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Life's Worth: The Case against Assisted Suicide, by Arthur Dyck

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 Contents - Mar 2003AD2000 March 2003 - Buy a copy now
Editorial: War in Iraq? Questions to be considered - Peter Westmore
Sydney Archdiocese RE test: behind one school's success story - Michael Gilchrist
News: The Church Around the World - AD2000
Ten years on former Anglicans enrich Church - Fr Peter Geldard
Vatican tells politicians: Don't hide your light - Michael Casanova
Good priest, bad priest - my faith remains - Frank Mobbs
Religious faith and modern culture: responding to a secular critic - Bill Muehlenberg
Liturgy: The Mass is the same sacrifice as the Cross - Msgr. Peter J. Elliott
New Age ideas: how Catholics should respond - Fr Peter Joseph
The media and evangelisation - Moira Kirkwood
Letters: Brisbane Synod (letter) - John F. Nolan
Letters: 'Partner' or spouse? (letter) - Peter Hannigan
Letters: Women's Commission (letter) - Leon Voesenek
Letters: Church renovation (letter) - T.E. Geraghty
Letters: Government proposals (letter) - Dr Arnold Jago
Letters: Last things (letter) - Kevin McManus
Letters: New springtime (letter) - Errol P. Duke
Letters: Apostolate (letter) - Barry O'Brien
Letters: Catholic websites (letter) - John Carroll
Letters: Third rite (letter) - Norm Power
Letters: Invalid (letter) - Maria Lossberg
Letters: New Age? (letter) - Dr Lance Eccles
Letters: Accountability (letter) - John Leach
Letters: Infallible teaching (letter) - Peter Howard
Poetry: From Tradition (For my mother) - Andrew Huntley
Books: Life's Worth: The Case against Assisted Suicide, by Arthur Dyck - Bill Muehlenberg (reviewer)
Books: Human Cloning And Human Dignity: Report of the President's Council on Bioethics - Bill Muehlenberg (reviewer)
Books: The Self Evident Proof, by Richard Kouchoo - Catherine Sheehan (reviewer)
Books: The Latest from AD Books
Reflection: Lenten self-denial - at the very heart of our lives with Christ - Fr F.E. Burns

The Case against Assisted Suicide

by Arthur Dyck

(Eerdmans, 2002, 110pp, $40.00. Available from AD Books)

"There is a solid moral and practical basis for the laws against assisted suicide that now exist," argues the author. This brief volume (110 pages) seeks to make that case.

In Life's Worth, Arthur Dyck, a Population Ethics professor at Harvard University, examines the various legal and philosophical arguments thrown up in favour of physician-assisted suicide (PAS), assesses different types of treatment available for the suffering and terminally ill, establishes the religious and moral framework which upholds the sanctity of life, and concludes with a look at Christian concerns over sickness and dying.

On the philosophical front, Dyck details recent defences of PAS, and shows how major moral and philosophical shifts have taken place to allow such defences to take root and flourish. A major shift in how we view human nature undergirds much of the euthanasia debate today. That is, we have shifted from an emphasis on the sacredness of human life to autonomy as the highest good.

Thinkers such as Hobbes, Locke and Kant understood human nature as including a strong sense of self-preservation, not just of the species, but of one's self. Mill, on the other hand, adopted an autonomous hedonism: self-happiness is the goal, regardless of how that is played out. Unfortunately, the thinking of Mill and others has tended to win out over the traditional view.

That, coupled with the rise of secularism and the collapse of religion, has led to a quality of life ethic replacing the sanctity of life ethic. These differing views of human nature and the social good underlie the differences found in the euthanasia debate today.

These differences take practical expression when we decide whether to utilise palliative care or simply administer a lethal injection. The two different actions reflect two different views of humanity. Dyck's second chapter examines the moral differences between comfort-only care and PAS. While there may be some overlap (pain relief can hasten death), the two are quite different in moral terms.

A major difference has to do with intent. What is the primary goal: to preserve life, or to end it? A lethal agent is introduced into the latter, making it ethically very different indeed.

Moral responsibility

Chapter Three deals with moral rights and human right in the PAS debate. Traditionally it was held that we all have a moral responsibility to preserve life - others and our own. Suicide (and PAS) thus was seen as an abrogation of that central moral responsibility. Counter-arguments about autonomy and freedom of choice do not however curtail that responsibility, argues Dyck. The over-emphasis on choice and freedom may sound good, but it often leads to disastrous outcomes.

That is, what a society allows intellectually and, more importantly, legally, will impact on how individuals respond to those conditions. One study found that not one AIDS patient in England who wanted to end his life did so, while 30 percent did in the Netherlands. The reason? PAS is illegal in England and hospice care widely available, while the exact reverse is true in Holland. So those who wish to legalise PAS will inevitably see a rise is such cases. Bad thinking leads to bad laws which leads to bad outcomes.

The better way is to show real compassion to the sick and dying, instead of wishing them a speedy exit. Dyke concludes this volume with a look at how Christian beliefs and practices are the best response to suffering and death.

The Christian world view has always had a high view of human life and its inherent dignity. This shows through in many ways, from missions of mercy to the establishment of hospice care. In fact, both hospitals and palliative care largely spring from Christian roots.

Genuine compassion treats all life with respect and dignity, and does not judge life on the basis of functionality or usefulness. It is the harder, more difficult path to follow, but is the more loving and just one.

The transformation of our thinking on human worth is accelerating apace. So too are the corresponding calls for PAS and a host of other anti-life initiatives. Calls to legalise euthanasia will only become louder and more frequent. Those who seek to uphold the sanctity of life need to be ready for these challenges. Becoming informed about the euthanasia debate is part of the preparation. This important volume will help greatly in that task.

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Reprinted from AD2000 Vol 16 No 2 (March 2003), p. 17

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