16-06-2019 12:52 PM - edited 16-06-2019 12:52 PM
Voluntary euthanasia to begin in Victoria as assisted dying laws take effect this week
https://www.abc.net.au/news/2019-06-16/voluntary-assisted-dying-starts-in-victoria/11207712
give morgues extra staff guys cos the bodys will be comming thick n fast!
all those old gits in homes keeping the kids from the cash, look out now!
better get shares in a funeral business i rekon.
on 16-06-2019 10:25 PM
@chameleon54 wrote:Humans who are very ill also often stop eating, but medicine and hospitals in their wisdom feed them through tubes. We have become very good at keeping people alive, but often, not really living. Many of the people who would consider euthanasia may well have passed away naturally months before, had modern medical practices not been so efficient at keeping them alive.
The thing is, doctors and nurses have professional duties and responsibilities that are in conflict with euthanasia, including passive euthanasia. How could they be expected to separate their personal and professional views without clear policies and guidelines. What it frequently narrows down to is; who makes the decision to stop preserving a person's life if it is thought the person may want to die? And should a doctor or a nurse be forced to carry out action/inaction that could result in a person's death if they have professional, moral or ethical concerns with the action/inaction.
These are very delicate and hard issues to try and work out.
on 17-06-2019 10:01 AM
@not_for_sale2025 wrote:
@chameleon54 wrote:Humans who are very ill also often stop eating, but medicine and hospitals in their wisdom feed them through tubes. We have become very good at keeping people alive, but often, not really living. Many of the people who would consider euthanasia may well have passed away naturally months before, had modern medical practices not been so efficient at keeping them alive.
The thing is, doctors and nurses have professional duties and responsibilities that are in conflict with euthanasia, including passive euthanasia. How could they be expected to separate their personal and professional views without clear policies and guidelines.
They couldnt and it would be unfair to ask them. That is why there needs to be a clear legal process set up for medical staff to follow.
What it frequently narrows down to is; who makes the decision to stop preserving a person's life
It should always be the individual themselves or in cases where the individual is no longer capable of making rational decisions, immediate family members. This is already happening now to an extent. My mother has provided me and another sibling with a written and signed care directive as to her wishes regards mecical care should she be unable to make informed decisions in the future. The document was written in consultation with a lawyer, after our father was kept alive 3 years longer than he should have been.
Several months ago our family also had to meet and decide whether to refuse further medical treatment for a family member who was in ICU and unable to make informed decisions.. The side effects of treatment where horrendous and had the potential to cause lifelong major problems. We decided to refuse further treatment which was respected by most the medical staff, although a few where pretty rude about it. The family member improved whithin hours and we self discharged them against medical advice 24 hours later. They recieved 24 hour care at home and made a complete recovery whithin a week.
if it is thought the person may want to die?
Again - care directives. If a person is terminally ill, or just simply interested enough, they can make a care directive while still of sound mind. It could be promoted and perhaps included with the legal will process.
And should a doctor or a nurse be forced to carry out action/inaction that could result in a person's death if they have professional, moral or ethical concerns with the action/inaction.
I think the decision to refuse further medical treatment is ultimately not up to doctors and nurses. The rights of the individual in this case, trump the moral ethics of medical staff.
If positive action rather than just withdrawing medical services is required it should be left to those doctors who are willing to administer this service. I grew up in a small, remote rural community with a single doctor who had been there for years. He was a bit of an ecentric who didnt have much time for the intracies of proper process and yes he got in serious trouble a few times. ( it never stopped him practicing though ) When blokes went to visit him, the first thing he would do is ask them if they wanted a beer. And the media is now just starting to ask how we can make doctors surgeries more male friendly.........
He was also brilliant at his job and performed medium level surgery at the local hospital, set fractures with the help of an old x-ray machine, saved numerous road accident victims and delivered every baby born in the town for the last 25 years . He knew everyones personal problems and family history, which wives where getting mistreated by husbands and which kids needed a bit of extra care. It was also rumoured in hushed tones that when some-one was terminally ill and in great pain, the morphine doses where sometimes increased to allow for a peacfull passing. Ethics ????, Dunno really, I was just a kid, but the doctor was highly respected by the community that he cared for.
These are very delicate and hard issues to try and work out.
on 17-06-2019 10:30 AM
i dont expect anyone to be forced to be a part of the program, if they dont believe in it.
doctors, nurses ect.
however i also believe for every non believer there will be another who agrees with this program and will carry on doing what they feel is right.
there should be no penalty to any health proffessional who says 'i dont believe in this and refuse to be apart of someone ending their life'
on 17-06-2019 10:39 AM
I think it's a good thing... they wanted to make sure they had all the right checks and balances in place before starting it. A person has to be terminally ill of course and has to request it themselves and then two doctors are to consult.
Vic. state Govt is pretty progressive and good
on 17-06-2019 01:10 PM
I'd just like to make a few comments, more as food for thought because I think it is good that we are discussing this issue:
"It should always be the individual themselves or in cases where the individual is no longer capable of making rational decisions, immediate family members".
How and why must it be a rational decision, and according to whom? How is rational defined when it comes to intentionally ending ones life? And I have known of cases where the most irrational people were the immediate family members who either wanted their pain and suffering to end or access to the person's estate ASAP.
