THE LEGALIZATION OF
PHYSICIAN-ASSISTED
SUICIDE IN
CANADA
According to Came and Deacon (1991), a woman known only as Nancy B., requested
the assistance of her physician to help her commit suicide. Since 1989,
Nancy had been suffering from a severe neurological disorder known
as Guillain-Barre that had left paralyzed from the neck down and dependent
on a mechanical respirator. The effects of her condition had progressed
to the point where it was irreversible and despite not being able to move,
Nancy suffered from the aches and pains caused by continuous infections
and her lack of mobility. Fed up with living this way, Nancy wanted to
have the tube removed from her throat because, in her words, "It's no longer
living." (Deacon and Came, 1991, p.5). What makes Nancy's case controversial
is that it brings the subject of physician-assisted suicide to the attention
of a society that is still uninformed about the difference between living
an extended life through the use of machines to one that is pain free.
Compared to passive euthanasia, where disconnecting a respirator et al
is considered acceptable, physician-assisted suicide is considered to be
murder because it is an act of active euthanasia performed by a doctor
where deliberate action is taken to end a life. As legal and medical
definitions about death are continually being redefined to fit the advancements
made in medical science, society needs to recognize that just as everyone
can have different views on death, they can also have different views on
how life should be lived. Therefore, the practice of physician-assisted
suicide should be legalized in Canada
According to Douglas (1994), euthanasia, both passive and active, was widely
accepted in many societies. Philosophers such as Plato condoned forms of
euthanasia but the rise of organized religions such as Christianity lead
to the condemning of euthanasia because of the belief that all life is
sacred. Despite the fact that there has been a separation of church and
state, the laws that are in place, even today, reflect the view and opinion
of society at the turn of the 20th century. Since that time, groups such
as the Hemlock society ( According to Egendorf (1998) Hemlock was a plant
given out by the Greek government to those who wanted to die) have fought
for public support. Douglas (1994) noted that aside from being unsuccessful
in fulfilling their goal, they have made a serious impact in the easing
of laws against passive and voluntary ( request by the dying patient through
their legal representative) euthanasia. The legalization of the "living
wills", which instructs physicians to withhold life-support systems when
the person becomes terminally ill, was considered a major victory despite
the fact that many people do not accept it as a legally binding contract.
When the Bible was written over two thousand years ago, there were no respirators
available to keep people alive. If someone lived after having a limb cut
off, it was understandably seen as the will of God. But today, the Bible,
as well as other works, have been flawed by the passing of time.
Not only are they an awkward fit in modern times, the individual interpretation
of these works has drastically altered their original message There is
no commandment that states : Thou shall not have an opinion based on your
own experiences. Religions argue about the sacredness of life and how it
can not be taken away, and yet, there are contradictions that can be found
in the writing of their own texts and in the actions of it's followers.
Spong (1996) noted that according to the Hebrew scriptures, the same God
that ordered his people "Thou shall not kill", could also order Saul to
kill every man, woman, and child who belonged to the Amlekites (p.2).
In countries such as Jordan where Islam is a dominate religion, it is acceptable
to kill a girl in your own family who has allegedly, lost her virginity.
However, in the same country, it is punishable by death if you assist
in voluntary euthanasia. Such contradictions in societies where religious
devotion is of the upmost importance, show that it is important for individuals
to reconsider the information available on euthanasia and base their opinions
on their own ethics and morals.
Why do people want to die?. There are many reasons; terminal sickness,
permanent disability, etc.. It's because of these reasons that many people
want to live life to the fullest. The populace will always hear stories
about people overcoming odds just so they can enjoy the things we take
for granted. In the case of Nancy B., life wasn't life anymore. To her,
suffering from the pain cause by lack of movement in her lower body and
breathing through a tube wasn't life. She knew it was hard on her
family, so she made the choice to kill herself with the help of her physician.
Nichols (1996) reported that a Canadian named Austin Bastable died from
Carbon Monoxide poisoning with the help of Jack Kevorkian. Crippled by
the effects of multiple sclerosis, Bastable campaigned for the legalization
of physician-assisted suicide and was crushed when Prime Minister Jean
Chretien avoided meeting him at a Liberal Party Convention in April of
1996. Bastable, died so that other Canadians may someday want
a say in how they will die. Nancy B. and Bastable used their deaths as
a way to awaken the country to the need for the legalization of physician-assisted
euthanasia for people in the advanced staged of either terminal or painful
diseases because the pain prevents the patient from enjoying the life they
have left.
When a suicide occurs with the help of a medical physician, the person
who is in the toughest position is not the patient, but the physician .
They risk the respect of their peers and their certification as doctors
if it is discovered that they assisted in a patient's suicide. Corelli
and Hiller (1997) reported about the arrest of Dr. Nancy Morrison in connection
with the death of a throat cancer patient named Paul Mills. Mills could
only communicate through blinking in response to questions and, according
to his widow, he never wanted to die. But the family agreed that the life
support devices gradually be reduced before complete shut- down. According
to a relative of Morrison, Dr. Morrison, being a specialist in respirology,
heard Mills gasping for air and speculated that he would die within that
hour. In Canada, euthanasia and mercy killing are not terms known
in Canadian law, though most provinces do allow physicians to withhold
life-support at the patient's request but not to the hastening of death
on their own terms. But the problem is, the family did request for the
machines to be gradually shut- down and if Dr. Morrison didn't help hasten
death, than Mills would have suffocated and choked to death over a long
and arduous hour, not quickly and almost painlessly which Dr. Morrison
provided. To allow Doctor assisted suicide would enable the patient, doctor,
and family of the patient to discuss the means by which euthanasia would
be used, what forms and on what terms.
The arguments against euthanasia are supported by two strong pillars; Religious
beliefs, and the theory of the slippery slope. The slippery slope is the
belief that if society legalizes voluntary euthanasia for competent, terminally
ill adults, acceptance for of euthanizing elderly, uninsured, or physically
handicapped people will follow. Egendorf (1998) cited Derek Humphry,
founder of the Hemlock society as saying that if one believes that the
legalization of euthanasia is the beginning of the slippery slope in killing
off our burdensome, "...you have no faith in the goodness of human nature
or the ability of the American democratic system to protect the weak".
(p. 2). Egendorf (1998) also reports that supporters of euthanasia believe
that guidelines similar to those in Oregon, the only U.S. state to legalize
euthanasia, i.e, waiting periods, doctor's confirmation etc., will protect
patients and increase physician accountability.
In Nancy B.'s case, because she wasn't old or terminal, the rest of her
life would be marred by pain. Could society, as a whole, justify
her suffering because of the perception that pain makes you stronger. When
people are in pain, society tends to believe that it is only temporary,
but never considers pain to actually be painful. To keep a person alive
just to remind us of how good most of society got it is neither ethical
or moral and actually devalues the life of these people. The patients who
need the assistance of a physician in committing suicide, feel as if their
dignity is lost because since they already have no control over their lives,
to have no control over ones death at such a stage is an unsettling experience.
The author of this paper believes that the legalization of physician-assisted
suicide in Canada would be a merciful step in the right direction that
would work if the patient, physician, and family work together in meeting
the guidelines and understanding the true uses of euthanasia.