Thread: Purgatory: Harry and Terri - the Schiavo case Board: Limbo / Ship of Fools.


To visit this thread, use this URL:
http://forum.ship-of-fools.com/cgi-bin/ultimatebb.cgi?ubb=get_topic;f=11;t=001030

Posted by Janine (# 3337) on :
 
My friend Harry was a hazel-eyed redhead with a wild beard. He looked just like the Norse god Thor would have, if Thor had been a happy, friendly fellow.

One of the best things a visitor once remembered about our congregation was the day on a previous visit when wildman Harry took him out fishing on the Gulf.

His work put him in some dangerous spots on oil rigs out there. One day his luck ran out, and thru equipment failure a large heavy piece of metal fell on him, causing major brain damage.

Harry took perhaps a year to die. When he died, it wasn't the head injury that took him -- it was the pneumonia that so often takes bedbound people, despite therapies and antibiotics.

That last year, after all was done for him that was possible, he came back to town and lived in the rehab unit at the local hospital. Every day he was dressed and brought up to the reception area. It was thought the stimulation of all the activity was good for him. It was certainly good for everyone else to have him there.

Sometimes he'd react to us visiting. He'd often sob and weep when we'd sing his favorite old hymns. I used to joke with him that it wasn't the nostalgia of the songs but my bad singing that made him cry. Talk radio would get him riled up sometimes.

Harry was hard to reach "in there". It wasn't always apparent exactly what he was reacting to. And it's of course impossible to tell what's going on in another's mind -- but I'm pretty sure he wasn't doing advanced calculus behind those eyes.

Still, it was Harry. And if he had gotten to the point where there was worry about his ability to swallow, and they'd gone to a permanent feeding tube, it still would have been Harry.

It was rough on his wife. It was hard on his family, especially his two boys and his identical twin.

But, it was our Harry. So long as he lived, he lived.

I've seen the videos of Terri Schindler-Shiavo. She responds to things in a direct and almost lively way, compared to how Harry was. She's as bright-eyed and makes as much sense in her responses as many an infant I've handled.

No, it's not a "dignified" life Terri's got now. Yes, it's hard to see an adult reduced to such a dependent status.

But, if the main extraordinary treatment she gets is delivery of nutrients and fluids via a tube, I fail to see why that should be denied her.

Even without the traditional Catholic stance of her family against euthanasia, it just doesn't make sense to starve & dehydrate her. It's not much of a life, but it's a life.

If you who think her husband -- her husband who has over the years gone on to a new woman and started a family -- if you think his word that she wouldn't want to live that way is enough reason to allow the state to yank the tubes -- can you explain to me why?

And if you think the state-sanctioned yanking of her feeding tubes is a shame and sets a rotten precedent for future treatment of incapacitated people -- can you tell me what arguments you base that conclusion upon?

I'm trying to imagine deliberately denying food and water to anyone, in any condition. A baby with severe spina bifida, or Down's syndrome... or denying food and water to Harry. I'm trying to justify it in some sort of hypothetical scenario in my own mind.

I ain't getting it. Y'all explain it to me.

[Added to thread title for clarity.]

[ 02. June 2005, 21:43: Message edited by: RuthW ]
 
Posted by fisher (# 9080) on :
 
Any chance of linking to a description of Terri Schindler-Shiavo's state, for those of us who've never heard of her. It sounds like she's partially conscious at least, and I can't imagine anyone being allowed to die in that state in this country.
 
Posted by Janine (# 3337) on :
 
Terri Schindler-Schiavo Foundation

That's one site. Obviously a very let's-keep-Terri-alive site.

There are several articles and RealPlayer clips that may interest y'all. Try to look through the clips (along the right side) of Terri interacting with people.

Is that consciousness, what she displays?

Are those same behaviors consciousness, when a 4-month-old baby does them?

Surely that is consciousness, when compared to the behavior of a "houseplant". That's supposedly what one of her husband's lawyers has called her to describe her condition, a houseplant.
 
Posted by FCB (# 1495) on :
 
I've followed this one intermittantly and I think it's a really hard call. I think her parents hope that, with therapy, she could improve is probably wishful thinking. On the other hand, it may be Christian hope. Her level of consciousness appears to be quite minimal, but she certainly is not "in a coma" as many people seem to think. Most of what I've read, aside from uninformed editorials that self-righteously demand that she be allowed to "die with dignity" (starved to death while doped on painkillers is "dignity"?), is from her parents' side of things, but her husband certainly does not come across well. Given that her parents are willing to continue caring for her, I find it difficult to find a reason why they should stop feeding her, even if it is through a stomach tube.

FCB
 
Posted by Erin (# 2) on :
 
Oh dear oh dear oh dear. This thread is already full of ten thousand kinds of misinformation.

First off, let me recommend a neutral site.

Second, some facts.

Terri Schiavo is in a persistent vegetative state. PVS is different from either coma or brain death. It is occasionally reversible, but the more time passes, the less chance there is for recovery. For those who don't know, Terri has been in a PVS for fifteen years. PVS does allow for some basic, "reptilian" functions, for lack of a better word, such as breathing, heartbeat and the sleep-wake cycle. Those are functions of the brain stem, which is still intact. But the part of her that involves all cognitive function is, in fact, gone.

You see, since she had the cardiac arrest, her brain has slowly been reabsorbed into her body, to where the only true medical question is whether there is a tiny bit of living tissue or none at all. It's not that she is brain-damaged, it's that her brain is GONE. Her cerebral cortex has been replaced -- completely -- by cerebrospinal fluid. For her to recover from this would require not years of intensive therapy or alternative medicine, but for science (or God) to grow an entirely new brain and shove it in her skull.

The videos you see on the news have been culled from hundreds of hours of footage. Footage that the courts and independent physicians have reviewed time and again and used to determine that no, she's not really responsive in any meaningful way. What people seem to forget is that while it's made national news within the past year or so, this battle has been going on in Pinellas Park for over a decade. It's not that anyone suddenly decided to do this, it's that it's getting more ridiculous with every passing day.

Her husband reaps the bad press because he generally avoids it. He sued for malpractice and won, with the award subsequently going to maintaining an insanely expensive corpse. He became a respiratory therapist after her cardiac arrest just so he could help take care of her. He has refused to divorce her because he wants to make sure that her wishes have been carried out, and if he terminates guardianship he can't do that. He has sacrificed a LOT for her over the past decade and a half.

Also in Florida, the pecking order, if you will, of next of kin, places the spouse first. So unless you can come up with a reason why he shouldn't serve as her guardian and enforcer of her wishes then he has all the legal right in the world to do what he's trying to do.

Why shouldn't the parents keep her alive? Because those aren't her wishes. Again, this has been determined many times by the courts, through testimony of her husband and her friends. Her parents and siblings are the ONLY people who are arguing against this fact. Everyone else is in agreement that no, she didn't want to "live" like this.

They can't do anything but remove the feeding tube (or withhold antibiotic treatment when and if an infection should set in) because in Florida it is illegal to actively kill someone. Hell, I can remember some 80+ year old man being convicted and jailed for murder because he shot his completely incapacitated wife (who was suffering from Alzheimer's) in the head.

As to my personal feelings? Yeah, he should do this. And the feeding tube should have stayed out the FIRST time they pulled it. I think her family is delusional, a fact which is not helped by the whorish physicians they are paying to tell them what they want to hear. I think that the Florida legislature and US Congress ought to be taken out back and shot, because this puts proof to the lie of their so-called belief in the "sanctity of marriage". "Marriage is only sacred when it suits our whims" and all that. My true feelings on the subject have been noted in the Today I Consign to Hell thread.

If nothing else, this should serve as a catalyst for every adult in the United States to not only draft a very specific living will but also to appoint a Durable Power of Attorney for Healthcare. It should also serve as a wake-up call for all Americans who blindly trust their government. Throughout the passage of the various provisions Patriot Act I have been outraged. Now I'm fucking SCARED.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by FCB:
Most of what I've read, aside from uninformed editorials that self-righteously demand that she be allowed to "die with dignity" (starved to death while doped on painkillers is "dignity"?),

I don't know enough about this case to state unequivocally whether removing the feeding tube is the right thing to do in this case or not. I can tell you, though, that if you think it's always, or even generally, the wrong thing to do, you should spend more time in nursing homes and hospices.
 
Posted by Janine (# 3337) on :
 
I have spent time in nursing homes, volunteering and as an employee.

So far I have been blessed not to be plunged into the "main caretaker" position for a loved one yet -- but, given the condition of elderly relatives I am responsible for helping already, the time is coming. Soon.

I don't hold out any hope that Terri will ever recover any sort of "real" life. I assume her higher brain functions are toast. Those things said, of course, while I admit to knowing diddly squat about her case, personally. I haven't been there to care for her.

Bu-u-u-ut... If she is kept alive by a feeding tube delivering nutrients and water, that ain't no different to me than saying she's being kept alive by a spoon delivering nutrients and water.

I don't care what courts have decided to allow or not to allow. To starve someone is to kill them.

Now -- is it always wrong to kill someone? Is killing someone always murder? That's another discussion.

My word about what you told me you wanted to do with your medical destiny, what you told me before you became too incapacitated to speak for yourself, should count for very little by itself. There needs to be documentation.

Maybe there's 25 witnesses who heard Terri give an impassioned speech in favor of euthanasia before her heart stopped, maybe there's all kinds of evidence in her case...But in general, law ought to require distinct living wills for stuff like that.

You don't kill someone simply because they are dying. You don't kill them because they are now a gal of very little brain. Not giving a fern food and water kills it. Not giving a puppy food and water kills it. Not giving a baby food and water kills it. Not giving what's left of Terri S. Schiavo food and water kills her.

I assume, if the Washington crowd manages this weekend to get her tube re-inserted while they look over her case, that they will be shown all sorts of brain scans to show that she hasn't any more brain.

'Course then the other side can introduce the people I've seen in documentaries who function normally or even at some brilliant level, with much of their brains gone due to accident or disease.

I assume the bigshots will be told that Terri laughs and smiles and vocalizes so rarely, maybe an hour out of every couple thousand.

So I guess they'll have to pick one of her hours when she's not grinning and reacting to Mother or music to yank her tubes.

[ 20. March 2005, 18:35: Message edited by: Janine ]
 
Posted by Foolhearty (# 6196) on :
 
Thanks, Erin -- I was going to post something similar.

Now, just to make matters truly hellish, the U.S. Congress is involved. The Senate Republicans have all saddled up their white chargers to "save" Terri's "life."

You know, the same guys who couldn't be arsed to find out if there really were weapons of mass destruction before consigning 1500 young Americans to their deaths in a foreign desert.

God help us. More important, God help Terri Schiavo.
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by Janine:
I assume her higher brain functions are toast.

It's not just her higher brain functions which are toast. It's her brain itself. I would therefore argue that she died a long time ago.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Janine:
I assume the bigshots will be told that Terri laughs and smiles and vocalizes so rarely, maybe an hour out of every couple thousand.

So I guess they'll have to pick one of her hours when she's not grinning and reacting to Mother or music to yank her tubes.

And this would definitely, without any shadow of any doubt, be any hour of the last fifteen years or any hour of what remains of her life. Because, you see, she is NOT responding to her mother, or to music, or to anything else. The part of the brain that does those things no longer exists. It's not that it's damaged, it's that it is simply no longer there.

The court has determined several times over the last seven years that her wishes were, in fact, to not be kept alive in such a horrible, terrible state. You seem to be asking, Janine, why her wishes should be honored. Her wishes in this manner should be honored so that one day, in the future, when you're in a similar state, your previously stated wish to remain alive no matter what the existence will be honored as well.

It is not the government's right or responsibility to interfere in such a matter. That the US Congress has done so is a public raping of the Constitution. For that, you and every American should be deeply frightened.
 
Posted by Janine (# 3337) on :
 
If we can stop feeding anyone without what we consider human intelligence then Capitol Hill will soon be a ghost town. [Razz]
.
.
.
.
.
.

(P.S.: The people who dug in their heels wanting detailed proof beyond the "intelligence" re: the weapons of mass destruction, are the same people who complain that our forces didn't go thundering in, shoving Iraqies aside, to take over the weapons caches that were hustled away by Iraqis as we stepped onto Iraqi soil. C'mon, either there were dangerous types and quantities of weapons or there weren't, you can't complain out of both sides of your mouth like that!)

(P.P.S.: Well, you can, but it makes you look silly.)
 
Posted by Scot (# 2095) on :
 
My fondest dream for this situation is that it will end with the Supreme Court bitchslapping Congress back into the Stone Age. What a bunch of power-mad morality cops.

I'm sick to death of people talking about the Schiavo case as a question of a state "sanction". For the state to sanction it would imply that it's any of the state's goddamned business in the first place. It isn't. An individual case like this is especially not the business of the legislative branch. If anything, it's a matter for the courts.

While I'm at it, let me drip a little scorn on the media. Things might be a little easier for everyone if they would quit running that one picture that makes it look like Terri Schiavo is laughing and joking with her mom while they hang out in the hospital. We could also do without obscenely loaded and leading headlines like "Congress works on Schiavo's behalf".

The personal side of the situation is tragic, but not really unusual. Family members often disagree bitterly over the treatment of critically injured or ill loved ones. That's why next-of-kin and power-of-attorney rights are clearly defined. As hard as it must be for the Schindlers, this is Michael Shiavo's decision to make. It's a terrible responsibility that, as far as I can see, he has handled with dignity and integrity.

In the end, the only people I have any sympathy for are the Schiavos and the Schindlers. Everyone else should fuck off and leave this to be handled by the people who are involved.
 
Posted by jlg (# 98) on :
 
quote:
Originally posted by Janine:
Bu-u-u-ut... If she is kept alive by a feeding tube delivering nutrients and water, that ain't no different to me than saying she's being kept alive by a spoon delivering nutrients and water.

Not really. Being spoon-fed depends upon the ability to swallow and a certain amount of cooperation (however mindless).

And even then it is not an expression of a will to live. One way that humans (and other animals) indicate that they are ready to die is by ceasing to or refusing to eat. While they might passively go along with someone badgering them into swallowing some food, they aren't eating because they want to live.


quote:
My word about what you told me you wanted to do with your medical destiny, what you told me before you became too incapacitated to speak for yourself, should count for very little by itself. There needs to be documentation.

Maybe there's 25 witnesses who heard Terri give an impassioned speech in favor of euthanasia before her heart stopped, maybe there's all kinds of evidence in her case...But in general, law ought to require distinct living wills for stuff like that.

Yes, ideally everyone would have clearly stated their wishes in writing ahead of time. But Terri Schiavo was what, 25 or so when she had the heart attack?

Not to mention that even carefully written Living Wills continue to run into legal problems because it is nearly impossible to anticipate exactly what medical situations might arise and properly document them all in sufficient detail.

So even when people who do have Living Wills, the courts end up involved because the family, medical staff, or combinations of both end up arguing about exactly what the Living Will meant.

In the absence of a written document, it is quite valid for the courts to take into consideration the sworn testimony of those who knew her.

Perhaps you and others have a strong desire to stay alive for as many days, months, years, as possible, no matter what the cost in pain (both yours and the emotional pain of your loved ones), expense, wasted resources, and pointlessness. That's fine, it's a free country, and you're entitled to request as much.

But please be aware that there are those of us who understand that life ends sooner or later no matter what, and see no need to prolong it just for the sake of staying alive or to maintain a tiny hope of a miracle. We have our rights, too.
 
Posted by bessie rosebride (# 1738) on :
 
quote:
Originally posted by Janine:
Bu-u-u-ut... If she is kept alive by a feeding tube delivering nutrients and water, that ain't no different to me than saying she's being kept alive by a spoon delivering nutrients and water.

But the distinction is that she cannot be fed by a spoon. She has no brain function that would allow her to suck the food off the spoon, much less swallow. If you dripped the food off the spoon into her mouth, it would go into her lungs.

Inserting the feeding tube in the first place was an artificial life-prolonging intervention - which you can say "no thank you" to in your Living Will.

I'm a home health nurse, and we hear the same kind of argument made for mechanical ventilation, which maintains breathing for those no longer able to inhale and exhale.

But, so far, and at least in my state, either the person or their medical power of attorney can decide at any time that they wish to cease this artificial prolonging of life.
We had a client with ALS who gathered his family together during Christmas and decided to no longer use the ventilator - which meant certain end of life. His priest was present; his doctor was present to administer morphine so he went out peacefully asleep.
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by Janine:
(P.S.: The people who dug in their heels wanting detailed proof beyond the "intelligence" re: the weapons of mass destruction, are the same people who complain that our forces didn't go thundering in, shoving Iraqies aside, to take over the weapons caches that were hustled away by Iraqis as we stepped onto Iraqi soil. C'mon, either there were dangerous types and quantities of weapons or there weren't, you can't complain out of both sides of your mouth like that!)

And this is relevant how?

And as someone who dug in her heels and wanted detailed proof of WMD, let me remind you that I have never called for our forces to go thundering in anywhere.
 
Posted by Janine (# 3337) on :
 
Sorry -- this'll likely be a double post --

I don't want to be kept alive no matter the existance. Heck, I might refuse to be kept alive even if I had a lot more going for me than Terri! The Christian can fear pain and dying as much as anyone, but that leap into the Undiscovered Country shouldn't scare us as it might an unbeliever. IMNVHO.

I don't even necessarily want Terri to be kept alive -- because what I want matters not, I don't have any effect on her life beyond prayer.

All I know is, something besides a brain that functions or is even all there governs what is the person, what is the presence of a consciousness, what is the soul if you will. This I believe because of what little research I can do.

If Terri's not "there", then she's not suffering, is she? Why not let her parents feed her and talk to her and take care of her until she dies? Which she surely will, at some point, especially since various therapies that might keep her more limber and encourage her lungs & heart are not allowed.

Eh, my opinion matters not in Terri's world. I'm just wanting to find out others' justifications for where they stand, if they will share them. Then I might be able to formulate actual verbiage to explain my own positions.
 
Posted by Erin (# 2) on :
 
Janine, I have no idea what either of your post scripts have to do with the issue at hand. Is this just a general "rah rah Republicans are great" thread? If so, may I petition the Purgatory hosts to move this to Hell at their earliest possible convenience?

If not, what the hell do non-existent weapons of mass destruction and a two-year time and money sink in some dirtbag country have to do with a woman being treated as a political football?

[ 20. March 2005, 19:09: Message edited by: Erin ]
 
Posted by The Coot (# 220) on :
 
I think the situation is terribly sad and thank God that I am not someone who has to make decisions in this circumstance. Her case seems similar to that of Karen-Ann Quinlan, if ppl remember her.

I wonder about how one can have a holy death - considering that now, refusing medical treatment could be considered voluntary passive euthanasia, where 50 yrs ago, there was no option but to wait for death as comfortably as possible.

Is it any less holy to refuse medical treatment and ask only for palliative care for a condition where new medical techniques might give an extra 6 months life; and where in the past, without the new techniques people would have been given palliative care only from that point on?

The situation of Ms Schiavo is that she is unable at present to make her wishes known (or even possess wishes). I suppose the actions of her husband are based on her indication that she wouldn't want medical intervention to prolong life where she was incapable of living without it.

It boggles my mind a bit that the ethics of it seem to depend on technology and how intensively it has to be used. If there are no techniques to keep someone alive in this state, there is no ethical question regarding their death!

The Church is quite a whore to technology, imo.
 
Posted by Scot (# 2095) on :
 
quote:
Originally posted by Janine:
Why not let her parents feed her and talk to her and take care of her until she dies?

Because her spouse does not believe that is what she would want. Somebody has to have the final say and that somebody, in our society, is the spouse, not the parents.
 
Posted by Janine (# 3337) on :
 
quote:
Originally posted by Foolhearty:
...Now, just to make matters truly hellish, the U.S. Congress is involved. The Senate Republicans have all saddled up their white chargers to "save" Terri's "life."

You know, the same guys who couldn't be arsed to find out if there really were weapons of mass destruction before consigning 1500 young Americans to their deaths in a foreign desert...

The asides/postscripts were addressing the above.
 
Posted by Erin (# 2) on :
 
Ah. Now I'd regard that aside as a comment on the hypocritical stance of lawmakers when it comes to the sanctity of life. Let's call a special session of Congress to make an unconstitutional law for someone who is not living in any meaningful way while having no qualms about sending perfectly healthy, sentient, functioning, innocent (e.g., not convicted of a crime under penalty of death) adults to their deaths.
 
Posted by bessie rosebride (# 1738) on :
 
quote:
Originally posted by Janine:

If Terri's not "there", then she's not suffering, is she? Why not let her parents feed her and talk to her and take care of her until she dies.

Because that would be selfish on the part of the parents...that is solely to satisfy the parents desires of being caregivers. I equate that with getting one of those feedable, diaperable baby dolls or a cuddly stuffed animal.

If Terri's not there, what is so wrong with letting her die? Especially, if as Christians, we are supposed to have at least an inkling of a belief that God would surely take her Home and she would be healed and complete in whatever your view of Heaven is.
 
Posted by FCB (# 1495) on :
 
Earlier when I said this was a hard call, I really meant it. Specifically, the issue of nutrition/hydration seems to me to be a tough one. Part of what makes it tough is that we typically think we ought to feed people who cannot feed themselves, whether their inability stems from not having food available (victims of famine) to not being able to get the fork from the plate to their mouth (infants, quadraplegics, etc.). The question is, why draw the line at not having a swallowing reflex? Someone could have not much more brain function that Terri Schiavo and have the swallowing reflex. Are we obligated to feed such a person? What if they lack the ability to chew? Are we obligated to feed them if we must grind up their food for them? Is the ability to swallow somehow more determinative than the ability to chew? If so, why?

I am at least willing to consider the possibility that there may be cases where we ought not to continue feeding someone and giving them water, but I am not sure what those cases are and where we should draw the line. Knowing where to draw the line would seem to me somehow tied up with answer some of the questions I've asked above. Of course, in the case of Terri Schiavo, there is not the luxury of time that answering such questions requires.

FCB
 
Posted by bessie rosebride (# 1738) on :
 
I don't see this one as a question of being able to chew or swallow.

They are feeding a body. There is no one home.
 
Posted by FCB (# 1495) on :
 
quote:
Originally posted by bessie rosebride:
They are feeding a body. There is no one home.

I think personal identity is a rather more complex issue than that. I suppose I just don't know enough to say with confidence that "there's nobody home." Perhaps if I were involved with the situation on a day-to-day basis I might.

FCB
 
Posted by bessie rosebride (# 1738) on :
 
quote:
Originally posted by FCB:
quote:
Originally posted by bessie rosebride:
They are feeding a body. There is no one home.

I think personal identity is a rather more complex issue than that. I suppose I just don't know enough to say with confidence that "there's nobody home." Perhaps if I were involved with the situation on a day-to-day basis I might.

FCB

I refer you to Erin's post at 14:19 above...the complexities have been weighed and it has been determined that she has no brain left. What sense of identity could you have with no cerebral cortex? Her current personal identity is nothing more than the needy projections of her parents.
 
Posted by nicolemrw (# 28) on :
 
quote:
If Terri's not "there", then she's not suffering, is she? Why not let her parents feed her and talk to her and take care of her until she dies?

but how do you know that? how do you know that it isn't hellish torment for a soul to be stuck in some sort of limbo, neither alive nor able to die and pass on to where it belongs?

this what haunted me as my father slowly died of alzheimers disease, his brain slowly rotting away. he wasn't there, so where was he? halfway stuck, until his body could let go and continue the process?

my father was that bad for only a few years, two maybe.

terri s. has been like this for 15 years,is it? longer?

theres the ingrediants for a nifty little horror story there.

lets hope that its just fiction, and not what shes been going through for all this time.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Janine:
I'm just wanting to find out others' justifications for where they stand, if they will share them.

My position stems from my wishes should I find myself in such a situation. I'd want the plug pulled, ergo if Terri would have wanted the plug pulled (and all indications are that she would) she should damn well get that wish, and fuck anyone else's selfish opinion/morality/whatever.
 
Posted by jlg (# 98) on :
 
You are quite right, FCB, that it is actually a complex and difficult issue. Unfortunately the OP established a rather black and white tone, which has colored the ensuing discussion.

As I tried to indicate earlier, the complexity goes both ways. The mechanics of feeding aside, I believe that there comes a point when an individual knows that it is time to move on to the next life, but is still susceptible to actions, exhortations, and attitudes in this life which make it difficult to let go.

I personally see it as a form of bullying. Persons who see death as some sort of "failure" keep cheerfully insisting that a dying individual can be dressed and spoon-fed and sit up for a bit, and then use that as proof that "See, she's doing fine, she just needs to be encouraged!" and thus the person isn't really ready to die. But once that person is told "It's OK to go if you want to", they might quietly die within a matter of days, if not hours. It's sort of bizarre to think that some individuals need to hear permission to die, but I've read and heard many accounts of it and it happened with my mother.
 
Posted by Laura (# 10) on :
 
I've been telling everyone I know that I want to die if I'm in a PVS for any significant length of time, and that if any person is the cause of a fuss over my right to this position, I will haunt them all when I finally am allowed to go. The media ANDthe Congress and the crackpot doctor and the wack-job Christians should go home and let her die in peace.

Idiots.
 
Posted by Erin (# 2) on :
 
I am watching C-SPAN right now. There are not sufficient words to express the level of contempt I have for the US House of Representatives.
 
Posted by Scot (# 2095) on :
 
I can't work up much outrage over whether Terri Shiavo is forced to live or allowed to die. Not that I don't have an opinion, but the fact is that she isn't suffering. She isn't even there.

What makes my eyes bug out and my head threaten to explode is the unconscionable actions of the US Congress and President. This is more wrong than I can put into words. It's not legal or moral, and they blatantly don't even care. I don't think they even understand the concept of "abuse of power" any more.
 
Posted by Mousethief (# 953) on :
 
I don't see where the difficulty lies. Her husband has power of attorney; he says let her die. What the fuck does what her parents want matter a rat's left testicle?
 
Posted by Sine Nomine (# 3631) on :
 
And these are the same people who seem to be indifferent to how many Iraqis or coalition soldiers get killed. The sanctity of life seems to be on a sliding scale of a sort which I don't understand. Unless it has something to do with publicity.

I can't watch the news anymore. Really I can't. I just go into a small room, close the door and listen to my Taize CD. Otherwise I can't take it.
 
Posted by Erin (# 2) on :
 
Well you know, Sine, if it were a couple of homos, we'd be watching BookTV right now.

Mousethief: he doesn't have power of attorney. Not a Durable Power of Attorney for Healthcare, anyway, which is completely separate from your standard power of attorney. That's the problem. Actually, the problem is that the Florida courts have adjudicated, time and again, what Terri's wishes were. Her husband was able to produce far more compelling evidence than her parents were that he knew her wishes. But Mom & Dad didn't like it, so they paid medical prostitutes to tell them what they want to hear.

Unlike Scot, I do care whether she lives or dies, insofar as I think being forced to "live", if you can call it that, constitutes cruel and unusual punishment of an eating disorder. It's a sad situation. But I am outraged beyond all rational thought that the state and federal legislative and executive branches have seen fit to violate so completely, so blatantly and so "fuck you"-ingly the remit that they have been given BY THE PEOPLE.

Vote Libertarian, I guaran-fuckin'-tee that you would never see such a disgusting display.
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by Erin:
Mousethief: he doesn't have power of attorney. Not a Durable Power of Attorney for Healthcare, anyway, which is completely separate from your standard power of attorney. That's the problem.

That doesn't come automatically with the marriage license in Florida?
 
Posted by Erin (# 2) on :
 
It doesn't come automatically with a marriage license anywhere. DPOAH is an extra-special document that you have to physically draft yourself. A DPOAH trumps a spouse in Florida.
 
Posted by Mamacita (# 3659) on :
 
quote:
Originally posted by Erin:
I am watching C-SPAN right now. There are not sufficient words to express the level of contempt I have for the US House of Representatives.

Amen to that.
The vote was 203 to 58. It's been nicknamed the "Palm Sunday Compromise." Bush flew back to DC in order to sign the legislation. An abuse of power (as Scot said above), with political grandstanding as the frosting on the cake.
 
Posted by Golden Key (# 1468) on :
 
I don't know the right thing for Terri, but [Votive] for her and everyone involved.

I don't like the government's involvement in this case. However, I suspect that if I was trying to save someone I loved, and really believed that they were still alive in some sort of meaningful way,...I just might welcome gov't support to keep the person alive.
 
Posted by Scot (# 2095) on :
 
quote:
Originally posted by Golden Key:
However, I suspect that if I was trying to save someone I loved, and really believed that they were still alive in some sort of meaningful way,...I just might welcome gov't support to keep the person alive.

Of course you would. Most of us probably would. But the government would still be dead wrong to interfere.
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Erin:
Ah. Now I'd regard that aside as a comment on the hypocritical stance of lawmakers when it comes to the sanctity of life. Let's call a special session of Congress to make an unconstitutional law for someone who is not living in any meaningful way while having no qualms about sending perfectly healthy, sentient, functioning, innocent (e.g., not convicted of a crime under penalty of death) adults to their deaths.

Precisely.
 
Posted by Scot (# 2095) on :
 
How nice that our fearless leaders can get together in the dead of night and make up laws. That's when all of the most exciting legislation is passed.
 
Posted by Erin (# 2) on :
 
Does anyone know of how I can get ahold of the list of Senators in attendance yesterday? Since it was a voice vote there is no record, but I want to know who was there. I have looked and looked and looked, but so far have come up empty.

ETA: never mind, I trawled through several news reports and found out that it was only Bill Frist, Mel Martinez and John Warner.

[ 21. March 2005, 13:24: Message edited by: Erin ]
 
Posted by Julian the Apostate (# 9048) on :
 
The only ray of light I can see in this fiasco is that with any luck the Supreme Court will strike this down (they can, can't they, asks a Brit?) and in the course shed some legal light on the distinction between:


Now Terri Schiavo is (as has been made plentifully clear above) more similar to the hypothetical thumb than a fully functioning person, in that she has no machinery with which to be a fully functioning person. Keeping her alive seems to me a rather selfish waste of medical resources that could be better used elsewhere, mixed with refusal to grow and move on by her parents, and rather hellish cruelty.

However, it would be good if we could get a clear legal judgement as to where the dividing line is between the clearly alive but not-a-person (the hypothetical thumb) and an obvious person (you and, perhaps, me) as there is plenty of room for ambiguity in there. This could have a major impact on all kinds of areas (abortion, anyone?) which, I imagine, is why the GOP is so up in arms.

As for me, to misquote Woody Allen, my brain is my favourite organ, and I don't think I'd want to survive with it impaired, even if what was left of 'me' appeared to be 'happy'.

Julian
 
Posted by Henry Troup (# 3722) on :
 
quote:
Originally posted by Erin:
It doesn't come automatically with a marriage license anywhere. DPOAH is an extra-special document that you have to physically draft yourself. A DPOAH trumps a spouse in Florida.

And I have one in my wallet, and my wife has one in hers. It's a vital tool in the modern world. Do the homework. In today's world, it's even more important than a will -- which the BCP makes a religious obligation.

My wife insisted on doing this when a) she was having major surgery and b) I visited Israel - two separate occasions. She was right.
 