"If a person is terminally ill, or just simply interested enough, they can make a care directive while still of sound mind".
Legally, that makes sense, but what about people who are mentally ill or intellectually handicapped. Are they excluded because they can't provide consent? I knew an intellectually handicapped person who did not know what cancer was or have any understanding of death. His family abandoned him when he was a boy and was placed in institutional care. I saw him writhing in extreme pain whilst clearly experiencing the final days of his adult life. What about people like him? He had "rights as an individual" too, but what are these rights?
I guess I'm trying to highlight that getting it right with legal euthanasia is very hard and not everyone will be provided for. Not everybody will fit neatly into the criteria for eligibility. But I think it is wonderful that Victoria is trying to do what I believe is the right thing. I just hope that at some time in the future we will come to understand that we will also need to provide for those people who cannot give consent and/or who have no family. Sometimes their loved ones have become the people who have been looking after them in hospital or care! Maybe we need to expand our concepts of consent and capacity to ensure those people receive the compassion they deserve too.
17-06-2019 07:34 PM - edited 17-06-2019 07:38 PM
@not_for_sale2025 wrote:
I'd just like to make a few comments, more as food for thought because I think it is good that we are discussing this issue:
"It should always be the individual themselves or in cases where the individual is no longer capable of making rational decisions, immediate family members".
How and why must it be a rational decision, and according to whom?
I suppose I was basically thinking of a few personal experiences. In the case of my father he was in ICU as a result of an accident. Whilst there he had a stroke and was only " saved " due to where he was at the time. Had the stroke occured outside of the medical system he would not have survived. The result was he was alive but brain damaged and no longer able to make informed decisions. It took 3 years of further strokes before he finally died. I wont go into the rest of it, but you get the general idea. His immediate family made decisions on his behalf. It is also due to this experience that my mother has documented her wishes in a formal care directive. I intend to do the same when I revise my will in the near future.
In the other recent case I mentioned in a previous post, The patient was subjected to extreme medical care while in ICU which resulted in them no longer being cognant or lucid in decision making. It was not known at the time whether this was a temporary affliction or more permenant. In that case the immediate family met at the hospital and made a decission to request that hospital staff stop the particular treatment. The patient immediately improved and was removed from the hospital 24 hours later.
The family includes several medical proffesionals including a high ranking ICU nurse, general nurses and a trainee doctor so the decision to request treatment be ceased was an informed one. My point is while some families will struggle to reach a mature concensus, many families will be able to make informed decisions on the terminally ill patients behalf, should they not be able to do so themselves.
How is rational defined when it comes to intentionally ending ones life? And I have known of cases where the most irrational people were the immediate family members who either wanted their pain and suffering to end or access to the person's estate ASAP.
That is always going to be a problem. There would need to be checks and balances in place to ensure decisions where based on valid grounds.
"If a person is terminally ill, or just simply interested enough, they can make a care directive while still of sound mind".
Legally, that makes sense, but what about people who are mentally ill or intellectually handicapped. Are they excluded because they can't provide consent?
I knew an intellectually handicapped person who did not know what cancer was or have any understanding of death. His family abandoned him when he was a boy and was placed in institutional care. I saw him writhing in extreme pain whilst clearly experiencing the final days of his adult life. What about people like him? He had "rights as an individual" too, but what are these rights?
Most intellectually handicapped people have either family or the public trustee as their legal gaurdian. I would expect the legal gaurdian to have a say in the decision, based on their knowledge of the person in their care. In the case of institutionalised people with intellectual disabilities, the reality is they would probably fall through the cracks in the same way as they do now with many other situations. In this case, they would be treated in same way as everyone else is now.
I guess I'm trying to highlight that getting it right with legal euthanasia is very hard and not everyone will be provided for. Not everybody will fit neatly into the criteria for eligibility. But I think it is wonderful that Victoria is trying to do what I believe is the right thing. I just hope that at some time in the future we will come to understand that we will also need to provide for those people who cannot give consent and/or who have no family. Sometimes their loved ones have become the people who have been looking after them in hospital or care! Maybe we need to expand our concepts of consent and capacity to ensure those people receive the compassion they deserve too.
on 17-06-2019 08:54 PM
Just two comments in relation to your reply:
Very frequently (in my State anyway) the Legal Guardian is a young person with little life experiences and very high and mighty. While the Office of the Legal Guardian has incredible responsibilities, they far too often appoint inexperienced guardians to make very hard life decisions on behalf of their clients.
Also, and trust me if you can, people with an intellectual disability are not treated the same as everybody else by Health. Some government hospitals treat them as sub-humans and go to extremes to try and pass them off to anyone other than Health. Ironically, it is often necessary to seek support from the Office of the Legal Guardian to try and gain cooperation from the hospital.
on 18-06-2019 12:07 AM
I only know of one person who is under the gaurdianship of the public trustee, ( it is not that common ) but in that case it is working very well. I,m sure as with any government department, others may have a different experience.
on 18-06-2019 12:27 AM
Just in case you might be interested, the Guardian's Office in my State had 32,749 clients during 2016 - 2017. That's quite a few. I don't know what the most recent figures are but I am pretty sure they would be higher.