Free Ticket to Eternity By Nat Hentoff

Thomas Cagle (nh-adapt@juno.com)
Wed, 10 Feb 1999 14:09:11 -0500


From: Sue Widemark <gswidemark@home.com>
Subject: Free Ticket to Eternity By Nat Hentoff
Date: Wed, 10 Feb 1999 08:34:35 -0700

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Free Ticket to Eternity By Nat Hentoff
Source: Feb 6 '99 Washington Post; Page A21

Having become, in 1997, the first state to legalize physician-assisted
suicide, Oregon, out of further compassion, has decided to provide this
service to 270,000 low-income residents without charge. Death does not
discriminate -- why should Oregon?

As of Dec. 1, the Oregon health plan provides state funds for diagnostic
and counseling sessions to verify the desire for suicide. And, of
course, the lethal drugs to fulfill that desire will be free.

State funds for this act of extreme compassion will be segregated from
federal Medicaid money because Congress has not yet permitted death to
be subsidized under Medicaid.

As Richard Doerflinger reported in "Life At Risk" (a newsletter
published by the National Conference of Catholic Bishops), there were
angry dissenting voices at a November hearing on this dividend for the
economically challenged.

Ric Burger -- a diabetic, a wheelchair user and a spokesman for disabled
citizens in the state -- noted: "The fact that the state of Oregon will
not properly fund our personal attendant services, yet will pay for us
to die, amounts to nothing less than cultural genocide."

Another group, Physicians for Compassionate Care, charged that
"bureaucratic barriers have already been placed in the way of providing
state funding for state-of-the-art antidepressant medication and even
pain medicines, while full funding of assisted suicide for this same
vulnerable population is being promoted."

Last year, the Economist praised Oregon's Democratic Gov. John Kitzhaber
for rationing health care in the face of limited resources and observed
that Oregon no longer pays for such treatments as "efforts to fight the
final stages of AIDS." But now, AIDS patients can be lawfully assisted
to kill themselves -- thereby saving the state even more money.

Despite the recent defeat in Michigan of an assisted-suicide proposal,
other states are likely eventually to allow doctors to provide patients
the means to dispose of themselves.

Polls indicate much popular support for state-aided "death with
dignity." Many doctors agree. Some are neutral, like the Oregon Medical
Association.

Yet in 1994 the New York State Task Force on Life and Law issued a
report -- "When Death is Sought: Assisted Suicide and Euthanasia in the
Medical Context" -- that warned doctors and patients of the dangers in
the state's hastening of death.

This group, created by then-Gov. Mario Cuomo, consists of lawyers,
physicians and an ecumenical roster of religious leaders. The task force
pointed out that "in light of the pervasive failure of our health care
system to treat pain and diagnose and treat depression, legalizing
assisted suicide and euthanasia would be profoundly dangerous for many
individuals who are ill and vulnerable. The risks would be most severe
for those who are elderly, poor, socially disadvantaged, or without
access to good medical care."

The task force also noted that "racism, ageism, bigotry against disabled
people, and issues of class and economic status would materially affect
killing decisions."

The Supreme Court refused on June 6, 1997, to declare physician-assisted
suicide a constitutional right, but in the decision for a unanimous
court, Chief Justice William Rehnquist encouraged the states to explore
ways of dealing with this rising issue.

Rehnquist emphasized that "the lives of the terminally ill, disabled and
elderly people must be no less valued than the lives of the young and
healthy." Otherwise, he said, they would become victims of "abuse" by
compassionate expediters.

And Justice David Souter, in a concurring opinion, stated his concern
that assisted suicide could slip into euthanasia: "Whether acting from
compassion or under some other influence, a physician who would provide
a drug for a patient to administer might well go the further step of
administering the drug himself, so the barrier between assisted suicide
and euthanasia could become porous as well as the line between voluntary
[and involuntary] euthanasia."

Souter also recognized "the financial incentives" in this new era of
managed care.

In the sweepingly compassionate new world ahead, I would not be
surprised if Oregon became the first state to legalize the right of
physicians to directly kill a patient. At no cost to the departed, of
course.


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