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PARADE SURVEY QUESTION: DEATH AMONG PATIENTS WITH FATAL ILLNESSES
If a person has been diagnosed as having a fatal illness, he or she should be allowed to take his or her own life.
Apparently, more Americans are opposed to euthanasia when the death is not physician assisted: only 39 percent agreed with the above statement; 45 percent disagreed; 16 percent neither agreed nor disagreed or indicated no answer.
Undeniably, two advocates of patient suicide, whether physician assisted or not, have captured the public's attention: Dr. Jack Kevorkian, with his "death machine," and the author Derek Humphry, whose book Final Exit is a compendium of suicide recipes.
Using Dr. Kevorkian's machine, 54-year-old Janet Adkins of Portland, Oregon, ended her life in a minivan in a park near Flint, Michigan. Dr. Kevorkian said Ms. Adkins told him she had been diagnosed as having Alzheimer's disease, which destroys memory and thinking, and that she did not want to face the future with this terrible disease. When she hit the switch on his machine, a sleeping potion flowed into her vein. In minutes, she was asleep. A timing device then released a second drug that paralyzed her heart. Minutes later, she was dead.
Dr. Kevorkian refused to be interviewed, but his attorney, Michael Alan Schwartz, of Southfield, Michigan, answered some of our questions. Essentially, Mr. Schwartz said that Dr. Kevorkian was performing a "vital service" - one that other doctors were not brave enough to perform. He added that Dr. Kevorkian charged no fee for this service.
Although Janet Adkins was not in pain, Marjorie Wantz, 58, of Sodus, Michigan, complained of a severe pelvic pain that, Mr. Schwartz said, was not helped by traditional pain control methods. She became the second person to seek Dr. Kevorkian's help.
The third was Sherry Miller, 43, of Roseville, Michigan, paralyzed by multiple sclerosis. Dr. Kevorkian said he gave her a canister of carbon monoxide because her veins were too small to permit the injection of a lethal drug.
Only 20 states have clear-cut laws against assisting suicide. Because Michigan does not, a judge there dismissed a murder charge against Dr. Kevorkian. He later was forbidden to use his "death machine" again in the state.
Physicians have condemned Dr. Kevorkian's actions and his machine. Dr. Leon Kass wrote of Kevorkian, "I feel the deepest shame for my profession that he should be counted a member."
Derek Humphry, 61, is the founder of the Hemlock Society, based in Eugene, Oregon. He has professed to be devoted to helping the terminally ill end their lives if they wish. In his book, Mr. Humphry says that Dr. Kevorkian "performed a public service by forcing the medical profession to rethink its attitude about euthanasia." Once a journalist for U.S. and British papers, Mr. Humphry obviously struck a nerve with Final Exit, which sold 500,000 copies in 9 months.
"The public," he says, "is disillusioned with how medicine and the law handle the dying process. People are taking the law into their own hands."
Mr. Humphry says that the fear of pain drives many to ask for euthanasia. In his book, he reports that 10 percent of pain can't be controlled. He also says that he helped his first wife, Jean, a cancer patient, to commit suicide in 1975 at age 42. Headlines last October told of the death at age 49 of his second wife, Ann, who was diagnosed with cancer in 1989 and left by Mr. Humphry a month later. They subsequently were divorced. She killed herself after Final Exit was published, discussing her suicide and doubts about euthanasia in a note and a videotape. Mr. Humphry has asserted that his ex-wife's death had nothing to do with his book.
Dr. Kathleen Foley, a neurologist in charge of pain services at Memorial Sloan-Kettering Cancer Center in New York City, says, "For terminal illnesses, such as advanced cancer, a variety of approaches adequately control pain. For me to kill the patient because of pain is unconscionable."
In his Commentary article, Leon Kass calls Final Exit evil: "This is humanitarian evil, evil with a smile: well-meaning, gentle and rational, especially rational." He voices concern that depressed high school students will follow the book's prescriptions.
"Thanks to Derek Humphry's book," he writes, "our youth need no longer fail. Even if only one teenager is helped to suicide, Derek Humphry will have a lot to answer for."
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GENERAL HEALTH