FIRST AND LAST, DO NO HARM

ALLOWING DOCTORS TO AID PEOPLE IN COMMITTING SUICIDE IS UNCONSCIONABLE

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"DID YOU ASK FOR YOUR HEMLOCK?" THANKS TO APPEALS-court judges in New York and California, this question will now be in your future.

You will be old, infirm and, inevitably at some point, near death. You may or may not be in physical distress, but in an age of crushing health-care costs, you will be a burden to your loved ones, to say nothing of society. And thanks to courts that back in 1996 legalized doctor-assisted suicide for the first time in American history, all around you thousands of your aging contemporaries will be taking their life.

You may want to live those last few remaining weeks or months. You may have no intention of shortening your life. But now the question that before 1996 rarely arose--and when it did arise, only in the most hushed and guilty tones--will be raised routinely: Others are letting go; others are giving way; should not you too?

Of course, the judges who plumbed the depths of the Constitution to find the "right" to physician-assisted suicide--a right unfindable for 200 years--deny the possibility of such a nightmare scenario. Psychological pressure on the elderly and infirm to take drugs to hasten death? Why, "there should be none," breezily decrees the Second Circuit Court of Appeals.

King Canute had a better grip on reality. This nightmare scenario is not a hypothesis; it has been tested in Holland and proved a fact. Holland is the only jurisdiction in the Western world that heretofore permitted physician-assisted suicide. The practice is now widespread (perhaps 2,000 to 3,000 cases a year; the U.S. equivalent would be 40,000 to 60,000) and abused. Indeed, legalization has resulted in so much abuse--not just psychological pressure but a shocking number of cases of out-and-out involuntary euthanasia, inconvenient and defenseless patients simply put to death without their consent--that last year the Dutch government was forced to change its euthanasia laws.

Judge Roger Miner, writing for the Second Circuit, uncomprehendingly admits the reality of the nightmare: "It seems clear that some physicians [in the Netherlands] practice nonvoluntary euthanasia, although it is not legal to do so." Well, why would such things occur in the Netherlands? Are the people there morally inferior to Americans? Are the doctors somehow crueler and more uncaring?

Of course not. The obvious reason is that doctors there were relieved of the constraint of the law. The absolute ethical norm established since the time of Hippocrates--that doctors must not kill--was removed in the name of compassion, and the inevitable happened. Good, ordinary doctors, in their zeal to be ever more compassionate in terminating useless and suffering life, began killing people who did not even ask for it. Once given power heretofore reserved to God, some exceeded their narrow mandate and acted like God. Surprise.

In America the great moral barrier protecting us from such monstrous God-doctoring is the one separating passive from active euthanasia. Pulling the plug for the dying is permitted. Prescribing death-dealing drugs to those who are quite self-sustaining is not. It is this distinction that the judges are intent on destroying.

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