding and rational distinction.
Thatโs the binding rule of the case. Period.
Vacco v. Quill most certainly did not rule that patients have a right to be made dead as a way of relieving their suffering. In fact, to the contrary.
Nor did it rule that people can take โas much medicine as neededโ to alleviate suffering. The wasnโt what the case was about.
I donโt know the facts of the PA prosecution. If the ill father took morphine as prescribed and accidentally died, the daughter clearly has a factual defense. But the prosecution is certainly constitutional under the Vacco decisionโand the mendacious Lee and Tucker know it.






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