Getting others’ hands dirty

Last week, there was an inquest into the suicide of a young woman, Kerrie Wooltorton, who drank poison and called an ambulance, supposedly because she did not want to die alone. The 26-year-old had been suffering from depression because of infertility, and hours earlier had written a “living will” stating her intentions. The coroner recorded a narrative verdict (i.e. not a standard verdict such as suicide, misadventure, unlawful killing etc) which did not blame the hospital. The hospital’s consultant renal physician said:

I would have been breaking the law and I wasn’t worried about her suing me, but I think she would have asked, ‘What do I have to do to tell you what my wishes are?’ … It’s a horrible thing to have to do but I felt I had no alternative but to go with her wishes. Nobody wants to let a young lady die.

There is a substantial pro-euthanasia movement in the UK, which has been gathering strength for some twenty years or more. Since various countries and some US states have legalised it, there has been a steady stream of Brits going to the places where assisted suicide is legal, notably Switzerland, to drink poison. There are two alarming aspects to this trend.

One is that the afflictions which give rise to these kinds of events are often much less than terminal, degenerative illnesses like motor neurone disease or multiple sclerosis. Last year, the highest-profile victim was Daniel James, who had suffered a spinal cord injury in a rugby scrum and become quadriplegic. This time, it’s a woman who couldn’t have children. She was only 26. The former is not a trivial matter by anyone’s standards, but for most people who experience it, it doesn’t lead them to commit suicide, even if they incurred their injury in much more traumatic circumstances than a game of rugby. And surely he had heard of people suffering spinal cord injuries in scrums. I have, and I don’t even play or follow rugby.

The second is that these people have to involve others in their deaths. Someone else has to get their hands dirty. That’s not new in itself; people have been throwing themselves in front of trains for almost as long as there have been trains, but here it involves a much deeper level of personal involvement. The depraved infertile woman (thinking about it, it’s probably fortunate that she couldn’t have children) called out an ambulance to be taken to a hospital, both staffed by people who spend all their time treating sick people and saving lives, only to thrust a bit of paper into their faces and demand that they watch her die. The loser Daniel James expected his parents to accompany him to Switzerland and then to risk prosecution and imprisonment on return, with the risk that his siblings could be without their parents for several months or years if such a thing happened. They are not content to just kill themselves; they want to cause distress and pain to innocent people in the process.

There are two major problems with this present culture in which death is held to be a solution to suffering. The first is the perception that it’s all about the individual. I saw a comment posted on a blog post written by Tiffiny Carlson, a quadriplegic with a higher (i.e. more disabling) injury than Daniel James had, by a woman who said that she felt more upset when someone had a spinal cord injury than when they died. But if the victim was a young widowed mother of a small child, would you be more sad for the already bereaved son or daughter to have a paralysed mother than be an orphan? Even if the deceased is a young man with no dependants, it still leaves a family and a circle of friends without a loved one.

The other is that the notion of death as a solution, as a ‘release’ from suffering, is predicated on the assumption that there is either nothing after death, or a peaceful moving-on to another earthly existence, or something else based largely on wishful thinking. It is assumed that there is certainly no judgement and no accounting for what one does, and even the idea that what one can do in this life, whether on one’s feet or in a wheelchair, or even a bed, might contribute to a better afterlife is disregarded. You would not normally fail to look before you stepped out into a busy road, because you would fear getting run over and severely injured or killed; why would you jump into the complete unknown, based on fancies about what was there?

It seems that we have reached the point where many of us regard life and death as some sort of rational choice to be made, and that patience and endurance are no longer required of us. In the past, suicide was not seen as an option but as a selfish, cowardly and shameful act; today, there are some who regard it as a right, an option which should be facilitated, and in such a climate, it is inevitable that some might take it up who would not have done in the past. Finally, people are being indulged in their desires to kill themselves when often they need time to adjust to their new situation, or counselling. This blogger, who also became paralysed at a young age, writes that he could have fallen victim to the same “perverse form of compassion” as Daniel James had his parents not shown him the tough love that they did. He was expected to make what he could of life rather than give in, and is now grateful for it. I suspect that Daniel James’s parents were not prosecuted because the political cost would have been too high, but certainly nobody should be making excuses for, much less applauding, anyone who takes part in such an act.