Posted by mdijon (# 8520) on :
 
The description "withdrawing fluids/ feeding" I think offers a misleading spin; the implied 'allowing to starve to death' is in fact 'ceasing the pump-driven supply of manufactured feed via a silastic tube inserted directly into the stomach to allow feeding'

Describing food and fluids as a human right doesn't make much sense when the means of delivery is so artificial; one could characterise ceasing artificial ventilation as denying someone's "right to breathe", for instance.

In practice, this kind of situation can often be dealt with by the next pneumonia (which often isn't that long a wait) and then not treating particularly aggressively. I wonder if the present situation has arisen because of aggressive medical treatment of various complications along the way; with emotional ups and downs, and heroic medical endeavour winning through at each battle. It may now be a bit difficult to turn around and suggest everything is withdrawn at one instant.

[ 21. March 2005, 14:17: Message edited by: mdijon ]
 
Posted by Campbellite (# 1202) on :
 
quote:
Originally posted by Erin:
ETA: never mind, I trawled through several news reports and found out that it was only Bill Frist, Mel Martinez and John Warner. [italics mine]

Damn! I used to respect him.
 
Posted by Mamacita (# 3659) on :
 
quote:
Originally posted by Erin:
Does anyone know of how I can get ahold of the list of Senators in attendance yesterday? Since it was a voice vote there is no record, but I want to know who was there. I have looked and looked and looked, but so far have come up empty.

ETA: never mind, I trawled through several news reports and found out that it was only Bill Frist, Mel Martinez and John Warner.

I was wondering the same thing. But Jesus H. Christ! Three senators present out of 100?
 
Posted by Erin (# 2) on :
 
Supposedly they brokered a deal where Senate Democrats would not return and attempt to block the deal:

quote:
The Senate also needed unanimous consent to take up the bill Sunday. But Frist and Minority Leader Harry Reid worked out a compromise behind the scenes beforehand so even the Democrats opposed to the bill would not return to fight it.
Source: St. Petersburg Times
 
Posted by duchess (# 2764) on :
 
I honestly don't know what to believe anymore 100%.*
I have an Aunt who is totally with the husband on this one, due to her own personal experience with death. My own sister can not understand why I think it is any of my business.

I read stuff like this though and I still don't know... latest report

If this video truly exists then her husband is a big fat liar.

I have read things pro/con and I have yet to think I know the 411 on this. Somebody is lying here, either the parents in their delusions or the husband is trying to cover his tracks. One or the other. There is no inbetween.

*but I am tending to side with the parents on this one.

[ 21. March 2005, 17:35: Message edited by: duchess ]
 
Posted by duchess (# 2764) on :
 
Sorry to double-post but is this a lie?

" MYTH: Many doctors have said that there is no hope for her.
FACT: Dr. Victor Gambone testified that he visits Terri 3 times a year. His visits last for approximately 10 minutes. He also testified, after viewing the court videotapes at Terri�s recent trial, that he was surprised to see Terri�s level of awareness. This doctor is part of a team hand-picked by her husband, Michael Schiavo, shortly before he filed to have Terri�s feeding removed. Contrary to Schiavo�s team, 14 independent medical professionals (6 of them neurologists) have given either statements or testimony that Terri is NOT in a Persistent Vegetative State. Additionally, there has never been any medical dispute of Terri�s ability to swallow. Even with this compelling evidence, Terri�s husband, Michael Schiavo, has denied any form of therapy for her for over 10 years."

source: look under for more myths about Terri click here (the parents website) italics mine
 
Posted by RuthW (# 13) on :
 
The parents' website is not exactly a neutral source of information.
 
Posted by Erin (# 2) on :
 
And yes it is a lie.
 
Posted by Laura (# 10) on :
 
Her parents are long past needing to take the hyperspace ship back to Earth from planet Totally-Out-of-Touch-With-Reality. Her brain is now a packet of cerebro-spinal fluid. It CANNOT be fixed. She died a long time ago. They should let her body go, too.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by duchess:
I have an Aunt who is totally with the husband on this one, due to her own personal experience with death.

And I'm right there with her.

My mother was suffering from dementia; she was middling in the progress of the disease. She still knew who she was, and still knew who we were, although she didn't know much else. She didn't know what time of year it was, or where she was (unless she was at home), or what she had done 15 minutes ago.

Then she quit eating and drinking. My father did everything he could do to get her to eat and drink short of putting her in the hospital for tube feeding and IVs. One of their friends was furious with him for not taking her to the hospital. She insisted that Mother would have lived longer if he'd done so.

And, yes, she would have. She was in far better shape than Terri Schiavo is. But if he'd taken her to the hospital, and then brought her home once she'd been rehydrated, what would the consequence have been? To do it again. And again. And again.

At that point, food and water administered through a tube into the stomach or in an IV isn't feeding, it is medical treatment. And if anyone had tried to force medical treatment on my mother that my father did not authorize -- that friend, or my mother's father, or Bill Frist, or anyone else -- I'd have been beyond furious. I'd have been ready to kill someone.

My parents' friend thought my father came off as cold and heartless and uncaring -- just as Terri's husband comes off to some people. But he wasn't. He was making a very difficult decision, trying to care for her as best he could. He was never one to show his emotions in public. And there was no reason for him to. He deserved to keep his emotions to himself. He deserved to have his choices respected. It wasn't up to anyone else. It was his choice.

And this is Terri's husband's choice. It's his decision. It doesn't belong to her parents, to the demonstrators, to Bill Frist, or to anyone else. The rest of them need to go away and leave him alone.

May God grant mercy to him, to her, to all.
 
Posted by Bartolomeo (# 8352) on :
 
quote:
Originally posted by Scot:
My fondest dream for this situation is that it will end with the Supreme Court bitchslapping Congress back into the Stone Age. What a bunch of power-mad morality cops.[...]

A very accurate, succinct, and well-written post. I agree wholeheartedly and am looking forward to the upcoming bitchslap from the U.S. Supreme Court.

The senate is grandstanding, utilizing Terri for purely political ends. Sick bastards.
 
Posted by nicolemrw (# 28) on :
 
so someone explain to me... what makes terri schiavo more important than this case?

sun hudson

or this case?

spiro nikolouzos

why in one case is all the machinery of government keeping this person "alive", when in these two, the machinery of law is geared to making sure they come off life support?
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
And yes it is a lie.

Sorry, you know this how?
 
Posted by Kyzyl (# 374) on :
 
FYI, interesting CT scans at this site. The conversation that follows is farily interesting, too.

CT scans

Scroll down a bit.

[ 21. March 2005, 20:01: Message edited by: Kyzyl ]
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by josephine:
And this is Terri's husband's choice. It's his decision.

Technically, it's not his decision--it's the state court's decision, at least according to the website Erin posted a link to on the first page of this thread. And the state court has ruled. Congress has shifted the case to a federal court, but it seems to me that if they go on the merits of the case, that court will eventually rule that the feeding tube should be pulled. The judge could (and I'll bet will) rule that the tube should be replaced until the case is heard, but in the end I don't see how the federal court can rule any differently than the state court did.
 
Posted by RooK (# 1852) on :
 
The husband isn't responsible for squat. In the original case, however many years ago, he asked the court to determine what should be done and Terry has been technically a ward of the court since. That the husband has been portrayed as some sort of monster just shows how sad the media really are. Panels of experts have argued well on both sides, and every review at every level has decided consistently in favour of letting the brainless sack of meat cease its ghoulish pantomime of the technicalities of survival.

For those capable of reading, go to Respectful Otters and Obsidian Wings.
 
Posted by Laura (# 10) on :
 
I've actually read the Court decisions. They are well-considered decisions that took into account a great deal of evidence. I have heard virtually nothing in the media about the fact that a well-considered judge of a court of competent jurisdication in the home state of this person has repeatedly decided the same thing OVER and OVER. What's the point of having a system if Congress can overide it for a media stunt.

Bleah. I'm with Scot. They need bitch-slapping. And the current Supreme Court's vaunted convictions re: non-interference in matters that belong to states will be on the line.

[ 21. March 2005, 20:46: Message edited by: Laura ]
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
quote:
Originally posted by Erin:
And yes it is a lie.

Sorry, you know this how?
The parts of her brain which govern those functions are gone. Not damaged, GONE. How many times does this need to be repeated in this thread before people understand?
 
Posted by Alogon (# 5513) on :
 
Ah... so this thread isn't about Prince William's little brother and his new girl friend. I was afraid that he'd gotten into some little scrape again.

Any word as to who's paying the bills? I presume that those clamoring for life support aren't paying for it themselves. If they were, then there would be no need for this to become a national issue.

Just staying in a hospital can easily cost $500 a day. Terri has been there fifteen years. Expecting the public to finance keeping her there much longer is sentimentality on the part of relatives, serving as a springboard for an episode of cynical distraction on the part of politicians.

This case may be easily doable as one drop out of the bucket of insurance or welfare assets; but if you consider the precedent it sets, this one case can become many thousands, at a time when countless children are deprived of the most basic medical care. Can it be justified in terms of triage? Can-do doesn't mean should-do.

It looks to me as though what's really behind this is a refusal, perhaps quite a childish one, to face the inevitablity of physical death. It's typical of modern western secular culture. But why should Christians jump on the bandwagon?

[ 21. March 2005, 21:10: Message edited by: Alogon ]
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by Alogon:
Ah... so this thread isn't about Prince William's little brother and his new girl friend. I was afraid that he'd gotten into some little scrape again.

Thread title changed accordingly.

RuthW
Purgatory host
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
quote:
Originally posted by Gordon Cheng:
quote:
Originally posted by Erin:
And yes it is a lie.

Sorry, you know this how?
The parts of her brain which govern those functions are gone. Not damaged, GONE. How many times does this need to be repeated in this thread before people understand?
Unless the evidence of the people Duchess cited is not a lie. In which case it follows that the tests have been misread to some extent (and that is, the extent to which the evidence Duchess cited is correct).

Different, yet not so: some friends of mine have a newly born healthy baby. This made news here in Sydney in the last few months because the baby was diagnosed as likely to be severely retarded, on the basis of ultrasounds and similar diagnostic information, ie what you can tell from outside the body. Abortion was recommended as an option not once but several times through the course of the pregnancy, as late as 20 weeks. The baby was born completely healthy.

This simply illustrates [I say again, illustrates] a point that anyone with knowledge of scientific or medical method should know, namely: you don't just go on the results of diagnostic tests and scans (which can be inaccurate or misread), you go on all the evidence available. Including, presumably, eyewitness reports of patient behaviour. It's just wrong to dismiss those reports as 'lies' — this seems to suggest that the one dismissing such reports has already made up their mind.
 
Posted by bessie rosebride (# 1738) on :
 
quote:
Originally posted by Gordon Cheng:
This simply illustrates [I say again, illustrates] a point that anyone with knowledge of scientific or medical method should know, namely: you don't just go on the results of diagnostic tests and scans (which can be inaccurate or misread), you go on all the evidence available. Including, presumably, eyewitness reports of patient behaviour.

And conversely, eyewitnesses of patient behaviour can misread and be inaccurate about what they see. Wishful thinking plays a large role in this - this is why objective diagnostic tests go a lot further in diagnosing patient condition than subjective reports from family members who are always hoping and looking for any signs of recovery.
 
Posted by Erin (# 2) on :
 
I'm not making a judgment on my own. I am relying on the court-appointed independent physicians who have examined her and her records and tests in person. Read the independent evidence on the site I linked to on the previous page.

You, on the other hand, appear to be making a judgment based on Ma and Pa Schindler's word. While it is understandable that they attempt to read meaning into reptilian gestures and grunts, it is also delusional and cruel.
 
Posted by Sienna (# 5574) on :
 
Gordon writes:
quote:
This simply illustrates [I say again, illustrates] a point that anyone with knowledge of scientific or medical method should know, namely: you don't just go on the results of diagnostic tests and scans (which can be inaccurate or misread), you go on all the evidence available. Including, presumably, eyewitness reports of patient behaviour.
And that's exactly what has been done, Gordon, over and over, through God knows how many pages of briefing and testimony. If you look at the timeline from the neutral website Erin linked to, you'll get an idea of how thoroughly this tragedy has been litigated - with the same result each and every time. Evidence from her parents, eyewitnesses, and medical experts they retained was considered, and found to be wanting.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
You, on the other hand, appear to be making a judgment based on Ma and Pa Schindler's word. While it is understandable that they attempt to read meaning into reptilian gestures and grunts, it is also delusional and cruel.

No, I'm going to admit to ignorance here and not make a judgment. But I also think 99.99% of the human population ought to do the same regarding this specific case at this particular time.

I do have a view on the involvement of legislators in specific cases, which is that I would rather they butt out altogether. When the judiciary gets involved, however, the legislature is also involved, like it or not, as they have a duty to pay attention to the consequences of existing legislation.

Once the legislature are involved, I personally think they ought to take a position of extreme conservatism on whether or not to allow the ending of human life. I don't know if I even think that on primarily ethical grounds; more because I have a deep and abiding mistrust of government to get it right, in anything — or rather, a suspicion that they will frequently get it wrong.

If this suspicion is correct (and I don't mind arguing for it on another thread), then the status quo (in this case, maintaining the feeding regime of someone who appears to be alive) should be upheld.

FWIW I would use a similar argument to oppose the death penalty, which thankfully we don't have here in Australia.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Gordon Cheng:
Once the legislature are involved, I personally think they ought to take a position of extreme conservatism on whether or not to allow the ending of human life.

Did you read the links RooK provided? Please do.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
No, I'm going to admit to ignorance here and not make a judgment. But I also think 99.99% of the human population ought to do the same regarding this specific case at this particular time.

But the evidence is out there to make an informed judgment. This is what is so frustrating for me -- it's there. But I keep hearing people (including members of Congress, which just makes me want to puke) claim that they have no knowledge so naturally they should err on the side of caution. If no evidence was available, I'd agree. But it's there. Pages and pages and reams and reams of it.

quote:
I do have a view on the involvement of legislators in specific cases, which is that I would rather they butt out altogether. When the judiciary gets involved, however, the legislature is also involved, like it or not, as they have a duty to pay attention to the consequences of existing legislation.
Well, except that this has nothing to do with the US Congress or federal government as a whole. This is purely a state matter, in that the relevant laws are applicable in the state of Florida by the state of Florida, and the judiciary of the state of Florida has previously judged that based on current Florida law, this is the appropriate action.

quote:
Once the legislature are involved, I personally think they ought to take a position of extreme conservatism on whether or not to allow the ending of human life. I don't know if I even think that on primarily ethical grounds; more because I have a deep and abiding mistrust of government to get it right, in anything — or rather, a suspicion that they will frequently get it wrong.
They have nothing to get wrong here -- the Florida courts have repeatedly found that Terri's wishes were to not be sustained on artifical life support (and make no mistake, adminsitration of nutrition through a feeding tube IS artificial life support). No court has ever found otherwise.
 
Posted by jlg (# 98) on :
 
quote:
Originally posted by Gordon Cheng:
I do have a view on the involvement of legislators in specific cases, which is that I would rather they butt out altogether. When the judiciary gets involved, however, the legislature is also involved, like it or not, as they have a duty to pay attention to the consequences of existing legislation.

But not at the federal level on a case by case basis. I have repeatedly seen the legislation rammed through Congress in the middle of the night described as "applying only to the Schiavo case". This is appallingly inappropriate.

If Congress has a problem with the way the courts are interpreting laws, then they should be drafting and debating well-thought-out legislation to make corrections to the direction sailed by the ship of state. What they are doing amounts to jerking the rudder violently without adjusting the sails.
 
Posted by Caz... (# 3026) on :
 
It seems the judge has ruled against ordering the feeding to recommence.

http://news.bbc.co.uk/2/hi/americas/4371789.stm

Is this the last standpost now? Or is there more of this dreadful battle to come?

Edited to say there seems to be yet more appeals ahead:
http://www.cnn.com/2005/LAW/03/22/schiavo/index.html

[ 22. March 2005, 11:04: Message edited by: Caz... ]
 
Posted by FCB (# 1495) on :
 
quote:
Originally posted by Erin:
But the evidence is out there to make an informed judgment. This is what is so frustrating for me -- it's there.

I don't know if it would reduce your frustration level to consider the possibility that some of the questions at stake here are not resolvable by recourse to evidence. For example, the question of how much brain she has left is a matter of fact that can be settled by the evidence. The question of whether the "self" is entirely co-extensive with the cerebral cortex is not an evidential matter, but (dare I say it) a metaphysical one. I tend to think that the self is not identical with the cerebral cortex: much of what makes us who are are resides in ingrained reflex and autonomic response. I yell at my kids out of reflex, but being an impatient bastard is certainly part of who I am. In some ways, our "self" even resides outside our bodies, in the interpersonal space of our relationship with others. So I don't think that Terri Shiavo's parents are total whack jobs for thinking that in some sense she's still "there."

That said, I am genuinely on the fence with regard to this case. On the one hand, I hate to see politicians making politcal hay over a family's tragedy, and I'm inclined to be against anything that Tom Delay is for.

On the other hand, I don't think providing nutrition and hydration is the same as putting someone on a respirator, though how that difference ought to play out in specific cases is unclear to me. Would it make a difference in people's minds if Terri Shiavo had a swallowing reflex and could be fed with a spoon?

FCB
 
Posted by FCB (# 1495) on :
 
I realize that the beginning of my last post comes across as a bit condescending toward Erin. That was not my intention. Sorry (please don't hurt me!).

FCB
 
Posted by Caz... (# 3026) on :
 
FCB there's quite a bit of discussion on page 1 of this thread re tube vs spoon feeding, if that helps...
 
Posted by Moth (# 2589) on :
 
For the sake of completeness, as it were, the law in the UK was decided by the House of Lords in Airedale NHS Trust v Bland in 1993. A succinct summary of law and practice can be found here .

A court order is required to discontinue feeding.The court attempts to decide, on the best evidence available, what is in the best interests of the patient.

Personally, I am with the husband. I can fully understand how the parents feel, but in my opinion, if he is next-of-kin, his rights should prevail. There are no easy answers in these cases, and the old adage that "hard cases make bad law" seems likely to prove true.
 
Posted by Foolhearty (# 6196) on :
 
Had this all transpired 75 years ago, there would likely be no dilemma for Congress to consider. (Actually, there is none now, though Congress has stuck its nose in anyway.) Terri would have died long ago after suffering the original cardiac arrest brought on by her eating disorder and resulant brain damage from oxygen deprivation.

Her current dreadful circumstances result from a combination of her illness and our developing technology capable of sustaining life without advancing any concomitant ethical wisdom which such capabilities call for. In my not so humble opinion, we meddle in such matters at our peril.

What is a human being, or a "self" or (more legalistically, a "person?" What physical capacities are essential for a "self" to be said to be present? Is the presence of human DNA alone sufficient to assume the presence of a "human being?"

To whom does any individual human life belong?

What does "human life" consist of? In the field of developmental disabilities with which I have some experience, at least 4 of 7 kinds of limitations must be present for a person to qualify for services to this poulation.

1. Limitations on learning
2. Limitations on decision-making
3. Limitations on independent mobility
4. Limitations on receptive and/or expressive communication
5. Limitations on the ability to work
6. Limitations on judgment
7. Sensory limitations

People in such circumstances must experience such severe limitations that they cannot cope with typical work, learning, or social situations. As an example, someone with such severe mental retardation that s/he has a hard time keeping clothes on or controlling elimination is assuredly developmentally disabled by this definition, but is still a person with legal rights under the law. Despite there being little hope that this person will become a productive worker, a responsible parent, etc., we sustain and maintain this person in a safe and humane (we hope) manner.

But how about those cases where such an individual has only a brain stem? I once stood over a crib in a pediatric nursing facility, reading a legal document aloud to a 21-year-old who was about 20 inches long and, as far as could be determined at that point, could not see or hear. (He could make sounds.) Periodically I would stop and ask if there were any questions, or explain some bit of terminology. Grant you, this person was not being fed/hydrated through tubes; there was still a swallow reflex.

Is a swallow reflex what determines the dividing line between "sack of meat" and "human being?"

I don't pretend to know the answers. But I wish we had a Congress readier to engage these issues and less ready to make a God-awful chaos out of Terri Schiavo's (possible) last days.

As challenging as these questions are, they are nothing to the question of who a life belongs to. Is my life mine, to do with as I see fit? Or is it on loan to me from God? Is it the state's, to determine where and how and how long I draw breath?
 
Posted by Laura (# 10) on :
 
From a legal standpoint, for Congress to entervene to do a private bill (which is not uncommon) the rule is that it must confer a benefit. If it confers some sort of legal disability, it's an unconstitutional act in the nature of a Bill of Attainder. So the question is regarding Congress' action, is this indeed a "benefit" to Terry Schiavo? If not, Congress was acting way outside its authority. That's why we have separation of powers.
 
Posted by josephine (# 3899) on :
 
I don't think the question here is so much, "Is Terri still a person who deserves care?" but much more simply and less metaphysically, first, "Does a competent adult have the right to refuse medical treatment?" If the answer is yes, the second question is,"If the adult in question is no longer competent, does that adult's previously expressed desire to refuse such treatment, or any treatment in such circumstances, legally and ethically equivalent to the patient's personal refusal?" If the answer to that question is yes, then the only question left to be answered is, "Did this patient express a desire to refuse such treatment, or any treatment in such circumstances?"

And the courts of Florida have examined the evidence and answered this question repeatedly. Terri did express such a desire.

The question is therefore not, "Should we continue to provide nutrition and hydration to Terri?" (how benign that sounds) but, to be plain, "Should we continue to force-feed Terri against her will?"
 
Posted by Foolhearty (# 6196) on :
 
I hope and pray that the long, slow deterioration of Terri Schiavo's brain has deprived her of the ability to feel discomfort.

Only if this is the case can there be any "benefit" conferred on her by Congressional intervention. Or am I missing something here?

If there is any possibility that she experiences discomfort in her situation, I cannot conceive of how she or her loved ones benefit from her continued existence. If I were going to err on the side of caution here, I would be attending to this question: what, if anything, can she feel? The woman has existed in this state for 15 years. Personally, I would want to be damned certain this hasn't been 15 years of torture.

I do not discount the possibility of miracles. But even if Terri Schiavo were to somehow become alert and responsive within the next 24 hours, she will still suffer from devastating brain damage and her ability to meaningfully participate in what we're pleased to call "life" will still be profoundly compromised. Massive amounts of care, support and resources will be needed to maintain any existence.

Which of us is worth such an enormous investment of human energies -- especially as this must come at no small emotional, social, and financial cost to others?
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Foolhearty:
Which of us is worth such an enormous investment of human energies -- especially as this must come at no small emotional, social, and financial cost to others?

There are those who would ask which of us is not worth such investment. I count myself among them.

Financial grounds should never stop us doing whatever we can to care for those who both need and want such care.

However, I also believe that it is wrong, wrong, wrong to force medical treatment on someone who doesn't want it. All the indications are (and several court cases have established) that Terri falls into this category. Thus I say obey her wishes and pull the damn plug already.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Foolhearty:
Which of us is worth such an enormous investment of human energies -- especially as this must come at no small emotional, social, and financial cost to others?

One of the commentators on NPR pointed out yesterday the irony that her care is being funded by the Medicaid system and proceeds from a large malpractice award -- both sources of funding that the politicians who are keeping her alive would like to cut.
 
Posted by Lawrence (# 4913) on :
 
I think the two sides can be boiled down to this: does someone ( either he or she acting or, if not competent to act, their legal guardian acting on their behalf and wishes) have the right to let nature take its course and be allowed to die versus does a legal guardian, acting with the power of the state behind him or her have the right to kill someone because it is the guardian or the states' opinion that the quality of life no longer warrants being kept alive.
Obviously Terri's husband and the Florida courts are taking the former position, since assisted suicide or murder ( depending on whether you think Terri would want to be dead now or just her husband and the state)is against the law in the US (with the exception of Oregon concerning assisted suicide) and Terri's parents and the Right to Life movement are taking the later position ( which is why Right to Life is involved).
God have mercy on Terri, her husband, her parents and on all of us now that this case is caught up in the extremist politics of abortion in America ( I speak of the the extremism on both sides). (Sorry for all the parenthetical comments).
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Lawrence:
I think the two sides can be boiled down to this: does someone ( either he or she acting or, if not competent to act, their legal guardian acting on their behalf and wishes) have the right to let nature take its course and be allowed to die versus does a legal guardian, acting with the power of the state behind him or her have the right to kill someone because it is the guardian or the states' opinion that the quality of life no longer warrants being kept alive.
Obviously Terri's husband and the Florida courts are taking the former position, since assisted suicide or murder ( depending on whether you think Terri would want to be dead now or just her husband and the state)is against the law in the US (with the exception of Oregon concerning assisted suicide) and Terri's parents and the Right to Life movement are taking the later position ( which is why Right to Life is involved).
God have mercy on Terri, her husband, her parents and on all of us now that this case is caught up in the extremist politics of abortion in America ( I speak of the the extremism on both sides). (Sorry for all the parenthetical comments).

But: this again skips over the question underlying the "Right to Die/Right to Life" positions.

Whose is the life?

For those favoring the right to life, it would appear that at some level, Terri really hasn't the option of rejecting this right. After all, she has done so, with witnesses; and they are determined to make her "live" anyway. Ergo, the life still belongs in some sense to the original giver -- often conceived of as God.

For those favoring the right to die, that life apparently belongs to the recipient, and the choice of using, or rejecting, the gift should lie wholly with the individual.

But the state, too, has an interest in our individual lives. A state can't run happily on if people go about whole-sale offing themselves. This is why some states have laws against attempting suicide.
 
Posted by Lawrence (# 4913) on :
 
I think that letting nature take its course really answers that ultimately it is God's life to decide about. Intervening by law and making a body stay functioning is the State claiming that right and playing God.
 
Posted by Laura (# 10) on :
 
Just read a long article in the Washington Post about the (Federal) District Court judge's ruling that because the parents would most likely not succeed on the merits there would not be an order to reinsert the feeding tube. For those who don't understand this, what the parents are doing formally is applying for a temporary restraining order to reinsert the feeding tube so that the case can be heard on the merits at whatever time in the future. In order to win this sort of injunctive relief, you have to be able to show a substantial likelihood of success on the merits. The Federal Judge is essentially saying to the parents, "you offer no new evidence which would counter the very-well established record in this case and are very likely to lose on the merits at trial." He also said he was temporarly sidestepping substantial questions about Congress' action. But my favorite quote is this:

quote:
Richard Doerflinger, vice president of the Secretariat for Pro-Life Activities of the U.S. Conference of Catholic Bishops, issued a statement on Monday praising Congress and Bush. "Terri is not terminally ill," he said. "She is a woman with cognitive disabilities."

Riiiiiiiiight. I like him better when he's opposing abortion. I may not agree with him, but in that case, he's got a point.

The ball now goes to the Circuit Court of Appeals for the Eleventh Circuit in Atlanta, GA, for those trying to follow the action.

[ 22. March 2005, 16:49: Message edited by: Laura ]
 
Posted by barrea (# 3211) on :
 
quote:
Originally posted by Sine Nomine:
And these are the same people who seem to be indifferent to how many Iraqis or coalition soldiers get killed. The sanctity of life seems to be on a sliding scale of a sort which I don't understand. Unless it has something to do with publicity.

I can't watch the news anymore. Really I can't. I just go into a small room, close the door and listen to my Taize CD. Otherwise I can't take it.

What makes you think that the people who wish for Terri to be kept alive are indifferent to how many Iraqis or soilders get killed. I see no conection between the two things. I have prayed that she would not be allowed to die of hunger or thirst, and I do care very much about the Iraqis and coalition soldiers who are being killed.
 
Posted by jlg (# 98) on :
 
I think he was referring to federal government officials who have voting records, barrea, not any random ordinary citizen.

There is a certain inconsistency when one fervently supports conducting an undeclared war in a way which leads to the deaths of both soldiers and civilians (many if not most of them non-combat), is working to dismantle the Medicaid/SocSecurity safety net (which picks up a big chunk of the cost when someone needs years of medical care), and then turns around and makes a big to-do about saving the life of one particular woman who has been in some sort of medical limbo of brain function for fifteen years because "We must not let this innocent woman die!".
 
Posted by Glimmer (# 4540) on :
 
quote:
Originally posted by barrea:
What makes you think that the people who wish for Terri to be kept alive are indifferent to how many Iraqis or soilders get killed.

The politicians who were queuing up to wear the velvet mantle of tear-filled compassion for the sanctity of human life don't even know how many Iraqis have been killed, don't show any signs of even discussing it and don't have any idea how to stop coalition soldiers getting killed. Sine's allusion to the hypocrisy of some politicians was well made.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by FCB:
For example, the question of how much brain she has left is a matter of fact that can be settled by the evidence. The question of whether the "self" is entirely co-extensive with the cerebral cortex is not an evidential matter, but (dare I say it) a metaphysical one. I tend to think that the self is not identical with the cerebral cortex: much of what makes us who are are resides in ingrained reflex and autonomic response.

That's all well and good, but I'm not sure that's the question before the court, as it were. This isn't a metaphysical issue, it's a biological one. Does Terri have the necessary tissue to regain any cognitive function? The answer is no. So even if the self isn't the cerebral cortex, it is interpreted through that part of the brain, so with a missing cerebral cortex you have no sentience to express that self.

The court has found 17 times previously that Terri's wishes, were she to be in this condition, would to be allowed to die. One can argue that she never had the right to make that determination, but you're arguing against quite a number of state and federal laws.
 
Posted by Gordon Cheng (# 8895) on :
 
I'm still undecided about this particular issue. This worries me, however:

quote:
Originally posted by Erin:
[QUOTE] So even if the self isn't the cerebral cortex, it is interpreted through that part of the brain, so with a missing cerebral cortex you have no sentience to express that self.

As it appears to make personhood a matter of functionality rather than ontology; or if not, are you suggesting that the right to be kept alive is predicated upon whether the person is able to function?

If so, my concern is not so much for extreme cases such as this one (although I am concerned), but for the much closer calls where lines are required to be drawn.

But I may not have got your meaning right?
 
Posted by Erin (# 2) on :
 
Well, actually, what I'm saying is that a person has the right to determine when they should receive life-prolonging treatment. The court has found 17 times that Terri's wishes were to be allowed to die if she were in such a state, and neither her parents nor any of the various scumbags and leeches who've crawled out from under their rocks like Randall Terry or the US Congress has the right to impose their beliefs on her.

I am curious, though, as to why anyone would think someone is still "there", so to speak, if that person cannot think or feel pain and does not have the physical capacity to be aware of her surroundings. If she is in there, it's been a fifteen year sojourn in the sensory deprivation tank and her parents should be ashamed beyond words that they're inflicting that kind of torture on her.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:

I am curious, though, as to why anyone would think someone is still "there", so to speak, if that person cannot think or feel pain and does not have the physical capacity to be aware of her surroundings.

I am clearer on what I don't think than on what I do. I don't think personhood is defined in terms of consciousness or functionality — included in which is the ability to relate to others. I believe those things are ultimately essential to healthy personhood, but that is not the same thing. Personhood (on my view) is given by God and only ultimately to be understood by Him.

This is linked to the question of the taking of life, or the allowing of life to cease, but it's not the same. Hence my confusion about this case.
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Marvin the Martian:
quote:
Originally posted by Foolhearty:
Which of us is worth such an enormous investment of human energies -- especially as this must come at no small emotional, social, and financial cost to others?

