How euthanasia eroded medical ethics in the Netherlands

Joe Carter writing in First Things. (H/T Secondhand Smoke via ECM)

Intro:

For centuries, the Hippocratic Oath, including the admonition against abortion, assisted suicide, and euthanasia, formed the core of Western medical ethics. While the Hippocratic ideal has been eroding for decades, the most direct challenge has emerged in the Netherlands, with the cultural and legal acceptance of the right to die. The medical community and broader citizenry have so embraced the right to choose death for oneself that the Dutch parliament is currently considering legislation that would allow assisted suicide for anyone who has reached the age of seventy and has merely grown tired of living.

Excerpt:

The Royal Dutch Medical Association has since called for increased reporting to bolster public trust in euthanasia laws. But enthusiasm for following these procedures and standards remains muted, since doctors know that no penalties will be incurred by simply ignoring the law. Prosecutions for guideline violations are exceedingly rare and no doctor has ever been imprisoned or substantially penalized for noncompliance. Even when the government is made aware of cases of non-voluntary euthanasia, no legal action is likely to be taken.

The Dutch have even expanded the scope of protected physician killing to include children. With their parent’s permission, a child between the ages of 12 to 16 years old may request and receive assisted suicide. Initially, minors could obtain an assisted death even if their parents objected, but after domestic and international criticism, the law was changed to require parental consent.

[…]As reported in one Dutch documentary, a young woman in remission from anorexia was concerned that her eating disorder would return. To prevent a relapse, she asked her doctor to kill her. He willingly complied with her request.

[…]Over a period of forty years, the Dutch have continued the search for where to draw the line with euthanasia, shifting from acceptance of voluntary euthanasia for the terminally ill, to voluntary euthanasia for the chronically ill, to non-voluntary euthanasia for the sick and disabled, to euthanasia for those who are not sick at all but are merely “suffering through living.” While the initial impetus may have been spurred by a desire to give expanded rights to the person who faces extreme suffering or imminent death, the effect has been to concentrate power into the hands of state-sponsored medical professionals. And while the justification for assisted death is usually the supposed well being of the suffering patient, the Dutch have redefined natural dependency into an unacceptable or unwanted social burden.

This is another concern I have about single-payer health care. The way the system works is that people have taxes deducted automatically from their pay checks when they are working. And when they get older, and stop working, they have to ask for treatment from a supplier that has no incentive to provide treatment or care, since they are no longer socially useful because they can’t pay taxes. Instead of doctors thinking that they have to treat a paying customer, the doctors think that they have to avoid wasting “society’s” money on people who are too old to pay into the system.

So if you don’t pay into the system, and the system needs money to treat those who are still paying, then why would they treat you? You have no value to society unless you are making money.

There was a good article on socialized medicine and euthanasia by Richard Miniter in the Wall Street Journal a few years back that explains my concerns more.

To deal with his point about doctors changing to view their purpose as ending suffering instead of getting people well, I think that this is scary because it shows how far we have come with our hedonism. My concern is that people are viewing the purpose of life as hedonism.

People want to have happy feelings all the time, and they don’t want to be burdened with the needs of anyone else. There’s no longer any moral dimension to life that makes taking care of others worthwhile. No one sees the experience of self-sacrificial love for others as an opportunity to imitate Christ.

UPDATE:

More horror. Patients in the Netherlands are suing to require that sexual gratification be part of the “medical services” that nurses should perform. I can’t even begin to express my revulsion at this story about health care in the Netherlands. Women were not made to be treated like this, they’re made to love and to be loved. I’m so scared of the future. It’s things like this that put me off of wanting to pursue marriage and children. What kind of world will my children grow up in? What will the government force them to do that will destroy their willingness and ability to follow Jesus? I can’t re-make the whole world.

Friday night links: the origin of evil, spirituality vs. theology

The origin of evil, from Wes at Reason to Stand.

Excerpt:

There is a big difference between 1a) God choosing to actualize (or create) a world where in evil is possible and 1b) further choosing to sustain it’s order in spite of the free choice to sin and perform evil by free (in a limited capacity) causal agents and 2) God’s being the direct cause of all that happens in the world such that all things that happen do so as a direct result of his will.