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  • Thersites

    A fine collection of religious nonsense. The fact that Wooltorton did not use more immediate methods of killing herself than poison and that she had depression- a supposed mental illness- suggests that she was not entirely sincere in her expressed desire to die. Her apparent incompetence also suggests as much too. Even so, the hospital staff were under no obligation to provide her with company while she died. Incidentally, wouldn’t the fact that she had depression mean that under your beliefs she wouldn’t end up on the cosmic bonfire for her suicide anyway, if not for other reasons?

    Your description of her and Daniel James as comparable “highest-profile victims” is dishonest. James had received counselling and advice about his condition and his possible future and made his decision knowing what the possibilies were, and was a decision others could understand, even if they didn’t agree. Wooltorton’s decision probably derived from a mental illness- if, as we do as a society, you accept the concept- which may well have been alleviable. Depression usually improves over time regardless of “treatment”. That’s aside from the fact that suicide because of infertility suggests she had a mistaken view of human genetics and individual genetic importance. Nor was there comparable publicity; James’s death was discussed for some time whereas I’d never heard of Wooltorton until I read your account.

    Why do you think that if someone is crippled in “much more traumatic circumstances” it somehow makes the injury worse? The mere fact of permanent disability is what is important and the circumstances where it happens are trivial in comparison. Or would you care to give of examples more or less traumatic cripplings and explain quite how and why they are more or less traumatic? The fact that spinal injury is a rare result of collapsing scrums in rugby should no more put people off playing rugby than the environmental and aesthetic damage done by motor cars stops motorists engaging in their vile and murderous hobby. “The loser Daniel James” did not necessarily want his parents to accompany him to the Dignitas clinic; under British law he had no choice, as he could not travel without assistance and others would be more liable to prosecution for assisting his suicide. Other people may find purpose in their lives after severe disability; that does not mean that everyone can or must do so and the belief that Nobodaddy is playing with them like a cat with a mouse, to see if they will pass absurd tests as part of a game does not mean you have the right to stop others disposing of their lives as they see fit. Surely the idea that what one can do in this life, whether on one’s feet or in a wheelchair, or even a bed, might contribute to a better afterlife is every bit as selfish as you claim killing oneself on a rational basis is? Certainly, much more egotistical.

    The disapproval of suicide is actually recent, a result of the spread of Abrahamic monotheisms. Other religions do not always disapprove of suicide, apart from the complexity of the Abramic religions’ view, which is more nuanced than you suggest. There is a much longer tradition of acceptance of the right to leave this world when we choose and- as with Petronius Arbiter or Socrates (whose death was in part a suicide- he could have evaded it)- there is even a tradition of making suicide a social occasion with family and friends around.

    The reasons why people kill themselves are often incomprehensible to others; that does not mean they are meaningless except to followers of absurd and horrible religions. If people choose to die they should have the right to do so- even if you believe we must endure our going hence even as our coming hither, then that is up to you; you don’t have the right to impose your horrendous superstitions on those aho think otherwise.

  • Thersites

    Isn’t this: “what one can do in this life, whether on one’s feet or in a wheelchair, or even a bed, might contribute to a better afterlife is disregarded” a false claim in islam anyway? Surely muslims are supposed to do everything they do out of love of and obedience to god, accepting his decision to put them in a wheelchair, or even a bed or gove them motor neurone disease or MS as tests that in some obscure way prove his love for them and that they must pass out of love for him. The better afterlife is irrelevant to this, a bonus, because muslims have to behave as they do regardless of ehether they will have a better afterlife or not- indeed, if people do believe in god and behave “properly” out of hope of a better afterlife, isn’t it standard doctrine that they’re going to go to hell as a result?

  • http://www.blogistan.co.uk/blog/ Indigo Jo

    First off, being depressed and suffering from clinical depression are not always the same thing. Even the latter is not necessarily an excuse. As an example, Rekha Kumari-Baker, who murdered her two daughters, tried claiming treatment for depression in her defence, but got life anyway. Wooltorton’s behaviour does suggest a certain premeditation, or at least a huge gamble in which she used a document both she and the medical staff knew was legally binding, and may or may not have expected them to take her at her word. Either way, she died, and made sure other people suffered the distress of having to watch her die.