There are those who would ask which of us is not worth such investment. I count myself among them.

Financial grounds should never stop us doing whatever we can to care for those who both need and want such care.

However, I also believe that it is wrong, wrong, wrong to force medical treatment on someone who doesn't want it. All the indications are (and several court cases have established) that Terri falls into this category. Thus I say obey her wishes and pull the damn plug already.

Is it wrong to force medical treatment on someone with mental illness, when s/he poses a threat to his/her own life or someone else's, left untreated?

And this goes far, far beyond financial sacrifices. If it were only money we were talking about, I would agree.

But far more is at stake here. The personal and social costs of this (now) circus are staggering. The parents' lives, for the last 15 years, have probably centered around Terri and her "case." So has the husband's, no doubt -- with what effect on his children with his new partner? On their partnership?

Being involved in a lengthy, drawn-out legal matter of this ilk is to have your life overtaken by constant, ongoing paperwork, appearances, notices, etc. It's like having a second full-time job, only one that costs you energy and money without providing any real rewards -- just more appeals. Might there be a more productive use of these people's time and abilities?

And then there's all the rubbishy misconceptions the publicity has generated on the front pages of the public imagination . . .
 
Posted by Janine (# 3337) on :
 
I expect Terri will be gone on to wherever she's going within the next week or so, God have mercy on her and on us all.

Her case, and little Sun's (that one really raised my blood pressure when I heard of it a few days back), as examples, sure do provide a lot of opportunity to watch your friends and associates line up in philosophical groups.
 
Posted by Erin (# 2) on :
 
Was it Sun's raving lunatic mother that irked you, Janine?

I have to say, I thought this snippet from a story on CNN did elicit a chuckle:

quote:
Gibbs [the Schindler family lawyer] repeatedly called for urgent action, saying Schiavo is dehydrating and starving "as we speak."

He said her right to due process has consistently been denied by lower courts -- a statement that drew intense questioning from the judge.

Pressed by Whittemore to cite any case law to support his argument, Gibbs admitted he could not think of any.

One can only imagine the humiliation in store from SCOTUS.
 
Posted by Foolhearty (# 6196) on :
 
Is there any guarantee they'll actually hear this, though?

Seems like a candidate for referral back to the judge who may be the poor woman's only advocate . . .
 
Posted by Lamb Chopped (# 5528) on :
 
I'm wondering...

Part of the problem (for some people) seems to be the whole active "yank the tube" bit. I have to say it bothers me a little as well, having been through dehydration. It made me feel like sh*t. I hope she hasn't the ability to feel that anymore. Going without food would probably be easier, though.

Perhaps the tube could be put back and a Do Not Resuscitate order placed on her chart. Also, no antibiotics, etc. for the next infection/ pneumonia that I expect she's very vulnerable to (as all bedridden folk are).

I don't think it would take long before nature took over and that was the end.

Somebody will probably jump on me with "well, that's no different than yanking the tube." Well, to some of us it is. Passive vs. active makes a difference.
 
Posted by IngoB (# 8700) on :
 
I've just quickly read through the above, and have not followed all links. So excuse me if this is a superfluous question: Why are only CTs shown for the "liquidification" of her brain? CT - invariably but wrongly meaning X-ray CT - isn't exactly the technology of choice for looking at soft tissue these days. Hasn't anybody done a MRI on her? Do a FLAIR (FLuid Attenuated Inversion Recovery) MRI image of her head, maybe followed by some fMRI (functional MRI), to find out what's truly left of her cortex and whether it's working...

If her cortex is truly gone (not just dysfunctional), I consider her essentially dead and am for ending her "pseudo-life". But there are a couple of good questions to ask. Why not end her life by other means then letting her thirst to "final" death? If we believe that it is right to "put her body down" - which is what we would be doing - then let's do it as quickly and painlessly as possible. Let's give her a poison that ends it in seconds rather than days. I think a jurisdiction which claims that that can't be done, but letting her die of neglect can, is flawed somehow and must be rectified. Further, somebody mentioned Alzheimers. Let's be clear that there is a slippery slope here. We may end up shooting people once they become "demented enough". What precisely are the criteria that say "enough now"? How far down the track to no brain function does having been a person protect us?

I think one thing crucially missing from the medicalized arguments is the idea of history, that a person's life is a "story" in some sense. For those who worry that they cannot be for the protection of unborn life if they allow this woman to die (because both have no "higher brain function"), I would point to this. One is a story that is seeking a beginning, the other is a story that is seeking an ending. I think it's high time that we stop looking at medicine for answers to questions like "What is human life?" That is not really for medicine to answer. I think medicine can tell us in what chapter the story of a human life is, but it cannot tell us the story itself. It's time to base ethics once more on a narrative, on the plot of self, not just on the objective abstract of facts.
 
Posted by mdijon (# 8520) on :
 
A CT scan is perfectly adequate to demonstrate that there is less brain tissue than there should be, and more fluid. They are quite different densities.

MRI can be more detailed, but isn't necessary here. (Although, I bet someone has done one at some stage.)

The truth is that the clinical assessment of someones state; unable to talk/eat/communicate for however many years is overwhelming evidence of the state of her brain in any case.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Lamb Chopped:
I'm wondering...

Part of the problem (for some people) seems to be the whole active "yank the tube" bit. I have to say it bothers me a little as well, having been through dehydration. It made me feel like sh*t. I hope she hasn't the ability to feel that anymore. Going without food would probably be easier, though.

Perhaps the tube could be put back and a Do Not Resuscitate order placed on her chart. Also, no antibiotics, etc. for the next infection/ pneumonia that I expect she's very vulnerable to (as all bedridden folk are).

I don't think it would take long before nature took over and that was the end.

Somebody will probably jump on me with "well, that's no different than yanking the tube." Well, to some of us it is. Passive vs. active makes a difference.

It all goes back to the Patient Self-Determination Act of 1990. I could give you a really long and involved explanation of that (I used to teach it), but the bottom line is that in Florida, that is one of your options. In fact, the Living Will I filled out makes specific reference to this exact issue: I have opted to check the "you'd better fucking yank it" box in the event that I am determined to be in a persistent, irrevocable state (whether it is actually PVS or some other terminal condition).

The point in this case is not what makes us squirm, but what the patient's wishes are. The courts have consistently found that her wishes were to withdraw nutrition and hydration when she is in such a condition. No court ruling has ever reversed this or found credible evidence to doubt that yes, these were her wishes.

This isn't Michael or someone else making the decision to yank the tube. This is Michael and her physicians carrying out her wishes.

Besides, several years ago she did develop pneumonia and Michael made the decision to withhold antibiotics. Her parents attempted an end run around it with a court action. He relented and allowed the treatment. Based on her parents' shameful and selfish behavior, I have no cause to believe that they would not make the same moves if it were to happen again.
 
Posted by RooK (# 1852) on :
 
IngoB, read my previous links. All your questions are addressed therein far better than any of us could hope to articulate.

[ 23. March 2005, 03:22: Message edited by: RooK ]
 
Posted by Mousethief (# 953) on :
 
IngoB, not feeding someone incapable of eating is hardly the same thing as shooting somebody.
 
Posted by RooK (# 1852) on :
 
I stand corrected.
 
Posted by Golden Key (# 1468) on :
 
I, too, have wondered if it might be kinder to give her an overdose of morphine or something, rather than withholding food/water.

Of course, that's illegal.

But if most of her brain really is gone, then IMVHO it's best to let her go.

[Votive]
 
Posted by Peronel (# 569) on :
 
quote:
Originally posted by IngoB:
I've just quickly read through the above, and have not followed all links. So excuse me if this is a superfluous question: Why are only CTs shown for the "liquidification" of her brain? CT - invariably but wrongly meaning X-ray CT - isn't exactly the technology of choice for looking at soft tissue these days. Hasn't anybody done a MRI on her? Do a FLAIR (FLuid Attenuated Inversion Recovery) MRI image of her head, maybe followed by some fMRI (functional MRI), to find out what's truly left of her cortex and whether it's working...

According to the discussion on the page with the CT scan posted earlier, she has implants in her brainstem to stop her from fitting. Metal plays havoc with MRI scans, so those scans aren't possible unless those implants are removed.

Which could be done, I guess, but whether it's worth two surgical proceedures (one to remove the implants, one to replace them) in order to do an MRI, I don't know.

Plus she would (presumably) need to be heavily sedated for the MRI, as any movement (including the fitting the implants are there to suppress) would ruin the image.

Peronel.
 
Posted by IngoB (# 8700) on :
 
quote:
Originally posted by Mousethief:
IngoB, not feeding someone incapable of eating is hardly the same thing as shooting somebody.

I said "slippery slope", so I did imply that one is not quite the other. However, not acting, if you can, is a kind of act. They are letting her dehydrate or starve, they could keep on feeding her - otherwise there would be no debate! The result will be that she dies. It's a willed non-action, where action is possible, resulting in death. It's not quite the same as killing (a willed action resulting in death), but I don't accept your "hardly".

I feel there's a bit of hypocrisy in arguing that it is OK to "let her die", but not OK to "kill her". Clearly the end result is the same, clearly in both cases we could act to cause a different outcome. Worse, "letting her die" means a terrible death. Dying of dehydration or starvation will be wrecking her body. Even if you argue that she will not suffer (because "she" is gone), still the hospital staff and relatives will suffer gravely from seeing her deteriorate. Shooting her, or as I actually suggested, poisoning her, would bring a quick and essentially painless end. Isn't there a Pilate-like washing of hands involved in insisting on a death in agony due to non-action over a painless death due to action?

I note that I'm not argueing for those that want to keep her alive. I'm not trying to bring in the word "kill" as a rhetorical tool to raise emotions against her death. There are a few, unfortunate, situations in which it can be justified to kill someone: self-defense, just war, maybe here... Further, I'm just using "kill" because I do not have a word for ending the life of the body of a person, rather than of a person. But with that understood, I'm not convinced that letting her die is not a form of killing her - in which case we could choose a different, better, form.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Lamb Chopped:
Passive vs. active makes a difference.

And yet you (presumably) had no problem with the very active act of shoving the tube down her throat in the first place, without which action this whole discussion would be moot.
 
Posted by Erin (# 2) on :
 
[Waterworks]

There is a small but crucial distinction here that a few of you seem to be missing. I don't know if it's because you're not grasping it or because you choose to ignore it. But for whatever reason you're not addressing the point at hand. Which is that this is completely about the rights of you and me to determine what medical treatments we do and do not want. It doesn't matter if it seems to you to be cruel or splitting hairs -- the facts of the case are that Terri's stated wishes, upheld by the courts every single time, were that if she were ever in such a state she would want the artifical nutrition and hydration withdrawn.

It makes no difference if her husband or parents want the same things or not. It makes no difference if a random stranger on the street (which is all we are) thinks that death in such a manner is cruel, or that a quick administration of a syringe full of potassium would do the job better. It doesn't matter what any of us thinks of where a person begins or ends. The only thing that matters here is that Terri made it quite clear that if she were to be in such a state that she would not want to be kept alive like this.

This case is all about patient self-determination.
 
Posted by Caz... (# 3026) on :
 
For those following, the Atlanta appeal has been denied.

http://news.bbc.co.uk/2/hi/americas/4373669.stm

Erin, out of interest, if she'd had one of those Durable Power of Attorney for Healthcare things you mentioned earlier; what would have happened when she first collapsed? What does this thing guarantee you over there?

FWIW I think they should let her go on both counts, both medical ones and consensual ones. The court's found the same thing over and over again. It's time to honour her wishes. I wish there was a quicker way too. But I can't see a way of legislating such a procedure that is worth it in this one case compared to the can of worms it would open in all other cases.

Take her quickly, God, have mercy.
 
Posted by Erin (# 2) on :
 
I'm not sure a DPOAH would have made much difference -- the key would have been to have a Living Will. All a DPOAH does is designate in writing who you want making medical decisions for you when you are not able to make them yourself. Absent that, the next person in line to make the decision would be the patient's spouse.

A Living Will, on the other hand, states your particular wishes. Do you want to be kept alive on a respirator, or do you want them to administer artificial nutrition and hydration when that would only serve to prolong the dying process. That sort of thing.

But Michael Shiavo has always had the right to determine her care. Why this has become such a media circus is because all along he's tried to do the right thing. He acknowledged that because she never executed a Living Will, there could be questions about what her wishes were. So he asked the courts to determine if there was enough evidence to show that her wishes were to be allowed to die. Once the court determined that yes, there was sufficient evidence to indicate Terri's wishes, he directed her medical care accordingly. But because he went to the courts in the first place, you now have this shameful spectacle.

That's the one thing that continues to be lost in all of this. Her family has done nothing but trash him up one side and down the other, while he has reserved all of his vitriol for those outsiders who are attempting to interfere -- namely, politicians and right to life activists who are exploiting this for political gain. There is nothing on record of him ever having a negative word to say about her family, even after they went after him to try and cash in on the malpractice suit he settled. Setting aside the unsubstantiated bullshit on obviously biased sites, the man should really be canonized right here and now.

That said, I heard something very disturbing on Fox News (yes! Fox News!) last night. The judge who has handled most of this case, George Greer, who is a very staunch Republican and personally comes down on the pro-life side, has been expelled from his church for the crime of upholding the law. And Fox News is not normally known for their ultra-liberal take on issues, so I'm inclined to give this report some serious weight.
 
Posted by Moth (# 2589) on :
 
One thing that strikes me about all this is the potential for litigants in the USA to have umpteen bites at the cherry over an issue. How many times can a case come to court before it's regarded as settled? Does the adage "Justice delayed is justice denied" hold no water? I'm all for a thorough investigation, but this seems plain ridiculous! Who is paying for all this, by the way?

Congress interfering on top of an already protracted process adds insult to injury, but surely something could be done to limit judicial processes to a more reasonable timescale? The case smacks of an attempt to keep litigating until you get the answer you want.
 
Posted by Caz... (# 3026) on :
 
quote:
Originally posted by Erin:
That said, I heard something very disturbing on Fox News (yes! Fox News!) last night. The judge who has handled most of this case, George Greer, who is a very staunch Republican and personally comes down on the pro-life side, has been expelled from his church for the crime of upholding the law.

How did we ever get so lost?
 
Posted by Exiled Youth (# 8744) on :
 
Full story on Greer.

doesn't look like he was booted, he seems to have left after criticism...but that could be more or less the same thing. Taking flak from a right-wing baptist publication might make life difficult for him. I don't see any sort of credentials on that link though, so i don't even pretend to call it a report.
 
Posted by The Coot (# 220) on :
 
That website you linked to is filth, Exiled Youth.

Those ppl who made comments after the article make me ashamed to be called Xtian.
 
Posted by Henry Troup (# 3722) on :
 
quote:
Originally posted by Marvin the Martian:
... with the very active act of shoving the tube down her throat in the first place,...

It's actually a surgical stoma (opening) in the abdomen into the stomach.
 
Posted by Erin (# 2) on :
 
Oh dear. I moused over the link and saw it was the Freepers. Talk about ultra right-wing.
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by IngoB:
There are a few, unfortunate, situations in which it can be justified to kill someone: self-defense, just war, maybe here... Further, I'm just using "kill" because I do not have a word for ending the life of the body of a person, rather than of a person. But with that understood, I'm not convinced that letting her die is not a form of killing her - in which case we could choose a different, better, form.

I think it's important that the method of "killing" her and other people in comparable situations remains passive. I can see why the disability rights activists worry about where this will all lead (though I think in this case they are completely misguided); once we decide to actively kill people we are on different moral ground. At what point will we decide that not only will we not help someone to live, we will make sure they die? Every now and then people who are being allowed to die might not actually die, but if we were making sure they died, we'd never find out if that might have happened.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Henry Troup:
quote:
Originally posted by Marvin the Martian:
... with the very active act of shoving the tube down her throat in the first place,...

It's actually a surgical stoma (opening) in the abdomen into the stomach.
I stand corrected on the specific medical method, if not the overall point I was making.
 
Posted by sewanee_angel (# 2908) on :
 
quote:
Originally posted by Erin: There is a small but crucial distinction here that a few of you seem to be missing. I don't know if it's because you're not grasping it or because you choose to ignore it. But for whatever reason you're not addressing the point at hand. Which is that this is completely about the rights of you and me to determine what medical treatments we do and do not want. It doesn't matter if it seems to you to be cruel or splitting hairs -- the facts of the case are that Terri's stated wishes, upheld by the courts every single time, were that if she were ever in such a state she would want the artifical nutrition and hydration withdrawn.

This case is all about patient self-determination.

I just want to highlight Erin's previous post. Politicians may be trying to dress this case up the "sanctity of life" and "we're better than the other side because we care" crap but it boils down to who gets to decide what sort of medical care we get. Do you want to make the choice or have the government involved in any way other than upholding your wishes?

As an aside, I find it interesting that the sanctity of marriage and the husband with headship over the wife brigade doesn't seem to to think that the husband as next of kin standing is such a great thing. yes, I know that it didn't matter once the courts got involved but still...

Oh, and we here a lot about "actvist" judges but what about activist legislatures? They have absolutely no business getting involved in this private tradgedy. I'm with which ever poster said they all need to be bitch-slapped.
 
Posted by Living in Gin (# 2572) on :
 
According to the latest headlines, it looks as if this is indeed going to the Supreme Court, so hopefully a judicial bitch-slap will soon be forthcoming.

I don't say this often, but I agree firmly with Erin's POV on this one.
 
Posted by RuthW (# 13) on :
 
Another entry in the "Unclear on the Concept" Contest:

The NY Times quotes Jeb Bush as saying, "I will continue to call on the Florida Legislature to pass legislation to honor patients' decisions about end of life care, protect all vulnerable Floridians, and spare Terri's life."

The courts have ruled how many times on how Terri Schiavo's wishes would best be honored? 17? And he's implying that this hasn't been the case. What a maroon.
 
Posted by sewanee_angel (# 2908) on :
 
I really wish the media would stop showing that 1 second clip of Shiavo sitting up and "smiling" with her mom. They never show any of rest of the footage that shows she is definitely pvs.
 
Posted by Martin PC not & Ship's Biohazard (# 368) on :
 
Even without the video evidence this is nauseating. Your testimony was beautiful Janine. If there's the SLIGHTEST doubt this poor woman is NOT in PVS and that she is not in torment - surely indicated by serotonin levels? - and will not improve then she should be sustained.

I know loved ones deceive themselves and that can be easily scientifically established, but even then what harm is done?

What people say before they get ill is a lot different to when they're incapacitated. They often cling to life tenaciously.

Have the judges been to see her? I have no respect for them whatsoever if they haven't.

And as always: Cui bono? It is vile for her ESTRANGED husband I know, but he should ONLY be pushing for it if she was in unalleviable torment.
 
Posted by nicolemrw (# 28) on :
 
quote:
and that she is not in torment - surely indicated by serotonin levels? -
martin, how is any physical marker going to show what condition her soul is in? which, if your refering to my post, is what i ment.

janine, you haven't, btw, answered my question on that, it was several pages ago at this point, i know, but i did mean it quite seriously and not as a wind up. how can you know that a soul tied to a body that should be dead, with a mind that is dead, isn't in some sort of horrible hellish limbo state of torment?
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by IngoB:
Worse, "letting her die" means a terrible death. Dying of dehydration or starvation will be wrecking her body.

IngoB, you need to spend more time around more dying people. You're just flat wrong here.

When my grandmother quit eating, and refused permission for a feeding tube or an IV, I asked a friend, who is a priest, a physician, and a medical ethicist, about the morality of letting her die such a terrible death.

He told me that it is not a terrible death. In fact, when someone has reached the state that they either can't or won't eat or drink, artificial hydration and artificial nutrition generally results in more suffering, not less. Obviously, there are exceptions -- if someone can't eat or drink because they just had surgery on their esophagus, they need a feeding tube while it heals. But that's not what we're talking about here.

And, in fact, my grandmother died peacefully, with her children around her.

My mother, who had dementia, died of starvation and dehydration. She died at home, in her own bed, with my father sleeping at her side. She also died peacefully. She was in no pain. She was not suffering. She just quietly slipped away.

That used to be a very common way of death, IngoB, and it still is in most of the world. When you pray for a peaceful ending to your life, that's how it comes.
 
Posted by A Feminine Force (# 7812) on :
 
Wow!

3 pages and counting and this topic is still in purgatory. I congratulate everyone here for the stellar quality of the debate.

Erin, I could not be more in agreement with you.

I am watching the news, and I predict the following outcome: The Republicans will let Terri die, because there's a bigger win to be had than just looking good.

There's an unruly judiciary that needs to be handcuffed, gagged, blindfolded, shackled, and flogged on the soles of their feet and the Republicans will let the extremist hue and cry over the amorality of the law fuel yet another round of oppressive legislation and abridgement of civil liberty in the name of so called "safety" and "never letting this happen again".

The days of rational heads prevailing in this country are long gone. Hysteria rules.

I'm taking odds, here people. Watch and see.

Cheers
FF
 
Posted by bessie rosebride (# 1738) on :
 
quote:
Originally posted by josephine:
...In fact, when someone has reached the state that they either can't or won't eat or drink, artificial hydration and artificial nutrition generally results in more suffering, not less. ...

My mother, who had dementia, died of starvation and dehydration. She died at home, in her own bed, with my father sleeping at her side. She also died peacefully. She was in no pain. She was not suffering. She just quietly slipped away.

And here is a link to a website, (which so far as I can tell has absolutely nothing to do with the Terri Schiavo case) which substantiates this belief in a medical, physiological, factual way for those of you who would like to peruse some further medicalese:

Ketosis, endorphins produce euphoric state
 
Posted by Lamb Chopped (# 5528) on :
 
Marvin, concerning the
quote:
very active act of shoving the tube down her throat in the first place:
I'm not talking about active actions (is that a phrase? it's a vile one) in themselves, but active efforts to end someone's life. The feeding tube was nothing of the sort.

As for Erin's point: Yes, if it has been established that she clearly refused feeding and hydration as a possibility, then she has that legal right, and the tube can be removed. In fact, it ought never to have been inserted, except (I suppose) they did it at a point when they didn't realize that her state was irrevocable. Which leads to another problem I'm grateful I don't have to decide: at which point do doctors decide that a PVS is irrevocable, and therefore provisions of a living will (or oral directive) kick in?
 
Posted by Lady A (# 3126) on :
 
I don't know if Terri was a Christian, it would assume so from her family. Why in the world would anyone want to stay chained to a lifeless body rather than go on to heaven, a new body, and all the promises waiting there? Let the woman go. There is nothing here that can possibly hold a skeleton's bone scan to what will happen once she crosses into the undiscovered country. I wonder if indeed, Terri has already spent 15 years living the life she was meant to and that her only sadness is the circus parading around the old tent of her body left behind (pun intended).

I really don't know anyone who would choose to 'live' like that, and the new plagues of life, the 4 horseman of the Courtroom are clearly leading us on a merry and lucrative carousel of rights.

I think that fear is the motor that powers this ride, fear we've done the wrong thing, fear that one more day could make the difference. Fear in our God, that he's got it all wrong and this life is the only important one. Fear we might have to let go. Fear we might be like that.

I truly hope that many are making living wills as they watch this, Lord D and I have have a conversation about this, and about setting down some perameters so none of our loved ones have any doubt about what to do.
 
Posted by josephine (# 3899) on :
 
I have a question for the Catholic scholars among us. THe report on cnn.com states:

quote:
The Schindlers said ... her Roman Catholic faith would prevent her from wanting to die this way.
Does the Roman Catholic Church have any specific rules that require the initiation or prevent the cessation of tube feeding, ventilators, dialysis, and the like? What would those rules be?

Thank you!
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Martin PC not & Ship's Biohazard:

And as always: Cui bono? It is vile for her ESTRANGED husband I know, but he should ONLY be pushing for it if she was in unalleviable torment.

I agree with most of what you said, MPCn&SB, except for this, because "unalleviable torment" is so vague.

********

On this specific case, if the argument is a purely legal one it is pretty hard to see how there would be existing legal grounds to draw the process of dying out any further.

However, one question which might be profitably explored is the educative role that law and law-makers play in situations like this. There is a discussion to be had about the likely consequences of insisting that this way of bringing about death is a perfectly legal death.

If — against the flow of the current case and the way the law has been applied to this point — legislators at state or federal level were to decide to make it illegal to bring about death in this way, there would be a number of consequences which follow, some of which might be good. It would do something to stave off the possibility of a slippery slope, that is, a slope where the reasons for allowing death in similar or not quite so similar cases became gradually more and more liberal.

[That a slippery slope exists may I believe be argued by recourse to similar legislative situations — the application of euthanasia legislation in the Netherlands would be one area where practice outstrips what is officially allowed]
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Martin PC not & Ship's Biohazard:
Have the judges been to see her? I have no respect for them whatsoever if they haven't.

Why? What purpose would this serve? I'd no sooner go to a lawyer or judge for a medical diagnosis than I would a physician for legal counsel. That's just fucking bizarre.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
quote:
Originally posted by Martin PC not & Ship's Biohazard:
Have the judges been to see her? I have no respect for them whatsoever if they haven't.

Why? What purpose would this serve? I'd no sooner go to a lawyer or judge for a medical diagnosis than I would a physician for legal counsel. That's just fucking bizarre.
Yeah, but the response looked for might be a personal response; one human being to another. Medical issues, and issues of logic and law may well be involved in such a response. But in no way must our response to another human being's dilemma be reduced to a medical or legal response, as much as those concerns might be predominating or even at times overwhelming.

Turning up at the sick person's bedside might not be of help. On the other hand it might demonstrate or even stir up respect, compassion or understanding for the person and their family (in the one who visits, I mean); and I'm not talking about just mawkish sentimentality or voyeurism. There's mystery here which if we claim to have plumbed, well, we just haven't.

[ 24. March 2005, 00:46: Message edited by: Gordon Cheng ]
 
Posted by Erin (# 2) on :
 
Oh dear, I don't think I want to live in Gordonia, as it seems that the judges will be encouraged to ignore the law in favor of their feelings.

Gordon, that is the single fucking scariest thing posted to this thread so far.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
Oh dear, I don't think I want to live in Gordonia, as it seems that the judges will be encouraged to ignore the law in favor of their feelings.

Hey, I specifically did not say that. That would be sentimentality, and I hate sentimentality.

The right decision may be to allow her to die, and grieve.
 
Posted by Peronel (# 569) on :
 
I can't believe it, I'm agreeing with Erin.

I can't imagine anything more scary than the legal system making decisions on who should have medical care on the basis on whether or not they feel compassion for them. It's only one short step from that to prioritising the cute and childlike over the old, crusty and disturbed.*

Whatever decision is reached, this case should be decided on an objective assessment of the medical evidence along with a judgement on what Terri would have wanted, not on the judge's personal response to her outward appearance and behaviour.

Peronel.

*Actually, I think you could make a strong case that we already do this. Childhood cancer research, after all, is a much more 'sellable' charity than mental illness.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Peronel:

Whatever decision is reached, this case should be decided on an objective assessment of the medical evidence along with a judgement on what Terri would have wanted, not on the judge's personal response to her outward appearance and behaviour.

Well, I agree with that. I was saying something different. We shouldn't be able to lightly detach ourselves from the taking of another person's life.

I'm sure this is one of the problems with some people being so gung-ho about the war in Iraq. They have managed to convince themselves that they're not dealing with humans. I'm not saying the war is wrong, just that we need to feel the personal weight of decisions we make.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
quote:
Originally posted by Erin:
Oh dear, I don't think I want to live in Gordonia, as it seems that the judges will be encouraged to ignore the law in favor of their feelings.

Hey, I specifically did not say that. That would be sentimentality, and I hate sentimentality.

The right decision may be to allow her to die, and grieve.

Well then what ARE you saying? I can't work out what seeing the patient in person is supposed to accomplish.
 
Posted by Gordon Cheng (# 8895) on :
 
There may be absolutely no difference in the final outcome. What differs is the process. If a person directly participates in the death of another person (and that is surely what a judge is doing, when they determine that it is 'right'— or at least legal— that a person dies), then neither they nor anybody else should be allowed to get away with thinking that it can be treated as impersonally as the signing of a cheque.

To use an analogy: part of our fury at the decision of politicians to invade a country, if this is what we feel, lies in our sense that they do it as lightly and unthinkingly as you or I would 'phone for a pizza. We want them to feel the horror of what they are deciding, even if they still decide it.

So: It may be legal to order someone's death, but there should be no sense in which the parties directly involved can simply treat it in the same way as ordering the power be cut when someone doesn't pay their electricity bill.

Those who make the decision must feel the weight of the decision they are making. Even if it doesn't change the decision. If you are going to order that someone's life be ended, then for God's sake see the person as a person. Visiting them may help.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
Those who make the decision must feel the weight of the decision they are making. Even if it doesn't change the decision. If you are going to order that someone's life be ended, then for God's sake see the person as a person. Visiting them may help.

OK this is the first time on this thread that I've actually been royally pissed off at another poster. Two things:

1. The judges ARE NOT ordering that someone's life be ended. They are ordering that someone's wishes are upheld.

2. It is precisely BECAUSE they see her as a person with rights under the law that they are ruling in this manner. If they didn't see her as a person, they wouldn't be taking such care to enforce her rights.

Now, I want to know what evidence you have that the judges are NOT seeing her as a person that prompts you to cast such disgusting aspersions.
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by Martin PC not & Ship's Biohazard:
Even without the video evidence this is nauseating. Your testimony was beautiful Janine. If there's the SLIGHTEST doubt this poor woman is NOT in PVS and that she is not in torment - surely indicated by serotonin levels? - and will not improve then she should be sustained.

It's been 15 fucking years. She ain't gettin' better. Wake up and smell the coffee.
 
Posted by Janine (# 3337) on :
 
quote:
Originally posted by nicolemrw:
quote:
and that she is not in torment - surely indicated by serotonin levels? -
martin, how is any physical marker going to show what condition her soul is in? which, if your refering to my post, is what i ment.
Does any physical marker, ever, on anyone, show what condition a soul is in? Gives you a guess maybe ... But the serotonin thing is a good way to check for stress/physical pain IMO.
quote:

janine, you haven't, btw, answered my question on that... i did mean it quite seriously and not as a wind up. how can you know that a soul tied to a body that should be dead, with a mind that is dead, isn't in some sort of horrible hellish limbo state of torment?

Sorry -- I've gone back to work 40+ hrs, weekdays, with no computer access there, and I come home to one computer and four people wanting to use it -- hence the gaps in being here.

By my definition, a limbo cannot be a place of torment. More like calm boring nothingness.

I see the body/mind/soul/spirit/self as separate parts only when you dissect them for discussion. Otherwise they interconnect and overlap like the Olympic rings. Thus my unwillingness to say that all that is Terri is gone. To me the "brain" ring and the "mind" ring and the "self" ring and the "human being" ring are all looped together, but each edges out and has its own independent section as well. Wipe out a ring or two and I'm still seeing some other rings.

I hate the idea of government poking its nose into things. I often think I'd make a good Libertarian... except, they'd want me to keep my nose out of other people's "rights" to kill the unborn, the inconvenient, the expensive, the damaged.

So I guess they'll never accept my application at Libertarian Party Headquarters.

I understand that Terri isn't going to re-grow all that destroyed brain tissue. I discount not at all the Lord's ability to touch reality and change that -- but until He does I will continue to assume she won't.