Religion and spirituality, from Alisha at Far Above Rubies.

Excerpt:

I understand the folks who don’t want to be called “religious” since it often has negative connotations tied to the word. Others, though, are “spiritual” simply because they don’t want to commit to any one faith tradition. They want it all. The problem with this I’ve found, is to everything in practice becomes very little, if nothing. I once dated a guy in college who I labeled a “Christian-Muslim-Buddhist-Everything”. Although he was raised Baptist, he had fallen away from any church, and chose to cherry-pick through what he deemed the best of them all. And the strange thing is, although he thought Jesus was awesome, he never actually read the Gospels. He respected the Koran, but never attended a mosque or read more than a few Hadiths. While trying to claim it all, he did nothing and believed very little. Needless to say, the relationship fizzled out pretty quickly.

Happy Friday!

Fine, if you want to read something funny, then Drew has this post (with original drawings) from his younger brother.

How and why to include Jesus in your relationships with others

I was thinking recently about a number of platonic relationships that I had with women in the past, and I wanted to talk about something I learned in the school of soft knocks trying to be a Christian knight. (Note: this applies 100% in the opposite direction, though, and maybe even 200%, for women who are trying to choose men to relate to).

Basically, when I think about opposite-sex relationships, I think that it is very important to me that I be liked for the right reason. I do not want to be liked because I make her feel happy apart from God. I do not want to be liked because I help her to succeed apart from knowing God. I want to be liked for one reason and one reason only. I want to be liked because I am recognized as important for helping her to know God and to love God.

It’s not my job to help a woman to be happy apart from God or to help her to succeed apart from God in this world, based on worldly criteria. I am not interested in building sand castles in the here and now, even if society approves of those sand castles here and now. It’s not my job to help her to prove to herself (and to others) that she is a “good person” apart from Christ. No one can be good enough apart from Christ.

It’s not my job to help people to feel good about rejecting God. I should not expend my time or resources to comfort someone who is rejecting God. It’s disrespectful to God for that person to invent a new moral standard to follow for their own ends (self-esteem and respect from others), apart from a relationship with God. I can’t help a person who doesn’t want God in the way they really need to be helped.

What you find with some people is that they are very interested in glamorous causes like environmentalism and animal rights, but very dismissive about things like avoiding premarital sex and not killing unborn children. They want to feel good about themselves and to receive the esteem of others, but not in their personal lives. Think of how Bill Clinton committed adultery and how he insisted that his generosity to the poor (paid for by other people’s taxes!) made him a good person in spite of his adultery.

There are a lot of people in the world who do put God at the center and who need support. And it’s my job to make sure that when I choose a woman to work on, that I choose one of these women who gets her idea of “the good life” from her relationship with God through Christ. I want to be able to help someone who really cares about God. And if a person doesn’t want to look into these things, I can’t make them, even if I care about them.

What I have found is that there are women out there who are interested in learning more about God and in conforming their actions to what they find out about him. They read the Bible, they read theology, they read apologetics, and they are interested in assessing the evidence to confirm what they read about. They are not trying to be happy or popular, they are trying to know God and to be related to him. And those are the women that I should support.

For those who are feeling broken from having chosen a non-Christian person to invest in, I have some advice. Always remember that the person who rejected you has also rejected Jesus. You’re not better than Jesus. If a person doesn’t want to acknowledge Jesus and to follow him, then they sure aren’t going to acknowledge you when you try to get them to follow him. God has other ways to help that person if he wants to reach out to them. You’re not the only person he can send. If you’ve failed, move on to someone who welcomes you.

I always try to choose the person who has the most interest in knowing God in Christ and growing her closer to God. I know it’s hard to leave a person who you really love and have invested time in, but if they steadfastly refuse to let you even talk about God then my recommendation is that you move on to someone who will. Don’t leave God out, because relationships aren’t about just you.

Further study

I recommend reading this article by Dr. Michael Murray about the hiddenness of God. God gives people free will to either respond to him or to reject him. And we need to do the same – let people who don’t want us reject us, too. Let them go. Don’t think about them any more. God will go after that person some other way when that person is ready. In the meantime, choose someone to work on who wants God now, so you can have a real impact now.