Are you a burden on society?
Few slopes are as slippery as the 35 pages of the new Assisted Dying Bill in England and Wales, replete with enigmatic terminology and subjective reassurances. In a sign of the times, the second reading passed through the UK Parliament by 330 to 275 votes. A few powerful speeches gave me hope that some MPs might rethink in time for the third reading, but few can deny that the establishment supported what they deceptively call dignity in dying. Indeed, a well-funded lobby group of the same name, formerly known as the Voluntary Euthanasia Society, in cahoots with the woke global media empire behind LBC and The News Agents (featuring none other than Jon Sopel, Emily Maitlis and Lewis Goodall), plastered the London Underground with posters portraying photogenic middle-aged adults, presumably with a hidden terminal illness, celebrating the end of their physical existence on planet earth.
Before 2020, public opinion firmly opposed any moves towards the legalisation of euthanasia, which, for the sake of clarity, means intervening to cut short someone else's life when we have the means to let life go on. This may involve either active euthanasia by administering lethal drugs or gases, or passive euthanasia, with the withdrawal of life-sustaining nourishment, basic bodily care, or treatment. Most edge cases concern switching off the life-support systems of patients in an irreversible coma. The development of functional MRI scanners and electroencephalograms (EEG) has enabled clinicians to determine whether someone's brain remains functionally alive, but in rare cases, people have survived prolonged comatose states.
The Terminally Ill Adults Bill technically restricts assisted suicide to over-18-year-olds with less than six months left to live, but who determines how long someone is likely to survive? The course of many life-threatening illnesses, such as cancer, is extremely hard to forecast with accuracy. Many have defied the prognosis of medical experts. Indeed, sceptics of invasive treatments such as chemo and radiotherapy have long pointed to the disturbingly high incidence of remission compared to natural remedies like the Gerson method or immunotherapy. We now effectively have a cancer industrial complex, if I dare coin the term, with nearly one in two adults expected to develop cancer at least once in their lifetime. Recent US data from 2017-2019 shows men have about a 41.6% lifetime risk, while women have a slightly lower risk at 38.7%.
Medical Meddling
Proponents of the assisted dying bill are keen to emphasise the importance of choice and, wait for it, bodily autonomy, but they also tend to favour the proactive administration of medications and invasive procedures for the common good of wider society, something they like to call modern medicine, rather than a more holistic approach focusing on diet, exercise, a strong immune system and natural remedies. The mechanistic approach, favoured by euthanasia advocates, assumes that we should conform to the needs of a complex society that exploits technology not only to stop the spread of perceived pathogens but also to cleanse itself of irreparably defective individuals, who, as George Bernard Shaw once opined, can no longer justify their existence. It gives a new meaning to the original purpose of public healthcare to look after us from cradle to grave. The medical profession is now involved in every aspect of our intimate lives, from conception and fertility treatment to end-of-life ceremonies, as well as every step in between. Doctors can now artificially lengthen or shorten our lives, with plausible deniability about any adverse effects of their preferred prescriptions.
The counterargument is obviously that modern medicine has helped boost life expectancy at age 5 in much of the world from around 60 or below at the turn of the 20th century to over 80 by the year 2000. The rise in life expectancy at birth is even more dramatic due to a dramatic decline in infant mortality. In 1900, it was just around 45 in most of Western Europe when most mothers still gave birth at home with the help of lay midwives and without access to incubators or other medical advancements we now take for granted. Nonetheless, if you could survive early childhood, were well-nourished, had access to clean water and air, kept fit with a strong immune system and escaped serious accidents, you could still live into your 60s, 70s and beyond, but life was shorter and fraught with adversity. Unsurprisingly, people in traditional low-tech societies counted each new day as a blessing. People had a much more spiritual outlook on life, tended to trust in God and reconciled themselves to nature's fate.
Of greater philosophical importance is our respect for both human life and free will. It took the best part of two millennia for modern civilization, as it evolved in the 19th and 20th centuries, to afford all human lives the same intrinsic worth. If all lives really do matter, irrespective of your social status, perceived intelligence, prowess, or physique, then as a matter of principle, we should always discourage others from taking the easy way out of their malaise through suicidal ideation or by using subtle means to promote self-sacrifice among atomised individuals with low self-esteem.
What matters is not so much how long you live but that you live your best life in a society that values both self-determination and human survival. Historically, most people now confined to care homes, wasting away their final years in a strictly controlled environment with minimal personal independence and often diminishing dignity, would have died of natural causes. We might simply have learned that a sixty-five-year-old grandfather had collapsed while chopping wood for his stove. The true cause of death may well have been mild dementia or a heart attack, but the unfortunate incident happened in the pursuit of autonomy. The flip side of proactive medical interventionism is that it often undermines human nature and, most of all, our desire to be masters of our destiny as free agents.
Do Not Resuscitate notices epitomise all that's wrong with modern healthcare, placing our lives in the hands of strangers. A better approach would be a clear statement telling medics not to intervene without your consent. While most of us may want the public health service to be there in the event of serious accidents or medical emergencies, we do not necessarily want to be lulled into institutionalised numbness surrounded by condescending nurses amid kitsch memorabilia and piped music. Some of us would rather muddle our way through life than schedule our demise to suit someone else's agenda. If we take life in our stride, we may well live to a ripe old age, but natural tragedies may get the better of us without round-the-clock medical vigilance. Live and let live!