But a simple delivery of food & water is what keeps her smiling her reptilian smile, and darting her reptilian glances about the room, and lying about for hours in between like a reptilian zucchini... (The "reptilian" being a reference to what some perceive her mental level to be, no high brain functions, primitive reflexes etc. because she basically has no brain.)

Well, I wouldn't starve even a lizard.
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by Janine:
Well, I wouldn't starve even a lizard.

A lizard capable of eating wouldn't starve. She's not capable of eating. Before the invention of the feeding tube, she would have died quickly, end of story. She is having her "life" prolonged artificially, and against her stated wishes.
 
Posted by Janine (# 3337) on :
 
Would hearsay about that be good enough in any other type of case in court?

Mr. Smith kicks it and Mrs. Smith denies his children from his first marriage their inheritance, because she says that's what he wanted to do?

Mrs. Jones buys it and her adult children decide to divvy up their inheritance evenly, except one sister -- Wanda Jones says Mom told her she could have all the Wedgewood.

When is people testifying about what they heard others say powerful and acceptable, as much as a written document would be?
 
Posted by Mousethief (# 953) on :
 
But we don't have a written document.

We have conversations Terri had with Harry before she became a vegetable. How you can compare this to someone disinheriting another person's children, I cannot at all see. We're talking about her right to die and not be forced to remain alive. You might do some reading about people dying. Very often, the way someone finally decides to let go and die, is to stop eating. And of course someone incapable of eating is a goner. Unless of course you can force them to remain alive by shoving a tube down their throats and getting Jeb and Dubya to twist the law to contrive to keep it there.

For someone incapable of eating, death is what is natural. If there were any hope that by keeping her alive by forced feeding for a time, she might become capable of eating on her own in the future, then that would of course be the reasonable thing to do. But there is no such hope, except in the febrile brains of her parents and the ignorant "pro-life" hypocrites who want to use her as a political football.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
Now, I want to know what evidence you have that the judges are NOT seeing her as a person that prompts you to cast such disgusting aspersions.

If you want to know that you've missed my point. It matters not, as far as the point I was making, whether the judges collectively or individually are a bunch of granny-torturers or Mother Teresa reincarnate. But let's assume that they are Mother Teresa reincarnate, to avoid the charge that I'm casting aspersions on their character and integrity.

One way to show both respect and compassion would be to meet the person whose life you were making a decision regarding, or — as you put it — whose wishes you are trying to respect.

(It is actually significant here that respecting the wishes of the person would inevitably lead to her death, so let's not try to split the two apart as if they were free-floating factoids)

It may further lead to an understanding and appreciation of their personhood. If meeting a person makes no difference to what is communicated between persons, then we may as well live our lives in solitary rooms with laptops and internet connections. But we don't, because we think meeting people face to face matters. It offers dignity to the other person, and in so doing it communicates that dignity to all who witness it.

Why not assume that I think each and every judge that has pronounced on this case is a fair-minded and decent person who is trying to justice to the complexity of the issues. Then reconsider the argument in terms of the dignity of the individual at the heart of it. I assume that the judges have attempted to repsect that dignity, of course.

My worry is that in arguing the case as you do, that you reduce the truth of the person to a learned collection of medical and legal opinions. A case is to be judged, to be sure (and on your argument, has already been). But there's more to this than a legal decision.

[ 24. March 2005, 04:25: Message edited by: Gordon Cheng ]
 
Posted by jlg (# 98) on :
 
quote:
Originally posted by Gordon Cheng:

Those who make the decision must feel the weight of the decision they are making. Even if it doesn't change the decision. If you are going to order that someone's life be ended, then for God's sake see the person as a person. Visiting them may help.

Oddly enough, it seems that a number of us who are concerned that she is being kept alive against her wishes are people who have personal experience of letting loved ones die by making the decision to end or withhold medical interventions.

Your assumption that all the many judges and others who have ruled on this case over the past many years are a bunch of ivory-tower intellects with no experience of real life is breathtakingly stupid.

And they are not ordering that her life be ended, they are ordering that her wishes about medical treatment be honored. The medical expectation that her prognosis is poor without the feeding tube does not mean that it is 100% certain that she will die without it. If she still has some stubborn will to live, or if God decides to manifest a miracle, she might hang on for a long while or recover or who knows what. The difference will be that it will be either Terri or God keeping her alive, not a medical regimen.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by jlg:
Your assumption that all the many judges and others who have ruled on this case over the past many years are a bunch of ivory-tower intellects with no experience of real life is breathtakingly stupid.

I deny that I assume this. Best to assume that I assume the opposite, and re-read what I've said. You may even discover that we're not disagreeing.
 
Posted by jlg (# 98) on :
 
I cross-posted with your more recent post and was reacting to the earlier quoted post.

But having read your justification for the "personal visit by the judge" it describes something that would just turn into a political game. In fact, it's exactly the sort of thing the federal and state politicians are doing (without actually bothering to visit Terri, of course).
 
Posted by RooK (# 1852) on :
 
quote:
Originally posted by Janine:
Would hearsay about that be good enough in any other type of case in court?

Well, there is simple consideration that Terry's brain damage resulted from a heart attack that was caused by her bulimia. If you have any understanding of bulimia, and the kind of body-image involved with that, it's pretty damn easy to understand how her relevant wishes and intentions could be reasonably deduced.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by jlg:
But having read your justification for the "personal visit by the judge" it describes something that would just turn into a political game. In fact, it's exactly the sort of thing the federal and state politicians are doing (without actually bothering to visit Terri, of course).

Yes, I keep forgetting that you elect your judges over there. We don't in Australia. The political side of things would turn it into a circus, I see that.
 
Posted by Trisagion (# 5235) on :
 
quote:
Originally posted by josephine:
Does the Roman Catholic Church have any specific rules that require the initiation or prevent the cessation of tube feeding, ventilators, dialysis, and the like? What would those rules be?

Thank you!

Josephine, the key here is about the status of artificial nutrition and hydration. The bishops have consistently developed a line of argument that says that ANH is part of the normal care to which a person is entitled. The deliberate refusal to feed and water someone who is incapable of nourishing and hydrating him or herself is a deliberate act, the only end of which is to bring about the death of that person. In this case, it differs in no way from the refusal of a parent to feed and water a child.

The next question that would need to be asked is whether the hospital has the same responsibility for maintaining the life of an individual through ANH. The answer "yes" would, I think flow from the human solidarity to which we are all entitled (subject to a caveat about the utilisation of finite resources).

Furthermore, I'd want to see a proper consideration of Terri's actual status. Much of what has been posted on this thread has centred around the interpretation and consequences of the CT scans. Some appear to be saying that, because of the deterioration of her brain she is no longer a human person and so the considerations should be different. I am not sure that I would be at all happy with that and I would be even less happy about my normally so orthodox Catholic brother IngoB describing the situation as "pseudo-life" and recommending poison. I'm afraid that such expressions and proposals revolt me.

In more general terms, this from the English and Welsh Bishops is, I find, quite helpful.

Finally, I think that there is a difference between ANH and artificial ventilation, dialysis and the like. I think that I'd say that these are qualitatively different from ANH. The one I would suggest was normal care, the others extra-ordinary means of keeping someone alive.

I hope this satisfactorily answers your question but "hard cases make bad law" (as indeed do "particular cases"). Is there a clear "Roman Catholic Position" on this case? I think that there might be a strong consensus in favour of continuing ANH amongst Catholic moralists but not a consensus admitting of no exceptions or dissent.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Trisagion:

Furthermore, I'd want to see a proper consideration of Terri's actual status. Much of what has been posted on this thread has centred around the interpretation and consequences of the CT scans. Some appear to be saying that, because of the deterioration of her brain she is no longer a human person and so the considerations should be different. I am not sure that I would be at all happy with that and I would be even less happy about my normally so orthodox Catholic brother IngoB describing the situation as "pseudo-life" and recommending poison. I'm afraid that such expressions and proposals revolt me.

My concern precisely.

The digging below to work out what we mean by "personhood" really matters here.

The ANH stuff worries me too, and I can understand why at the federal level legislative shortcuts and Dodgy Bros. business might be undertaken to make sure it continues.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Trisagion:
Finally, I think that there is a difference between ANH and artificial ventilation, dialysis and the like. I think that I'd say that these are qualitatively different from ANH. The one I would suggest was normal care, the others extra-ordinary means of keeping someone alive.

How is there any difference between them?

Someone who cannot breathe will die. A machine can be introduced to breathe for them, thus keeping them alive.

Someone who cannot swallow will die. A machine can be introduced to insert food directly to their stomach (ie swallow for them), thus keeping them alive.

It's exactly the same, just with food/water instead of air.

I'd like to see what qualitative evidence you can give for their being different...
 
Posted by Trisagion (# 5235) on :
 
Marvin, the qualitative evidence is the analogy with feeding a child who cannot feed himself. When my first son was born, he didn't develop the swallowing reflex until quite late (six weeks, iirc). To have not administered ANH would have been to deny him food, which he could derive hyrdration and nourishment from. Had we done so, our action would have constituted a decision to allow him to die: we would have killed him by an act of omission.

Had he been unable to breathe and failed to respond to attempts at starting his respiration, to have artificially ventilated him would have been to take extraordinary steps to keep him alive.

We have a duty to feed the hungry but I'm not so sure that we have a similar duty to pump somebody's heart and inflate and deflate their lungs.

As I said in my post, I think what I was doing in answering Josephine's question was to suggest that there isn't a simple "Roman Catholic position", but that the consensus is as I suggested.
 
Posted by Gordon Cheng (# 8895) on :
 
OK, I've just looked at a couple of the videos linked on page 1 of this thread, and TS looks like she's responding to voices and interacting with people — eye contact, doing what she's asked to. Could someone who knows better than me fill me in on why this is not the case?

So far the rebuttals I've seen on this thread amount to a number of experts saying "notnotnotnot" and "you're a *&%$# if you think different". Is that the extent of the argument?
 
Posted by Martin PC not & Ship's Biohazard (# 368) on :
 
That's fucking bizarre old me Erin. Thank GOD I'm an Englishman. And torment of the soul Nicole is what all pain is. I don't know what a soul is apart from me.
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Gordon Cheng:
OK, I've just looked at a couple of the videos linked on page 1 of this thread, and TS looks like she's responding to voices and interacting with people — eye contact, doing what she's asked to. Could someone who knows better than me fill me in on why this is not the case?

So far the rebuttals I've seen on this thread amount to a number of experts saying "notnotnotnot" and "you're a *&%$# if you think different". Is that the extent of the argument?

Read the thread and follow the links.

1. The videos are culled & edited from miles of tape. Eye contact will be made, and requests will seem to be followed some percentage of the time, given enough time & tape. There's been 15 years here.

2. People in PVS, and people with only brain stems, often vocalize & move; they do not necessarily lie stock still with their eyes closed. They do this even when alone in the room (observed through a viewing window). The point is this doesn't constitute meaningful interaction. It's reflexive, responding to stimuli -- the sensation of air moving on the skin, the actions of internal processes, detecting an odor, etc.

I have little experience with PVS, but some experience with people born with most of the brain missing, and also with people with traumatic brain injury.

In addition, if I know a person well, and know that certain stimuli typically call forth a particular range of movements or sounds, I can always manipulate the situation to make it appear that the disabled person is "responding" to me.

I once had a client who, feeling air move on his cheek, would flail and grin and say what sounded like "Yeah!" His caregivers used this knowledge to get him services which were largely wasted on him. They would move close to him and ask him yes-or-no questions, and when he felt their breath on his face, would react.

But you could get exactly the same reaction by blowing gently on his cheek without saying a word.

I never let on I knew they were doing this. The services did nothing for the client, but provided desperately-needed respite for the caregivers.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Trisagion:
Much of what has been posted on this thread has centred around the interpretation and consequences of the CT scans. Some appear to be saying that, because of the deterioration of her brain she is no longer a human person and so the considerations should be different.

No no no no NO!!! I am sick to the back teeth of this bold-faced lie being reproduced on this thread.

The people who are siding with Michael Schiavo on this thread are not doing so because they regard Terri as no longer human. They are doing so because the medical evidence considered and adjudicated by the courts are that she is in a persistent vegetative state and that her wishes were that if she were in such a state to let her die. I don't think she should be disconnected because she's basically an animated corpse. I think she should be disconnected because Terri, the person, decided that was what she wanted.

The medical professionals who have actually evaluated her -- those who have conducted full neurological examinations and reviewed her medical records -- are all in agreement that she is in a persistent vegetative state. With the exception of the prostitutes her parents have paid, of course. But those video snippets that her parents put out there are a few seconds culled out of hundreds of hours of video. If they were to show the rest of it you would see that her so-called "responses" are actually completely random and are not responses to anything at all. Hell, even completely dead bodies move, make noises and even sit bolt upright on the table. I know because I saw one do just that in the ED and it scared the everliving shit out of me. I don't think I ever moved so fast in my life.

Anyway, a persistent vegetative state isn't equal to brain death. A person still has sleep-wake cycles, facial expressions, movement and other behavior that appears to be responsive but in reality is reflexive. Careful medical consideration (not just the CT scans, but full neurological workups) have resulted in the diagnosis of persistent vegetative state.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Trisagion:
Marvin, the qualitative evidence is the analogy with feeding a child who cannot feed himself. When my first son was born, he didn't develop the swallowing reflex until quite late (six weeks, iirc).

OK, firstly there's a big difference between someone who can reasonably be expected to regain (or develop) the required reflexes and one who can not. I'm sure that's understood anyway, but felt it was worth saying.

quote:
To have not administered ANH would have been to deny him food, which he could derive hyrdration and nourishment from. Had we done so, our action would have constituted a decision to allow him to die: we would have killed him by an act of omission.

Had he been unable to breathe and failed to respond to attempts at starting his respiration, to have artificially ventilated him would have been to take extraordinary steps to keep him alive.

I'm afraid I still don't see the distinction. To not administer AR is to deny the patient air thus killing them by an act of ommission, and by the same token if the patient fails to respond to attempts to start a swallowing reflex ANH is an extraordinary step to keep them alive.

However, this:

quote:
We have a duty to feed the hungry but I'm not so sure that we have a similar duty to pump somebody's heart and inflate and deflate their lungs.
...explains a lot to me. Forgive me if I'm way off track with this, but it seems that you feel we have a religious obligation to provide food, but not air.

I can understand such a religious distinction (while noting that I don't agree with it), but in basic biological terms there is little difference between air and food - both are essential fuels for the body, and the abscence of either causes death. Furthermore, the procedures by which either can be forced into the body should the natural methods fail are equally invasive.

quote:
As I said in my post, I think what I was doing in answering Josephine's question was to suggest that there isn't a simple "Roman Catholic position", but that the consensus is as I suggested.
Granted.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
I think she should be disconnected because Terri, the person, decided that was what she wanted.

OK, I get this. If it's true, then it weighs more than any of the other arguments.

quote:
The medical professionals who have actually evaluated her -- those who have conducted full neurological examinations and reviewed her medical records -- are all in agreement that she is in a persistent vegetative state. With the exception of the prostitutes her parents have paid, of course.
[italics mine - GC]

Right — and you know they are prostitutes because?
 
Posted by sewanee_angel (# 2908) on :
 
quote:
Originally posted by Gordon Cheng:
quote:
Originally posted by Erin:
I think she should be disconnected because Terri, the person, decided that was what she wanted.

OK, I get this. If it's true, then it weighs more than any of the other arguments.
If it is true!!?? It has been proven in a court of law over and over and over again that Shaivo's wishes were that she NOT be sustained in this manner. It was proven with testimony from more than one person (ie not just the husband).

The point here is not what Shaivo's wishes were regarding medical care. That has been proven. The point here is whether the legislature (two of them, really), the courts, the executive, and parents who can't let go and deal with the reality of their child's death have the right to go against the wishes of the person receiving the medical care.

[ 24. March 2005, 12:30: Message edited by: sewanee_angel ]
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
quote:
The medical professionals who have actually evaluated her -- those who have conducted full neurological examinations and reviewed her medical records -- are all in agreement that she is in a persistent vegetative state. With the exception of the prostitutes her parents have paid, of course.
[italics mine - GC]

Right — and you know they are prostitutes because?

They are taking money for screwing her parents. That's what prostitutes do.
 
Posted by Foolhearty (# 6196) on :
 
There are two sets of issues, and they are being confused (and I have been guilty of contributing to this confusion on this thread).

The legal problem: the state of Florida grants individuals the right to refuse, through advance directives, treatment, nutrition, and hydration if there is no hope of recovery from a devastating illness or injury.

Absent an advance directive (which Terri does not have), is there other evidence that she would prefer not to be maintained in PVS?

Courts and a number of witnesses have repeatedly answered, “Yes.”

Of course, people can change their minds. Were we able to consult with Terri now, the possibility exists she might retract her earlier decision and say, “I wish to be maintained.”

We are not able to consult with Terri now. There is no way to tell if she has changed her mind. Therefore, the state’s legal obligation is to carry out, so far as they can be determined, the last-stated wishes of the patient; it’s the best information available.

So the legal position of Terri’s parents is that of trying to trump their daughter’s last-known wishes with their own current wishes. The legal position of Terri’s husband is that of trying to honor his wife’s wishes.

This is very different from the moral questions, though.

One might question the morality of the Florida law, and I suspect that’s the actual basis for much of the protest.

The moral question is: do we have the right to refuse to live? Is it morally and ethically permissible for me, given that I could be maintained alive in a vegetative state for some indefinite period, to reject that option?

There’s more than one Christian perspective on this question.

There’s the “hope” aspect. Hopelessness is considered a sin by many. Refusing to exist can be seen as surrendering to hopelessness.

There’s the “Whose is my life?” aspect. If my life is God’s free gift to me, then it’s mine to refuse. If, rather, it’s God’s life, which I only get to use, then it’s God’s, and I am in sin to reject it.

There’s the “free will” aspect. I am responsible for all my choices, including any decision I might make to reject God, reject God’s gifts, etc. If I understand and accept the consequences of my choices, then I’m free, by God’s own “rules,” to reject what God has offered.

(There are probably other aspects I've missed.)

From this perspective, Terri's parents could be seen as trying to save their daughter (or her soul) from a bad moral decision. Her husband's stance could be construed as, "She made her bed; let her lie in it."

I think the legal questions at this point are clear; Terri’s parents and the US Congress are trying to get around the law. The moral question is a little knottier.

Many people would argue that our legal system doesn't legislate morality. Of course it does -- all the time. Hence this drawn-out legal battle.

While I have no way of knowing what the various parties' moral stances are, it seems to me that, at its heart, this situation is a conflict between one version of morality and the state law obtaining where Terri Schiavo lives/lived.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Foolhearty:
There’s the “Whose is my life?” aspect. If my life is God’s free gift to me, then it’s mine to refuse. If, rather, it’s God’s life, which I only get to use, then it’s God’s, and I am in sin to reject it.

Ah, but in that case is it not also God's to take back?

In which case keeping somebody "alive" like this could be seen as going against God's Will for that person.

Just a thought...
 
Posted by Lawrence (# 4913) on :
 
To demonstrate that there may be differing opinions among Catholic theologians on this issue, the following is an Op Ed piece in today's St. Louis Post-Dispatch. It is written by Fr. Charles E. Bouchard, a Catholic Dominican friar, who is president and associate professor of moral theology at Aquinas Institute of Theology in St.
Louis. Aquinas is a Dominican theological graduate school housed at the Jesuit's St. Louis University.

Here

[Article deleted replaced by link. Please don't do this again as we don't want to be sued for breach of copyright. Thanks - C.]

[ 24. March 2005, 13:42: Message edited by: Callan ]
 
Posted by Trisagion (# 5235) on :
 
quote:
Originally posted by Erin:
No no no no NO!!! I am sick to the back teeth of this bold-faced lie being reproduced on this thread.

The people who are siding with Michael Schiavo on this thread are not doing so because they regard Terri as no longer human. They are doing so because the medical evidence considered and adjudicated by the courts are that she is in a persistent vegetative state and that her wishes were that if she were in such a state to let her die. I don't think she should be disconnected because she's basically an animated corpse. I think she should be disconnected because Terri, the person, decided that was what she wanted.

Erin, I understand the point you are making and that Terri's wishes are the primary issue. It wasn't your argument I was highlighting, but that advanced by IngoB, who refered to a "pseudo-life" and suggested measures to terminate an animated corpse.

Your point about PSV is well made. I think the horror here occurs because of the appearance of very mixed motives in those (primarily her husband) seeking to hasten her death. Still, it doesn't do to make windows into others' hearts.
 
Posted by Laura (# 10) on :
 
The thing is, whatever the mixed motives (and I disagree with you that the husband's are any more mixed than the parents'), that's what the 17 lower court decisions were dealing with. That's why there is such a system on the state level. To decide what happens when there's an irreconcilable disagreement. To turn the thing into a media circus the way the parents have and to tell many of the lies they've told is, in my mind, wholly unforgiveable. For Congress to violate the separation of powers and step in like this is insane.
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by Trisagion:
I think the horror here occurs because of the appearance of very mixed motives in those (primarily her husband) seeking to hasten her death. Still, it doesn't do to make windows into others' hearts.

Indeed, especially since that appearance only exists because the poor man has been vilified by ignorant people in the media.
 
Posted by Laura (# 10) on :
 
...and has continuously refused to engage with the media on any of it. You know how they hate people who won't play ball. He could have told his heart-wrenching tale to Barbara Walters any time, but no!
 
Posted by josephine (# 3899) on :
 
Trisagion, thank you very much for your response. I'm wondering how much the opinion divide on this question rests with how intimately one has been involved in death -- those who haven't been around death, perhaps, are wanting to fight it off at all costs. I don't see that as a particularly Christian response, but it is a very human one.

I was part of the decision-making when we discontinued all medical treatment for my father. I was not directly part of the decision-making for my mother or my grandmother, but I was fully aware of the decisions, the reasons for them, and the outcome. Likewise for one of my uncles, who, after many years of regular dialysis, decided he was tired of the fight and was ready to die.

I agree, strongly, that there are times when artifician hydration and nutrition, dialysis, a respirator, defibrillation, transplant, and any of the other medical techniques and technologies we've developed are appropriate, and to deny them would be a sin of omission. But I don't think that's always the case. My father chose to put himself on the transplant list so that he would be around to care for my mother, should she have lingered in her demented state for many years. After she died, he took himself off the transplant list. Doing so meant that he would die from his illness, since transplant is the only treatment for the disease that killed him. When my uncle took himself off dialysis, it meant that he would die.

I loved all these people who have died, and I wish that they were still here. I miss them very much. But in this age, life has an end. To cling to it the way Terri's parents are doing seems to me like a form of idolatry, or perhaps simply a lack of faith in God, and in his promise of life in the age to come.

But back to what you said -- I agree that providing food and water is normal care, if the person can swallow. But I can't see how inserting a PEG tube can be considered normal care, since it's only possible for those of us living in the wealthiest part of the world. A PEG tube requires surgery to insert, and constant medical attention to care for it. It's not normal care; it's extraordinary care, that is sometimes justified, and sometimes not.

At least it seems so to me.
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by josephine:
I'm wondering how much the opinion divide on this question rests with how intimately one has been involved in death -- those who haven't been around death, perhaps, are wanting to fight it off at all costs.

I don't think this is the case. I have never seen someone die. I've never even seen a dead body that wasn't enbalmed for burial. I spent some time last year with a close friend who was dying, but my views on this subject had already been determined. I haven't been around death much at all, but I'm definitely on the side of letting Terri Schiavo die.
 
Posted by nicolemrw (# 28) on :
 
janine, your still missing my point i think. back on the first page, you said (something like) "if terri isn't there, then she can't suffer, so why shouldn't her husband let her parents take care of her." (admittedly thats a paraphrase, but i think its close) my point was, what makes you think she isn't suffering, spiritually, if not physically? supose her _soul_, is desperate to get going to where its supposed to be, but can't because its stuck in a technically living body? as i said on the first page, i was haunted by that thought about my father while he was dying of alzheimers disease, and it haunts me with cases like this. think about it... 15 years stuck in that situation.

i'm drawing a distinction here between "soul" and "concious mind" because, if we assume that there is some part of us that lives past death, it must be seperate from the concious mind. otherwise, what happens to the soul as the mind decays due to, well alzheimers (since thats what made me start thinking about this in the first place, though of course theres other things that destroy a mind without killing the body)


this is something of a tangent, but its annoying me and i want to clear it up. people are talking aboutputting someone on a ventilator as though its automatically a perminant until death thing, and therefore its extrodinary measures. however, it ain't always so. my husband was on a ventilator after a serious asthma attack back in '02. if the ventilator had not been inserted, he would have died, period. he could no longer sustain an oxygin level in his blood that would keep him alive. however, once the ventilator was successfully started, his life and recovery were no longer in doubt. it was just a matter of time until the attack "broke" and he could breath on his own. as it happens, that took three days, though it could have taken, i was told, as long as a month or more. now, since they didn't know how long he'd be on the ventilator (and they drugged him unconcious during that whole time because the body fights it to much otherwise), they also put a tube into his stomach (not surgically, just down his throat) to feed and hydrate him.
 
Posted by Laura (# 10) on :
 
Here's a nice quote (seized from the blog of Andrew Sullivan, who also liked it) that sums up my feelings about this:

quote:
"Here's the question I ask of these right-to-lifers, including Vatican bishops: as we enter into Holy Week and we proclaim that death is not triumphant and that with the power of resurrection and the glory of Easter we have the triumph of Christ over death, what are they talking about by presenting death as an unmitigated evil? It doesn’t fit Christian context. Richard McCormick, who was the great Catholic moral theologian of the last 25 years, wrote a brilliant article in the Journal of the American Medical Association in 1974 called "To Save or Let Die." He said there are two great heresies in our age (and heresy is a strong word in theology — these are false doctrines). One is that life is an absolute good and the other is that death is an absolute evil. We believe that life was created and is a good, but a limited good. Therefore the obligation to sustain it is a limited one. The parameters that mark off those limits are your capacities to function as a human." - Jesuit theologian Rev John J. Paris, on how the religious right is deploying heresy in its absolutism in the Terri Schiavo case

 
Posted by Timothy the Obscure (# 292) on :
 
The Catholic Catechism on this issue--there's obviously leeway for interpretation, but it doesn't seem to support the absolutist stance that the Vatican seems to be taking (emphasis mine):

quote:
(Paragraph 2278) Discontinuing medical procedures that are burdensome, dangerous, extraordinary, or disproportionate to the expected outcome can be legitimate; it is the refusal of "over-zealous" treatment. Here one does not will to cause death; one's inability to impede it is merely accepted. The decisions should be made by the patient if he is competent and able or, if not, by those legally entitled to act for the patient, whose reasonable will and legitimate interests must always be respected.

 
Posted by Trisagion (# 5235) on :
 
quote:
Originally posted by Laura:
Here's a nice quote (seized from the blog of Andrew Sullivan, who also liked it) that sums up my feelings about this:

[QUOTE] "Here's the question I ask of these right-to-lifers, including Vatican bishops: as we enter into Holy Week and we proclaim that death is not triumphant and that with the power of resurrection and the glory of Easter we have the triumph of Christ over death, what are they talking about by presenting death as an unmitigated evil?

Show me the Vatican bishop who has presented death as an unmitigated evil. Comments like this are just the sort of childish misrepresentation of the views of others that reflects poorly on those who do it.

quote:
Richard McCormick, who was the great Catholic moral theologian of the last 25 years
If you buy into that proportionalist stuff, sure. Others, who recognise the existence of objective moral norms which bind always and without exception, would suggest that Pinckaers, Grisez, May or Cessario are leagues ahead of McCormick.

[ 24. March 2005, 17:51: Message edited by: Trisagion ]
 
Posted by sewanee_angel (# 2908) on :
 
Supreme Court rejects appeal
 
Posted by Laura (# 10) on :
 
Trisagion:

That may not be the Church's position, but it certainly seems to have been adopted by the many of the more outspoken people on the Schiavo circuit who I've heard speaking publicly on the issue.

Furthermore, Schiavo's own parents and lawyer argued before the appeals courts that her freedom of religion was being abridged because disconnecting her feeding tube would damn her immortal soul because of her Catholic beliefs. What nonsense! Assuming arguendo that to deprive a person in her condition of artificial nutrition is murder, Schiavo's done nothing wrong. How in the name of God would the decision of the Courts be endangering her soul?

I think a timely reminder that death is not always bad and life is not always good and that the Church doesn't stand for such a principle does no harm.
 
Posted by The Coot (# 220) on :
 
quote:
Originally posted by Trisagion:
Others, who recognise the existence of objective moral norms which bind always and without exception, would suggest that Pinckaers, Grisez, May or Cessario are leagues ahead of McCormick.

This is what I'm looking for in this circumstance - when a couple of pages ago I said I thought the Church was a whore to technology and expressed dissatisfaction that our ethics were informed by our technological capacity.

Our Christian ethics should be able to be distilled in a stand-alone way, with the tools we have available in our spirituality, discernment, tradition, scripture or by those with the wisdom to exercise these. We shouldn't need a scientist to tell us what is right and what is wrong. The ultimate revelation of God in Christ obviously wasn't ultimate enough if we can't determine a compassionate, respectful and holy path in circumstances like Ms Schiavo's.

We should be able to establish (or codify rather), 'objective moral norms' to give people guidance who are seeking a holy death. (So we can say ahead of time for ourselves or on behalf of others we have responsibility for, in X situation, do not rescusitate / only give palliative care / do not artificially sustain me with dialysis, ventilation, ANH etc. with clear conscience).
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Trisagion:

I think the horror here occurs because of the appearance of very mixed motives in those (primarily her husband) seeking to hasten her death. Still, it doesn't do to make windows into others' hearts.

Her husband is NOT trying to hasten her death; her parents are trying to prolong her life (or vegetative state). She would have died a quiet, natural death without the feeding tube long ago.
 
Posted by ReginaShoe (# 4076) on :
 
Don't know how widely this has been publicized, but apparently the whole Schiavo tragedy is
God's gift to the conservative movement, according to Tom DeLay:
quote:
"One thing that God has brought to us is Terri Schiavo, to help elevate the visibility of what is going on in America," DeLay told the crowd. "This is exactly the issue that is going on in America, of attacks against the conservative movement, against me and against many others," DeLay said.

Oh, so it's all about YOU now, is it, Tom? [Mad]

(At the site referenced, you can either listen to the tape from this speech or see quotes from it in a rather furious press release from Americans United for Separation of Church and State.)
 
Posted by Mousethief (# 953) on :
 
"I'm Tom DeLay. I'm not a doctor, but I play one in Congress."
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Laura:
Trisagion:

That may not be the Church's position, but it certainly seems to have been adopted by the many of the more outspoken people on the Schiavo circuit who I've heard speaking publicly on the issue.

Furthermore, Schiavo's own parents and lawyer argued before the appeals courts that her freedom of religion was being abridged because disconnecting her feeding tube would damn her immortal soul because of her Catholic beliefs. What nonsense! Assuming arguendo that to deprive a person in her condition of artificial nutrition is murder, Schiavo's done nothing wrong. How in the name of God would the decision of the Courts be endangering her soul?

I think a timely reminder that death is not always bad and life is not always good and that the Church doesn't stand for such a principle does no harm.

