Bioethicists: Euthanasia Okay for ‘Unjust Social Conditions’
By: Wesley J. Smith (National Review)
Here's how 'pro-choice' politics turns into something monstrous. When death becomes a prescribed treatment then what is the motivation for medical practitioners to protect life? Prescribing death for a terminally ill patient may have some rational justification. But prescribing death to address some sort of social condition seems to step across the line of moral/ethical bounds.
The 'pro-choice' politics underlying abortion already justifies itself by addressing a social burden. A woman has a right to choose to avoid the social burden of an unwanted pregnancy. And that argument is justified by the woman's autonomy. The woman is allowed a false choice of hardship or death; a choice with no hope. Abortion allows doctors to prescribe death to address a social condition. Neat, easy, and cheap.
It's no mystery that government (particularly liberal centrally planned government) tends to limit choices in society. That's the point of establishing a secular bureaucracy to regulate all parts of society. So, the result of weakening moral/ethical bounds is really quite predictable. People will be offered the choice of suffering or death; a choice with no hope. And the technocratic political justification will be alleviating hopelessness.
S E E D E D C O N T E N T
Once killing the sufferer becomes a societally acceptable means for ending suffering, there becomes no end to the “suffering” that justifies human termination. We can see this phenomenon most vividly in Canada, because it is happening there more quickly than in most cultures. For example, a recent poll found that 27 percent of Canadians polled strongly or moderately agree that euthanasia is acceptable for suffering caused by “poverty” and 28 percent strongly or moderately agree that killing by doctors is acceptable for suffering caused by homelessness.
Euthanasia mutates a society’s soul. I can’t imagine that being true ten years ago before euthanasia became legal.
This kind of abandoned thinking finds enthusiastic, albeit not unanimous, expression among secular bioethicists. In fact, two Canadian bioethicists just published a paper in the Journal of Medical Ethics — a prestigious British Medical Journal publication — arguing that “unjust social conditions” justify lethal jabs (euphemistically called MAiD, for “medical assistance in dying”). The argument claims that killing is a form of “harm reduction.”
The authors even admit such cases have already occurred legally in Canada. From “Choosing Death in Unjust Conditions: Hope, Autonomy, and Harm Reduction” (my emphasis):
In 2022, an individual in Canada, who had been diagnosed with multiple chemical sensitivities (MCS), received MAiD. However, by their own description, their decision to choose MAiD was driven primarily by the fact that they were unable to access affordable housing compatible with MCS. While it was true that they suffered from an illness, disease or disability that caused ‘enduring physical or psychological suffering that is intolerable to them and cannot be relieved under conditions that they consider acceptable’ as specified under the eligibility criteria of Bill C-14 [that recently expanded eligibility beyond death being “reasonably foreseeable], the primary source of their suffering was an inability to find appropriate housing, not the condition itself. Another person, also with MCS, writes: ‘I’ve applied for MAiD essentially because of abject poverty’.
Good grief. The patient in question is dead — not because of their medical but housing conditions. And doctors used the physical issues as pretext for justifying the killing as within the law!
The authors approve of allowing euthanasia for reasons of social injustice as a means of “harm reduction.” And in the context of medical issues, the authors claim that this includes killing patients who would not want to die if they could access proper treatment:
In the case of the availability of MAiD in Canada to people who not only might but have explicitly said they would choose differently if they had access to the options they preferred, we argue that the least harmful way forward is to allow MAiD to be available.
This, even though Canada’s socialized health-care system is in crisis:
Access to healthcare across nearly all dimensions continues to deteriorate in the wake of the pandemic even outside of long-term and palliative care, from basic care, to surgical backlogs, to a general consensus that the system is in a state of collapse. In this context, refusing options to people who autonomously pursue MAiD amounts to perpetuating their suffering, hoping that this will ultimately lead to a better, more ‘just’ world. This is a world that currently does not exist and is unlikely to emerge in the near future. Even if it did, it is unfortunately even more unlikely that the people whose current suffering has led them to request MAiD will realise its benefits.
So, socialized medicine fails, and a splendid answer to the problem for patients in need is euthanasia. Do you see now why I call euthanasia/assisted suicide “abandonment?”
The authors conclude:
We disagree with any claim that the unjust lack of choices available to people is alone sufficient to undermine their autonomy. Those who launch legal proceedings or request and receive MAiD are unlikely examples of people whose reduced opportunities have led them to lose all hope and motivation for pursuing personally meaningful courses of action. Moreover, neither a reduction of opportunities in itself, nor the existence of oppressive ableist norms, is sufficient to directly undermine autonomy…Restricting an autonomous choice to pursue MAiD due to the injustice of current non-ideal circumstances causes more harm than allowing the choice to pursue MAiD, even though that choice is deeply tragic.
Bioethics is growing increasingly monstrous. And that matters because these are the so-called “experts” who exert tremendous influence on our laws and regulations, in court rulings, over the attitudes of journalists, among the purveyors of popular culture, and, ultimately, upon public attitudes.
Moreover, Canada is our closest cultural cousin. If such a crass death-embracing attitude developed there so quickly with the legalization of euthanasia, it will happen here too — and, indeed, almost all state laws allowing doctor-prescribed death already expanded their guidelines. Which is why, if we want to follow the truly compassionate course, it is a matter of great urgency that we reject all further legalization of assisted suicide in the United States.
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How far is too far? Deliberately limiting available choices only creates a false choice. And prescribing death is certainly neat, easy, and cheap. But is that a moral/ethical defense for the right of autonomy?
The 'right to choose' also requires a 'right to prescribe death'. So, who makes the final choice?
Not you.
Oooooh good one /s
The patient or person wishing to die should make the final choice.
Is it really a choice? When a person is only offered the alternatives of social hardship or death then isn't that a false choice? The person is not being allowed to choose between all alternatives; they only get to choose between alternatives imposed upon them.
It's like choosing between two reprehensible candidates during an election. Would allowing people to only choose between Hitler or Stalin be a real choice? When people are only allowed to choose between bad alternatives then how has their right to choose been protected?
Why is social hardship a false choice? Pain, loneliness and crushing debt are not great choices. So, unless you want to substantial increase social spending to alleviate some of these burdens, like special housing, the choices are the choices they have. They are not false choices.
Who's offering death as a choice for social hardship? How is it being imposed? It's about what the person themselves want or choose.
Moving step by step towards Logan's Run.
Think of the cost savings!
Who knew Dickins was able to foresee the future...
Genocide is always the Fascist's "Final Solution"...
Easy Peasy! The disabled, the poor, minorities, the sick and the aged are not their problems, anymore.
it would really help if you read the article.
They are already being killed by planned parenthood. the dems final solution come to life.
The Canada plan.
So, Canada's socialized health care system is really Fascist genocide? Is that what you're saying?
Ah the horrors of socialism ... so glad the author found ONE person in all of Canada to relay his fears to the "we are the best of the bestest" crowd.
Perhaps Wesley J Smith should take some time off from his ideas of 'human exceptionalism' and channel his thoughts into why the US has far larger maternal death rates than nations with, oh the horror, socialised medical care.