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- Sales Rank: #12211067 in Books
- Published on: 2005
- Binding: Paperback
- 354 pages
Most helpful customer reviews
20 of 21 people found the following review helpful.
The suicide pill
By Mr. Ralph Blunden
Nitschke, P. and Stewart, F. (2005) Killing Me Softly, Voluntary Euthanasia and the Road to the Peaceful Pill, Penguin Books, Australia.
This is a very powerful book. Its viewpoint will outrage some whilst making others' blood boil. Dr Nitschke has a high profile in the euthanasia debate in this country. What is not so well known, perhaps, is that Dr Nitschke is not only a medical doctor, but holds a PhD in physics as well. Dr Fiona Stewart is a public health sociologist. They have collaborated in producing this book.
One of the central aims of the book is to argue that State based voluntary euthanasia societies (like our own in Victoria) are mistaken in their pursuit of legislative change. Nitschke and Stewart certainly make a good case in their discussion of the way the Catholic Church in particular, but also fundamentalist Christian politicians and a conservative AMA combine to make legislative change in this area very unlikely in the near future.
The arguments in the book are not so much teased out philosophical reflection, but propositions and ideals supported by case studies, or short histories of patients. These make gripping reading and certainly cast Nitschke in the light of a compassionate doctor dedicated to social reform that enables individuals - particularly the elderly, to exercise their autonomy.
Nitschke and Stewart devote a chapter to the Northern Territory experiment where voluntary euthanasia was legal for a short period before Kevin Andrews introduced a bill in the Federal parliament that overrode it. What emerges from this discussion is how the authorities have harassed and pursued Nitschke in what might be called a witch hunt. The AMA has tried unsuccessfully to have him deregistered. And, the consequence of Andrew's bill is to condemn many people to a lingering and agonising death; a death without dignity.
The book has a number of overlapping streams of thought - part autobiography (of Nitschke) part historic record of individuals who tried to exercise what they viewed as their right to choose a time and a place for their own death, part a study of a society reacting to one of the most controversial rights that a citizen might claim, and part a discussion of the changing technology connected with suicide and dying.
This is a very readable book in a field where obfuscation is rampant. Double talk by doctors; misleading information about palliative care; silence about the reality of terminally ill people who suffer terrible pain both physical and mental. All these areas are targets for Nitschke's and Stewart's discussion. They go beyond discussing the rights of terminally ill and suffering patient's rights to consider to what extent a `suicide pill' might be made available - should it be available to any aged and rational adult who is just weary of life? And, the economic benefits to a society that permitted voluntary euthanasia would be substantial.
The book discusses the work of the organisation Exit International ([...]) that Philip Nitschke founded. Exit International run workshops and clinical visits for those who want decision making power over their end of life choices. The workshops are based on developing in those who attend both know how (knowledge) and show how (skills in putting knowledge into practice).
One of the main features of this organisation's work is research and development that, in part, focuses on developing a `peaceful pill' that would be widely available (or could be made by individuals themselves). Philip Nitschke believes that the development of such a `technology' would create the conditions for mass civil disobedience. It would bypass legislatures and lead to a better world - one in which individuals might choose to end their own life in their own time. The religious belief that God gives us life and it is God who will decide when to take it away would no longer be forced onto to people who do not believe in God (or, indeed, on those who do!)
This is an important book. It contributes substantially to the debate on euthanasia in Australia and Philip Nitschke and Fiona Stewart put their side of the case persuasively.
Dr Ralph Blunden
Ralph Blunden is a retired academic
0 of 0 people found the following review helpful.
Level-Headed, with more Compassion than the Entire Anti-choice Movement
By Winston D. Jen
Those who take the view that compassion comprises "suffering with" others miss the point entirely. For starters, if everyone subscribed to that line of thinking, we would be bereft of even aspirin. That perspective is what led the ghoulish (and thankfully departed) "Mother" Teresa to withhold analgesics from her wards in India and elsewhere around the world. Funnily (but unsurprisingly) enough, she would not subject herself to the same misguided "compassion" and "love" that she lavished on those in excruciating pain. Referring to the pain of one patient as as "You know, this terrible pain is only the kiss of Jesus -- a sign that you have come so close to Jesus on the cross that he can kiss you." She was too dense to comprehend the reply, "Mother Teresa, please tell Jesus to stop kissing me" as an insult to her condescension and sadistic stand on suffering. For a more detailed expose on this charlatan, I would highly recommend The Missionary Position by Christopher Hitchens.
Why did I start a review on a book propounding the autonomy and freedoms that voluntary euthanasia would bring by mentioning Mother Teresa? Because her defeatist attitude is what pro-lifers would force on the rest of society. They claim to protect the disabled and vulnerable, ignoring the many polls that show a sturdy level of support among disabled individuals for choice in dying. It is only the arrogance of the well-funded organisations such as Care not Killing, Mouth Magazine, the activists and politicians who kept Terri Schiavo "alive" for fifteen years and their ilk who are arrogant enough to speak for the entire community.
But enough ranting. On to the book. Nitschke and Stewart mention the gruesome situation that exists for sufferers of terminal and incurably ill conditions today, such as Motor Neuron Disease. In jurisdictions where assisted dying is permitted by law, patients live longer, knowing they are able to receive assistance if they awaken one morning and discover that they have lost control of their hands. Under the current situation in Australia and most of the US, patients in such tragic scenarios are forced to take their lives early, fly to Switzerland and visit Dignitas, or lay themselves at the mercy of palliative care, which is not perfect. Even palliative care associations and professionals acknowledge this, and concede that 5-10% of their patients will not die peacefully. This is an argument that pro-lifers cannot ignore, unless they wish to appear profoundly hypocritical in addition to already being fulsomely callous.
And as for terminal sedation (falling into a drug-induced coma until death), that is hardly different than assisted suicide. It's often referred to as "slow euthanasia", but when the patient is already "under", they are dead in any meaningful sense of the term. The hypocrisy of that situation is exacerbated by the inability of the doctor to obtain consent for terminal sedation; it must be done in the most clandestine manner possible.
The hypocrisy of the law in the past is also addressed. Two quadriplegics were in hospital, but one could breathe without the aid of a ventilator, and the other could not. The one who required mechanical assistance to live was allowed to die rather quickly. It was assisted suicide, but nonetheless sanctioned and protected by law, because it was "passive" (for a more detailed analysis of the hypocrisy of this legal stance, I recommend Angels of Death - Exploring the Euthanasia Underground by Roger Magnusson). The other patient was forced to die of starvation. In what universe, on what planet could this possibly be considered compassionate?
As another reviewer mentioned, we deserve better than death by hanging. Our pets get Nembutal. Doctors and vets can get Nembutal. The rest of us, unless adequately wealthy or fortuitous, are stuck at the mercy of doctors. One could stockpile morphine until a lethal dose is accumulated, but that means more suffering in the interim. The laws must change, and they must change soon.
I will finish with a quote from Marshall Perron, former Chief Minister of Australia's Northern Territory. You will also find this quote in Roger Magnusson's book I mentioned above.
"Voluntary euthanasia and assistance to suicide are available in Australia today. The problem is that the practice is illegal and therefore only a few people can access it. You have to be affluent enough or lucky enough to have a relationship with the right doctor to be accommodated. Another problem is that it must be arranged and carried out in secret. There must be no witnesses. This means there are no controls or safeguards against mistake or abuse. From a public policy perspective, this situation is inequitable and dangerous."
Marshall Perron, former Chief Minister of the Northern Territory, 24 August 1995.
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