Ah, but Pope John Paul II has weighed in on the case, as follows: "the administration of water and food, even when provided by artificial means, always represents a natural means of preserving life, not a medical act," and is, therefore, "morally obligatory."


Sorry I can't provide a link to the original; I copied the quote into a notebook and no longer know the source.
 
Posted by Basselope (# 9175) on :
 
quote:
Here's a nice quote (seized from the blog of Andrew Sullivan, who also liked it)
Andrew Sullivan also called the supporters of Terri Schiavo "life fetishists." I'm somewhat on the fence as to the legitimacy of withdrawing a nutrition tube for someone like Terri, but that little phrase of his is much more telling of Andrew Sullivan's psyche than it is of the supporters of Terri. Count me in as a "life fetishist," please!
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Foolhearty:
Ah, but Pope John Paul II has weighed in on the case, as follows: "the administration of water and food, even when provided by artificial means, always represents a natural means of preserving life, not a medical act," and is, therefore, "morally obligatory."

I'm afraid that the Holy Father is just plain wrong about this.

Just review this brief slideshow about the insertion of a PEG tube and tell me that it's not a medical act. It is a medical act. And it carries fairly high risks. (See this discussion of the risks in patients with impaired cognitive function.)

This paper provides a detailed discussion of the ethics of the procedure.

This review of the literature regarding patient refusal of hydration and nutrition is also worth reading.

There are certainly times when feeding tubes are good and appropriate medical treatment. But they are, in fact, medical treatment. There is no question about that.
 
Posted by IngoB (# 8700) on :
 
quote:
Originally posted by Trisagion:
Erin, I understand the point you are making and that Terri's wishes are the primary issue. It wasn't your argument I was highlighting, but that advanced by IngoB, who refered to a "pseudo-life" and suggested measures to terminate an animated corpse.

"Animated corpse" sounds like a rather good definition of "pseudo-life" to me. If her cortex is indeed completely liquid, then the "biological carrier" of her soul has died, is gone. "Terminating" what's left is per se about the same as killing an animal (and one very sick and helpless animal at that). Out of respect for the history of that human body formerly being the medium of a human soul, out of respect for those who loved that person, and actually out of respect for what remains, even if only "animal", I'm suggesting to use a quick, painless, and "not so shocking for observers" method of death.

We need to define what we think a living human being is. And we need to define how we approach cases which are borderline. The former has been classically answered by the union of a human body and soul. For the latter I have suggested above that the concept of a "life story" is helpful. One can quite reasonably be against abortion and for "killing" in this case, by stating that one is a human seeking a beginning, the other is a human being trapped in her end. And a "life story" also has others in it. Given RC ideas about marriage, it would follow - even without any state law - that the person who should ultimately decide how this story is going to end should be the husband in loving consideration of his wife's wishes.

The problem of the RC church is IMHO that they would like to maintain a "simple and clear" pro-life policy publically, which however fails in complex situations and is reduced to little more than emotional pleading. I think the core of the current RC arguments about life is also rotten, and it is so because it has gone away from the RC tradition of the middle ages concerning the "biological" union of body and soul (which should be updated by modern science, of course). But that's a different topic, and one I haven't read into enough yet to defend my ideas appropriately.
 
Posted by Janine (# 3337) on :
 
quote:
... my point was, what makes you think she isn't suffering, spiritually, if not physically? supose her _soul_, is desperate to get going to where its supposed to be, but can't because its stuck in a technically living body? as i said on the first page, i was haunted by that thought about my father while he was dying of alzheimers disease, and it haunts me with cases like this. think about it... 15 years stuck in that situation...
Many a soul of a person walking down the street, lying in a hotel bed, performing on a rock-band stage, is in absolute agony and longing to go home. Any number of people should have died by now, but haven't.

I have no more nor less worries about Terri's soul than I do about the gal at the next computer's soul, re: being tormented and desperately longing to go on.

If Terri is soul-less -- which I assume most don't claim -- or if Terri is even just Terri-less, which seems to be the position of those who consider her dead and her activity the result of the random misfirings of a stray decaying neuron or two --

Then she is a sack of twisted meat. Take her outside and scrape some clover over her.
 
Posted by Presleyterian (# 1915) on :
 
Just to prove what kind of Bizarro Universe we're living in, take this little quiz:

I oppose states' rights.
___ YES
___ NO


I believe that state court rulings should be reviewable by federal courts.
___ YES
___ NO


If I lose a lawsuit, I believe in litigiously filing case after case until I can find a judge who agrees with me.
___ YES
___ NO


I believe that the government -- not the individual -- should have the final say in matters of personal autonomy.
___ YES
___ NO


I believe politicians should insinuate themselves into intimate realms of family life.
___ YES
___ NO


If you answered four or more questions YES, that makes you a Republican.

Barry Goldwater is spinning in his grave.
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by josephine:
I'm afraid that the Holy Father is just plain wrong about this.

Just review this brief slideshow about the insertion of a PEG tube and tell me that it's not a medical act. It is a medical act. And it carries fairly high risks. (See this discussion of the risks in patients with impaired cognitive function.)

This paper provides a detailed discussion of the ethics of the procedure.

This review of the literature regarding patient refusal of hydration and nutrition is also worth reading.

There are certainly times when feeding tubes are good and appropriate medical treatment. But they are, in fact, medical treatment. There is no question about that.

Thanks, Josephine. Mind you, I agree, and think the pontiff's position is over the top. And I'm very glad the Supremes have refused to listen to the parents' appeals.

Prayers for Terri and her welcome, at long last, to her eternal home. [Votive]
 
Posted by Campbellite (# 1202) on :
 
[from page one of this thread]
quote:
Originally posted by Campbellite:
quote:
Originally posted by Erin:
ETA: never mind, I trawled through several news reports and found out that it was only Bill Frist, Mel Martinez and John Warner. [italics mine]

Damn! I used to respect him.
For the record, I have learned that the senior Senator from Virginia (John Warner) was the sole Republican to vote against this travesty of a law. My respect for him is restored.

Even if he is a Republican.
 
Posted by Alogon (# 5513) on :
 
quote:
Originally posted by Presleyterian:
Barry Goldwater is spinning in his grave.

Indeed he must be. I worked for Goldwater's Presidential campaign in 1964, when I was in high school and have liked him ever since, even though I became more sympathetic to Democrats during the 80s and am now thoroughly disgusted with the GOP. Late in life, he even spoke up for gays in the military.

This question popped into my mind yesterday: suppose you were in Mr. Schiavo's position. For fifteen years, your spouse has been nothing but a warm body in a hospital bed. The doctors tell you that there is little left of his or her brain and there is no hope of recovery. Only medical technology developed in the last few decades enables a patient in this condition to survive at all.

You have promised to be faithful "in sickness and in health...until death us do part" but there isn't really anyone left with whom either you or your children can maintain a relationship.

Schiavo apparently is hardly Mr. Warmth towards his wife (or what's left of her). He has reportedly asked nurses, "Is the bitch dead yet?" and I don't think that this, if it's true, speaks well of him.

On the other hand, those who oppose him might also hold it against him that he is "now seeing another woman" like a garden-variety jerk cheating on his wife. Is he? When these vows were written, I doubt that anyone's lying in a coma on life support for fifteen years with no prognosis was a possibility. It seems to me that anyone unwilling to relax "Thou shalt not commit adultery" in a situation like this has a low opinion of marriage, not a high one.
 
Posted by Presleyterian (# 1915) on :
 
quote:
Alogon wrote: On the other hand, those who oppose him might also hold it against him that he is "now seeing another woman" like a garden-variety jerk cheating on his wife. Is he? When these vows were written, I doubt that anyone's lying in a coma on life support for fifteen years with no prognosis was a possibility.
Here's my litmus test for bias: Any website or news report that refers to him as her "estranged" husband isn't worth reading.
 
Posted by Scot (# 2095) on :
 
Michael Shiavo is doing exactly what I would want my wife to do, should I ever be misfortunate enough to be in Terri Shiavo's condition. He appears to be absolutely steadfast in the only sort of faithfulness that really matters in this situation.

Presleyterian, Goldwater should quit his spinning and just be thankful that he was allowed to die. He's lucky that he wasn't fitted with animatronic prostheses and set at the front door of the White House to welcome visitors.

This episode is, I think, the final nail in the coffin of my longtime sympathy for the GOP. I've never agreed with all of their platform, but they used to come closer than the Democrats to my ideal of a limited government. No more. In recent years the Republican leaders have demonstrated a willingness, sometimes an eagerness, to get involved in virtually every aspect of our lives, from conception to death. If they could figure out how to meddle in the afterlife, I have no doubt that they would.

Of course the Dems are little better. I suppose I'm now Just Another Irrelevant Third-Party Voter.
 
Posted by Lady A (# 3126) on :
 
Makes me think about all the fun we could have with PVS Christianity.

But for Terri, and all those involved [Votive]
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Alogon:
Schiavo apparently is hardly Mr. Warmth towards his wife (or what's left of her). He has reportedly asked nurses, "Is the bitch dead yet?" and I don't think that this, if it's true, speaks well of him.

Yeah, I know what you're talking about here. I am satisfied that the nurse's allegations have been thoroughly discredited.

ETA:
quote:
Originally posted by Scot:
I suppose I'm now Just Another Irrelevant Third-Party Voter.

Welcome to the outer circle, my brother.

[ 25. March 2005, 15:24: Message edited by: Erin ]
 
Posted by FCB (# 1495) on :
 
quote:
Originally posted by IngoB:
If her cortex is indeed completely liquid, then the "biological carrier" of her soul has died, is gone.

Why should we presume that there is a "biological carrier" of the soul? Sounds like Descartes theorizing about the pineal gland to me.

FCB

[ 25. March 2005, 15:51: Message edited by: FCB ]
 
Posted by bessie rosebride (# 1738) on :
 
quote:
Originally posted by Janine:
I understand that Terri isn't going to re-grow all that destroyed brain tissue. I discount not at all the Lord's ability to touch reality and change that -- but until He does I will continue to assume she won't.

But a simple delivery of food & water is what keeps her smiling her reptilian smile, and darting her reptilian glances about the room, and lying about for hours in between like a reptilian zucchini... (The "reptilian" being a reference to what some perceive her mental level to be, no high brain functions, primitive reflexes etc. because she basically has no brain.)

Well, I wouldn't starve even a lizard.

This is truly scary. Think of your most beloved family member and imagine them reduced to less than the cognition and ability of a reptile (since said lizard can seek and eat its own sustenance). What earthly purpose would it serve for them to be trapped for 15 years in this kind of existence when they had wished to be freed. You are not meeting the needs of that person; that person is gone and needs to have their body released - you are meeting the needs of those who desire her to stay alive for their purposes.

No matter what you believe of Limbo, Heaven is decidedly better.
 
Posted by Erin (# 2) on :
 
It was only a matter of time before the right to life nutjobs showed their true colors.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
It was only a matter of time before the right to life nutjobs showed their true colors.

This sort of thing seems unfortunate but inevitable. It is bad news because it distracts from the ethical questions that are to some extent begged by the legal clarity that's been achieved. Unfortunately the extremists from the other end of the spectrum need do little more at this point than sit back and watch it all unfold on CNN.
 
Posted by Louise (# 30) on :
 
quote:
Unfortunately the extremists from the other end of the spectrum need do little more at this point than sit back and watch it all unfold on CNN.
People who think her wishes ought to be respected are extremists? Compared to people who want to hunt down and kill her husband and the judge?

This is a sickening little piece of false moral equivalence.


L.
 
Posted by Erin (# 2) on :
 
I'm curious. Who are the extremists on the opposite end? All I hear about are these people, who are, again, right to life nutjobs. There's not a single right to die extremist out there.
 
Posted by The Coot (# 220) on :
 
What if the husband and other people who testified that her wishes were that she not be maintained in this state, are lying?

Also even if she did say that, what if she has changed her mind about whether she wishes to be maintained?

And what if the parents and lawyer who reported that she responds to them and tries to talk are not lying or projecting? I am thinking especially of the piece that has been doing the rounds by the family's lawyer who states that she tried to vocalise when asked to tell them that she wanted to live.

[Frown] [Confused]

I know that it is quite natural as people approach death to stop taking food, but continuing to keep them hydrated is usual isn't it?
 
Posted by ReginaShoe (# 4076) on :
 
No, it is not. To continue to provide artificial hydration to a body that is in the process of shutting down is far more uncomfortable, causing edema and other maladies. As one's body shuts down, it can no longer handle the influx of liquid.

(As I learned from being at my father's bedside as he slowly passed away last summer.)
 
Posted by Laura (# 10) on :
 
Coot:

What if they were lying? That's what the 17 lower court opinions were dealing with - determining what her wishes were and what state she was/is in. That's what that system is for. I don't know how many times I have to repeat this and it's starting to make me insane, how clouded all these issues have become.
 
Posted by Erin (# 2) on :
 
I found this article fascinating. Seems that a PEG tube really is on par with a ventilator.
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Erin:
I found this article fascinating. Seems that a PEG tube really is on par with a ventilator.

Of course it is. It involves surgery. It's completely artificial; it's a human, high-order intervention, and it has kept poor Terri Schiavo in a living limbo for 15 long years.

Dear God: most of us are kinder to our pet cats and dogs than her parents have been to Terri Schiavo.

You know, I am currently one of those 43 million Americans without health insurance. I can't help wondering how many of us could see a doctor, get an immunization, or have an annual physical on the funding which has been expended on keeping this poor woman in existence against her will.
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by The Coot:
Also even if she did say that, what if she has changed her mind about whether she wishes to be maintained?

Kinda late now -- that's the sort of thing you have to make clear before you're incapable of communicating.
 
Posted by Golden Key (# 1468) on :
 
I just hope that her parents, in the midst of their desperation, can find the time and a way to say goodbye.


[Votive]
 
Posted by Mamacita (# 3659) on :
 
quote:
Originally posted by The Coot:
And what if the parents and lawyer who reported that she responds to them and tries to talk are not lying or projecting? I am thinking especially of the piece that has been doing the rounds by the family's lawyer who states that she tried to vocalise when asked to tell them that she wanted to live.

Terri vocalizes off and on when she is awake. I heard a recording of it recently when her former guardian ad litem was interviewed on "Nightline" (a nightly news program in the US). The sound is chilling -- like a long, drawn-out moan. From what I have heard from many sources, she makes these sounds involuntarily, unrelated to whether or not someone has asked her a question. So, if Terri gave out one of these long moans a moment or two after the attorney asked her if she wanted to live, I'm not surprised he is circulating a story to the effect that "Terri said she wanted to live." It's like that picture you see everywhere of Terri seeming to gaze into her mother's face. Her eyes dart around when she's awake. Sometimes they dart in a person's direction. That doesn't mean she was "looking at" her mother, and her happening to groan in the attorney's presence doesn't mean she was "telling" him anything.
 
Posted by Living in Gin (# 2572) on :
 
What a sad, pathetic spectacle this has been... I just hope she finally finds herself at peace sooner rather than later. [Votive]
 
Posted by Erin (# 2) on :
 
I heard the vocalization (there's an audio file floating around the net) and not only do I feel cheap and dirty, but it could have been interpreted in whichever way one wanted to. The family claims she said "AHHHHH" and "WAAAAAAA", meaning that of course she was saying "I want to live". If we're going with our own interpretations, I say it was "I want you fucking ghouls to leave me the hell alone".
 
Posted by Mamacita (# 3659) on :
 
Exactly.
 
Posted by Golden Key (# 1468) on :
 
Per the news, Terri had Last Rites when she was disconnected from the tubes.
 
Posted by Trisagion (# 5235) on :
 
quote:
Originally posted by Golden Key:
Per the news, Terri had Last Rites when she was disconnected from the tubes.

Actually, what she received was the Sacrament of the Sick (Extreme Unction as it used to be known). The Last Rites involve this and the giving Viaticum (the final Communion). Since she cannot swallow, she would not be able to be communicated.
 
Posted by Golden Key (# 1468) on :
 
Hmm...the news said that her parents wanted her given communion for Easter--just tiny bits put in her mouth, since she can't swallow. But (per news) her husband said no, because she'd had Last Rites and (something else that I didn't catch) the day her tubes were disconnected.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
I'm curious. Who are the extremists on the opposite end?

Why ask me? How would I know, given that my only information on this case comes courtesy of this thread on this website. Your statement here, however, is startling:

quote:
originally posted by Erin:
There's not a single right to die extremist out there.

Given that there are several million people who share your view that TS should be removed from life support — and possibly, I'm one of them — I’m guessing that you don’t know this for sure. Alternatively, you may have made up a definition of 'extremist' that automatically excludes anyone who agrees with your view. So maybe you need to say a bit more here to clarify or substantiate your view.

quote:
originally posted by Erin:
I heard the vocalization (there's an audio file floating around the net) and not only do I feel cheap and dirty, but… <snip>

With respect, why did you listen then? Haven’t you already worked out from reading pages upon pages of expert legal and medical opinion that what you think of her vocalization attempts is essentially irrelevant? Even if you had worked out that she sounded like she was trying to communicate, wouldn't you have suppressed the thought, as you already knew that it was impossible for TS to be attempting to communicate? So the case, in your mind at least, seems to have been closed before you even began to listen.

Not being either God or American, I have the luxury of being able to sit slightly on the fence on this issue. But the more I read what is said here, the more it feels as if your ideology about the right-to-die has pre-determined what you are going to think on the subject.

Corrections welcome.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
quote:
Originally posted by Erin:
I'm curious. Who are the extremists on the opposite end?

Why ask me? How would I know, given that my only information on this case comes courtesy of this thread on this website.
I ask you because you're the one who brought up extremists on the other side. If you can't actually name any, why bring it up at all?

quote:
Your statement here, however, is startling:

quote:
originally posted by Erin:
There's not a single right to die extremist out there.

Given that there are several million people who share your view that TS should be removed from life support — and possibly, I'm one of them — I’m guessing that you don’t know this for sure. Alternatively, you may have made up a definition of 'extremist' that automatically excludes anyone who agrees with your view. So maybe you need to say a bit more here to clarify or substantiate your view.
With respect to this particular situation, I have not seen or heard from a single person who has advocated that she SHOULD die. All that I have seen and heard is that her husband should be allowed to carry out her wishes. A right to die "extremist" would advocate that she should be put down like a dog no matter what her personal wishes were. If you wish to characterize those who believe in patient autonomy, including the right to refuse treatment, as extremists, then so be it.

quote:
quote:
originally posted by Erin:
I heard the vocalization (there's an audio file floating around the net) and not only do I feel cheap and dirty, but… <snip>

With respect, why did you listen then? Haven’t you already worked out from reading pages upon pages of expert legal and medical opinion that what you think of her vocalization attempts is essentially irrelevant? Even if you had worked out that she sounded like she was trying to communicate, wouldn't you have suppressed the thought, as you already knew that it was impossible for TS to be attempting to communicate? So the case, in your mind at least, seems to have been closed before you even began to listen.
Nope. But you see, I, unlike you, prefer to get my information from a place other than a debate thread on a bulletin board. So I have read the court documents, which include medical reports, I have watched the videos that her parents claim to be proof of her not being in a PVS, and I have listened to the audio that her parents and their attorneys claim to be responses to questions. If they wish to use that as a mechanism for having the governor and courts in my state to run roughshod over a patient's right to self-determination, then yeah, I'm going to listen. I think it is appalling that her delusional parents want to record her dying days, though.

quote:
Not being either God or American, I have the luxury of being able to sit slightly on the fence on this issue. But the more I read what is said here, the more it feels as if your ideology about the right-to-die has pre-determined what you are going to think on the subject.

Corrections welcome.

Actually, I have no ideology about the right to die. My views on this subject arose from the material I had to research in order to properly instruct new employees as to the ins and outs of the Patient Self-Determination Act of 1990. This is the federal law that states that patients have the right to accept or refuse treatment. Period, full stop. It isn't about the right to die, per se, but rather the right to refuse unwanted intrusions into one's body. Or demand every medical intervention possible. If you wish to call it a right to die ideology, I think that may be stretching it just a bit. Though thinking about it, it's not at all surprising.

[fixed code]

[ 28. March 2005, 01:26: Message edited by: John Holding ]
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
quote:
Originally posted by Gordon Cheng:

quote:
Your statement here, however, is startling:

originally posted by Erin:
There's not a single right to die extremist out there.

GC: Given that there are several million people who share your view that TS should be removed from life support — and possibly, I'm one of them — I’m guessing that you don’t know this for sure. Alternatively, you may have made up a definition of 'extremist' that automatically excludes anyone who agrees with your view. So maybe you need to say a bit more here to clarify or substantiate your view.
Erin: With respect to this particular situation, I have not seen or heard from a single person who has advocated that she SHOULD die...<snip>A right to die "extremist" would advocate that she should be put down like a dog no matter what her personal wishes were.
OK, this clarification is helpful because it demonstrates that you have restricted your definition, as I suspected. You are defining a right to death extremist as a person who has spoken up and said that TS should “be put down like a dog” — or, if you will allow me to remove the emotive language, someone who believes in involuntary assisted euthanasia. By adding the criteria that they need to have spoken up during this debate, you are able to assert as you did earlier that “There’s not a single right to die extremist out there”.

I, on the other hand, believe that such people do exist, but have had enough intelligence and wit to restrain their expressions of this view in this particular case (and indeed many others) — a case where the outcome has all but been determined and appears from a legal point of view to have passed the point of inevitability. Why would anyone be daft enough in such circumstances to paint an enduring target on themselves by publicly advocating such an unpopular and immoral position? Why not just believe this view quietly and act as they have opportunity? As has already happened elsewhere; an unpleasant observation which I'll return to.

I do wonder a bit at the way you insist on disconnecting the questions of patient self determination and death of the patient, in this case. You seem to imply that the case is all about the first issue and not even a little about the second — at times not seeming to recognise that in this case, patient self determination (as established by the courts) will lead inevitably to death. The questions are not the same, I agree. But let’s not pretend they’re unrelated. Various contributors to this thread who support Terri’s rights have already acknowledged this, eg:

quote:
From earlier in this thread:

*”If Terri's not there, what is so wrong with letting her die?”

*”let her die in peace.”

*”Her husband has power of attorney; he says let her die.”

On the broader question of whether “right to death extremists” exist — allowing for a slightly broader definition than simply individuals who have spoken up in this particular case, the evidence is there that they do exist and will operate cautiously and quietly, but ruthlessly, when legislation allows. The paper by Jochensen and Keown* is reasonably well known, reporting on how involuntary euthanasia is now out of control in the Netherlands, despite its illegality.

This paper by the Disability Rights Commission in the UK highlights how individual cases and related legislation needs to be seen in its wider societal context. It’s likely that the Schiavo case will flow on into all sorts of intended and unintended consequences for the disabled and their treatment. It would be obtuse not to attempt to recognise and discuss these possibilities.


* See Jochensen and Keown, “Voluntary euthanasia under control? Further empirical evidence from the Netherlands”, Journal of Medical Ethics 1999;25:16-21

_________
quote:
Originally posted by Erin:
If you wish to call it a right to die ideology, I think that may be stretching it just a bit. Though thinking about it, it's not at all surprising.

I am not sure what you mean by this. You might either expand on it, or if it is meant to be a personal statement, it might be best to leave it out of the discussion.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
I do wonder a bit at the way you insist on disconnecting the questions of patient self determination and death of the patient, in this case. You seem to imply that the case is all about the first issue and not even a little about the second — at times not seeming to recognise that in this case, patient self determination (as established by the courts) will lead inevitably to death. The questions are not the same, I agree. But let’s not pretend they’re unrelated.

They are only related insofar as death is, in this case, the patient's choice. I would be just as vocal and supportive of the husband if the situation were reversed and the courts had found that she wanted all medical intervention possible and that her parents were trying to impose their will that she be allowed to die.

The quotes that you pulled are instances where people blurred the lines between this case and their personal wishes. I can sympathize with it, because I wouldn't want to be ketp alive in such a manner, either, but it's not what this is about. This is, and always has been, about a person's right to determine their own treatment, even when that choice leads to death. There are, as I see it, only three ways to argue against the course of action that Michael Schiavo has taken:

  1. Terri wanted to be kept alive regardless of the diagnosis or prognosis, using every medical intervention possible;
  2. Terri is not, in fact, in a persistent vegetative state;
  3. Terri never had the right to decide to refuse treatment when the result of the refusal is death.

Now, the first argument has already been defeated by the courts, and Judge Greer is 23-0 in all challenges against that. The second argument is being advanced ONLY by physicians her parents have consulted -- the original physicans and the court-appointed, independent physicians all agree that she is in a PVS. The third argument is the only one left standing, but you're going to have a hard time with that one because Florida (and federal) law does allow a patient to say "pull this shit out, I'm going home".
 
Posted by Gort (# 6855) on :
 
The part of this whole episode that upsets me is that once the decision was made to end her "life" then it should have been done quickly and painlessly. The attempt to ease guilt over the decision by letting her die of starvation and thirst "naturally" is selfish and insane.

Execution of criminals is done with more humanity than the method this woman is suffering.
 
Posted by RuthW (# 13) on :
 
Gort, where on earth did you get the idea that she's suffering?
 
Posted by Gort (# 6855) on :
 
Good question. I must be assuming that there is some response there which is experiencing thirst and starvation. That implies a consciousness to experience it, which means she shouldn't be pulled off life-support.

Awww crap. Nevermind. I really don't know what to make of this nightmare.
 
Posted by Kelly Alves (# 2522) on :
 
Amen to that. [Frown]
 
Posted by Janine (# 3337) on :
 
Things I Wonder That Aren't Important For Me To Know But What-The-Heck I Wonder Anyway:

* How long after Terri is in the ground will hubby wait to marry the mother of his kids?

*What do you call the second love, a wife in all but the paperwork I suppose, when the first wife ain't dead yet?

*How much of Terri's money will there be left for hubby to inherit -- if there is any money left at all -- after his lawyers take all they are due?

*What sort of coffin do you put such a tiny wasted twisted lady in? She doesn't look much bigger than my little one who died -- her coffin, I almost could have carried alone.

*How long before the Ship brings to our attention a Bobblehead Terri, complete with vocalization chip?

*Will it be a comfort to the new wife, when she prays over the health and safety of her own children, that her husband has experience & knows what to do when a loved one is brain-damaged?

*What, if any, of Terri's organs are suitable for donation? If any were, would they be after she's starved and dehydrated? Maybe the corneas...

*Will there be special interest, a watch if you want to call it that, to see if anything miraculous gets attributed to Terri after she's dead?

*Wouldn't it be freaky if Wife #2 turned out to also have an eating disorder?

*What will they bury Terri in -- what outfit, I mean? And will there be an open casket?

*Anyone who wanted to could hold memorial services of course; I guess her parents will do something along that line. But I wonder if her husband will have any sort of service at all? That's assuming he won't be handing over her body to her parents.

*Is there such a thing in Florida as a mega-church compound where they could have the funeral and the wedding and the cremation/burial simultaneously?

*And if they did would there be a multi-use discount? Maybe one of Schiavo's kids needs a christening, or a First Communion. I mean, as long as they're there...
 
Posted by Golden Key (# 1468) on :
 
Janine--

Um, is this pushing buttons for you? IMHO, that post was way over the top.

BTW, the news has been referring to the woman as his common-law wife.
 
Posted by Lurker McLurker™ (# 1384) on :
 
So are the right to lifers saying that Terri's husband is letting her die so he can marry his partner?

Or is it just Janine insinuating it?
 
Posted by RuthW (# 13) on :
 
[Roll Eyes] [Roll Eyes] [Roll Eyes] to all of Janine's post, but especially to this part:

quote:
*Is there such a thing in Florida as a mega-church compound where they could have the funeral and the wedding and the cremation/burial simultaneously?

*And if they did would there be a multi-use discount? Maybe one of Schiavo's kids needs a christening, or a First Communion. I mean, as long as they're there...

What this adds up to is further smearing of Michael Schiavo's character, all on the sole basis of what you've seen in the media, which has been horribly unkind to the man because he hasn't put his private life on display for them.
 
Posted by Mousethief (# 953) on :
 
Quite a rant, Janine. Hardly makes you look good however. [Disappointed]
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Gort:
The part of this whole episode that upsets me is that once the decision was made to end her "life" then it should have been done quickly and painlessly. The attempt to ease guilt over the decision by letting her die of starvation and thirst "naturally" is selfish and insane.

Gort, you might want to go back to page 3 and 4 of the thread. Bessie Rosebride posted a link to a medical paper on artificial nutrition and hydration on page 3; I posted links to info on the PEG tube and patient refusal of nutrition and hydration on page 4.
 
Posted by Erin (# 2) on :
 
Wow, Janine. That was by far the most tasteless thing I've ever seen posted here. Not that (a) you actually care or (b) it's any of your goddamned business, but news reports indicate that Michael Schiavo is planning to have her cremated and buried in Pennsylvania, where they met.
 
Posted by Foolhearty (# 6196) on :
 
quote:
Originally posted by Gort:
The part of this whole episode that upsets me is that once the decision was made to end her "life" then it should have been done quickly and painlessly. The attempt to ease guilt over the decision by letting her die of starvation and thirst "naturally" is selfish and insane.

Execution of criminals is done with more humanity than the method this woman is suffering.

Gort, remember telling me about the euphoria experienced in the 3rd day of a fast?

One of the links on an earlier page of this thread (sorry, forget which one) indicates that TS, if experiencing anything, may be having some version of that.

Personally, I am amazed she's still with us. I thought the human body couldn't go without water for more than 3 days . . .
 
Posted by Scot (# 2095) on :
 
Janine, you are obviously offended by the idea of Michael Shiavo having a life, but your reaction isn't universal. Let me reiterate what I said before.

If I was permanently and irreversibly rendered unconscious or vegetative, I would not want to be kept alive by any artificial or heroic means. I would expect my wife to do her best to see that my wishes were honored. If that process took years, I hope that she would continue to live. I hope she would find someone to love and support her, because she would surely need the love and support. She would have my blessing to remarry as soon as I died, or even before if it could be done without comprimising my situation.

If all I had left of life was death, then the only duty that my wife would have to me would be to see me through that process. If someone with your views made that duty harder for her, then after I died I would find a way to come back and haunt you for the rest of your life.
 
Posted by Foolhearty (# 6196) on :
 
What Scot said.

In my case, my next-of-kin is an adult daughter. For me, as a result, this whole picture is complicated by wondering what financial burdens she might be required to assume. I have practically nothing to leave her as it is (though I hope that will change).

But I certainly don't want to be dragging her away from living her own life, attending to her spouse and/or children, in order to maintain someone (me) who has already lived out a reasonable span.

And as soon as I'm moved, I am making out an advance directive.
 
Posted by Paige (# 2261) on :
 
quote:
Originally posted by Scot:
If all I had left of life was death, then the only duty that my wife would have to me would be to see me through that process. If someone with your views made that duty harder for her, then after I died I would find a way to come back and haunt you for the rest of your life.

Word, Scot.

I started out thinking that Michael Schiavo was a scumbag. And then I read the guardian ad litem's report, and found out that Michael had even gone to nursing school in the hopes of helping Terri get better. The more I read, the more I realized how unfair my initial characterization of him was---and how driven it was by media that need a "bad guy" in all circumstances.

I admire Michael Schiavo deeply for refusing to pander to the cameras during this circus. I believe he has stuck with Terri all these years because he wanted to protect her dignity and honor her wishes when it became clear that she was never going to get better.

