Tag Archives: Patient

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.

Up to 10,000 people die needlessly of cancer ever year in the UK

Story from the left-wing Guardian. (H/T Legal Insurrection via ECM)

Excerpt:

Up to 10,000 people die needlessly of cancer every year because their condition is diagnosed too late, according to research by the government’s director of cancer services. The figure is twice the previous estimate for preventable deaths….

Britain is poor by international standards at diagnosing cancer. [Prof. Mike] Richards’s findings will add urgency to the NHS’s efforts to improve early diagnosis….

Richards found that “late diagnosis was almost certainly a major contributor to poor survival in England for all three cancers”, but also identified low rates of surgical intervention being received by cancer patients as another key reason for poor survival rates.

Research by academics at Durham University led by Prof Greg Rubin has identified five types of delay in NHS cancer care: “patient delay”, “doctor delay”, “delay in primary care [at GPs’ surgeries]”, “system delay” and “delay in secondary care [at hospitals]”….

I followed the link on Legal Insurrection to this Medscape Medical News story, which talks about studies on cancer survival rates in European countries.

Excerpt:

One of the reports compares the statistics from Europe with those from the United States and shows that for most solid tumors, survival rates were significantly higher in US patients than in European patients. This analysis, headed by Arduino Verdecchia, PhD, from the National Center for Epidemiology, Health Surveillance, and Promotion, in Rome, Italy, was based on the most recent data available. It involved about 6.7 million patients from 21 countries, who were diagnosed with cancer between 2000 and 2002.

The age-adjusted 5-year survival rates for all cancers combined was 47.3% for men and 55.8% for women, which is significantly lower than the estimates of 66.3% for men and 62.9% for women from the US Surveillance, Epidemiology, and End Results (SEER) program ( P < .001).

Survival was significantly higher in the United States for all solid tumors, except testicular, stomach, and soft-tissue cancer, the authors report. The greatest differences were seen in the major cancer sites: colon and rectum (56.2% in Europe vs 65.5% in the United States), breast (79.0% vs 90.1%), and prostate cancer (77.5% vs 99.3%), and this “probably represents differences in the timeliness of diagnosis,” they comment. That in turn stems from the more intensive screening for cancer carried out in the United States, where a reported 70% of women aged 50 to 70 years have undergone a mammogram in the past 2 years, one-third of people have had sigmoidoscopy or colonoscopy in the past 5 years, and more than 80% of men aged 65 years or more have had a prostate-specific antigen (PSA) test. In fact, it is this PSA testing that probably accounts for the very high survival from prostate cancer seen in the United States, the authors comment.

I think that the breast cancer and prostate cancer numbers are significant, because it makes me think of the video in which Michele Bachmann, Marsha Blackburn and Sue Myrick were talking about how Obamacare will limit diagnostic exams for breast cancer, because they are so expensive. When the government pays, they have to keep costs down to make sure that they have enough to pay for the elevated salaries of all the government workers who decide whether you live or die. And prostate exams would undoubtedly also be restricted because of costs.

What this Tom Coburn, M.D. video and he’ll explain. (H/T Hugh Hewitt)

He’s a medical doctor, so he knows what he’s talking about.

Congresswomen denounce Obamacare’s rationing of breast cancer exams

These are the best and brightest conservative women in the House.

I am all in favor of cutting health care costs – but that doesn’t mean cutting the throats of patients to save money.

How conservative are they?

Here are their 2008 and 2007 congressional ratings from the American Conservative Union.

  • Michele Bachmann (MN) – 100% and 100%
  • Marsha Blackburn (TN) – 96% and 100%
  • Sue Myrick (NC) – 91% and 96%
  • Jean Schmidt (OH) – 87% and 92%
  • Cathy McMorris Rodgers (WA) – 92% and 85%
  • Candice Miller (MI) – 63% and 72%

All SIX of these women members of the Pro-Life Women’s Caucus!