    As for rugby versus motoring, well, despite the environmental damage it causes, people have decided that being able to get from A to B in a fraction of the time they could do it on horseback or foot, or even on a bike, is worth it. It has real material benefits, which cannot really be said for rugby, which is just a game whose “authorities” have made it rough and exposed its players to injury (through both the tackle, which actually causes more injuries, and the scrum). Of course, people might not say that in a few decades’ time, but I still see a difference between an accident, or an injury caused by someone else’s recklessness, and suffering an injury in a game which has a long history of such injuries. Rugby is the middle-class answer to boxing (I guess polo is the rich man’s version): a macho sport which has reduced many a man to a shadow of his original self, yet people still play it and others defend it.

  • NH

    Wow, for a graduate who I would believe would have some sort of education, you don’t really know much about what you are posting about. If you actually wanted people to take this seriously or even offer a real point of view you would have done some research (isn’t that what studying taught you?).

    If you try to understand depression by doing some research it iis clear it is not something to be taken lightly, when you are in that state of mind it is hard to break out of it, especially on your own, and no it doesn’t just fade over time. As for getting help, this is where the problem lies, when a person says they are depressed; ie cannot muster up the energy to get out of bed, take a shower or even wash their face, how can you do anything more than think ‘why am I still here’.

    In order for you to understand the way these people feel you need to really try and understand their though process and feelings at the time. Depression can lead to an impulse in which the individual acts apon the way they feel and will use that knife or pills to kill themselves.

    Let me put it this way, just as hard as it for people to know how you feel about God and your religion, it is just as hard to understand depression, but it doesn’t mean it doesn’t exhist. If it has taken over your life how can you find reason and religion?

  • Codf1977

    IndigoJo, I think that Thersites and NH pity much sums up how intolerant and uninformed you are. I particularly found your “loser Daniel James” and “the highest-profile victim” both misguided and insulting; and both showed your total lack of understanding of the situation. Blinded by you ideological entrenchment you totally miss the point as to why people might want to commit suicide when you say “the afflictions which give rise to these kinds of events are often much less than terminal, degenerative illnesses like motor neurone disease or multiple sclerosis.”. It is not about terminal illnesses it is about the quality of life for the individual concerned, in the case of Daniel James, it is clear by nature of how he was injured he was an active young man. It is totally understandable, that faced with his future, he decided that he did not want to go on living. His parents should be commended for the love, support and help they gave him, not vilified by you, religion or anyone. I am not saying that the cause of action he took would be correct for everyone or even the vast majority in that situation and it is no way a reflection of his condition.

    I suspect that Daniel James’s parents were not prosecuted because the political cost would have been too high” – I was not aware that was a consideration in prosecuting criminal cases. I think the most likely reasons for no prosecution was firstly such a prosecution would not have been in the public interest and secondly (and ultimately the most likely reason) the chances of conviction by a jury would have been slim.

    ….is predicated on the assumption that there is either nothing after death …” is that not a fairly realistic assumption, given the total lack of evidence to the contrary?

    Rugby is [..snip..] a macho sport which has reduced many a man to a shadow of his original self, yet people still play it and others defend it” – Life is and of itself is full of dangers, people play and watch all manner of sports and other entertainment for the enjoyment they get from doing it yet they all come with elements of risk associated with them. For each man “reduced to a shadow of his original self” there are countless other examples of men who have enjoyed the sport and got fulfilment from it. Just because you “don’t even play or follow rugby” does not give you the right to criticise those who do. I don’t like boxing, have no interest in going to see a match and will actively change channels on the TV if and when it is on but I don’t call for it to be banned or stopped.

    In a free sociality we should all take personal responsibility for our own life and actions. The state should have no role to play in the act of someone taking their own life save the protection against coercion by others.

    Thersites : “you don’t have the right to impose your horrendous superstitions on those aho think otherwise.” I wish to second that.

    NH : “..you [IndigoJo] don’t really know much..” I have to agree with that to.