And I hope that he WILL marry the mother of his children quickly, to give them the full range of legal protections they can get only through marriage.
 
Posted by Go Anne Go (# 3519) on :
 
Forgive my late posting on this - as most people know I've been in the hospital for two weeks. Which has been an interesting filter to watch the Schiavo rulings come down. All the nurses and doctors want to talk about it, and the universal opinion was:
1) This sort of thing happens every day in hospitals all across the country. If there's outrage for Terri, where's the outrage for the other people?
2) ARen't these the same people who are campaigning for the "sanctity" of marriage so that spouses and only spouses get the rights that the law gave Michael Schiavo?

My basic thoughts kept coming down to how did these people manage to get so much publicity? This does happen every day, even the fight between parents and son/daughters in law. How did these people get SO much publicity that they got Jeb Bush to pass a law, got Congress to pass a law when they're up against a very clear law regarding who makes the decisions?

My other thought is that a lot of people seem to be trying to make Michael Schiavo some sort of villian. I can't help but think that if he was so villanous, he'd have yanked the plug on day one, but instead he waited until there was no more hope. The fact that he's built a second life is to me irrelevant. There doesn't seem to be any indication that he doesn't still love Terri, but equally obvious is his resolution that Terri is no longer Terri and deserves to die as she initially wished and not be kept alive artificially.

My priest came to see me yesterday, and his thought was "why is it not that God's will is for Terri to join God at his right hand? That is the hope and the promise of Easter for all of us." I agreed.
 
Posted by sewanee_angel (# 2908) on :
 
quote:
Originally posted by Erin:
Wow, Janine. That was by far the most tasteless thing I've ever seen posted here. Not that (a) you actually care or (b) it's any of your goddamned business, but news reports indicate that Michael Schiavo is planning to have her cremated and buried in Pennsylvania, where they met.

But of course her parents can't deal and are now fighting over her funeral.

The more I read, the less charitable I feel toward the parents. I try to have compasion and sympathy for them because they have lost their daughter and are caught in this tragedy but they can't just let it be a personal, private tragedy.
 
Posted by Go Anne Go (# 3519) on :
 
I remember having conversations with people when drafting my advance directive. I asked my friend James if he would be willing. He said he'd be willing, but asked to not be appointed because as he put it "I agree with you on hot wanting to be kept alive in these circumstances, but I fear I don't have the strength to do what will need to be done when the time comes and I wouldn't want to let you down."

It is an important consideration. I admire Michael Schiavo for sticking to it. And I too have really started to feel that the parents are making a ghoulish spectacle out of the whole thing. And now they're going to fight Michael right to the end, even over the funeral. So much hate.
 
Posted by sewanee_angel (# 2908) on :
 
quote:
Originally posted by Go Anne Go:
And I too have really started to feel that the parents are making a ghoulish spectacle out of the whole thing. And now they're going to fight Michael right to the end, even over the funeral. So much hate.

Sadly, that much hate from the parents makes me start to question their motives (much like those that respond to the demonization of the husband). I mean, hell, maybe they were against the marriage from the start and are taking all their grief out on him because they "never liked him." By making this tragedy so public and going after the husband, they've opened the door for such questions about themselves. Not that anyone does, because no one with any decency says things like that about parents whose children are dying. Of course, no one with any decency goes after the husband of a dying woman like folks have gone after Shiavo, either.
 
Posted by Sine Nomine (# 3631) on :
 
I can only assume that at this point the parents are literally insane with grief and hate. It also seems to me that after trying to use others to achieve their ends they ultimately have ended up being used themselves.

As if they have gotten on a macabre merry-go-round they can't find a way or the desire to get off of.

<shudder>
 
Posted by Erin (# 2) on :
 
Well, as soon as I saw that Randall Terry was acting as a spokesman for the family I knew each and every last one of them had gone round the bend.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by sewanee_angel:
I mean, hell, maybe they were against the marriage from the start and are taking all their grief out on him because they "never liked him."

According to this story they liked Michael very well until he refused to share the insurance settlement with them.
 
Posted by Laura (# 10) on :
 
I think it's pretty clear that if there's any villain in this, it is the parents and not the husband. They've played the press and politicans and public (like Janine) who are happy to get their news from the tabloids and Fox or similar like violins.

For shame, Janine, believing all that baseless twaddle. I thought better of you than that.
 
Posted by sewanee_angel (# 2908) on :
 
quote:
Originally posted by josephine:
quote:
Originally posted by sewanee_angel:
I mean, hell, maybe they were against the marriage from the start and are taking all their grief out on him because they "never liked him."

According to this story they liked Michael very well until he refused to share the insurance settlement with them.
I see. Somehow it doesn't make any of them look any better. I just used the "maybe they never liked him" thing as an example of how the parents' motives could be questioned like the husband's have.

You know, when I first heard about this case a couple of years ago, I had sympathy for everyone, Terri, the parents, and Michael. It is a terrible personal tragedy. I don't want to lose the capacity to feel sympathy for their loss. However, the more I read and the more extreme the parents' actions are, the more I begin to lose the desire to feel for them (the parents) and I resent them for it. I know that makes me a bad person but that is where I'm at.

[ 28. March 2005, 16:31: Message edited by: sewanee_angel ]
 
Posted by Sine Nomine (# 3631) on :
 
quote:
Originally posted by sewanee_angel:
It is a terrible personal tragedy.

Well, you see, that's just the problem. It used to be a terrible personal tragedy. Now it's a political football and international news.

And for that I blame the parents. They've made themselves public figures and must live with the consequences.
 
Posted by Golden Key (# 1468) on :
 
I find some of the protestors to be scary and ill-informed. Especially the ones who violently rushed the hospital, trying to take cups of water to Terri.
 
Posted by Lurker McLurker™ (# 1384) on :
 
quote:
Originally posted by josephine:
quote:
Originally posted by sewanee_angel:
I mean, hell, maybe they were against the marriage from the start and are taking all their grief out on him because they "never liked him."

According to this story they liked Michael very well until he refused to share the insurance settlement with them.
The parents asked Michael to divorce Terri? I didn't see that mentioned in any article I read until now.

And they encouraged him to see other women, but now claim his new realtionship is adultery!

Aren't they supposed to be staunch Catholics?

[ 28. March 2005, 19:14: Message edited by: Lurker McLurker™ ]
 
Posted by Erin (# 2) on :
 
And that's the thing. Her parents are clearly stark, raving mad, and if I were Michael Schiavo I would not trust them to look after a dead cat, much less my permanently incapacitated wife. It's not just a matter of "well, let them feed and water her and turn her over every half hour", but rather their pathological inability to face reality. They are saying, even now, that she is alert and responsive. After 11 days without nutrition or hydration, and after being placed on a morphine drip, they think she's alert and responsive? That alone would make you at least a teeny bit groggy; never mind the preceding brain damage. It just goes to show how delusionial they've become.

The man deserves a fucking medal for all that he's having to put up with, not least of which are her crazy parents and the lunatic right wing and a public ready to crucify him based on nothing more than the claims of her crazy parents and the lunatic right wing.
 
Posted by Go Anne Go (# 3519) on :
 
I admit, at the beginning, I at least felt sympathy for the parents even if I disagreed with them. The more I see of them and hear them speak the more I think "these people have serious serious issues and I can't believe I was originally sympathetic to them!" The brother in particular is coming across as almost violent, the parents just seem more like they pathologically can't let go.

I just read the thing in Time that says that according to court documents, they encouraged Michael to see other women. Sounds like they turned on him a long time ago and not over this issue.
 
Posted by Laura (# 10) on :
 
quote:
Originally posted by Erin:
And that's the thing. Her parents are clearly stark, raving mad, and if I were Michael Schiavo I would not trust them to look after a dead cat, much less my permanently incapacitated wife. ... They are saying, even now, that she is alert and responsive. After 11 days without nutrition or hydration, and after being placed on a morphine drip, they think she's alert and responsive? That alone would make you at least a teeny bit groggy; never mind the preceding brain damage. It just goes to show how delusionial they've become.

The man deserves a fucking medal for all that he's having to put up with, not least of which are her crazy parents and the lunatic right wing and a public ready to crucify him based on nothing more than the claims of her crazy parents and the lunatic right wing.

Word, sister. And to Scot, too. I think over the next few weeks we'll be seeing an increasing number of stories sympathetic to the husband as more of the lemming-y press realizes that the parents are loons. The folks around them sure are speeding up that process.
 
Posted by Laura (# 10) on :
 
Report on yahoo that Tom Delay's very own father was taken off life support including air/water/food after a freak accident in his 60s. What a shock that DeLay should turn out to be a gold-plated hypocrite. His family gets to deal with that privately, but for others, he's willing to get Congress involved.

Story.

So, removing Schiavo's tube is an "act of barbarism" but his family's quiet decision is okay.

Interfering jerk.
 
Posted by Living in Gin (# 2572) on :
 
Ugh... Pardon me while I retch. [Projectile]
 
Posted by Sienna (# 5574) on :
 
Check out this guy's living will.
 
Posted by Erin (# 2) on :
 
OK, that is some funny shit.

It's even worse than DeLay, though... Terri's own father pulled the plug on his own mother (last paragraph of the story) after she'd gone into renal failure within a week of developing pneumonia.
 
Posted by Living in Gin (# 2572) on :
 
Arrrrgh! I've allowed myself to get pulled into this whole debate on another forum with a fundie right-to-lifer, and an incredibly stupid one at that. Why do I do it? [brick wall]
 
Posted by Alogon (# 5513) on :
 
quote:
Originally posted by bessie rosebride:
Think of your most beloved family member and imagine them reduced to less than the cognition and ability of a reptile (since said lizard can seek and eat its own sustenance). What earthly purpose would it serve for them to be trapped for 15 years in this kind of existence when they had wished to be freed.

Furthermore, thanks to the publicity, Terri Schiavo, like Karen Quindlen before her, is now notorious the world over as a freak, some kind of ghoulish creature reminiscent of "The Head" in Lewis's That Hideous Strength. Their very names have become repellent. IMHO, the desperation of this campaign to keep "her" alive by these means is monomaniacally grotesque. I doubt that her parents are in their right minds.

As for the alleged cruelty of "starving her to death", the opponents of euthanasia have long insisted on such passsive measures as a bright-line distinction from it. I would guess that at least 90% of those who want her life support continued are opponents of euthanasia. It's rather ironic, then, maybe even hypocritical, for them to object that "they might just as well shoot her."

[ 28. March 2005, 23:50: Message edited by: Alogon ]
 
Posted by Foolhearty (# 6196) on :
 
So Robert Schindler let his mother go after a week, and after learning that mom wasn't going to get better.

His daughter has to be kept alive for 15 years.

The most charitable interpretation of this which I can come up with is that it's a form of age-ism. His mother was old, so let her go; his daughter is young, so there's hope . . .

The least charitable interpretations just don't bear repeating.

These people have to be off their rails. Grant you, it must be devastating to lose a daughter at only 26. Might put me round the bend if she were mine.

But not, I suspect, produce this same progressively-more-delusional obsession.

Poor Terri Schiavo. May she have a peaceful end, and soon. [Votive] [Votive] [Votive]
 
Posted by Gordon Cheng (# 8895) on :
 
I’m not convinced that speculation as to the character and motives of the key players in the debate adds a lot to ethical clarity at this point. If it could be established that Michael Schiavo was of disreputable character, that would go to the value of his testimony about his wife’s wishes, and that would then have some bearing. But it appears that the courts have accepted MS’s word as reliable, and that his character is to be trusted at this point. So legally, this has been settled. In fact, all the issues have been settled from a legal point of view, so there is not much to say here.

The aspect of what Terry Schiavo would’ve wanted continues to trouble me. It occurred to me as I was thinking abou this that there was a period in the mid 90s where I not only held a particular view on the taking of life (thinking of a somewhat different scenario to the Schiavo case), but I had also had discussions with a number of people on this question and submitted an article for publication on the subject, in which my views were clearly outlined and argued for. My wife was also aware of what I thought.

Had I been hit by a tram and thrown into a persistent vegetative state in the twelve months after I wrote the article, my wife and the other friends with whom I’d discussed the article could’ve used it as one piece of evidence in having me removed from life support — especially if I’d taken the relatively simple step of re-styling that article as a ‘living will’.

So far so good — the only difficulty, though, is that I changed my mind in the months after I wrote the article. Leaving to one side the question of what should actually be done if I was in a PVS, I now rather shudder to think of my views from 10 years ago being used to formulate ethical decisions about my fate. I’d rather have my views from 9 years ago used to formulate those decisions; given that my views from 9 years ago are what I still believe at present. Now on one view the response might be — tough toenails; the evidence exists that you held this view, in the absence of further evidence (you wrote no subsequent articles, we know of no other conversations with friends) this is what we are going to go on. And if I was no longer able to communicate for myself, even though I had changed my mind, I think I’d be fairly unhappy about that (and yes, this does make certain assumptions about self-consciousness and the nature of personhood—but so do all those directly involved in the TS case).

Note that this is not to suggest that the legal question is unclear in the TS case. It seems to be pretty straightforward at this late stage of proceedings what “ought” to be done, from a legal point of view. The question is more one about the ethics of how the patient’s will is established in the absence of a direct word—and that does feed into a debate about how the law could or should be reviewed in future.
 
Posted by Janine (# 3337) on :
 
Terri's family and her husband's have both been bitten by the same media beast -- you're gnawed if you do and gnawed if you don't, I think, when you try to ride it your own way.

God watch over Michael's little family -- they ought to be able to live normally as soon as the funeral's out of the way. What else could the media find to report on after that?

I haven't some sort of high-horse objection to the guy, after a number of years, making a new life for himself. Where my incredulity comes in, is that he wanted to have the new life and the new wife and home and family and all, and still be Terri's husband too.

Unless something new's happened to the law, the only legal marriages are the ones involving two people. So, either he's a married man with a mistress and their progeny on the side -- or he's actually/practically married to the second woman, and has no right any more to speak for Terri as her husband.

I have no idea if it's just the media's idea to call the second lady "common-law wife", or if that's what she calls herself, or if that's what she is by Florida law. And if she is by Florida law, and if her husband is making his stand for Terri as her husband, then the guy's a bigamist. It's a wonder the Schindlers' lawyers didn't toss that idea in the mix.

Of course as with all other factors/facets of poor Terri's case, all my wonderings and opinions don't amount to anything, 'cause the law has spoken, and the lady will be beyond the law soon enough, Lord love her.
 
Posted by Arabella Purity Winterbottom (# 3434) on :
 
Janine, having grown up knowing and respecting a gentleman who was living with his "companion" and simultaneously looking after his wife of many years who was inch by inch dying of Alzheimer's disease, I find your last post just a bit on the judgemental side. Arthur, who was also the mayor of our small town, went in to feed his wife breakfast and dinner and spent at least two hours every day with her. But he also wanted someone to share his life actively. I don't find that morally objectionable, I find it human. I don't think it said anything about Arthur's ability to be the mayor or to make decisions for his wife's care. Nor do I think Michael Schiavo's choice to form another relationship and have children is morally offensive, if he is still doing his best in regard to Terri.

Just because the Schiavo case is horrifyingly public doesn't mean it is the only case of its kind. All over America (all over the world) there are men and women looking after wives and husbands who can no longer perceive the world. Those people are often doing their best for their, for all intents and purposes, no longer living spouse. I think it is healthy to form other relationships where there is no hope, otherwise it is one hell of a drain on one's personal resources. They also deserve our support rather than our condemnation, unless we really are in a position to throw that first stone.
 
Posted by Presleyterian (# 1915) on :
 
Excellent post, Arabella.

Michael Schiavo was only 26 when his wife fell into a coma. By all accounts, he spent another five devoted years hoping for a miracle that never came. Although it would make a nice tear-jerker Movie of the Week to depict him chained to her bedside for the past fifteen years, sometime in his thirties he entered into a new relationship and had children.

He isn't a bigamist; he's a widower. And it's deplorable that many in the public eye who bear the name of Christian seem least willing to extent to him the grace and compassion that has been extended to them -- and to us all.
 
Posted by Billfrid (# 7279) on :
 
Sorry in advance for the long post, I have been following this appalling story for a few months now and should say that I have very serious concerns about Terri's situation. I should say that I am not at all interested in proving that her parents or her husband are heroes or villains. My view on the situation is that a disabled woman is being slowly murdered because (inter alia) she has not been able to demonstrate that her life is worthwhile (and someone keeps moving the goalposts). I am not a knee-jerk pro-lifer - there are very important issues at stake here, regardless of how we feel about Terri's parents or her husband, which may one day affect us all.

Firstly - the 'medical' diagnosis of PVS and the assumption that no improvement or cure is likely. Quite apart from the dubious diagnosis surely this is a case of self-fulfilling prophecy - you diagnose someone with PVS and then give them no treatment apart from a feeding tube and making sure that they don't die of bedsores. I would love to know what research is being done on this extremely unglamorous 'disease' - almost none I'd guess.

Secondly, invoking Terri's 'right to die' is nonsensical as it directly conflicts with her 'right to life' which she surely has as a citizen of the United States under the First Amendment - if she never made a living will surely the presumption should be right to life in all cases.

Thirdly - turning off life support is not the same as starving someone to death. Life support means exactly that - you can't breathe, eat, swallow, excrete without medical apparatus being constantly connected. People with end-stage diseases on life support are nothing like Terri Schiavo, so please stop making this comparison.

Fourthly - the disability issue. Severe brain damage is a disability - what's the difference between being born thus disabled or becoming so through accident? In the first case you would probably receive positive care with the understanding that your life span and mobility will be very curtailed. In the second case you will be diabnosed with PVS and be starved to death - your brain damage being invoked to assume that you do not want to live, or that your life is worthless. Think about that next time you get into your car, use electrical tools, have a blood clot diagnosed or any of the other ways in which you may suffer severe brain damage. It's so easy to say - I wouldn't want to live with....... brain damage, a broken spine, blindness, etc. etc. but why not wait till that happens (if it does) and then decide how much you want to live, and in the meantime don't impose your ableist values on others.

Surely, as Christians, our first presumption should be towards life? And Terri Schiavo's life is just as worthwhile as mine or yours.
 
Posted by Paige (# 2261) on :
 
Just for the record, Florida doesn't recognize common-law marriages, so Michael Schiavo is not a bigamist.

Why is it so hard to accept the possibility that Michael Schiavo stayed married to Terri because he loves her? And that he believes her parents are working against her wishes and wanted to protect her from them? Certainly their insistence, in a court of law, that they would not have honored a living will even if Terri had one must have played some role in his decision.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Presleyterian:

He isn't a bigamist; he's a widower.

This is a very odd thing to say. At the time of posting, his wife is alive and, apart from being starved and dehydrated to death, would not be dying.
 
Posted by Janine (# 3337) on :
 
I wonder nothing aloud -- I post nothing -- I make no statement of any type, re: Terri's situation or her parents or her husband or his family or the state of Florida --

From a position that I am somehow in a sort of moral/ethical crystal castle and thus pure enough to pronounce opinions that everyone should pick up because, after all, Wonderful Me has spoken.

I hope I'm like everyone else here. I hope we're wondering things or observing things because we try to imagine what we would want to happen if we were Terri or her parents or siblings, Michael or his new lady or their kids.

I recall the time I've been able to spend with folks in terminal illness or the end stages of Alzheimers', or with their families, and wonder stuff.

That's all I can do, that and pray.
 
Posted by Marvin the Martian (# 4360) on :
 
Billfrid:

Do you believe we have the right to decide on our own medical treatment, or indeed lack thereof?

If the answer is yes, none of what you said matters. If it's no, who do you think should make such decisions for us?
 
Posted by Rat (# 3373) on :
 
quote:
Originally posted by Marvin the Martian:

Do you believe we have the right to decide on our own medical treatment, or indeed lack thereof?

If the answer is yes, none of what you said matters. If it's no, who do you think should make such decisions for us?

This seems to me to be the crucial question here. Just as a data point for US shipmates, I've heard very little broadcast coverage here that mentions the issue of Terri's wishes. It is largely presented as "the parents who want Terri to be kept alive against the wishes of her husband who wants her to be allowed to die". Unless you dig a little deeper, the fact that repeated court judgements have established Terri's wishes and medical state are not being mentioned much.

What I am wondering is how the activists (outside the family) view Terri's wishes? Does the 'right-to-life' case depend on Terri's wishes being possibly misrepresented? If she had left a witnessed living will clearly outlining her position, would 'right-to-lifers' (for want of a better term) accept that, or would 'right-to-life' take priority? Would they view such a will as effectively suicide, and thus to be opposed, or do they accept that people can reject treatment?
 
Posted by Sine Nomine (# 3631) on :
 
quote:
Originally posted by Billfrid:
It's so easy to say - I wouldn't want to live with....... brain damage, a broken spine, blindness, etc. etc. but why not wait till that happens (if it does) and then decide how much you want to live, and in the meantime don't impose your ableist values on others.

Surely, as Christians, our first presumption should be towards life? And Terri Schiavo's life is just as worthwhile as mine or yours.

A couple of comments...

In my book there's a huge difference between being blind, or in a wheelchair versus a hospital bed for fifteen years.

If you're in a coma or PVS (as we're so delightfully abbreviating it) it's a little late to "wait until that happens" to make a decision, now isn't it?

Who has said Terri Schiavo's life isn't as valuable as anyone elses? Seems to me the huge effort put into keeping her alive and taking care of her shows her husband put great value on her life.

Lastly, I have learned over time that the phrase "Surely as Christians...", although suave and silky sounding, generally means "if you don't agree with me you're not a Christian." and is best avoided.
 
Posted by CJ (# 2166) on :
 
I've been following the thread closely, and managed to keep my mouth shut so far, but...

quote:
Originally posted by Billfrid:


Firstly - the 'medical' diagnosis of PVS and the assumption that no improvement or cure is likely. Quite apart from the dubious diagnosis surely this is a case of self-fulfilling prophecy - you diagnose someone with PVS and then give them no treatment apart from a feeding tube and making sure that they don't die of bedsores. I would love to know what research is being done on this extremely unglamorous 'disease' - almost none I'd guess.


Medline search: "persistent vegetative state" + "diagnosis" (both MESH terms)

419 hits. Just on diagnosis. That enough research for you?

No need to take me at my word - medline is available free to the public. Go and do a bit of reading. This is an established diagnosis and not one made lightly (though after 15 years how anyone can still be in doubt is incredible)

I am a palliative care physician. Most of my patients die peacefully without drips or feeding tubes. We use them only when there is a compelling clinical reason to do so. Usually there is not and their absence causes no discomfort or distress. Hunger and thirst are lost as the body shuts down; it's part of the normal dying process. Talking about "starving to death" is emotive and manipulative language which doesn't reflect the reality.

A reassuring ratio of sense to bullshit on this thread though.

[Votive] for all those involved, including the hospice staff. Caring for patients like this is hard enough without a media circus outside.
 
Posted by Sarkycow (# 1012) on :
 
quote:
Originally posted by Billfrid:
My view on the situation is that a disabled woman is being slowly murdered because (inter alia) she has not been able to demonstrate that her life is worthwhile (and someone keeps moving the goalposts).

It has nothing to do with other peoples' computations of how worthwhile or valuable her life may be. If it did, do you honestly think she would have been kept alive for 15 years like this? If we're providing medical care on the basis of someone's worth, or even on the basis of best cost-per-item ratio, think how many neo-natal units, or knee ops, or ICU wards, or what-have-you could have been funded with the money.

It's not about whether she's worth being treated or not.

quote:
Firstly - the 'medical' diagnosis of PVS and the assumption that no improvement or cure is likely. Quite apart from the dubious diagnosis, surely this is a case of self-fulfilling prophecy - you diagnose someone with PVS and then give them no treatment apart from a feeding tube and making sure that they don't die of bedsores. I would love to know what research is being done on this extremely unglamorous 'disease' - almost none I'd guess.
In what sense is the diagnosis dubious? In the sense that Terri's forebrain has been reabsorbed into the fluid surrounded it, and all that is left is the hindbrain, which controls most automatic bodily functions and reflexes? Unless you can create neurons and rebuild a brain, I'd love to know how you cure or even ameliorate this.

Have you really not read the last 6 pages of debate, where this has been exhaustively thrashed out?

Sarkycow
 
Posted by Callan (# 525) on :
 
Originally posted by Rat:

quote:
What I am wondering is how the activists (outside the family) view Terri's wishes? Does the 'right-to-life' case depend on Terri's wishes being possibly misrepresented? If she had left a witnessed living will clearly outlining her position, would 'right-to-lifers' (for want of a better term) accept that, or would 'right-to-life' take priority? Would they view such a will as effectively suicide, and thus to be opposed, or do they accept that people can reject treatment
I imagine that Catholics, or those who oppose the withdrawal of feeding on the grounds articulated by Trisagion earlier on in the thread would maintain that withdrawal of food is an intrinsic moral evil and therefore should not be done whatever the wishes of the patient.

If, for example, someone were paralysed from the neck down and asked to be given a lethal injection, according to Catholic moral theology (and the law in most places, still) this would be wrong, despite the wishes of the patient as it would constitute euthanasia. For Catholic moral theologians, and those who concur with them on this issue, withdrawing feeding is morally closer to euthanasia than it is to, say, switching off a respirator. The moral law, for Catholics, trumps human autonomy.

I await correction but that appears to be the position articulated earlier.
 
Posted by bessie rosebride (# 1738) on :
 
quote:
Originally posted by Billfrid:


Thirdly - turning off life support is not the same as starving someone to death. Life support means exactly that - you can't breathe, eat, swallow, excrete without medical apparatus being constantly connected. People with end-stage diseases on life support are nothing like Terri Schiavo, so please stop making this comparison.


Huh? [Confused]
 
Posted by Go Anne Go (# 3519) on :
 
I think the point about the fact that the courts went to some lengths to establish that this was Terri's wish needs to be strengthened some more.
Recent polls indicate that 70% of Americans in Terri's position would wish to be disconnected from the feeding tube, but that doesn't mean it is what Terri would have wanted. No, the courts went back and talked to Michael and other people including the parents and then came to the conclusion that Terri didn't want to live this way.

And that's important. If you make your wishes known, even as with Gordon where you change your mind (and Gordon, put that in writing for your own sake and peace of mind), people will tend to follow them. My friend Stuart's father is very ill and has been so for quite some time. He's been in a nursing home for about two years and would have died a few times over had there not been some major medical intervention. Stuart, and indeed Stuart's Mom are quite certain that they wouldn't want to live this way (and have got their living wills and made their wishes very well known). They also knew, however, that Stuart's dad wanted every possible thing done. And it has pained them severely, but they've followed his wishes to the letter. It isn't that they want him to die, but they (and indeed by all accounts the father as well) are in severe pain watching this happen when he could have died naturally. It is very hard on all sides and takes considerable strength to abide by someone's wishes.

There's a mention in Time this week about how even if you have a living will, it might still get contested (which does NOT mean you'll win). There's a woman in PA this week going to court to prevent her mother connecting a feeding tube to her Alzheimer's father in direct violation of his wishes and living will. The guilt of the healthy can be phenomonal.
 
Posted by Karl: Liberal Backslider (# 76) on :
 
Perhaps it's just me, but I don't actually care whether they disconnect my feeding tube or not if I get into this sort of condition. It's of no more importance than whether my coffin is pine or oak. I'm effectively dead.

As far as I can see, this debate is really about how long a hospital continues to ensure that a corpse does not rot.

Terri is not lying there thinking "I wish they'd put the tube back in" or "I hope they don't put the tube back in". As a conscious being, she is dead and has been for years. There is no consciousness, no self-awareness and no personality. She is gone.
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Billfrid:
A bunch of unsubstantiated bullshit.

Well, it's nice to know that you've actually taken the time to research the case. Except, you know, NOT.
 
Posted by Laura (# 10) on :
 
Janine: your latest contribution would be more earnest somehow if your one before it hadn't been such an unsupported litany of evil against the husband.
 
Posted by Laura (# 10) on :
 
quote:
Originally posted by Karl: Liberal Backslider:
Perhaps it's just me, but I don't actually care whether they disconnect my feeding tube or not if I get into this sort of condition. It's of no more importance than whether my coffin is pine or oak. I'm effectively dead.

I care because I don't want one penny spent unnecessarily sustaining me that could be used to care for someone it might help, or to send my kids to college. I care because I want my husband to be free to remarry and be happy without having to put up with the sh*t Michael Schiavo has had to put up with.
 
Posted by Foolhearty (# 6196) on :
 
What Laura said.

[Overused]
 
Posted by Karl: Liberal Backslider (# 76) on :
 
quote:
Originally posted by Laura:
quote:
Originally posted by Karl: Liberal Backslider:
Perhaps it's just me, but I don't actually care whether they disconnect my feeding tube or not if I get into this sort of condition. It's of no more importance than whether my coffin is pine or oak. I'm effectively dead.

I care because I don't want one penny spent unnecessarily sustaining me that could be used to care for someone it might help, or to send my kids to college. I care because I want my husband to be free to remarry and be happy without having to put up with the sh*t Michael Schiavo has had to put up with.
There is that side of things, but I wasn't really addressing that. What I was addressing was the idea that people here are making decisions for someone who's unable to make their own feelings clear through incapacity. We are talking rather about what is to be done with the physical remains of someone who but for artificial animation of those remains is actually dead.

I'm trying (probably badly) to dispel the notion that Terri is lying there thinking that she wants one outcome or another, but can't communicate it. That is not the situation.
 
Posted by Billfrid (# 7279) on :
 
Oh dear - I seem to have annoyed people!

Can't be bothered to quote and reply to each, but for what it's worth:

PVS = brain gone = no longer a person.
If any of you can prove that personhood, personality or spirit resides only in the brain, and in a certain amount of brain, I will nominate you for a Nobel Prize. Seriously. There is enough medial literature on anencephaly to make this issue very dubious.

I didn't want to get into the issue of heroes and villains because only three people in the world know the whole story, not because I'm better than anyone else. The point I was trying to make is that regardless of the arguments between parents and husband (or who is the nicer and more believable person)assumptions are being made on behalf of a very vulnerable woman. How far could this be extended?

"Surely as Christians..." is just that, a question, it can have a yes or no response. If the answer is no - why not say that, don't put words in my mouth or impute motives to me. Would any Christian like to respond to this? Am I wrong in thinking that to be a Christian is to be life-affirming?

I am appalled that so many people posting on a Christian site have such a materialistic view of personhood.

If you want to have a go at me personally grow a spine and call me to Hell, otherwise can we please discuss the issue?
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Billfrid:
PVS = brain gone = no longer a person.
If any of you can prove that personhood, personality or spirit resides only in the brain, and in a certain amount of brain, I will nominate you for a Nobel Prize.

Who the fuck said any of this, and what the fuck does it have to do with the situation at hand?
 
Posted by jlg (# 98) on :
 
I Thought This Was A Christian Website™ strikes again!
 
Posted by Marvin the Martian (# 4360) on :
 
Billfrid:

Care to answer my perfectly reasonable question? I can post it again if you missed it the first time [Smile] .
 
Posted by Scot (# 2095) on :
 
quote:
Originally posted by Billfrid:
The point I was trying to make is that regardless of the arguments between parents and husband (or who is the nicer and more believable person)assumptions are being made on behalf of a very vulnerable woman. How far could this be extended?

