this post was submitted on 20 Oct 2023
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[–] [email protected] 22 points 1 year ago (3 children)

This feels like it crosses a line.

[–] [email protected] 14 points 1 year ago (1 children)

I just don't know how I feel about it. They do go through an assessment before they're allowed to end their life this way. Maybe if you really want to die because your life is just generally unbearable, you should be allowed to? I get that there are methods to beat addiction, but they don't always work. If you just can't stop smoking meth and you just can't live that way anymore, maybe let that person die like they want to? I honestly don't know if those are yes answers for me.

[–] [email protected] 5 points 1 year ago (1 children)

I think you should be allowed to, and I’ve been vocally pro right to die for a long time, but I think this is bad. Medically assisted suicide isn’t meant to be done like this because doctors are better at it, but because they’re the ones with access to lethal drugs whom the terminally ill who are unable to end their life by their own hand will interact with that have the least to gain from their death.

Medically assisted suicide needs to emphasize assisted over suicide. Drug addicts have the capacity to obtain and administer a lethal dose of a drug. I might be ok with them being allowed a safe place where a DNR order that they set up for that experience will be respected so they can OD.

But the general rule in medically assisted suicide is the patient should have to prove that they are terminally ill with no hope of recovering and a sufficiently painful decline and then once approved they should have to do every part of the act that they are physically capable of. Furthermore the final “go” signal should require the patient to explicitly trigger. The physician should be as hands off as possible.

It needs to be treated with this weight. It needs to require a person dying of cancer to fight for it. Otherwise able people might begin dispensing “mercy” where it is less than enthusiastically wanted.

[–] [email protected] -1 points 1 year ago* (last edited 1 year ago) (2 children)

Why should that be the line? Why should a patient have to be terminally ill in order to have the right to die? Why should irremediable suffering not also be considered as a standard?

[–] [email protected] 1 points 1 year ago (1 children)

I think that is the standard if I’m not mistaken. I haven’t looked too closely though, I could be wrong.

[–] [email protected] 2 points 1 year ago

The article states “irremediable physical and/or psychological suffering” as another standard that’s being used for consideration here, not just whether a person’s condition is terminal.

[–] [email protected] 0 points 1 year ago (1 children)

It’s not the right to die, it’s the right to assistance in it. I believe we all have the right to kill ourselves. Terminality is associated with a cascading of symptoms and suffering. It’s not “you can’t be helped” but “your pain is going to be increasingly unbearable and constant and likely you will begin losing certain faculties as you wait to die.” It’s also associated with the need for physician assistance to suicide. I can go out, buy a bunch of pills, get a weapon, find a bridge, whatever. A terminally ill patient probably can’t. Things like loading a needle of too much opioid is going to likely be difficult by the time you’re declared terminal. And terminal comes with the understanding that it’s too late for a miracle cure, even if it gets invented tomorrow it’s highly unlikely to get to you in time. Irremediable doesn’t come with that security. And that may sound ridiculous but miracle cures have happened, notably with antibiotics.

[–] [email protected] 0 points 1 year ago

lol, there’s no such thing as “miracles” and antibiotics don’t cure addiction— nothing does. It’s a lifelong condition that not everyone has success with. Why should you get to decide who gets relief from irremediable physical and/or psychological suffering rather than trained physicians and psychologists? You just assume that, for someone in that position, it would just be easy for them to commit suicide themselves, but you’ve clearly never been suicidal. It’s never easy. And clearly it’s difficult enough that people want state assistance to do it safely and humanely.

[–] [email protected] 11 points 1 year ago (1 children)

Yes, it does. People addicted to drugs have mental issues: addiction. That will warp their judgement. Medically-assisted dying is something that needs to be legal. But the doctors involved need to be sure that the dying properly consents and that is going to be MUCH harder when they have to judge it through a lens of addition.

To me this reads just shy of saying medically assisted dying is now legal for people with mental health issues. Which would 100% be compared to what the Nazis did to the mentally and physically disabled.

[–] [email protected] 9 points 1 year ago* (last edited 1 year ago) (2 children)

The Nazis didn’t give those (or many people) a choice; it was forced upon them. This isn’t comparable at all.

[–] [email protected] 5 points 1 year ago (1 children)

If your choice is no treatment vs suicide, that's not really a choice, either.

Also you can't really give someone a choice in life vs death when their mental state is unstable.

[–] [email protected] 3 points 1 year ago* (last edited 1 year ago) (1 children)

Treatment is an option. And people are evaluated before being allowed to end their lives this way.

[–] [email protected] 2 points 1 year ago (1 children)

Ideally. But if that's the case, why limit it to people with drug addictions? Why limit it to the vulnerable and mentally impaired? Drug addicts aren't usually terminal patients. What if this was applied but only to overweight people? Or smokers? Or the poor?

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago)

You’re free to ponder those questions, but what California and Canada are doing has nothing to do with the Nazis.

[–] [email protected] 1 points 1 year ago (1 children)

That's what cohersion is for.

The Nazis also gave the Jews a chance leave Germany at first.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago)

What evidence do you have of coercion or of any addicts being driven out of/told to leave Cali or Canada?

[–] [email protected] 0 points 1 year ago (1 children)

In my opinion, those addicted to drugs so much as to need help commiting suicide are not in a clear enough mental state to make such a decision.

[–] [email protected] 2 points 1 year ago

That’s why it is required for them to have multiple interviews with medical professionals before they qualify for state assistance.