Euthanasia is Not the Answer

Instances of euthanasia or mercy killing date back to antiquity. However, it is only recently that the unprecedented grassroots efforts to legalize euthana­ sia have begun building. "Terminal Illness, Assistance with Dying," a California ballot initiative for the No­ vember 1992 election, might for the first time in modem history legalize euthanasia and assisted suicide by physicians. Similar initiatives are planned in other states. To vote intelligently, citizens in California and throughout the United States need to learn who is likely to request euthanasia or assisted suicide, and why. How we care for the terminally ill eventually af­ fects us all. In over half of all deaths, a chronic dis­ ease process such as cancer or congestive heart failure leads to a terminal phase that may last for days, weeks, or months. Most people are more afraid of the suffering associated with this terminal phase than they are afraid of dying itself. When polled, most Americans tell us they would prefer to die at home, surrounded by loved ones, rather than in a hospital receiving high-tech tests and treatments until the last. Yet the majority of people, even those with term­ inal illnesses, die in the hospital. What factors in our culture and health care system have led to this dichotomy? Unrelieved suffering is also the primary reason for euthanasia requests.

Today's news is full of stories about "suicide machines", critical life-and-death decisions, who owns a person's life, death with dignity, prolonging painful life, and euthanasia as a justifiable release for terminally ill patients. But can euthanasia be accepted as a reasonable choice? Or must a patient's pain and suffering be prolonged in order to preserve life, without regard to the quality of that life? According to Dr. Cundiff, neither is necessary. What then are there viable alternatives? Can a patient in fact live out his or her days in relative comfort, with love and support from family, friends, and health care workers? Dr. Cundiff says YES!