What assumptions? This entire situation is based on the premise that Ms. Schiavo has the right to refuse medical treatment. The courts have repeatedly found that the available evidence indicates that she would not want to have nourishment injected into her through a surgically implanted tube in order to keep her alive but without hope of recovery. Apart from a right to refuse such treatment, what is being assumed here?

quote:
I am appalled that so many people posting on a Christian site have such a materialistic view of personhood.
I am appalled that so many people speaking publically on behalf of Christianity have such a fixation on extending this life at any cost. It speaks volumes about what they think happens next.

quote:
From your previous post:
Surely, as Christians, our first presumption should be towards life? And Terri Schiavo's life is just as worthwhile as mine or yours.

Why should a Christian's "first presumption" be toward life, as opposed to free will or self-determination? And what does this have to do with anyone's life being worth more than anyone elses? You seem to have a narrow and rigidly-defined view of what a Christian should think.
 
Posted by Karl: Liberal Backslider (# 76) on :
 
quote:
Originally posted by Karl: Liberal Backslider:
quote:
Originally posted by Billfrid:
Oh dear - I seem to have annoyed people!

Can't be bothered to quote and reply to each, but for what it's worth:

PVS = brain gone = no longer a person.
If any of you can prove that personhood, personality or spirit resides only in the brain, and in a certain amount of brain, I will nominate you for a Nobel Prize. Seriously. There is enough medial literature on anencephaly to make this issue very dubious.


Perhaps you would like to point us to any such literature that documents a person able to function as a conscious self aware person with nothing but a brain stem.

quote:
I didn't want to get into the issue of heroes and villains because only three people in the world know the whole story, not because I'm better than anyone else. The point I was trying to make is that regardless of the arguments between parents and husband (or who is the nicer and more believable person)assumptions are being made on behalf of a very vulnerable woman. How far could this be extended?
"Thin end of the wedge" argument. My point is that we must get away from thinking in terms of a "very vulnerable woman". To be blunt, we are actually talking about a "very dead woman". That her body is artificially kept alive does not make it any less an empty shell than any corpse.

quote:
]"Surely as Christians..." is just that, a question, it can have a yes or no response. If the answer is no - why not say that, don't put words in my mouth or impute motives to me. Would any Christian like to respond to this? Am I wrong in thinking that to be a Christian is to be life-affirming?
Yes. But what Terri is doing is not living. If you want a "surely as Christians", how about this one?

"Surely as Christians, we hope that our life on earth is not the complete story, and therefore would hold onto physical earthly life less strongly than non-Christians?"

See? You can throw these statements around as much as you like in any direction.

quote:
I am appalled that so many people posting on a Christian site have such a materialistic view of personhood.
I am convinced that the seat of personality and consciousness is the brain, as all the scientific evidence points that way. Why is that so appalling?


URGH - Hit reply instead of "edit". Would a kind host delete the preceding post? Ta.

[Done.]

[ 29. March 2005, 15:10: Message edited by: Scot ]
 
Posted by Karl: Liberal Backslider (# 76) on :
 
quote:
Originally posted by Erin:
quote:
Originally posted by Billfrid:
PVS = brain gone = no longer a person.
If any of you can prove that personhood, personality or spirit resides only in the brain, and in a certain amount of brain, I will nominate you for a Nobel Prize.

Who the fuck said any of this, and what the fuck does it have to do with the situation at hand?
I think it's Billfrid's interpretation of what I said, and actually I think it's close enough not to be worth arguing over the wording of.

The question is this. If Fred and Bill had their skulls opened by a perfectly skilled surgeon, and their brains swapped, which personality would inhabit which body? I say Fred would find he had Bill's body, because that's where Fred's brain is. What happens under Billfrid's model I'm not sure.
 
Posted by sewanee_angel (# 2908) on :
 
quote:
Originally posted by Billfrid:
If you want to have a go at me personally grow a spine and call me to Hell, otherwise can we please discuss the issue?

Danger, Will Robinson, Danger

Seriously, Billfrid, the Shiavo circus is not about "throwing away" a damaged person. It is about who determines when and what type of medical care a person receives or rejects. Does an individual have that right of self determination or not. It has been proved in a court of law at least 17 times (the number is higher by now) that Terri Shiavo did not want to have a feed tube if she was in the situation she is now. She should not be forced to receive care of this nature just because her parents can't deal.

Surely, as Christians, as we contemplate the death and resurection of Christ, we know that death is not always bad/evil nor should life always be extended at all costs.*

*Please note I am not comparing Shiavo to Chirst - just meeting one "surely, as Christians" thought with another. Billfird, not all Christains think alike.
 
Posted by Alogon (# 5513) on :
 
quote:
Originally posted by Janine:
Where my incredulity comes in, is that he wanted to have the new life and the new wife and home and family and all, and still be Terri's husband too.

What's incredible about this? Would you prefer that he divorce Terri first, deserting her when she is utterly helpless and defenseless? This were not very sporting or gentlemanly. I think that he did the very best thing for all concerned. It's probably what I'd try to do (if I were heterosexual, anyway. [Biased] )

quote:

Unless something new's happened to the law, the only legal marriages are the ones involving two people. So, either he's a married man with a mistress and their progeny on the side -- or he's actually/practically married to the second woman, and has no right any more to speak for Terri as her husband.

I have no idea if it's just the media's idea to call the second lady "common-law wife", or if that's what she calls herself, or if that's what she is by Florida law. And if she is by Florida law, and if her husband is making his stand for Terri as her husband, then the guy's a bigamist. It's a wonder the Schindlers' lawyers didn't toss that idea in the mix.


Perhaps they didn't toss it in because they have been trained to know a fallacy of equivocation when they see one.
 
Posted by Exiled Youth (# 8744) on :
 
I looked at the BBC website and saw this headline.

They are already talking about what to do when the poor lady stops breathing. From the headline on the frontpage of BBC News, it did seem a bit like she had passed away...but no, they're just deciding what to do. At least they've agreed on something, and at least the parents will be forced to face the reality of the situation. So sad.

And Bilfrid the "I thought this was a Christian Website" right-to-lifer, read the whole thread first, yeah?

[brick wall]

This has nothing to do with euthanasia; it's to do with the patient's right to choose. The choice was made by Terri, and the courts have affirmed this over and over again. Get a grip. And read the thread, the whole thing.

And shame on those campaigners at the hospice, as linked to by Erin. It does horrors to my blood pressure seeing things like that done in the name of Christianity™.

[ETA: I think one of the links further up on this page mentions that the new lady in Mr Schiavo's life is referred to by him as a fiancee...can't do accents i'm afraid...]

[ 29. March 2005, 15:38: Message edited by: Exiled Youth ]
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by Billfrid:
If you want to have a go at me personally grow a spine and call me to Hell, otherwise can we please discuss the issue?

The "grow a spine" remark is the closest this thread has gotten to unacceptably personal discussion. You've come right up to the line; please don't cross it.

RuthW
Purgatory Host
 
Posted by nicolemrw (# 28) on :
 
bilfrid, what everyobody else said. plus, this:

quote:
Secondly, invoking Terri's 'right to die' is nonsensical as it directly conflicts with her 'right to life' which she surely has as a citizen of the United States under the First Amendment - if she never made a living will surely the presumption should be right to life in all cases.

what in heavens name are you talking about? there _is_ no "right to life". and this is the text of the first amendment.

quote:
Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.

nothing that could concievably have anything to do with the terri schiavo case.
 
Posted by Henry Troup (# 3722) on :
 
quote:
Originally posted by Billfrid:
...Am I wrong in thinking that to be a Christian is to be life-affirming?...

St. Paul saith, in Philippians 1:21 -- New International Version (NIV)

quote:

For to me, to live is Christ and to die is gain.


 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by nicolemrw:
what in heavens name are you talking about? there _is_ no "right to life".

I assume (s)he was referring to the Declaration of Independence, in which it is asserted:

quote:
We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.

 
Posted by nicolemrw (# 28) on :
 
which is not, mousethief, as you should know, a legal document, simply a historical one.

edited to add, besides, he specifically cited the first amendment.

[ 29. March 2005, 17:25: Message edited by: nicolemrw ]
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by nicolemrw:
which is not, mousethief, as you should know, a legal document, simply a historical one.

True.

quote:
edited to add, besides, he specifically cited the first amendment.
Ah; somehow I missed that.
 
Posted by nicolemrw (# 28) on :
 
no prob, mousethief. if he hadn't mentioned the first amendment i would have made the same assumption. it was the miss-cite of the first amendment that pissed me off... if he can't be bothered to be accurate in something as simple as that, then why should he expect anyone to pay any attention to what he posts?
 
Posted by Erin (# 2) on :
 
Jesse is now on the scene. Fabulous.
 
Posted by Living in Gin (# 2572) on :
 
Something about horses and barn doors comes to mind.

Must have been quite a dillema for poor Mr. Jackson.... All those TV cameras at Jacko's trial in California, versus all those TV cameras in Florida. "Hmm... What to do? What to do?"
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by Living in Gin:
Must have been quite a dillema for poor Mr. Jackson.... All those TV cameras at Jacko's trial in California, versus all those TV cameras in Florida. "Hmm... What to do? What to do?"

[Killing me] [Killing me] [Killing me]
 
Posted by Paige (# 2261) on :
 
The poor man has finally slipped his last mooring...

But I get a fiendish feeling of glee at the thought of all those right-wingers finding themselves in his company.
 
Posted by Go Anne Go (# 3519) on :
 
Can I just say that I for one am glad she didn't die on Easter? The political and press circus fiasco on the timing of that would have been a nightmare. I was dreading it.
 
Posted by Paige (# 2261) on :
 
quote:
Originally posted by Go Anne Go:
Can I just say that I for one am glad she didn't die on Easter? The political and press circus fiasco on the timing of that would have been a nightmare. I was dreading it.

GAG---my biggest fear was that she would die at 3:00 on Good Friday.

Poor woman. [Votive]
 
Posted by Erin (# 2) on :
 
I know this is a sad and tragic state of affairs, but this makes me cackle with glee:

quote:
But Jackson said he was rebuffed in his attempts to see Terri Schiavo.

"We did call Michael Schiavo and asked if we could go in and have prayer with Terri. He finally got back and said, he thought not."


 
Posted by sharkshooter (# 1589) on :
 
quote:
Originally posted by Karl: Liberal Backslider:
...
quote:
"Surely as Christians..." is just that, a question, it can have a yes or no response. If the answer is no - why not say that, don't put words in my mouth or impute motives to me. Would any Christian like to respond to this? Am I wrong in thinking that to be a Christian is to be life-affirming?
Yes. But what Terri is doing is not living. If you want a "surely as Christians", how about this one?

"Surely as Christians, we hope that our life on earth is not the complete story, and therefore would hold onto physical earthly life less strongly than non-Christians?"

...

Indeed.

If I ever end up in Terri's state, I pray someone would have the courage to pull the tube out so I could go Home.

Clearly her wish was to not continue in this way.

[aside]I fail, also, to see the difference between forced breathing and forced eating. To disconnect either results in death - one in seconds/minutes the other in days/weeks - but the act and the result are the same. Why would one be worse than the other? [Confused] [aside]
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by sharkshooter:
I fail, also, to see the difference between forced breathing and forced eating. To disconnect either results in death - one in seconds/minutes the other in days/weeks - but the act and the result are the same. Why would one be worse than the other? [Confused]

I agree completely; but who said they were different?
 
Posted by nicolemrw (# 28) on :
 
lots of people have, mousethief, some even on this thread. i don't see any difference myself, but apparently some do. don't ask me why.
 
Posted by sharkshooter (# 1589) on :
 
Sorry, mousethief, I should have quoted someone saying that.

The comment was in response to, primarily, this by Billfrid:

quote:
Thirdly - turning off life support is not the same as starving someone to death. Life support means exactly that - you can't breathe, eat, swallow, excrete without medical apparatus being constantly connected. People with end-stage diseases on life support are nothing like Terri Schiavo, so please stop making this comparison.

Notice that he referred to the fact that life support includes eating. But, if Terri could eat, she wouldn't need the tube, so, the tube must be life support.

Makes my head spin a bit.
 
Posted by jlg (# 98) on :
 
quote:
Originally posted by Mousethief:
quote:
Originally posted by sharkshooter:
I fail, also, to see the difference between forced breathing and forced eating. To disconnect either results in death - one in seconds/minutes the other in days/weeks - but the act and the result are the same. Why would one be worse than the other? [Confused]

I agree completely; but who said they were different?
The RCC has made the distinction (there are links earlier in this thread, I believe) that turning off a respirator is OK, but removing a feeding tube is not. And Terri Schiavo is RC.

One thing this whole circus has made me realize is that when I document my beliefs about dying I need to make it 100% clear that my membership and active participation in the RCC in no way should be taken as indication that I agree with church teachings on these matters.

God forbid that my husband, children, and siblings (all of indeterminate or no particular Faith) should find themselves arguing with some self-righteous fanatic claiming "But she was a daily communicant! Surely she would want to to be kept alive!" despite my having told those closest to me "If it comes down to a contested decision, err on the side of death.".

It's a sad state of affairs when we have to be worrying about creating iron-clad legal documents in order to ensure that we might be allowed to die in peace when our body and soul are ready to go.

I'm old enough to remember when pneumonia was known as the Friend of the Elderly, because it was the medical complication by means of which nature cut short otherwise long and painful deaths.
 
Posted by Golden Key (# 1468) on :
 
Someone on Terri's parents' side has already referred to this as a "crucifixion".
 
Posted by Go Anne Go (# 3519) on :
 
You mean Pneumonia isn't still known as that? I know that it is a huge risk to those laid up for a while in hospital. In fact, hospitals are not great places to be sick as there's so much infection floating around (and I'm not just talking MSRA)
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Rat:
Unless you dig a little deeper, the fact that repeated court judgements have established Terri's wishes and medical state are not being mentioned much.

Yes, this is the key, isn't it. Not knowing the US legal system I don't know how much closer it is to get to legal clarity on this case than has already been achieved. The legal issue appears at this stage to be completely cut and dried.

It is also the point at which I would suggest that there is plenty of room for doubt as to the reality of the situation. I've already given the example of how if I'd been in this position 9 years ago, there would be overwhelming evidence that I would like to have medical support withdrawn — evidence which would be simply wrong, given that I had changed my mind without having told people. Similar possibilities come to mind here, and of course we rely on the character and testimony of Mr Schiavo (which I'm not questioning, by the way—I don't know enough about that).

The legal clarity that has been achieved allows a legal resolution, without providing any real answer for the resolution of nagging doubt. To which I suppose some would say, so what; but that "so what" in itself would demonstrate that the real issues are not legal but ethical.
 
Posted by Paige (# 2261) on :
 
Gordon---I admit I'm curious. Would you be willing to explain why you changed your mind?
 
Posted by sewanee_angel (# 2908) on :
 
quote:
Originally posted by Gordon Cheng:
It is also the point at which I would suggest that there is plenty of room for doubt as to the reality of the situation. I've already given the example of how if I'd been in this position 9 years ago, there would be overwhelming evidence that I would like to have medical support withdrawn — evidence which would be simply wrong, given that I had changed my mind without having told people. Similar possibilities come to mind here, and of course we rely on the character and testimony of Mr Schiavo (which I'm not questioning, by the way—I don't know enough about that).

Yeah, but see, for the last 9 years, you've literally had a brain and been able to think and change your views and tell people about it. The grey matter of Shiavo's brain is not there. She can't have changed her mind while in a pvs.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Paige:
                  

Gordon---I admit I'm curious. Would you be willing to explain why you changed your mind?

Yeah sure; I was reflecting on the nature of personhood and its relationship to the terminating of human life.

I took the view (and still do) that our being in the image of God is expressed in at least two ways: in our stewardship over this creation under God, and in our capacity for relationship — in particular, Male-Female — which is a reflection of God's intra-trinitarian relationships. Genesis 1:26 stuff.

My previous line of thinking was that insofar as our capacity for relationship is impaired or non-existent, we can no longer be said to be in the image of God — obvious applications to things like the TS case, where we might say she is in God's image only less and less so (on my former view).

But on reflection and further reading I've come to the view that our personhood is dependent on God's creative word ("Let us make man in our image") rather than our ability to function in a particular way. Our imagehood has been marred but not obliterated (and of course, is fully seen and restored in Christ). I take it this is one of the reasons we can't just go 'round, after the fall of Genesis 3, killing people randomly in the way we might squash a bug; thus Genesis 9:6.

Terri S is still a person in God's image. It does not automatically follow that she should be kept alive, but it changes the way we approach such a question. I am rather chilled, for example, by the way some posters want to turn this into a matter of financial calculus, whereby a certain number of starving children could've been saved if she'd been zoffed five or ten years ago. All of God's children are precious, and arguments such as this I find nauseating.

Far stronger to argue on the basis of the right to refuse medical treatment, though I personally haven't yet worked out whether that settles it, especially in this case. Legally, case closed. Ethically, all sorts of questions.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Gordon Cheng:
I've already given the example of how if I'd been in this position 9 years ago, there would be overwhelming evidence that I would like to have medical support withdrawn — evidence which would be simply wrong, given that I had changed my mind without having told people.

I will grant that it's possible she might have changed her mind and failed to tell her husband so. I honestly don't think that matters. It's possible that, even if she had a living will, that she'd changed her mind after she'd had it drawn up, and hadn't gotten around to changing it yet. But the only information that someone else can know, and act on, is what you say, or what you write down somewhere. The only way anyone can follow your wishes is for you to express them.

If your loved ones, your doctor, anyone else, follows your expressed wishes, they have done the best they can. The fact that you changed your mind is irrelevant. If they did what you asked, to the best of their ability, they've done all that they could do. If what you wanted is not what you said, you're responsible for that, not them.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by josephine:
If your loved ones, your doctor, anyone else, follows your expressed wishes, they have done the best they can. The fact that you changed your mind is irrelevant. If they did what you asked, to the best of their ability, they've done all that they could do. If what you wanted is not what you said, you're responsible for that, not them.

Yes, I don't doubt that if such a thing as a 'living will' — or possibly a legally recognised equivalent — existed in law, it would be ethically defensible to follow its provisions.

Whether it's ethically wise for the law to recognise living wills or their equivalent, I am not so sure. Presumably even those who favour such things would recognise exceptions, eg a living will written by someone prior to their conversion to Roman Catholicism, or in a depressed state, or...?
 
Posted by Erin (# 2) on :
 
But if you change your mind, the onus is on you to tell the people who need to know. This is where I absolutely insist on personal responsibility to the very last. To place others in the position of ferreting out whether you still mean what you said ten years ago is cruel. Your family and friends honor you by making sure your last known wishes are carried out. If you can't be arsed to tell them that you've changed your mind... well, that's the way the cookie crumbles.

ETA: her crazy parents are now selling the names and e-mail addresses of the people who've donated to their cause and/or responded via their website to a fundie spammer group. Gawd, how tacky.

[ 29. March 2005, 22:12: Message edited by: Erin ]
 
Posted by Campbellite (# 1202) on :
 
quote:
Originally posted by Henry Troup:
quote:
Originally posted by Billfrid:
...Am I wrong in thinking that to be a Christian is to be life-affirming?...

St. Paul saith, in Philippians 1:21 -- New International Version (NIV)
quote:

For to me, to live is Christ and to die is gain.


Which means, for Terri, as a baptised Christian, that to be allowed to die is gain.

Let the poor woman go.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Gordon Cheng:
Whether it's ethically wise for the law to recognise living wills or their equivalent, I am not so sure.

What would be the alternative?

quote:
Presumably even those who favour such things would recognise exceptions, eg a living will written by someone prior to their conversion to Roman Catholicism, or in a depressed state, or...?
If, in your Last Will and Testament you directed that everything go to your church, and then decided that you hated that church and all its teachings and everyone that had ever had anything to do with it, and you left there, never to darken its door again -- and you died without changing your will, everything would go to the church that you hated.

If you make a living will, then change your mind about anything in the will, for any reason, you must change it, or (like a regular will), it will be enforced as written. That's how legal documents work.
 
Posted by Paige (# 2261) on :
 
Thanks, Gordon---that's very interesting.

I have two reasons for not wanting to live if I were to be in a PVS: First is that I am pretty much of the Descartes school---"I think, therefore I am." So if I'm not thinking anymore, I'm not ME in any way other than the physical shell. At that point, I'd like to be allowed to go home to God.

Second, I could not bear to lay on my family that kind of hardship. Life is for the living, and I couldn't stand the thought that they would be tied by guilt (or political interference) to a breathing corpse.
 
Posted by jlg (# 98) on :
 
quote:
Originally posted by Gordon Cheng:
Whether it's ethically wise for the law to recognise living wills or their equivalent, I am not so sure. Presumably even those who favour such things would recognise exceptions, eg a living will written by someone prior to their conversion to Roman Catholicism, or in a depressed state, or...?

emphasis added

I find the phrase I put in bold rather interesting, Gordon, in view of my post just an hour-and-a-half ago stating that I didn't want the official stance of the RCC to be taken as mine.

Given a written document, that should be the basis for action. Second to that should be actual statements by the person as recalled by close family and friends.

Membership in a particular church should carry little weight unless the person regularly proclaimed (s)he was a sincere believer in ALL the teachings of that church. Second-hand opinions about what the person believed should be based on actual conversations about matters of ethical importance (as opposed to lip-service agreement with church teachings while chatting) not church attendance or participation in various and sundry social and quasi-liturgical activities.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by josephine:
quote:
Originally posted by Gordon Cheng:
Whether it's ethically wise for the law to recognise living wills or their equivalent, I am not so sure.

What would be the alternative?

<snip>

If you make a living will, then change your mind about anything in the will, for any reason, you must change it, or (like a regular will), it will be enforced as written. That's how legal documents work.

Yes, of course, assuming that the law in your corner of the kingdom recognises something called a 'living will', which seems to be a fairly recent phenomenon of some Western cultures predicted upon the availabilty of medical technology.

One thing the lawmakers could do would be to refuse to recognise anything that purported to be a living will. There are all sorts of cases where I assume (not being a lawyer) that this already happens. For example, could I write into my real will a sum of $AUD50 for anyone prepared to knock off the POTUS or someone else I happened not to like? Well I could, but I very much doubt that it would carry legal weight in any jurisdiction.

At this point we enter into the ethics of the laws that are made to deal with situations such as Terri Schiavo's. And I've argued earlier on this thread that there might be good reasons for lawmakers to legislate in a way that is extremely conservative in matters of life and death. What is ethically right for someone to do with their sick gran who wants to come off her anti-cancer chemotherapy (and I would argue yes, it's her choice to do that) does not translate easily into public legislation. The decisions made by government and the decisions made by individuals may be quite different, and for good reason.

Paige, you said

quote:
Second, I could not bear to lay on my family that kind of hardship. Life is for the living, and I couldn't stand the thought that they would be tied by guilt (or political interference) to a breathing corpse.

I do understand this way of thinking. Once it becomes widespread, however — and especially when it is used to inform government legislation — it can add dreadfully to the burden of the depressed and somewhat unwell person, and can be used by unscrupulous individuals to apply enormous pressure to old, sick people and others.

I don't know what the situation is in the US, but in recent years in Australia we have had some horrendous scandals relating to the treatment of frail elderly in private nursing homes. Some nursing homes are terrific and look after such people very well. Other nursing homes will cut financial corners at every possibility, and hold the vulnerability of the elderly over their heads as a very effective weapon of silencing complaint.

I would be deeply alarmed if legislation meant that greater power passed into the hands of some of these operators to make determinations about ongoing life support. What happens, for example, to the patient in the early stages of Alzheimer's who passes a certain point (perhaps even before they are diagnosed), after which they will happily sign some sort of living will in the belief that they will receive a better quality of care from the nursing home in which they are compelled to stay?

This is not pie in the sky dreaming about the future. The current Dutch situation with regard to treatment of the seriously ill and dying is an alarming example of how unintended consequences can and have followed from the simple desire to help those who suffer. (check out the Journal of Medical Ethics reference I made here)
 
Posted by Erin (# 2) on :
 
quote:
Originally posted by Gordon Cheng:
Yes, of course, assuming that the law in your corner of the kingdom recognises something called a 'living will', which seems to be a fairly recent phenomenon of some Western cultures predicted upon the availabilty of medical technology.

One thing the lawmakers could do would be to refuse to recognise anything that purported to be a living will.

You keep saying "if" and "assuming", as if there were any question. The federal Patient Self-Determination Act of 1990 legislates that patients do, in fact, have a right to self-determination of treatment AND that patients are required to be informed of that right by healthcare providers (specifically, institutions). It also legislates that patients have a right to execute an advance directive for instructions relating to medical care in the event the patient is unable to make those decisions him or herself. Like many things the federal government does, interpretation of the law was left to individual states.

So now we move to the state of Florida. Florida specifically recognizes, by law, three types of advance directives: a Living Will, which is a document outlining the types of treatment a patient does or does not want in the event of either a terminal condition, an end-stage condition or a persistent vegetative state; a Durable Power of Attorney for Healthcare, which names another individual as the healthcare surrogate when a patient is incapacitated (be it temporarily or permanently); and an Anatomical Gift (i.e., donating your body to science).

A patient may verbally revoke or amend an advance directive at any time.

So when we talk about the Schiavo case, we are in essence talking about a verbal Living Will. Florida has outlined what a Living Will must contain if it is drafted in the state of Florida. Florida does honor Living Wills drafted in other states, provided they follow that state's guidelines. And believe me when I say that hospitals, hospices and other institutional providers know the ins and outs of every state's requirements, because failure on this point means you lose your Medicare and Medicaid certification as well was JCAHO accreditation. In other words, failure to follow the law is the kiss of death.

Anyway, Florida has legislated that yes, these are legal documents, and they provide not only for the specific conditions under which each one may be executed, but in the case of the Living Will, there is specific mention of artificial nutrition and hydration. Here is the state's version of the Living Will (it's page five of the document).

All of this is to say that there is no if or assuming. It IS the law.
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by Gordon Cheng:
Yes, of course, assuming that the law in your corner of the kingdom recognises something called a 'living will', which seems to be a fairly recent phenomenon of some Western cultures predicted upon the availabilty of medical technology.

1. I think you mean "predicated".

2. Yes, of course, it is predicated on the availability of medical technology. Because without medical technology, people who are dying just die, and that's that. It's only with the possibility of "artificially" (to borrow a term from Trisagion's discussion of birth control on another thread) extending life for someone who otherwise would die, that such a thing as a 'Living Will' even becomes necessary.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Mousethief:
2. Yes, of course, it is predicated on the availability of medical technology. Because without medical technology, people who are dying just die, and that's that. It's only with the possibility of "artificially" (to borrow a term from Trisagion's discussion of birth control on another thread) extending life for someone who otherwise would die, that such a thing as a 'Living Will' even becomes necessary.

Ex-friggin'-actly.

It's only because we've got to such an advanced state with medical science that this is even an issue.

Kinda makes me wonder though. Why is it that none of the religious nutjobs pull the "playing God" card when we artificially extend life?
 
Posted by Paige (# 2261) on :
 
Apparently the 11th Circuit Court of Appeals has agreed to hear an emergency petition from the Schindlers to reinsert the tube.

ABC News
 
Posted by Go Anne Go (# 3519) on :
 
They may have agreed to hear it, but odds are against their winning.

Didn't these people say they were giving up their legal options?
 
Posted by josephine (# 3899) on :
 
Gordon, you didn't answer my question. If the government were to decide no longer to accept Living Wills, then what would be the alternative? How would someone consent to or refuse treatment if they were not able, temporarily or permanently, to say what they wanted?

Would we have to provide all possible treatment? Would their next-of-kin be able to speak on their behalf? What the courts have to take on this role?

If you would not allow me to tell you what I want or don't want, then what is the alternative?
 
Posted by Alt Wally (# 3245) on :
 
Trisagion

quote:
We have a duty to feed the hungry but I'm not so sure that we have a similar duty to pump somebody's heart and inflate and deflate their lungs.
I think Orthodox opinion pretty much lines up with this view. A feeding tube is not an extraordinary measure to keep someone alive. There have been statements from both the Greek Orthodox Archdiocese and the Orthodox Church in America saying that removing the feeding tube from Mrs. Schaivo cannot be condoned or supported.
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by Alt Wally:
A feeding tube is not an extraordinary measure to keep someone alive. There have been statements from both the Greek Orthodox Archdiocese and the Orthodox Church in America saying that removing the feeding tube from Mrs. Schaivo cannot be condoned or supported.

With which I vehemently disagree. A feeding tube is, in fact, an extraordinary measure. Someone losing the ability to eat and drink is their body's way of saying "it's time to go."
 
Posted by Alt Wally (# 3245) on :
 
I could only suggest that you speak with your priest then to see where he stands. The words of the hierarchs seem pretty clear to me.
 
Posted by Trisagion (# 5235) on :
 
quote:
Originally posted by jlg:
I find the phrase I put in bold rather interesting, Gordon, in view of my post just an hour-and-a-half ago stating that I didn't want the official stance of the RCC to be taken as mine.

Given a written document, that should be the basis for action. Second to that should be actual statements by the person as recalled by close family and friends.

Membership in a particular church should carry little weight unless the person regularly proclaimed (s)he was a sincere believer in ALL the teachings of that church. Second-hand opinions about what the person believed should be based on actual conversations about matters of ethical importance (as opposed to lip-service agreement with church teachings while chatting) not church attendance or participation in various and sundry social and quasi-liturgical activities.

There's nothing second-hand about it in the circumstances Gordon put forward. When someone is received into full Communion with the Catholic Church they have to say something along the lines of, "I believe, hold and teach all that the Catholic Church believes, holds and teaches to be true..." (Sorry for the inaccuracy of the quote but my copy of the Rites is at work and I'm at home). It is a perfectly reasonable assumption that someone who says that, actually means it. It is a public statement made before witnesses and would (in the circumstances outlined) involve a direct expression of wishes made in a prior Lving Will, if that Living Will (is there any other kind?) included statements about wishes, intentions or instructions which were contrary to anything that the Catholic Church believes, holds or teaches to be true. Whether an advance directive stipulating no ANH is such is quite another matter.
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by Alt Wally:
I could only suggest that you speak with your priest then to see where he stands. The words of the hierarchs seem pretty clear to me.

Pity God gave me this brain, if I'm not allowed to use it.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Alt Wally:
I could only suggest that you speak with your priest then to see where he stands. The words of the hierarchs seem pretty clear to me.

FWIW, Alt Wally, I did talk to our priest about it at some length on Sunday. I was concerned about the statements, because my family did not consent to a feeding tube for my grandmother or my mother, and we discontinued a feeding tube for my father. After reading the statements, I was quite concerned.

He had not read the statement on the website, but thought that it applied only to the Schiavo case. Generally, he said, decisions about end-of-life care, including whether to initiate treatment, what treatment to permit, what to refuse, and so on and so forth, are made on a case-by-case basis, according to pastoral needs and the wishes of those involved.

He did say that providing food and water is different from other medical treatment, because of the specific blessings Jesus spoke to those who gave food and drink to the hungry and thirsty. For the sick, he didn't say, "Blessed are you who provided treatment" but "blessed are you who visited me," suggesting, to him, no obligation to treat, beyond providing nutrition and hydration.

