Euthanasia
The third of the lethal trio is euthanasia. The word is derived from the Greek (eu + thanatos) which, literally translated, means “good death.” Today the term has been hi-jacked. Professor John Jefferson Davis, in his book Evangelical Ethics, defines euthanasia as follows: “The deliberate killing of a person suffering an illness believed to be terminal ostensibly out of ‘mercy.’” A common phrase used in regard to euthanasia is “mercy killing.”
The modern world makes a distinction between voluntary and non-voluntary euthanasia. In voluntary euthanasia the patient gives his/her consent and the physician, or even a family member, puts the patient out of his/her misery. Actually there are machines out there that allow the patient to euthanise himself.
On 22 September 1996, Bob Dent, a 66 year old carpenter with prostrate cancer, became the first person to die under euthanasia law. This happened under the Terminally Ill Act of the Northern Territory of Australia. Bob Dent used a machine, developed and supplied by Dr. Philip Nitschke, that allowed him to have control over the time of his death. The machine gave him three questions and once he answered ‘yes’ to all three and hit ‘enter’, lethal drugs entered his arm and he died. Since a machine was used it could not technically be called ‘medically assisted suicide.’ All the doctor did was invent the machine, supply it, supply the drugs and instruct the patient. His express purpose was to help Mr. Dent kill himself. Thus, it might as well be called assistance. While commenting on Mr. Dent’s death, Dr. Nitschke said, “It (voluntary euthanasia) is the greatest thing you can do for a person. I felt at the end of it enhanced by the experience.”
Dr. Jack Kevorkian is another doctor who assists people in committing suicide by the use of machines he invents. Over the years he has assisted over 120 people. He is another Saddam Hussein of the medical world. In 1999 he was given a 10 to 25 year prison sentence for the second degree murder of Thomas Youk because he delivered the lethal injection himself and didn’t use a machine. Since these events the world has become increasingly in favour of euthanasia, and especially of voluntary euthanasia. In Belgium, the Netherlands and the State of Oregon it is legal. In fact in 1991 9% of all deaths in the Netherlands were due to euthanasia. Involuntary euthanasia is more often frowned upon, but it will eventually be legalized under certain conditions at this rate.
One major case that practically legalized non-voluntary euthanasia was that of Anthony Bland. 17 year old Anthony was a victim of the disaster that took place during the FA Cup semi-final soccer match between Liverpool and Nottingham Forest at Hillsborough Stadium, Sheffield on 15 April 1989. During the chaos that erupted during the first few minutes of the match, his chest was crushed, his breathing stopped and his brain was deprived of oxygen. He was taken to Airedale General Hospital where he was later diagnosed as being in permanent vegetative state (PVS). He was breathing on his own and could respond to loud noises. However, he required constant nursing care and was fed through a nasogastric tube. There was no evidence that he could hear or see. During 1992 the court Law Lords ruled that all treatment should be withheld. This included food. On 22 February 1993 the doctor switched off the pump of the nasogastric tube. Nine days later on 3 March 1993, Anthony Bland became the 96th victim of the Hillsborough disaster. The coroner recorded it as an accidental death as a direct result of injuries sustained as the patient was crushed in the crowd.
This event caused an uproar among human rights groups and in the public at large. Since when is food treatment? What is it treating? In the end Anthony Bland was starved to death. This can only be called murder. Food is basic and is necessary for human life. It’s not that they were taking away extraordinary means of keeping him alive like a ventilator. He was breathing on his own. He was alive even in purely medical terms. But because he was a burden to the hospital and deemed to have a life not worth living, he was starved to death. Everyone is entitled to food. So much money is spent on helping starving people groups around the world, but at the same time patients in hospitals are purposefully starved to death.
Some argue that this cannot be called murder because the technology used to keep him alive (in this case the nasogastric feeding tube and pump) didn’t always exist and naturally he would have died a long time ago. This I find to be a very weak argument. The fact is that we do have the technology today and it has been successfully used to save many lives. The preservation of life is not a wrong desire. I’m sure that the people who argue this way wouldn’t object to being placed on a ventilator for surgeries that will save their own lives.
The huge ethical issue in regard to euthanasia is not PVS or complicated diseases however. It is about “pulling the plug” and determining when a person is really dead. Before more advanced technology came onto the scene, if a person’s heart wasn’t pumping and the body wasn’t breathing the person was declared dead. Now we can revive those functions and keep them working. The detection of brain waves is the popular way of determining whether or not a person is alive today. In 1968 the Harvard Medical School’s Ad Hoc Committee to Examine the Definition of Brain Death developed the following criteria: (1) ‘unreceptivity and unresponsivity” to “externally applied stimuli and inner need,” (2) absence of spontaneous muscular movements and spontaneous respiration; and (3) no elicitable reflexes. In 1981 the President’s commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioural Research drafted a Uniform Determination of Death Act which was adopted as the legal definition of death in several states. According to this definition death is (1) irreversible cessation of circulatory and respiratory functions, or (2) irreversible cessation of all functions of the entire brain, including the brain stem. The second part of the definition is very good. It guards against hasty pronouncements of death of those in a coma by saying the entire brain. This provides a sort of “check” against euthanasia.
We have already seen that death occurs when the soul leaves the body. Now we know the medical definitions as well. The problem is in making the connection. Do brain waves only occur when the soul is in the body? It would seem so. Otherwise we might have a biologically alive, dead guy whose body could still see, feel, walk, etc. The problem with this comes in determining what brain waves are, how strong they should be, etc. Also, do ventilators, which keep the cardio-pulmonary system going, keep the soul in the body? An if so what if there are no brain waves? Like I said in the beginning our understanding of all of this is limited.. However, like with everything else, there are principles that can be applied.
The main consideration is that there is life after death. There is a place of eternal joy for those in Christ and there is a place of eternal suffering for those outside of Christ. “Mercy killings” often send people to worse suffering in hell. Instead of trying to “end the suffering” of a person on this earth by killing them we need to, especially if they are outside of Christ, try as hard as we can to keep them alive. What they really need is salvation in Christ, no to be “put out of their misery” and sent to worse misery. What about a person who is known to be a Christian and is on a life-support machine? If he is not breathing on his own and has no signs of life then, I believe that his soul has left his body already and the machine can be unplugged. Really the same can be said with the non-Christian because it is already too late. However, like most things in medical technology, there are complex situations. Some people who have been on a life-support machine for years, all of a sudden get up and are perfectly fine. Generally though, if a person is not a believer and extraordinary means are being used to treat him (help him breath, etc), then surely that should not be discontinued in a hurry. Still though it is a hard to make rules like this due to the unpredictable nature of these events. The difficulty as we have seen is determining whether or not he is really dead. It’s not something we should have to determine, but technology is such that we must.
One thing that can, however, be stated for certain is that live patients, especially the elderly, are being euthanised (voluntarily and non-voluntarily) and this is murder. Again the Netherlands is a perfect example. Elderly people in that country are afraid to go to the hospital because at any time they could be taken out. Surely we do not want to live in a world of fear like this where the people who are supposed to help us, kill us.
In closing on the lethal trio, I would like to show again the upside down world we live in by including a point made by Douglas Wilson in his sermon on the sixth commandment., He points out that our world is so backward that in the hospitals one floor is aborting and destroying babies and in the floor right above it, the same people are rushing to save premature babies. We need to get involved in any way possible to stop these outrageous travesties.






