I thought it would be worthwhile to try to get a discussion going on this topic. We've already had a diary on this topic, and I don't want to undercut it.
A conversation with a group of friends last night, though, made me think that there is a side of the issue that most people aren't seeing, and wouldn't necessarily even think about without prompting.
Part of the disagreement comes from the very names used for the legislation. Supporters tend to call it "death with dignity" while opponents prefer "physician assisted suicide". Obviously, each preferred name is a product of spin, but the spin reveals a central disjunction between two world views.
Before we get to that, though, a little bit about who the sides are. It's easy to picture the "pro" side: liberal people like us, people who value civil liberties and think that choosing to end one's life is a natural right for all people; people who believe they should have the right to direct the course of their medical treatment; people who have seen loved ones go through horrible, painful deaths and don't want that for themselves. I'm someone like that.
The "cons," though, are not primarily people who think the Bible's injunction "Thou shalt not kill" applies in this situation, and that humans shouldn't go messing with god's right to determine the beginning and ending of life. No, the cons are disability rights people, and unless you spend time engaging with them you might not understand just how radically different from the standard liberal perspective the disability rights perspective is.
Let's take the title of the bill. Who could object to "death with dignity"? Isn't that something we can all relate to?
Here's how. If the policy of the state of Vermont is that once you have a certain medical condition or severity of disability your only chance to have dignity is by dying, what does that say to the people all over the state living with disabilities who need assistance to get through the activities of daily living that the rest of us take for granted?
If dignity comes through dying, does that mean living with assistance is without dignity?
If we adopt this bill, will our state policy be to send a message to everyone living with a disability that it is impossible for them to live with dignity? Or a message to everyone, with or without a disability, that if you need a certain level of assistance you can no longer have, and can't expect to have, the human dignity that we are all entitled to?
Or, to put it in the stark terms that a friend uses, are we adopting the policy that tells people you can't live with dignity if you need someone to wipe your ass? Do we want to rush into that world view?
What about the alternate title of the bill, physician assisted suicide. Opponents of the bill argue that the idea that a physician would assist one to commit suicide is the very antithesis of the proper role of doctors, to help preserve life. Supporters, while rejecting this designation, argue that it is entirely proper to allow physicians to assist people in the extremities of medical conditions that people face. Again, different world views.
Finally, will death with dignity/physician assisted suicide put pressure on people to go along with it to save the physical, financial, and emotional burden on family members? I think the evidence is unclear on this, but it's a valid question to ask.
VPR has devoted an entire Vermont Edition to this debate, and the advocates make the arguments better than I could. I urge you to listen to it.
I also encourage you, though, to consider how the world would look if you were on the other side of this divide, because it's no more than a moment's inattention behind the wheel or a cerebro-vascular accident that could be waiting for you tomorrow morning that separates you from a very different existence.