But there are exceptions even for that. For example, if a monk were to refuse to be removed from the monastery to a hospital for treatment (including ANH), on the grounds that he had lived his life in the monastery, and wished to die there, that desire would be honored.

He felt that the decisions we made for my family members were appropriate, and within the bounds set by the church. My mother's wish to die at home rightly overrode taking her to the hospital for ANH. The fact that my father's body was shutting down, as was his mother's when she died, and the fact that both had strongly expressed the desire not to have their dying interfered with (my father having put that in writing), meant that not providing ANH was appropriate.
 
Posted by Karl: Liberal Backslider (# 76) on :
 
I don't see how an obligation to feed the hungry is relevant. Terri isn't hungry. She does not feel hunger.

The basic point that she is already dead to all intents and purposes doesn't seem to be entirely understood here.
 
Posted by Weed (# 4402) on :
 
quote:
Originally posted by Karl: Liberal Backslider:
The basic point that she is already dead to all intents and purposes doesn't seem to be entirely understood here.

Karl, I think this is very unhelpful. She is alive according to law and it is precisely because she is regarded as a living person that her wishes are being given effect to.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Karl: Liberal Backslider:
I don't see how an obligation to feed the hungry is relevant. Terri isn't hungry. She does not feel hunger.

This I think is certainly true.

quote:
The basic point that she is already dead to all intents and purposes doesn't seem to be entirely understood here.
But not this. She is not brain-dead. She is not in a coma. All the autonomic functions are working just fine. She's definitely alive.

And, from the Orthodox POV, because the person is not the soul, which simply happens to be housed in a body, but is both body and soul, both material and immaterial, she is still a person, and she is still there. Damaged, yes, terribly so. But she hasn't ceased to be a person.
 
Posted by Paige (# 2261) on :
 
The problem, as I see it, is twofold. First, now that we have the technology to keep people alive, there are some who demand that we do so. Second, we as a culture are so absolutely obsessed with preventing death that we have lost all sense of proportion about the end of life.

Fifty years ago, Terri Schiavo would have died of the heart attack. The chances of her being revived from it would have been almost nil, and there would have been no option to feed her long-term, even if she had been revived.

That is why I have such trouble with this "duty to feed" issue. Terri Schiavo cannot eat on her own. In every age up to the last 30 years or so, she would have died quickly and quietly. And I cannot help but believe that would have been a mercy to her, to her husband, and to her family. She was kept alive merely because the technology exists, not because it was the best thing for her.

I think we have lost the capacity to deal with death. We fear it so much that we are willing to expend our last bit of money and energy to keep it at bay. I think that is sad, and rather a telling commentary on our trust in God.

I am NOT making an argument that we should start putting old or very sick people out of the way---but I am asking why we think we need to defeat death in a case like this?

As repulsive as many of us find the subject of money and human life, we live in a world of limited resources. It's all well and good to say "We must never count the cost of a human life," but we do it all the time, and we must. There simply is not enough money to keep a world full of people in PVS alive. And I think we have a duty, as good stewards, to at least contemplate the issue of who goes without the basic necessities of life because we cannot let go.
 
Posted by Newman's Own (# 420) on :
 
quote:
Originally posted by Marvin the Martian:
Why is it that none of the religious nutjobs pull the "playing God" card when we artificially extend life?

I have no patience with 'religious nut jobs,' yet I rather wish someone would ask that question.

I have been reading this thread with sadness, and must admit that few matters of which I have read recently (or, perhaps, ever) have left me as totally puzzled and perplexed. I am wondering if any Ship mate knows of a standard, internationally recognised phrase (since I get around...) to the effect of "do not use extraordinary measures." If so, I am going to have it tattooed across my torso.

I personally do not believe one ever has a moral obligation to use extraordinary measures. In fact, were (for example) a cancer patient, faced with that surgery and other therapies could extend his life, to decline those treatments is doing nothing wrong - and may indeed be making the best decision for himself. Why are Christians so terrified of death that life must be extended at all costs?

I can well understand that Rome would caution against seeing feeding as not being 'extraordinary' - I know well what it is to care for someone who is dying (and losing mental capacity), and, though I never would do this, can see where people might starve the elderly to death. But feeding when someone still can swallow, or when a tube might be used temporarily because another medical procedure hindered swallowing for a period, is a far different matter from this.

What is the bizarre logic here? (Rhetorical question.) Has the radical pro-life stance extended so that the syllogism seems to be: babies in the womb cannot survive outside of their mothers' bodies (at all, or without medical assistance in the late stages); abortion is wrong, and people who justify it do not think the unborn are human; therefore, anyone, of any age, who cannot survive must be placed on machines or they are being considered less than human and being murdered if they are taken off machines?!

I have been at the side of those who are dying - seen the involuntary movements and heard the sounds from their mouths (even when their minds no longer really function.) I do not know, but can only imagine, how painful it is to have one's child die, and could see that parents could delude themselves into believing that a child was still reacting to and communicating with them. But charity here would have been far better placed at helping the parents see the truth. (I would not imagine that watching a spouse die, over 15 years, would be terribly pleasant... good Lord, what her husband must have suffered, and the nut jobs are making him out to be a monster.)

I also find myself unable to comprehend just what political statement the US federal government was trying to make where this poor woman was used as a token. And I do not mean I did not read the thread and links... only that the entire scenario leaves me totally confused.
 
Posted by Bartolomeo (# 8352) on :
 
quote:
Originally posted by Newman's Own:
I am wondering if any Ship mate knows of a standard, internationally recognised phrase (since I get around...) to the effect of "do not use extraordinary measures." If so, I am going to have it tattooed across my torso.

The problem is that those measures that might be considered extraordinary are a question of judgement and are situational. Young accident victims, where there is hope of recovery, are treated differently that the terminally ill. In between are shades of grey where there is no right answer.

quote:

I also find myself unable to comprehend just what political statement the US federal government was trying to make where this poor woman was used as a token. And I do not mean I did not read the thread and links... only that the entire scenario leaves me totally confused.

It would appear that congressional leadership misread the public sentiment and was trying to divert attention from an ethics probe. Beyond that, I think it was a calculated political move, and that they thought that the people who oppose federal intervention will forget about it by the next election while the right-to-life people will not. I believe their calculations are in error.
 
Posted by Erin (# 2) on :
 
Well, the court just rejected the Schindlers' appeal, so maybe this is the beginning of the end of this whole sordid mess.
 
Posted by josephine (# 3899) on :
 
quote:
Originally posted by Bartolomeo:
The problem is that those measures that might be considered extraordinary are a question of judgement and are situational. Young accident victims, where there is hope of recovery, are treated differently that the terminally ill. In between are shades of grey where there is no right answer.

This is why my friend, who is a priest, a physician, and a medical ethicist, doesn't like living wills, and much prefers a medical proxy, or medical power of attorney, or whatever it's called. He believes that, rather than spelling out which procedures you would or would not like to have, you're better off with a person who understands you, who can make the call based on a full understanding of your wishes, and a full understanding of the situation.

Before my father's final illness, he had stipulated that he didn't want a feeding tube, he did want treatment with antibiotics for infection should one occur, and he did want to receive medication to control the encephalopathy that could occur as a result of his underlying condition (medication that must be administered orally). Then he developed an infection, and at the same time developed encephalopathy which prevented him from swallowing or communicating. We couldn't ask him which took precedence, the desire to receive appropriate medication, or the desire not to have a feeding tube.

I understand that, with living wills, those sorts of difficulties regularly occur. Someone has to decide how to apply them, because life and death are not as simple as the piece of paper would lead one to believe.
 
Posted by Caz... (# 3026) on :
 
We surely can't be far off of the end, at least of this stage, though it seems the aftermath may stretch on and on.

But for Terri, yes, the physical end must be in sight. And for that I thank God, and and so thankful for good sense prevailing over emotionalism amongst the judges.

Janine, y'know I usually love to read what you write, but your comments about Michael Shiavo's dedication or lack thereof to Terri left a really bad taste in my mouth. I can't think how he could have been a better husband to that woman these last 15 years than he has been. I couldn't let this thread finish without registering that.
 
Posted by Gordon Cheng (# 8895) on :
 
Just looking at one argument: I'm not sure that the "she would've died if this'd happened thirty years ago anyway" is either here or there in helping decide the ethics of this case. The feeding tube is hardly the latest and greatest in advanced and intrusive medical technology.

What's more, there is a reason why people don't just die the way they did, and it has to do with working really hard to find ways to keep them alive, because we think it really matters. So the "she would've died thirty years ago" argument cuts both ways, in that it shows how seriously we continue to take the idea of not just letting people die.

As for what this shows up about our views of the afterlife, this is a bit of a non-sequitur. Just because we think Christians might be better off in the life to come doesn't mean we go around tossing live handgrenades into packed churches. The ethically correct way to proceed has to be decided on other grounds doesn't it?

quote:
Originally posted by Josephine:
If the government were to decide no longer to accept Living Wills, then what would be the alternative? How would someone consent to or refuse treatment if they were not able, temporarily or permanently, to say what they wanted?



One alternative to having a binding living will would be I suppose for the government to legislate that some third party, eg a spouse, or perhaps a defined group of family members who would have to be unanimous, to be given legal power to act (or not act) in the application of a written living will.

I'm arguing therefore that the right to patient self-determination is an important ethical issue but not the only one.

quote:
Originally posted by Erin:
You keep saying "if" and "assuming", as if there were any question. The federal Patient Self-Determination Act of 1990 legislates that patients do, in fact, have a right to self-determination of treatment AND that patients are required to be informed of that right by healthcare providers (specifically, institutions

No, I don't question that in Florida the situation in this case is legally unambiguous. The "ifs and assumings" related to the possibility of similar cases in different jurisdictions, not even US ones necessarily.

I feel for all the parties involved in this situation; the unfolding legal and social consequences of this case are of as great concern, perhaps even more.
 
Posted by Karl: Liberal Backslider (# 76) on :
 
quote:
Originally posted by josephine:
quote:
Originally posted by Karl: Liberal Backslider:
I don't see how an obligation to feed the hungry is relevant. Terri isn't hungry. She does not feel hunger.

This I think is certainly true.

quote:
The basic point that she is already dead to all intents and purposes doesn't seem to be entirely understood here.
But not this. She is not brain-dead. She is not in a coma. All the autonomic functions are working just fine. She's definitely alive.

And, from the Orthodox POV, because the person is not the soul, which simply happens to be housed in a body, but is both body and soul, both material and immaterial, she is still a person, and she is still there. Damaged, yes, terribly so. But she hasn't ceased to be a person.

I think this is the problem here. I do not buy this "soul housed in a body" dualism one bit.

But let's run with it for just a second. Suppose Terri has a "soul" which is immaterial and so unaffected by her non-existant cerebral cortex.

Is this "soul" bound to her damaged body? If so, what on earth are we doing prolonging this soul's imprisonment in a body through which it cannot manifest any functions?

If it is free, and no longer inhabiting the body, then is she not physically dead by virtue of that fact?

What do you think Terri's soul is currently experiencing? I say it's oblivion, because her higher brain structures which give rise to what we call her soul no longer exist. Until the resurrection from the dead, she does not exist. That's why as far as I can see, legally notwithstanding, she is actually dead.
 
Posted by Scot (# 2095) on :
 
Terri Shaivo has died. May she and those who cared about her finally find some peace.
 
Posted by Caz... (# 3026) on :
 
May the memory of her as she once was be eternal.
 
Posted by Campbellite (# 1202) on :
 
Requiscat in pacem. [Votive]
 
Posted by Mousethief (# 953) on :
 
May her memory be eternal. [Votive]
 
Posted by Erin (# 2) on :
 
The Lord giveth and the Lord taketh away. Blessed be the name of the Lord.
 
Posted by Rev per Minute (# 69) on :
 
BBC report for those who wish to see it.
 
Posted by Og: Thread Killer (# 3200) on :
 
[Votive]
 
Posted by Foolhearty (# 6196) on :
 
May God welcome her with open arms to her eternal home. [Votive] [Votive] [Votive]
 
Posted by Go Anne Go (# 3519) on :
 
Why do I have the sinking feeling in my stomach that after an exceptionally short mourning period this is only going to launch a new and even more vicious round of fighting?

I hope Terri comes down and smites whoever is on the side of this fight she didn't agree with.
 
Posted by Golden Key (# 1468) on :
 
"To us who are alive, may God grant forgiveness; to all who have died, a place of light and peace."
 
Posted by The Riv (# 3553) on :
 
quote:
I hope Terri comes down and smites whoever is on the side of this fight she didn't agree with.

Not smites -- puts into a persistent vegitative state.
 
Posted by MrSponge2U (# 3076) on :
 
Lord have mercy on Terri and her family and friends. May they be comforted in their time of mourning. [Votive]
 
Posted by Ye Olde Motherboarde (# 54) on :
 
quote:
Terri Shaivo has died. May she and those who cared about her finally find some peace.
AMEN to that, Scot. From your lips to God's ear.
 
Posted by Go Anne Go (# 3519) on :
 
quote:
Originally posted by The Riv:
quote:
I hope Terri comes down and smites whoever is on the side of this fight she didn't agree with.

Not smites -- puts into a persistent vegitative state.
I say smite, you say PVC, for this one instance I think it is a "toMAYto/toMAHto" situation.
 
Posted by Herminator (# 5250) on :
 
[Votive]
 
Posted by MarkthePunk (# 683) on :
 
[Votive]
 
Posted by Newman's Own (# 420) on :
 
[Votive] May the angels lead you into paradise. May the martyrs come to welcome you and take you to the Holy City, the new and eternal Jerusalem where Lazarus is poor no longer. Rest in peace and rise in glory, Terry - and may God grant peace to the living!
 
Posted by IconiumBound (# 754) on :
 
I was impressed with an interview with Dr. John Harvey on the PBS program Religion and Ethics Newsweekly. Dr Harvey is head of the Medical Bioethics Committee at Georgetown Univ. Hospital. He stated that there were 19.000 cases of a vegetative state presently in the US. Also that his practice was to distinguish those who might have a chance of recovery however slim and watch them for a year before recommending any further intervention.
The whole interview can be seen here:

http://www.pbs.org/wnet/religionandethics/week830/perspectives.html
 
Posted by bessie rosebride (# 1738) on :
 
[Votive]
 
Posted by Glimmer (# 4540) on :
 
At last the child is taken into eternal peace; but God must grieve afresh over those who continue to use her body. [Votive]
 
Posted by CJ (# 2166) on :
 
How dare Bush continue to try to make political capital out of this; how dare he offer his condolences to her parents only, and not her husband [Mad]


[Votive] for peace now, and silence
 
Posted by Wesley J (# 6075) on :
 
[Votive]
 
Posted by sundog (# 8916) on :
 
[Votive]
 
Posted by RuthW (# 13) on :
 
I will be very interested to see if more political hay can be made of this case and if legislation based on it will be proposed. And it's fascinating to me that the Schindlers playing to the media had such little effect on public opinion.
 
Posted by jlg (# 98) on :
 
Or we could go back to the OP and discuss just how something as rigid and codified as the legal system can deal with something as nebulous and unclear as the point at which an inidividual passes the line between impaired but alive versus alive but no longer functioning.
 
Posted by RuthW (# 13) on :
 
I don't think the legal system can deal with the end of life in a lot of cases. That's why these should remain private decisions. But I'm afraid that this case will prompt legislation to remove end of life decisions from the private sphere.
 
Posted by ChristinaMarie (# 1013) on :
 
[Votive]
 
Posted by Mousethief (# 953) on :
 
quote:
Originally posted by RuthW:
But I'm afraid that this case will prompt legislation to remove end of life decisions from the private sphere.

Big Brother will decide when you're ready to die. Or rather, when Big Brother is ready for you to die.

Novo ordo fuckedupum.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Mousethief:
Big Brother will decide when you're ready to die. Or rather, when Big Brother is ready for you to die.

Novo ordo fuckedupum.

Or rather, will try to stop little brother from pulling the plug when little brother gets the s_s with another family member for hanging around too long.
 
Posted by Exiled Youth (# 8744) on :
 
quote:
Originally posted by Gordon Cheng:
quote:
Originally posted by Mousethief:
Big Brother will decide when you're ready to die. Or rather, when Big Brother is ready for you to die.

Novo ordo fuckedupum.

Or rather, will try to stop little brother from pulling the plug when little brother gets the s_s with another family member for hanging around too long.
I hope you're not seriously suggesting that Mr Schiavo's struggles over the past few years, culminating in the death of his wife, are because he "got the s_s with another family member hanging around too long"?

Quite apart from the fact that I don't understand your turn of phrase, that's [polite purg mode on] not a very wise way of putting it.

If you meant this in a more general sense, please do clarify this, because in the context of this thread, it is easy to see that this could be taken to mean something entirely different, and IMHO, offensive.
 
Posted by Gordon Cheng (# 8895) on :
 
Well, my understanding was that after the obligatory expressions of compassion, we had now moved into the area of wild generalisations linked to nothing in particular. I was going along with that.
 
Posted by Paige (# 2261) on :
 
Gordon----your suggestion that someone other than my own family should make decisions about my life, or something other than my own strongly felt wishes on this subject should be a major consideration, scares me to death.

I get the feeling that you believe someone in a PVS has some sort of duty to live as long as possible. Is that a misperception?
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Paige:
I get the feeling that you believe someone in a PVS has some sort of duty to live as long as possible. Is that a misperception?

Hi Paige

I'm not even sure I understand what this means. Presumably one of the things about PVS is that you're past making choices about your fate and you're in the hands of God.

I guess the family could have the choice — someone has to. I don't assume that the family is populated by good people, however, any more than I assume that the government is. Not really sure what the right thing is.
 
Posted by Erin (# 2) on :
 
Well, obviously, the patient has the choice. If the patient does not specify his/her wishes, then yes, it SHOULD fall to the family. Unless the state can prove that the legal next of kin is unfit to be the patient's guardian they should butt the hell out.
 
Posted by A Feminine Force (# 7812) on :
 
Hi Ruth,

Here's Tom DeLay's reaction for starters:

quote:

Speaking with reporters later in Houston, DeLay said lawmakers "will look at an arrogant and out of control judiciary that thumbs its nose at Congress and the President."

It's so predictable it's depressing. I don't think it takes a clairvoyant to see that this is exactly the outcome the powers were hoping for. [Roll Eyes] [Disappointed]

FF
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Erin:
Well, obviously, the patient has the choice. If the patient does not specify his/her wishes, then yes, it SHOULD fall to the family. Unless the state can prove that the legal next of kin is unfit to be the patient's guardian they should butt the hell out.

This is workable and sensible.

You may still get a situation where a family of unconvicted axe murderers realise they now have a chance to get their hands on auntie's diamonds. But there's no reason to imagine that the government is going to do any better.

Trying to think biblically, the responsibility for care of family members seems to rest with family members first and foremost.

(one example of the obligation is in 1Tim. 5:8 "But if anyone does not provide for his relatives, and especially for members of his household, he has denied the faith and is worse than an unbeliever." )

[edited to remove random letters]

[ 01. April 2005, 13:09: Message edited by: Gordon Cheng ]
 
Posted by Go Anne Go (# 3519) on :
 
But Godon, isn't that precisely what happened here? So what's your beef?
 
Posted by Paige (# 2261) on :
 
quote:
Originally posted by Gordon Cheng:
I'm not even sure I understand what this means. Presumably one of the things about PVS is that you're past making choices about your fate and you're in the hands of God.

Gordon----I have thought a lot about your response to me earlier, where you pointed out that we have made medical advances to keep people from dying. And I guess the statement above gets to my question about "How far are we morally obligated to go, in order to do that?"

Fifty years ago, we didn't have to make these decisions. There was no "persistent vegetative state" because you could not "persist" without food and water. Our medical technology has clearly outstripped our wisdom at this point. We can keep people alive for long periods of time now. What bothers me is that few people are asking whether we should---largely because they get accused of advocating eugenics (or wanting to "off" granny for her money) when they raise the issue.

What is life? And what is merely existence? Are they separate states?

I, of course, think they are. I have such a visceral negative reaction to the thought of ending up like Terri Schiavo---the notion literally makes my flesh crawl. And I think it's because I believe she was forced to remain an animated corpse (forgive me, I know that looks cruel in print, but it's the best description I can think of), hostage to the hopes, guilt, and pain of the people who loved her.

I do believe we all have a time to be born and a time to die---and I also believe that humans have reached a point where they can frustrate those plans. I think the Schiavo case should make us confront whether this is the best thing for us to be doing.

I am not advocating that people be refused treatment for cancer or heart disease---PVS is a fundamentally different sort of animal to my mind. Volition is gone, identity is gone---all the things that make me "me" are gone in that scenario. There is no treatment that will regenerate a brain when it has dissolved into fluid---there is no hope of recovery or any kind of life as most of us would recognize it.

I guess the question I want to ask is, "What purpose does it serve to keep people in a PVS alive?" Are their interests being served? Or do we do it simply because we feel guilt and pain at the thought of letting go?

quote:
Originally posted by Gordon Cheng:
I guess the family could have the choice — someone has to. I don't assume that the family is populated by good people, however, any more than I assume that the government is. Not really sure what the right thing is.

In most cases, families do end up agreeing on what is best. This case ended up splashed all over the news because it was a family dispute gone nuclear. Judges say "hard cases make bad law," and this is surely an example of that if there ever was one.

Bottom line, I trust my family to make decisions for me far more than I trust Tom Delay or George Bush.
 
Posted by Gordon Cheng (# 8895) on :
 
The nagging sense that everything done might've been perfectly legal and ethically defensible, and that in the process someone who wanted to be alive is dead.

(To which there are all sorts of good answers, I know).

But even more, an anxiety about whether this case will turn out to be a defining moment in how the Florida and/or US judiciary treats other cases which are not as clear cut. A line has now been drawn, and if you are on the far side of it, we can pull you off whatever life support you are on, and that's it.

I feel quite worried about how things will look in 10 years time, and I just hope and pray it's not like the Netherlands.

Anyway anxiety about the future is not a particularly Christian trait, so on that note I might just go off and have a sleep.
 
Posted by Gordon Cheng (# 8895) on :
 
Oops, sorry, cross-posted with Paige. The previous post was as reply to GAG. Will get back to you Paige.
 
Posted by Go Anne Go (# 3519) on :
 
Gordon, the line was drawn ages ago. This case isn't spectacular in drawing some sort of new legal test. Hardly! The court went to some considerable lengths to determine what Terri wanted. Seven years of legal fighting. If there was evidence she wanted to be kept alive, I can't help but think that in seven years it would have come out.

Don't confuse Teri's wishes with the parents grandstanding.

And what about all the other people who wanted to be alive but are dead anyway? Through disease, being shot, being hit by cars, heart attacks, and so on. No one lives forever, and I think that's been overlooked here too. Death is as natural a part of life as being born.

[ 01. April 2005, 13:39: Message edited by: Go Anne Go ]
 
Posted by Paige (# 2261) on :
 
Thanks Gordon---I'm out myself for the day. I desperately need to finish up a project. I'll look forward to re-engaging soon. You have given me a lot to think about.
 
Posted by Mousethief (# 953) on :
 
What I think is interesting about this case is the number of people claiming to be operating out of religious motives, who want to side with the parents in this case. Doesn't the Bible say that a man or woman LEAVES their parents and cleaves to their spouse? The parents are no longer her immediate family, at least when compared to her husband. There is nothing in the Bible or even in Christian tradition that would say that the parents should trump the husband in this case.

Not only do bad cases make bad law, clearly they make bad theology too.
 
Posted by Halo (# 6933) on :
 
[Votive]

[ 01. April 2005, 19:31: Message edited by: Halo ]
 
Posted by ReginaShoe (# 4076) on :
 
quote:
Originally posted by Mousethief:
What I think is interesting about this case is the number of people claiming to be operating out of religious motives, who want to side with the parents in this case. Doesn't the Bible say that a man or woman LEAVES their parents and cleaves to their spouse?

Actually, I don't have the reference for this, but if I recall correctly, Gary Bauer did oppose the Congressional attempt at intervening, because of the sanctity of the marriage relationship. But indeed, this perspective seemed to be in the minority among the people claiming to speak from the fundamental Christian viewpoint...
 
Posted by The Riv (# 3553) on :
 
Sanctity of the marriage relationship? W/Michael Schiavo?

[Killing me]
 
Posted by nickel (# 8363) on :
 
Funny, just a minute ago my husband put forth that same argument, about the husband & wife cleaving ... and I told him the fundies would have no problem denying the sanctity of marriage as it suits them.

[Roll Eyes]


Condolences to all who loved her.
 
Posted by nickel (# 8363) on :
 
Oh, apologies to TheRiv, I didn't mean label you anything by implication. Caught that too late for editing.
 
Posted by Gordon Cheng (# 8895) on :
 
quote:
Originally posted by Paige:

Originally posted by Gordon Cheng:
quote:
I'm not even sure I understand what this means. Presumably one of the things about PVS is that you're past making choices about your fate and you're in the hands of God.
Gordon----I have thought a lot about your response to me earlier, where you pointed out that we have made medical advances to keep people from dying. And I guess the statement above gets to my question about "How far are we morally obligated to go, in order to do that?"
A question I would feel reluctant to answer, in the same way that there would be some uneasiness about answering the anorexic who asked, “Am I morally obligated to eat?” Answer: “Well no, or rather, er, why do you ask the question?”

If the life of a human being (yes, defined more than biologically) is of ultimate value, the dilemma of whether we should feel obliged to sustain it, insofar as we have power, seems to ask the wrong style of question altogether. It leaves the burden of proof on those who believe that life is better than death.

Shouldn’t the question rather be: Under what circumstances do you, as a family member, feel that it is right for support to be withdrawn? And on what grounds?

Logically it is the same question but the burden of proof is shifted to those who want to argue, for whatever reason, that support should be withdrawn. I'm assuming here that there is full awareness of the likely consequence (death).

quote:
Originally posted by Paige:
We can keep people alive for long periods of time now. What bothers me is that few people are asking whether we should

Is this true? Didn’t the TS case acquire such a high profile because, among other reasons, people were asking just such questions?

quote:
Originally posted by Paige:
What is life? And what is merely existence? Are they separate states?

As a Bible-believing Christian my answer is always going to come back to revelation rather than philosophy. Does the Bible know of anyone who merely exists but is not alive? The closest we might come to this is the Old Testament notion of Sheol, but as that is past the point of death it’s outside the range of our discussion.

quote:
Originally posted by Paige:
I have such a visceral negative reaction to the thought of ending up like Terri Schiavo---the notion literally makes my flesh crawl. And I think it's because I believe she was forced to remain an animated corpse

It is an awful thought. But I am not sure that it is more awful than the thought of being an unanimated corpse. Or if it is more awful, perhaps it shows how little we understand death. The writer of Ecclesiastes says “But he who is joined with all the living has hope, for a living dog is better than a dead lion.” (Ecclesiastes 9:4) The value of life is inestimable. We don’t know what it would be like to be near death and barely conscious, if at all. And we can’t second guess reality by projecting our anxieties and fears onto those who may or may not decide to care for us.


[quote]Originally posted by Paige
[qb]I do believe we all have a time to be born and a time to die---and I also believe that humans have reached a point where they can frustrate those plans.

I agree with the first half of your statement but not the second. Terri Schiavo died at the moment of God’s choosing; human plans were part of God’s plan.

(The greatest example of this is the death of Jesus—evil men plotting it and bringing it about, but God ordaining it:

Acts 4:27 for truly in this city there were gathered together against your holy servant Jesus, whom you anointed, both Herod and Pontius Pilate, along with the Gentiles and the peoples of Israel,
Acts 4:28 to do whatever your hand and your plan had predestined to take place.)

quote:
I guess the question I want to ask is, "What purpose does it serve to keep people in a PVS alive?" Are their interests being served? Or do we do it simply because we feel guilt and pain at the thought of letting go?
These are not questions I feel confident to answer. I do know that once the decision to allow death has been made and acted upon, it can’t be unmade and unenacted. Terri S would’ve died anyway, with or without human decision to stop feeding her. Because I’m not God, I personally would rather have erred on the side of keeping on feeding. I thank God I didn’t have to make the decision. I worry when I hear some of the reasoning of those who were so confident this was the right action.
 
Posted by Glimmer (# 4540) on :
 
quote:
Originally posted by A Feminine Force:
Hi Ruth,

Here's Tom DeLay's reaction for starters:

quote:

Speaking with reporters later in Houston, DeLay said lawmakers "will look at an arrogant and out of control judiciary that thumbs its nose at Congress and the President."

It's so predictable it's depressing. I don't think it takes a clairvoyant to see that this is exactly the outcome the powers were hoping for. [Roll Eyes] [Disappointed]

FF

Am I reading this right? Has The Administration become so arrogant that they no longer feel they have to pretend that the Judiciary is independent of the Legislative? Or perhaps it's a deliberate 'creeping' agenda that eventually aims at making it commonly accepted that the legal system is a Party instrument. Thank Goodness our Government got a bloody nose when it tried to give itself powers to circumvent due legal process recently.
For the US Administration to have involved itself in the Shiavo case is shocking. Most of all I feel anger at those who have shamelessly exploited Terri's parents; in the limited newscasts in the UK the parents are always seen flanked, steered and spoken for by minders. Mind you, I don't have any time for the parents themselves who participated in such callous meat marketing.
 
Posted by Gordon Cheng (# 8895) on :
 
See, now, without getting into the legal technicalities of the Schiaovo case, this is the sort of recovery that bothers me.
 
Posted by Laura (# 10) on :
 
Without getting into the merits of the Schiavo case (the "legal technicalities" to which you refer are I assume the 17 lower court decisions finding that the medical situation was a certain way), you can't understand why this would never have happened in her case. The case you cite is completely medically different. Also, the question was 1) is she ever going to recover (No.) and 2) would she have wanted to be sustained that way (No.) This is hardly a "legal technicality". You can persist in comparing apples and oranges all you like, but it doesn't shed much light on the Schiavo case.
 
Posted by Karl: Liberal Backslider (# 76) on :
 
Or to put it another way, the fact that people with brain damage can regain consciousness does not mean that people whose cerebral cortexes no longer exist can do so.
 
Posted by Laura (# 10) on :
 
Karl:

You said it better than I did. Schiavo was not "brain damaged". She was "lacking a cerebral cortex anymore". That's what I meant by apples and oranges.
 
Posted by Gordon Cheng (# 8895) on :
 
I've not made myself clear. My concern is not based on Terri Schiavo and Donald Herbert having had the same medical problem; they don't. Although there are similarities.

Actually, just on apples and oranges, you can compare them. They are not the same, but an apple has more in common with an orange than with Donald Herbert. The ethical issues relating to ending the life of fruit are considerably less complex than the issues relating to the life of humans. Saying that Schiavo and Herbert can't be compared begs all sorts of questions.

The concern for me would be that hostile family members can in cases like this (long term coma) find expert medical opinion who will back the view that life support may legitimately be withdrawn, or that more active measures may be taken.

The father of a friend had a stroke two days ago, but is now (at the time of writing) conscious. This was bad enough, but what was genuinely alarming were the two doctor friends who suggested to my friend that now was the right time for an overdose of painkillers. This was after the father had recovered consciousness! When it comes to ethical questions, patients near death do have some commonalities; one of them is the alarming number of people who stand ready to pull the plug on them.
 


© Ship of Fools 2016

Powered by Infopop Corporation
UBB.classicTM 6.5.0