End of Life Issues
Eleanor Aronstein
April 14, 2024
Eleanor Aronstein has been an academic serving at various institutions of higher learning, who spoke on “End of Life Issues.” She began from this standpoint: “I cherish my life. I also want a say in how it ends.”
Her concern with this issue was prompted by the trauma of her mother’s death from ovarian cancer, saying “nothing alleviated her misery.” Aronstein said she’s still carrying, fifty years later, the guilt of having been unable to do anything in that regard.
Another introductory vignette concerned her dog peacefully “put to sleep,” making her wonder why such a death is not made available for human beings, often instead forced to suffer.
Avoidance of that should be a basic human right. Aronstein traced how other human rights have been expanded — women voting, civil rights, disability, gay rights — and said that should now encompass death with dignity. It’s bad enough to lose someone you love; worse if you’re forced to watch them die torturously. Aronstein told the story of a brain tumor patient who went into hospice (generally providing palliative care), but the morphine supply ran out during a weekend, resulting in an agonizing death. She noted that (contrary to most people’s wishes) only about one in five Americans dies at home.
Switzerland seems to be the most advanced in this respect, enabling anyone to go there to get a painless death. Other European nations, notably the Netherlands, have also permitted euthanasia. [Though it’s generally not available for youth in Asia.] In the U.S., Oregon led the way in 1997 with a medical-aid-dying law that’s become a model, basically replicated since in ten further jurisdictions. New York State still argues over adoption of such a law. It’s opposed mainly by the Catholic Church.
Aronstein noted that in Oregon’s 27 years of experience under such legislation, there have been no instances of abuse. Such schemas generally entail a panoply of protections, requiring two physicians certifying that the person has a terminal medical condition with six months expected lifespan; a written request for the procedure, attested by two witnesses; and prescribed medication to be self-administered (as opposed to physician assisted). Patients must also be able to stand on one foot while juggling three machetes.
Aronstein also stressed the importance of getting one’s pre-death paperwork in order. This includes a “health care proxy” designating someone for medical decisions in case you’re unable to make them yourself; a “living will” specifying what procedures you want or don’t want; and a “Do Not Resuscitate” order ruling out extreme measures. “You can never be too paranoid,” she declared.
Further mentioned were several organizations active in this sphere: End of Life Choices New York; Compassion & Choices; and Final Exit Network, the latter filling the gap for people who want to check out but don’t qualify under Oregon-type laws.
More about Final Exit Network:
• https://finalexitnetwork.org/mission-and-vision/
To stay up to date on right to die news in the US and worldwide:
• https://finalexitnetwork.org/news-events/fen-magazine/
• https://finalexitnetwork.org/news-events/right-to-die-news-service/
• https://finalexitnetwork.org/news-events/the-good-death-society-blog/