Saturday, March 06, 2010

Family-assisted suicide

Dr. Kevorkian was pilloried and branded "Dr. Death" because he was willing to help terminally ill people who had come to a decision to end their lives voluntarily. "Physician-assisted suicide" became synonymous with the macabre, the unprofessional, the criminal.

And yet, when religious beliefs enable people to do the same thing by withholding essential medical or nutritional aid, we chalk it up to religious "freedom" and "patient rights."

I'm brought to these considerations because a dear woman in our family circle was allowed to starve to death because she had instructed her family not to intervene when a physical condition made it impossible for her to take food. I don't know what the physical condition was, but from all appearances she had a very large growth in her abdomen. It might have been a fibroid or some other kind of tumor that had grown so large it could have compressed her digestive system to the point where she could not take food normally. We will never know because she was a Christian Scientist and was sequestered in a Christian Science "care" facility where no medical diagnosis is allowed, much less medical treatment.

So I am presented with the stunning picture of a starving woman insisting that her children in attendance not allow her to take nutritional sustenance. After about two weeks of starvation, the woman died. No surprise there. Yes, she was elderly and frail and who knows if something else was eating up her innards, but to die from starvation when food in some ingestible form is available seems like a macabre tragedy. But what makes it outrageous is that her children took turns watching her die that way. As far as I know, none of them even suggested that a medical diagnosis be given, simply to see if some natural means might be used to keep her alive.

I was a deeply committed Christian Scientist for over 35 years, an advanced student who had been elevated to the position of "teacher," so that others might learn how to "heal" through prayer alone. I eventually (after far, far too long) realized the lunacy of this belief system and severed all ties both official and psychological with Christian Science. But my deep knowledge of the intricacies of that system reveal several "outs" with which these children could have probably prolonged their mother's life. Specifically, there are passages in the "sacred literature" that allow for consultation with medical experts on "the anatomy of the case." Meaning, that they could have at least known the physical situation that was causing their mother distress. Perhaps in that "anatomy" there could have been a workaround that would have allowed the poor woman to receive essential nutrition. And continue living.

However the four children of this dear woman had been raised from birth in this belief system, which probably explains why they found it at least tolerable to sit mutely by and watch their mother starve to death. I've found that "lifers" like this are firmly imprisoned in their ways and despite all rational explanations to the contrary just cannot let go of a reverence for a system that believes there is a "spiritual" power available to the faithful that can reverse natural processes of life and death. There isn't. Plain and simple. There isn't. And those of us who did not get programmed at an early age to believe the lunacy find it a little easier to let go. But brain pathways so deeply imbedded are very, very difficult to reroute toward the reasonable.

There will be a memorial service for her at a Christian Science church in her area, and I have been asked to not attend if I cannot celebrate her life instead of being swayed by the tragedy of her death. Her death is not the tragedy. It is the manner of her death that is so odious. That her children, her church members and friends are asking reasonable people to come to "celebrate her life," is almost too preposterous to contemplate. Perhaps I can be removed from the mawkish "celebration" by helping to park cars, babysitting or something.

My dear son, whose mother-in-law was the victim of this Family-Assisted Suicide, knows better. But he is a more gentle and tolerant man than I will ever be. I know that he would not want his family to let him die from neglect. And neither would I! Yes, the medical establishment is not perfect. Insurance companies, political pressure groups and the huge industries that profit from the physical frailties of humans make caring for each other a difficult choice. But I would hope that reason, sweet reason, might prevail should he -or I- be the victim of some malady that gave my family the power to facilitate my life or death.

3 comments:

Anonymous said...

mt: have you seen this article from the New York Times. Can you give your thoughts on it? http://www.nytimes.com/2010/03/24/nyregion/24heal.html?pagewanted=1&hp

Victor Mariano said...

I'll have something to say on this later, but for now here's the article as it ran in the March 24, 2010 NYT

Anonymous said...

MT,
I just found this site and am appreciatve of it. I was "programmed" from an early aged in CS and eventually deprogrammed myself about 8 years after my family and I allowed my father to die in a CS nursing home. It would have been hard to convince him to do otherwise but I would like to go back to my CS self in 1988 and shake sense into her! We realize now that he had a nervous breakdown and maybe nothing could have been done but it is still frustrating to think of the way we handled it. Since then, my sister and I have totally left the church. I was class taught and graduated from Prin. Many of my friends are still CS although a few have left. I consider myself a secular humanist and have never been more spiritually satisfied! Thank you for your insights.

Stacey