One Horseman for Euthanasia
Euthanasia; the act of killing someone painlessly, especially
to relieve an incurable illness.
Geoffrey Hamilton
April 4, 1995
Like one of the four horsemen
of the apocalypse euthanasia sweeps across the countryside with his brothers
suicide, abortion, and capital punishment to plague the world with
uncertainty. This moral issue has many variables but resides between
the two extremes of, "all human life must be preserved at all costs",
to "at some point in one's life there comes an advantageous time
to die and it should be allowed by law to be prompted by oneself,
or when that is not possible, by others". The second extreme has the
strongest case.
Given that there are legitimate moral issues and euthanasia is one,
which is the way to approach it? First one must recognize that moral
issues are value issues; otherwise one might be discussing how best to
turn thumb screws. The values at odds in euthanasia are between
that of life and that of living. Is the important factor the sanctity
of life itself, or is it meaningful choices in the face of life?
If one were to believe that the former is the important approach,
that human life should not be differentiated by claims that one life is
less meaningful than others, even by the possessor of that life, then it
remains to be proven.
If a proof for the claim was made that the intrinsic value of
life is a priori, that would be absurd, for what can possibly precede
experience except genetic programming.
If it was the case that we inherited genetically a high value for
human life, one that made all people equal in value, then within us all
would be a automatic prohibition from hurting and killing ourselves and
others, and no court or justice system would be necessary.
The claim of an intrinsic, and somehow therefore equal, value to life
must then be due to experience.
First, would that conclusion include the premise that we hold as
equal to others our own life? Never. If all life is intrinsically
equal in value and a situation arises where you are faced with imminent
death from a certain man, and you can kill him first with a gun, is it
a toss up as to which life is more valuable - your's or his? Of course
not. If his value is intrinsic then the fact that this man has already
killed ten other people cannot reduce that value. It remains undecidable
who should live and die.
Conversely, if you are ninety years old, sick
of life and about to die of cancer, and a twelve year old boy is next
to you in the hospital, also with cancer, and there is only enough of
a drug treatment for one patient to fight the cancer, is it a toss up
as to who's life should be saved by the treatment? The problem with the
intrinsic value of life theory is that existence is full of contingencies
which make us sense value as relative to other things. And because, on
occasion, we cannot avoid choosing between different things the contingencies
mitigate or enhance all values, even the most important values we posses.
Even if life is not intrinsically valuable, a second problem arises if life
itself is claimed to be more valuable than living. This claim would need
to be contingent on one's ability to make life itself more valuable than
living. To answer that question one must find the answer to another question,
what is life and what is living? Is life the beating of the heart? Is this
it's essence? Considering how it is possible to live without one's heart
and yet live essentially the same as before the heart was removed then
it can't be the heart. In fact every body part except one can be removed
or replaced without changing the persons essence.
That lone body part
is the brain, the only part capable of creating value. This single point
of the body is then the only way that value for oneself and others is
created. If one is brain dead and the torso is made to continue to pump
blood, is this being alive? No. Something is necessary within the brain's
activity which constitutes its actual life, it is found in the act of living.
That essence, that something, is 'free will', or the faculty people have
to act in there own interests in the face of the contingent world. This
'free will' weighs one's contingent values against the other contingencies
of the world and acts in one's own interests. Because, when the interests
and values are contingent, then no two experiences can have the same exact
value.
Life, then, like all that we experience, is not valued consistently
except as a subservient aspect of the process of living. Living is the
activity of the mind, within the brain, which creates for itself the value
of itself and others in a contingent world. Without 'free will' it cannot
create value in response to the contingencies of ongoing existence. If
'free will' did not operate, and value was inherited and intrinsic, a value
might lead us to ignore the dangers of the world's contingent aspect and
like lemmings we might all fall into the sea, or worse. However this
process of 'free will' is in competition with other 'free wills'.
(Competition is part of the contingency of the world.) Hence when someone
'free wills' a value in their death and our 'free will' creates a value
toward that act, which does not think it valuable, we can react. We can
think it bad, or we can meet with others who agree with us, then make it
difficult for people with opposing values to commit to that value of
death.
But given that value only comes to one because of the ability one
has to act with a 'free will', then those competing 'free wills' which
attempt to restrict that ability to create value are in fact acting to
reduce value in the world. It is only in the restriction of 'free will'
that a particular 'free willed' value is less valuable in the world.
If we then use this abstract conclusion toward the issue of euthanasia,
we come to see how a moral issue, an issue concerned with values, is
not one of 'a priori ' fact, or of genetic programming, or
one of universal values, or of
common cause, but it is an issue concerning the individual's ability
to create value for him or herself. If one creates a value for one's
own death, while others for there own life these may become
contingencies in relation to each others world, but their created
values can be maintained without conflict. If either extends the
value they hold by preventing the other from fulfilling his or her
value than this is where there is a wrong done. Any attempt to prevent
the values of other people from being fulfilled is an attempt to
eliminate value. This concept even applies if the value is short
sighted. Only the experience of the contingency (a mistake) will
actually make the alternatives valuable.
In the practical application of this concept toward
euthanasia, a law should be passed which allows unrestricted
access to the means of death, for those who value this avenue.
To those unable to commit the act needed to bring about their
death then assistance should be allowed to occur (not be required
by any person). This assistance should be asked for orally or in
writing. To formalize the process, the back of a drivers license,
beside the organ donors box, should be a 'consent to terminate
one's life' box, if one becomes unable to consent to euthanasia.
This consent is an act of 'free will'. If no prior consent is
given to terminate a life then this route of terminating the
life must not be taken. But, as in the case of brain dead people,
when there is no chance for a revival of the ability to consent,
than a panel of doctors, in consultation with the next of kin,
should be allowed to decide to terminate the life. This is if a
reasonable assumption can be made that no further meaningful
life, or living, is possible - that no further 'free will' can
be exercised. Some might argue that if one is incapable of voicing
the consent to die, then those in charge must err on the side of
caution. This is correct, but as long as it seems impossible for
the patient to ever arrive at a state where consent can be given,
the cautious approach is to terminate the life. First, to prolong
the life could be tortuous; second, there is no chance to
exercise 'free will' ever again so others must take control
of the patient's interests; and third, those interests seem
like nil to those with power of attorney.
This entire argument requires an acceptance that morality
exists, because if morality does not exist then anything goes.
However if one consents to acknowledge that ethical and moral
issues exist than living itself has a stronger value than life
itself. Therefore euthanasia should be governed by a 'free will's'
attempt to create value by acting in its own best interests in a
contingent world. When that 'free will' can act for itself no
longer, then a wider society should recognize that the individual
is unable to act out its capacity to create value. In this case,
society can recognize that the individual's value for his or her
self is nil. This should direct society to end that life on the
individual's behalf.
When the other three horsemen of the apocalypse pass
by again it would be comforting to believe that a similar argument
to this one might end their plagues of uncertainty. (05/04/95)