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Cruel to Abandon Dying to Suicide While Preventing Others

The dueling headlines above in today’s San Francisco Chronicle illustrate how our society is increasingly willing to abandon people diagnosed with terminal illnesses to suicide (“right to die” law, e.g. assisted suicide), while trying to prevent others, in the case of the lower headlines about a texting hotline to keep people from jumping off the Golden Gate Bridge.

I was on a radio show the other day, and the host said that was logical. We didn’t have the time to explore the question fully. So, here are a few points I would have made to demonstrate it is not logical, but invidiously discriminatory: 

  • Dying isn’t dead, it’s a stage of living, difficult yes, but so are other times of our lives.
  • Sometimes people diagnosed with terminal illnesses don’t die as expected, and if we abandon them to suicide, we will never know who they are. The humorist Art Buchwald was one such person. He went into hospice for kidney failure, expecting to be dead within six months. But when he didn’t die as expected, he left hospice and wrote his last book before finally succumbing.
  • Patients who are terminally ill and want to commit suicide are often relieved later that they changed their minds or didn’t succeed at self-destruction–just like other once suicidal people. Studies show this repeatedly and I have met such individuals.
  • When society supports the terminally ill in committing suicide–by legalizing access to lethal means and by not engaging in prevention in the same way we do other categories of suicidal people–it sends an insidious and hurtful message that the lives of the dying are less important, and that their families and the rest of us are better if they do die sooner rather than later. I know, I hear from such wounded people on an ongoing basis.
  • Facilitating the suicides of patients in hospice completely subverts that hospice philosophy as established by the great medical humanitarian, Dame Cecily Saunders.
  • Once society generally accepts suicide as an answer for one aspect of human suffering–experiencing a terminal illness–it will sooner or later expand access to being qualified to be made dead, e.g., people with disabilities, the elderly, the mentally ill, as has happened in Netherlands and Belgium.

I get that people think they are being compassionate in supporting the legalization of assisted suicide. But they are not. 

Unintentionally, they are abandoning the dying to their worst fears about being burdens, being less loved, and losing dignity.  

More bluntly, they are telling the dying that their lives are not really worth living. 

 

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