Quote (fender @ Jan 29 2023 02:27am)
philosophically and on principle i agree 100%.
the problem i see is legal implementation and decisionmaking concerning something i assume we all consider a necessary requirement: the mental capacity to make that decision.
how should we treat mentally challenged / impaired people, alzheimer patients, clinically depressed people...? i assume your "regulation" would include some kind of professional assessment of one's mental state?
It's a tricky subject, I'll be the first to admit it. It is interesting to think that social conditions impact what otherwise is (from a philosophical perspective) an arguable 'right'. That, again, we all should have the right to self-determination and this includes retaining the right that nobody and no entity should be able to force you to continue conscious living. However, would people seek out such an opportunity (ie. assisted suicide) if their fundamental basic needs, health, and interpersonal connections were met? Difficult to say or imagine why someone would under those circumstances. And yet, I'd argue that they still retain this right.
Professional assessment is also tricky. I work as a therapist in California, and have worked with quite a few folks navigating active suicidal ideation. Of the adverse conditions people most-often site, a simple assessment and even psychotherapy may not relieve (ie. financial woe, existential crisis, homelessness, serious abuse, etc.). Is it ethical for a society to not allow people the freedom and opportunity for suicide if we are unable or unwilling to address the fundamental conditions that lead some people to suicide? To give an example, I've recently worked with people who were homeless and struggling w/ severe addiction, and who were coincidingly suicidal. In the county I work in, our single homeless shelter was at capacity and not taking any new people, we had no housing programs to get people into, and there was a 2-5 month waitlist for access to substance use treatment. So, we do all kinds of assessment and identify significant stressors, but as a society we are unable to help people address those stressors while trying to convince them of some kind of 'hope'. A very bizarre position to be in.
Quote (Santara @ Jan 29 2023 02:38am)
I watched my grandpa waste away after his second stroke. He had orders not to intubate or resuscitate. He had lived for several years after grandma had passed away and didn't want to live anymore (he was 94), so he stopped taking his coumadin and naturally a stroke soon followed and he became incapable of feeding himself. He spent 8 days in hospice care before dying, suffering the entire time. We should have been able to help him end it.
OTOH, people who aren't suffering a terminal illness, but are instead mentally ill? No, I think we should help people in such situations. Help them to healthcare, support, and rehabilitation. Not help them die.
Watching a loved one go through such suffering rather than being able to die with a sense of dignity is quite painful.
I also hear, and have an understanding of, your concerns/limitations of this option in the face of mental illness. Valid as that concern is, I do wonder though about suicidal ideation that is independent of mental or physical illness. What if a person feels that they have a secular/existential understanding of the world as meaningless, without purpose, and of pure absurdity? Existence is like spawning into an MMO. What if, after careful consideration, you no longer wish to play and want to log-out permanently?