  • Hamed

    Wow, what Thersites, Cod, and NH post here says more about them than it does about Yusuf Smith. They complain that Yusuf is an intolerant ranter, but they themselves make self-righteous, rambling TL;DR comments about how Yusuf is stupid, superstition, and other personal attacks, simply because he politely gave his opinion over an issue he cares deeply about. They think that just because they are atheists, they are automatically smarter and more tolerant, when they, and history, contradict that claim (to that effect, I recommend any of Nassim Nicholas Taleb’s works, in which he often savages modernist, secular, intellectualism for the pseudoscience that it is).

    Anyhow, it isn’t just people with “horrendous superstitions” who actually oppose this “culture of death”, but also agnostic libertarian Jews: http://www.lewrockwell.com/rothbard/ir/Ch55.html

  • http://dunner99.blogspot.com/ JDsg

    Salaam ‘alaikum. I’m quite surprised and disgusted from reading these pro-death comments by the non-Muslims. Astaghfirullah! Comments about “followers of absurd and horrible religions” are a joke compared to some of the twisted values being displayed here. One wonders what these death-eaters would have told someone like Christopher Reeve after his accident left him a quadriplegic. “Cash your chips in earlier, Chris! The next nine years of your life will mean nothing because you lost the use of your limbs. You’ll never be able to act or direct again, and there’s no point in becoming an activist. No, commit suicide now!”

    Yeah, right. Astaghfirullah!

  • Thersites

    Rugby “has reduced many a man to a shadow of his original self”

    You really ought to reread before you post, I.J. Motorists, on the other hand, kill over a million people a year, most of them not motorists,

  • http://www.blogistan.co.uk/blog/ Indigo Jo

    As-Salaamu ‘alaikum,

    JDsg: I was actually reading a book about Reeve on the shelves at Borders in Kingston yesterday. One of the most terrifying events after his accident was that his ventilator pipe popped off the tracheostomy port on his neck, and left him unable to breathe. He clearly didn’t want to die then, which is why he tried his best to get help (anyone could have reconnected it, but the security guard saw what had happened and went to get the nurse).

  • Thersites

    “pro-death” Not pro-death, pro-choice.

    “Yusuf… politely gave his opinion” “The depraved infertile woman…The loser Daniel James…they want to cause distress and pain to innocent people” Quite.

    “Cash your chips in earlier, Chris! The next nine years of your life will mean nothing because you lost the use of your limbs. You’ll never be able to act or direct again, and there’s no point in becoming an activist. No, commit suicide now!” Well, as one of the main things that kept Reeves going was his illusory belief that a cure for a broken spinal cord would happen in his lifetime, you can hardly claim him as an example of bowing down to the will of god. If he chose to live, he had the right to do so; he did not have an obligation to do so to please other people, however.

  • Codf1977

    Hamed : “simply because he politely gave his opinion over an issue he cares deeply about” – Did you read what he said ? – “The depraved infertile woman” or “The loser Daniel James” – there is nothing polite about those comments. If he had been polite then the reaction would have been different.

    Hamed : “They think that just because they are atheists, they are automatically smarter and more tolerant” – Who are “They” exactly ?

    JDsg : “these pro-death comments” – Utter Rubbish, not a single comment here could be described that way, they are, as Thersites said, all “pro-choice”, I would go one step further and say it is about pro personal choice and responsibility.

    JDsg : “One wonders what these death-eaters [pro-choice] would have told someone like Christopher Reeve after his accident left him a quadriplegic.” you don’t need to wonder, at the time of his accident he did consider suicide, and in response his wife is reported to have said to him “I will support whatever you want to do, because this is your life, and your decision” [my bold] (http://en.wikipedia.org/wiki/Christopher_Reeve#Recovery) – sort of really makes my point.

    While on the subject of Christopher Reeve, it is worth remembering that it was him who was one of many campaigning to reverse the Bush administration ban on (federally funding) stem cell research. A ban put in place partly for religious and/or ideological reasons. I wish that he had been successful in his efforts; I wonder how many others with spinal injuries will suffer as a result of the delay in this research.

  • Hamed

    Oh, boo hoo. Yusuf’s insults are nothing compared what you guys are saying about him (eg, stupid, superstitious, etc). If you guys hate him so much, maybe you stop reading his blog, after all, it is his property, not yours.

