A Matter of Life or Death?

By Matilda

Three out of the five years I have been at university I have lost at least one person to death. Two were grandparents. One was 83 and wanted to do everything she could to stay alive, the other was 103 and asked if there was a pill she could take to help her die. In 2005 my grandpa who had prostate cancer refused medical treatment and wanted nature to run its course. He was given 14 days to live but did not make it past 14 hours. Three different people, three different situations and three different reasons why euthanasia is a contentious and controversial issue.

Since the ‘End-of-Life Choice’ Bill was introduced in 2017 it has received 39,270 submissions, the most any bill has ever received in New Zealand history, and many of which were against the bill. It is now due for its second reading and even the MP in charge, David Seymour is not satisfied with how it stands (New Zealand Parliament, 2019). The aim of the bill is to “allow people to request assisted dying if they have a terminal illness or a grievous and irremediable medical condition (Justice Committee, 2019, p. 2).” Whilst assisted dying is defined as “the administration by a medical practitioner of a lethal dose of medication to a person to relieve his or her suffering by hastening death (Justice Committee, 2019, p. 2).”

There are several arguments for and against the legalisation of euthanasia in New Zealand. Some argue that there should be no need for euthanasia (assisted dying) if we have good palliative care and that greater access to palliative care will improve end-of-life care (Hospice New Zealand, 2017). Whilst others argue that they should be allowed to choose to die with dignity. A meme online with the words ‘if assisted suicide is a triumph for autonomy and choice, how can youth suicide be a tragedy?” did not come without backlash. Other arguments state that the end-of-life choice bill is a slippery slope, a ‘greenlight to granny abuse’, that people don’t want really want to die, they simply want their suffering to end, or that people will choose assisted dying because they feel like they’re a burden on their loved ones. Even medical professionals argue that the bill goes against the ethics of their profession.

As someone who has been exposed to death from a young age. Someone who has seen the people they love die. Someone who has wanted to die. Someone who knows people with a terminal illness and a grievous and irremediable medical condition. Someone whose father received financial gain when their grandmother passed away. I cannot say I support the bill wholeheartedly. Maybe a little. Maybe not at all. Maybe it is something that can never really be understood unless it is you who has that choice or is denied that choice.

To you, my friend
I am sorry
The world is so unkind
You don’t deserve this
I would trade places with you If I could
Take away your pain, your suffering
But instead,
I hold you
Your hand
It will be okay, I say
You cry
If you had the choice I know you’d go
Leave this earth
This planet
But you don’t

References:

Hospice New Zealand. (2019). Euthanasia – our opinion. Retrieved from http://www.hospice.org.nz/about-hospice-nz/euthanasia-our-opinion

New Zealand Legislation, Justice Committee (2019). End of Life Choice Bill Commentary. Retrieved from http://www.legislation.govt.nz/bill/member/2017/0269/latest/DLM7285905.html

New Zealand Parliament (n.d.). End of Life Choice Bill. Retrieved from https://www.parliament.nz/en/pb/bills-and-laws/bills-proposed-laws/document/BILL_74307/tab/submissionsandadvice

Euthanasia – are we well informed?

By Penzil Trigger warning, sensitive topic

Euthanasia is the choice of a person who is terminally ill to terminate their life and alleviate the suffering, it is legal in some countries and illegal in others.  In New Zealand, Euthanasia is against the law, where it is illegal to assist anyone to end their life.  However, debate and controversy has escalated with David Seymour’s, End of Life Choice Bill to Parliament, which was lodged on 08 June 2017.  The Bill is based on the Canadian model of Euthanasia laws, which includes allowing of euthanasia for persons that live with physical or psychological suffering.

The most vulnerable in our society are the ones whose voices we need to hear and for many here in New Zealand, suffered quietly and ended their own lives at the hand of suicide.  Of the world’s most developed countries, New Zealand has the highest death rate for teenagers and young people, suicide rates continue to increase , with approximately 500 death by suicide a year.  Our elderly and disabled within our communities continue to be marginalised and where the State need to acknowledge that resources for the health sector should be reflected in the needs of our most vulnerable groups as well as the professionals that support them.  It is disturbing to see the recently published statistics of euthanasia in Belgium, which reported 14,753 individuals between 2002 (when Belgium decriminalized euthanasia) and 2016, from Belgium’s Federal Commission on the Control and Evaluation of Euthanasia.  Belgium’s liberal laws around euthanasia raises global concerns where they have allowed legislation that supports euthanasia of minors, the only country in the world to do so.  There have been recent calls by Belgian mental health professionals to ban euthanasia of the mentally ill, such as those with depression or behavioural disorders that are medically termed “non-terminally ill”, conditions which are common with New Zealand’s elderly population, where they may be vulnerable to coercion.

The moral and ethical dilemmas that are associated with Euthanasia are compounded with information from various sources that affect the public, health practitioners, professionals and politicians.  The  circumstances and capacity of each individual person is one of many elements to Seymour’s proposed bill, prompted by the highly publicised case of Lecretia Seales  and her battle with brain tumour and consequential events that saw her challenge New Zealand law in court,  for her right to assisted dying.  

For many health practitioners and professionals, involvement in the process of assisted dying will undoubtedly have moral implications if legalised, e.g. doctors who hold a belief that  their duty is to prolong life, for nurses who have religious beliefs and for social workers who may struggle with their personal views over advocating and supporting individuals who choose assisted dying compromising their code of conduct and support for the service user, their family members before and after the event.  Other consequences to be considered are where family are in disagreement over the service user’s wishes, or in some instances, where the service user may not wish for family members to be aware of their choice for assisted dying, yet as social workers, we are bound by confidentiality.  There are cultural aspects, where Maori tikanga from spiritual and sacred protocols as taonga (gifts) are not to be breached.

As social workers we are presented with many challenges, our own ethical values and our attitudes that define our practice, combined with policies and legislation that guide our practice, it is our duty in all circumstances that we promote quality of life and guard the most vulnerable in our communities.  These are qualities of New Zealand that encapsulates the essence of compassion within Te Tiriti o Waitangi, to protect.

Where to get help:

Lifeline: 0800 543 354 (available 24/7)

Suicide Crisis Helpline: 0508 828 865 (0508 TAUTOKO) (available 24/7)

Youth services: (06) 3555 906

Youthline: 0800 376 633

Kidsline: 0800 543 754 (available 24/7)

Whatsup: 0800 942 8787 (1pm to 11pm)

The Word

Depression helpline: 0800 111 757 (available 24/7)

Rainbow Youth: (09) 376 4155

CASPER Suicide Prevention

If it is an emergency and you feel like you or someone else is at risk, call 111

Ministry of Health. (2019, January 16). Understanding suicide in New Zealand. Retrieved from https://www.health.govt.nz/our-work/mental-health-and-addictions/working-prevent-suicide/understanding-suicide-new-zealand

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