Examples of letters to the Editor
Hawkes Bay Today, 28 February 2020
Cranford Hospice is fortunate indeed to eventually be getting a new hospice at Pakowhai, on a site provided by the Joan Fernie Trust. As the trustees contemplate the design of the new facility, I hope they will make provision for a room in which families can be with their loved one who has chosen to have their suffering ended under the End of Life Choice Act. It will be a welcome choice on the part of the trustees, as many hospices are faith-based, and won’t allow assisted dying even if they will allow terminal sedation which has the same effect - death- but slowly.
The End of Life Choice Act is to be the subject of a binding referendum at our next general election on 19th September. The government has provided a summary of the legislation at www.referendum.govt.nz/endoflifechoice. Overseas, more and more end-of- life facilities are opting to provide a dignity sanctuary room. I hope Hawkes Bay will eventuality get one also. With very best wishes for the fund-raising.
Dianne Cooper, Waikanae
The Press, 18 Feb 2020
Thanks to the Press for publishing the facts about the motivation for assisted dying requests in Canada (‘Euthanasia not driven by vulnerability’ 14 Feb). Thanks for Oliver Lewis for balanced reporting.
That most people in Canada who have opted for a medically assisted death are not “vulnerable” but fully rational and already in palliative care when they make their request comes as no surprise to me.
The State of Oregon which has the world’s longest history of legalised assisted dying (20+ years) finds exactly the same. Their latest annual report shows that 97 percent of patients receiving medication for an assisted death were white and 47 percent were well-educated. Intractable suffering from cancer was the commonest underlying disease with neurological disease next. Ninety one percent were enrolled in hospice care at the time of making their request.
Ann David, Waikanae
Northland Age, 9 January 2020
I appreciate anybody making a stand and doing battle for their views and beliefs regarding euthanasia/ physician assisted dying (PAD) AND I expect a mature debate based on facts, free of scaremongering and personal attacks: play the ball not the man!
Here are some of the facts:
I conclude with a quote from James C. Nelson, retired Montana Supreme Court Judge: “ We should all be asking why some are so willing to condemn their fellow citizen to a long agonising, certain death from a life ending illness, when the patient only wishes to end her or his life and suffering in a painless and dignified manner, surrounded by those who support their loved one’s decision.”
The End of Life Choice Act is only for the dying: www.referendum.govt.nz
Alida Van der Velde, Waikanae
Whanganui Chronicle, 13 December 2019
EOLC RESPECTS PATIENTS' LIFE CHOICES
Recently, (Chron. 27 Nov.2019) John McMenamin, a well-regarded Whanganui GP, gave his opinion in opposition to the EOLC Act. I disagree. At the outset I want to acknowledge where we agree. His acknowledgment of religion as fundamental to his opposition is welcome. I also agree that trust is of basic importance in the work of doctors and patients---as it is in any complex human interaction.
Where we disagree is about substance but also about method
Dr. McMenamin's perspective on the EOLC appears to be its effects not on patients but on physicians. He cites "the New Zealand Medical Association as the largest group representing doctors as opposing euthanasia." But it should be noted that, the NZMA membership is at most 17% of the 18,000 New Zealand registered doctors
Of fundamental flaw in McMemamin's argument is that his focus starts and ends with the perspective and interest of the doctor, his vulnerability to alleged harm, his potential alleged loss in trust and an alleged loss to the entire profession of medicine. The person who is dying and suffering is somehow forgotten. John goes further. The interests of the patient are secondary. Acknowledging that such a patient – "individuals may feel, (emphasis mine) they are making a valid decision to end their life. But the wishes of individuals do not balance the harm done to the profession and to society by deliberately taking life."
The word "feel" devalues the validity of the patient's dying wishes.
Beyond the condescension of minimizing the patient's right to determine how his last moments are to be and who will have control over that finality, is McMenamin's serious misrepresentation of the EOLC and the actions of physicians who would assist their dying patients.
The author uses the phrase "taking life" several times, falsely applying it to the EOLC .
While life may be taken as a result of accident or surgical complications, deliberate taking of life is permitted only to military at war, police in dangerous circumstances or a citizen in self-defence. Even that last is qualified. Deliberate taking of life is otherwise murder.
The EOLC Act requires that the request for physician assistance in dying must come from the patient, a person who is both competent and suffering from terminal illness. At least two doctors must agree to the eligibility of the patient (not mentally ill, not unduly influenced, etc). Patients' consent must be competent, informed, and continuous. Patients remain in control throughout and their wishes constantly respected. That's the opposite of taking life. It's mitigating the fear of dying, the loss of autonomy and of dignity.
To dispel the fear from Dr. McMenamin's predictions of harm to society and to medicine we have only to look at the 25 year history of the law in the US state of Oregon, the source of our EOLC Act. None of his predicted harms came to be. Initially opposed by religious groups, it is now widely accepted--and copied.
Relatively few dying patients avail themselves of the law. Among those deemed eligible 18% changed their minds and did not accept the prescription. Many expressed gratitude for the comfort afforded by the option.
The arguments by doctors on both sides of EOLC may well be dismissed as "he said and he said." Instead, echoing Greta Thunberg's words on climate change, "Don't listen to me. Inform yourselves."
The EOLC Act can be found here – http://www.legislation.govt.nz/bill/member/2017/0269/latest/whole.html. Read it and decide. I believe informed New Zealanders will do the right thing.
@ Jay Kuten
Southland Times, 11 December 2019
Western Australia has just legalised voluntary assisted dying, although it will take another 18 months to come into effect. The main difference between our End of Life Choice Act and the WA law is that in Australia the doctor is permitted to openly discuss the end of life option with a dying person, along with all possible treatment options. In NZ only the patient may raise the subject. I suppose that should put to rest any notions that doctors would coerce patients to apply. Yes, this was an objection put forward by some opponents. In fact, the End of Life Choice Act requires repeated confirmation from the patient that they continue to want assistance to die, even right up to the very last moment, when they must be offered the choice to cancel the request, delay the date of administration of the life-ending medication (for up to six months), or go ahead. To suggest that people could go unwillingly to their assisted death is mere scaremongering. The government anticipated truth-distorters and has put out a summary of the End of Life Choice Act online at www.referendum.govt.nz.
Dianne Cooper, Kapiti
Sunday Star Times, 8 December 2019
Mary Appleby wonders how I came by the figure of fewer than 200 people annually being likely to die an assisted death in NZ. I used the following reasoning and data:
The End of Life Choice Act is very similar in restrictiveness to the Oregon legislation, i.e. the person must be diagnosed with a terminal illness likely to end his/her life within 6 months plus meet all the other eligibility criteria that both Acts have in common. Therefore, the effect of the legislation is likely to be similar; both are OECD locations.
We have similar populations: 4.3 million for Oregon in 2018 and 4.9 million for NZ in 2019. We have a similar number of deaths annually: 37,000 for Oregon in 2018 vs 33,000 for NZ. (Note: their death rate is slightly higher than ours).
The 2018 Oregon report on assisted deaths shows that 249 people were given the medication to hasten their death and 168 actually took it.
It doesn’t take Einstein to conclude that the number of assisted deaths in NZ is therefore likely to be fewer than 200.
The worst coercion is forcing people through a prolonged death of unrelieved misery against their will.
Ann David, Waikanae