    You people (pro-deathers) are just like the Nazis. Why let respect for human life get in the way of (what you think of as) progress? This is not hyperbole but reality. After all Aktion T4 was advertised as a program to reduce human suffering and save the taxpayers’ money. We all know how that went (with over 70,000 people killed). Heck, forget the Nazis, some modern Western nations are going for infant euthanasia.

    http://www.nytimes.com/2005/07/10/magazine/10WWLN.html

    http://astridvanwoerkom.wordpress.com/2008/11/24/shock-infant-euthanasia-has-been-legal-here-for-two-years/

  • Thersites

    Do stop snivelling, Hamed. You show a characteristically islamic accuracy and ability to stick to the topic. Where has anyone said I.J. is “stupid”? Has anyone said they “hate” him? I.J. chooses to display his strongly-expressed opinions in public; he- and his admirers- should not be surprised if others reply. If you want a compliment to him, I.J. does not suppress replies to his posts, no matter how damaging they are to his arguments.

    You people (liars- you now know we are not “pro-deathers”, whatever they are, so by repeating your false claim you show yourself to be a liar) are just like the nazis. Why let respect for truth or relevance get in the way of (what you think of as) progress? This is not hyperbole but reality. You deliberately pretend that the question of the killing of severely-disabled infants has any relevance to the autonomous decision of adults that their lives are unbearable and will continue to be unbearable and that they wish to end them and you foolishly hope that other people are so stupid they won’t notice your dishonesty.

    By the way, have you ever heard of Godwin’s Law?

  • Hamed

    “You show a characteristically islamic accuracy and ability to stick to the topic.”

    What a bigoted assumption. As if all Muslims, let alone the Islamic faith itself, teaches people to be untruthful (when in reality, Islamic teachings forbid telling untruths, even towards non-Muslims).

    “Where has anyone said I.J. is “stupid”? Has anyone said they “hate” him?”

    How about “intolerant and uninformed”, “horrendous superstitions”, “you [IndigoJo] don’t really know much”, “fine collection of religious nonsense”. Does this not imply that Indigo Jo is supposed to be ‘stupid’. It sure didn’t sound very loving to me.

    I only brought up infant euthanasia because it is practiced in at least one Western nation has , at least in the recent past, practiced it (the Netherlands), and also because quite a few of your fellow secular humanists have indeed supported infant euthanasia, on similar logical grounds as adult euthanasia: http://www.secularhumanism.org/library/fi/smoker241.htm

    To quote the article: ” Many medical practitioners are in agreement with me, of course, on this issue but they shy away from saying so in public, especially to a young audience. Understandably so, as their professional reputations could hardly survive the description “baby-killer” or “child-murderer” often leveled at me—whereas I have little to lose, so long as the hate attacks remain verbal.”

    Likewise Peter Singer, perhaps the most influential philosopher in America also defends infant euthanasia on certain grounds: http://www.utilitarian.net/singer/by/1993——.htm

    All I am saying is that among secular humanists circles (that people such as you belong to), infant euthanasia is not a fringe idea. Even if you personally disagree with them, I do not see why you need to be all bitter and defensive just because someone happened to disagree with your position on suicide. I thought people like you were all for civilized dialog? If so, stop expressing a sour temperament towards others, and don’t make personal insults about his intelligence or faith, and instead make polite, constructive criticisms (even if the other person does not reciprocate- since it is you, not them, who are claiming the intellectual high ground- being ‘rational’ and all.)

    “By the way, have you ever heard of Godwin’s Law?”

    Have you ever heard of 1guy1jar?

  • Codf1977

    Hamed : “How about “intolerant and uninformed”, “horrendous superstitions”, “you [IndigoJo] don’t really know much”, “fine collection of religious nonsense”. Does this not imply that Indigo Jo is supposed to be ‘stupid’. It sure didn’t sound very loving to me.” Well, as the person who described him as “intolerant and uninformed”, I can say I was not calling IndigoJo ‘stupid’. I called him intolerant, because, in the original post he was showing a level of intolerance towards others who did not share his views. I called him uninformed, because I believe he was not in possession of all the facts when he posted. Whereas intolerant has a negative connotation, in this case uninformed was used as a statement of a fact. As for the phrase “you [IndigoJo] don’t really know much” if you look at the whole of what NH said, he went on “about what you are posting about.” which is another way of saying uninformed. So that only leaves the “fine collection of religious nonsense” I can’t see how that implies stupidity.

