We are once again experiencing a wave of heartfelt appeals for assisted suicide. Two reasons for it are usually cited. One is that a prolonged death is painful and horrifying; the other that a person’s individual autonomy includes the right to choose when to die.
Against the first reason stands hospice, which enlists both medical science and personal compassion to ensure that death is not painful or horrifying. Many people have awful ideas about the process of dying, but hospice is extraordinarily effective in alleviating suffering and indeed encouraging a sense of meaningful care. Nobody has to have a dreadful death. On the contrary, as many, many families who have relied on hospice can testify, my own included.
Take that fear away, and the argument is really about suicide. Is it an acceptable option? Should each individual choose whether to go on living at any moment?
One strong argument against assisted suicide is the “assisted” part. It is impossible to be sure that relatives, doctors or friends are not giving a sad and frightened person a little push; not just assisting but enabling. There exist many reasons why those closest to the concerned person may want to get on with it—financial reasons, emotional reasons. None of those should be reasons to end a life, but under what regime of safeguards can we be sure they are not in fact the true underlying motives? Older people are often obsessed with “not being a burden.” It might not take more than a slight suggestion, a mere tone of voice, to convince them that they would be less of a burden if they put an end to themselves.
But suppose you hedged in the act of assisted suicide with laws that made it unlikely for such suggestions to overwhelm a person’s choice. Then you have the question of suicide, period. Is there a right to suicide?
If you have had any involvement with someone who ended their life, you know the horrible ripping it does to the fabric of family and society. It is a terrible act of violence that does not affect just the one who ends their life; it changes everybody, forever. Of course it is most violent when done by the young, but who is to say it is benign when done by someone old or sick? This is not to blame the suicide—but it is to suggest that we ought never to encourage self-inflicted death, and always to put as many barriers in the way as we can, at any age and in any condition. In this we are voting not just for the life of the potential suicide, but for the life of the community he or she will leave behind in the wake of choice.
Ultimately, we face a fundamental clash of values in assisted suicide. Do we love life, all of life? Or do we love autonomy more? Life is what comes to us: we open our eyes on it each day, not knowing what great or awful things it will hold. We do not choose life, only how to respond to it. Autonomy, when held as the highest value, asserts that life is material for us to mold, or not to mold. We can turn off the game any time we like. In the final analysis, the choice of values is about God. Who rules? Someone or Something who gives life, and to whom we owe a response? Or Me, the Maker and Destroyer of Worlds?
People will commit suicide, with or without the assistance of others. We cannot help that, and they are our fellow human beings, to be treated with compassion. I would never, however, pave the path for their self-inflicted death.