    Hamed : “I only brought up infant euthanasia because….” infant euthanasia is totally irrelevant to the discussion everyone else was having. LET ME MAKE IT CLEAR, SO THAT, YOU, AND EVERYONE ELSE IS IN NO DOUBT - INFANT EUTHANASIA ALONG WITH ALL FORMS OF EUTHANASIA CARRIED OUT WITHOUT THE FREE CONSENT OF THE PERSON DYING IS WRONG INCLUDING ANY CASE WHERE THE PERSON DYING IS UNABLE TO CONSENT. I am forced to conclude that the only reason you brought up was to try and deflect the discussion away from the logical conclusion the original discussion was heading; namely that people should be free to make up their own mind about their own death and whatever decision they make their family and friends that help and support them should not be vilified for doing so.

    Thersites : “If you want a compliment to him, I.J. does not suppress replies to his posts, no matter how damaging they are to his arguments” – I agree it does him credit.

    The problem I am having is understanding why some people think that if person for whatever reason decides they wish to die why should they not be allowed to do that? No one has ever given a satisfactory answer to that question; and by satisfactory I mean, well reasoned and leaving religion and God out of it. – Perhaps Hamed and/or IndigoJo could try ?

  • Thersites

    “What a bigoted assumption. As if all Muslims, let alone the Islamic faith itself, teaches people to be untruthful (when in reality, Islamic teachings forbid telling untruths, even towards non-Muslims).”

    I did not say islam teaches people to be untruthful. However, it does teach them that many things are true without evidence or reason. as a result, many muslims believe that these things are self-evidenly true.

    “”How about “intolerant and uninformed”, “horrendous superstitions”, “you [IndigoJo] don’t really know much”, “fine collection of religious nonsense”. Does this not imply that Indigo Jo is supposed to be ‘stupid’. It sure didn’t sound very loving to me.”

    Nor are they supposed to be loving, but loving and stupid are not opposites.

    “I only brought up infant euthanasia because it is practiced in at least one Western nation has , at least in the recent past, practiced it (the Netherlands), and also because quite a few of your fellow secular humanists have indeed supported infant euthanasia, on similar logical grounds as adult euthanasia”

    You mean it had nothing to do with the topic. In fact, it would be perfectly possible to make a case for infant euthanasia for children with profound disabilities, especially if they will be in pain throughout their lives and to oppose adult suicide- assisted or not- on the same grounds.

    “All I am saying is that among secular humanists circles (that people such as you belong to), infant euthanasia is not a fringe idea. Even if you personally disagree with them, I do not see why you need to be all bitter and defensive just because someone happened to disagree with your position on suicide. I thought people like you were all for civilized dialog? If so, stop expressing a sour temperament towards others, and don’t make personal insults about his intelligence or faith, and instead make polite, constructive criticisms (even if the other person does not reciprocate- since it is you, not them, who are claiming the intellectual high ground- being ‘rational’ and all.)” I could point out with equal relevance that among muslim circles (that people such as you belong to) killing people whose attitude to islam you do not like is not a fringe idea. I was not “bitter and defensive”; I.J. chose to make bitter and offensive remarks about people whose decision to take their lives he disagreed with. He laid himself open to replies in kind by doing so. As it is his faith that inspires him to make just such remarks then his faith is also a fair target. As for you, you tried to argue by dragging in irrelevancies and telling lies. I said nothing about claiming the intellectual high ground- being ‘rational’ and all. I merely think that it takes a certain arrogance to claim to have the right to tell others how to behave because you have the exact and final word of god.

    ““By the way, have you ever heard of Godwin’s Law?”

    Have you ever heard of 1guy1jar?”

    No, but I googled it. Another instance of your confusing irrelevance and argument.

    A cogent and reasoned argument for opposing legalised assisted suicide as a principle can be found here: http://www.guardian.co.uk/society/2009/oct/07/assisted-suicide-guidelines-mental-health

    However, Clare Allan’s case relies on the assumption that even if Britain does not legalise assisted suicide other countries will, or that people will be willing to risk going to gaol for helping their friends or family to kill themselves.

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