Catholic Exchange

The Living Will Boondoggle

The first principle of the Culture of Life is that human life is an inviolable gift from God. Our love of God should cause us to shun euthanasia, which the Catechism of the Catholic Church (CCC) calls a “murderous act” (CCC, 2277). The Catechism also explains: “Discontinuing medical procedures that are burdensome, dangerous, extraordinary, or disproportionate to the expected outcome can be legitimate; it is the refusal of ‘over-zealous’ treatment. Here one does not will to cause death; one’s inability to impede it is merely accepted” (CCC, 2278).

Contrary to a popular myth, the Living Will did not spring from a patient’s rights movement fed up with over-zealous and unwanted treatment being “forced” on terminally ill patients. Rather, the Living Will was invented by the “right to die” movement as a step toward legalization of euthanasia. Few people are aware of this fact. Yet knowing the history of the movement to legalize euthanasia (and assisted suicide) is essential to understanding and combating the Culture of Death.

The Euthanasia Society of America (ESA) was founded in New York in 1938. Its goal was to gain social and legal acceptance for the “right” to kill vulnerable human beings (people the organization called “mental defectives” and “incurables”). In 1939, ESA proposed legislation for “voluntary” euthanasia. According to its treasurer, attorney Charles Nixdorff, ESA “hoped eventually to legalize the putting to death of ‘non-volunteers’ beyond the help of medical science.” In a pamphlet entitled Merciful Release, ESA explained its strategy: “The public is readier to recognize the right to die than the right to kill, even though the latter be in mercy.” ESA miscalculated — the public was not ready for either.

After numerous failed attempts to legalize euthanasia, ESA leaders realized that, to be successful, they first had to change both medical ethics and public morals. Thus, in 1967, ESA established the Euthanasia Educational Council (EEC) which launched a massive education campaign and introduced the Living Will as a tool to promote discussion of the “right to die.” 

 The author of EEC’s Living Will, attorney Luis Kutner, expressed concern about medicine’s increasing ability to prolong life in “a state of indefinite vegetated animation.” Such dehumanizing language was accompanied by outrageous claims that modern medicine was torturing terminally ill patients and stripping them of every shred of dignity by prolonging their lives. The “right to die” movement’s educational strategy was twofold: first, prey on people’s fears in order to convince them that they wouldn’t want to live like that; next, introduce the Living Will as a way for people to die on their own terms.

The original Living Will was a directive to physicians by which the signer refused medical treatment in the event he or she had a “terminal condition” (a term which could be loosely interpreted) and was deemed incapable of making decisions. The Living Will intentionally blurred the critical distinctions between allowing a person to die naturally and intentionally causing death.

ESA’s masterminds became concerned that the word “euthanasia” (reminiscent of the Nazi killing program) might be hindering their success. Thus, in 1975, the Euthanasia Society of America was renamed the Society for the Right to Die (SRD). Shortly thereafter, the organization experienced its first legislative victory when the California “Natural Death Act” became law in 1976. Living Wills were now legal documents in one state and the push was on to legalize them in every state.

Early Living Will laws did not accomplish all that SRD hoped for, but they did open a door that should have been kept locked. These laws have been repeatedly amended to broaden their scope. For instance, Living Will laws today apply not only to patients who have been diagnosed with a “terminal condition,” but also to non-dying patients in so-called “persistent vegetative state.” And now a person may choose, when signing a Living Will, to refuse artificially provided nutrition and hydration (tube-feeding), even if their omission would be the direct cause of death. Legal acceptance of a “right to die” by withdrawal or withholding of “life-sustaining” treatment and/or food and fluids means that medical professionals now have a “duty to kill.” After all, a “right” must be enforced.

In 1989, John Cardinal O’Connor, Archbishop of New York, predicted: “The ‘right to die’ — which really means that hospitals and doctors and other health care ‘providers’ will be required to kill — will dwarf the abortion phenomenon in magnitude, in numbers, in horror…’Right to die’ laws will one day force a patient to prove that he or she has a right to live, just as we are now forced to prove that the unborn child has a right to live.”

The Living Will was not only deceptively promoted, it was deceptively named. It has nothing to do with living.

(This article originally appeared on the MichNews.com website and is used by permission of the author.)

Comments

  1. Guest Avatar
    Guest

    Here in North Carolina we're faced with a piece of dreadful legislation, the infamous S1046, the "Advance Directives/Health Care Power of Attorney" bill. The same people behind the push for "Living Wills" are pushing this legislation, big time. For the frightening details (hey folks, if it passes here it will eventually show up in YOUR state, too) please visit http://www.lifetree.org. Lifetree, Inc. was founded many years ago by a faithful Catholic champion for the Gospel of Life, Dr. Elizabeth "Betty" Wickham. She has her work cut out for her. She needs your prayers.

  2. Guest Avatar
    Guest

    My husband and I both signed living wills.  the format was provided by our diocese and we could state that we prefered all life saving measures and that a specified family member would make decisions.  This may be the way to go as the medical community is moving closer to expediency.

  3. Guest Avatar
    Guest

    I can relate to this article.  We lost my father in January.  It was a no win situation, but it is still painful to think about how he passed away.  He was admitted to a rehabilitation facility after breaking his hip.  He could not eat or drink without choking and was offered no intravenous fluids.  The facility also had a rule prohibiting suction.  Is this the compassion that Jesus speaks of?  Even as a registered nurse, I was unaware of the varied definitions and rules pertaining to living wills in different states and facilities.  It is extremely hard to overcome these once you are "in the thick of it."

  4. Guest Avatar
    Guest

    I think the most telling phrase in this wonderful article is that the "right to die" movement wanted to "prey on people's fears in order to convince them that they wouldn't want to live like that."

    I venture to guess that no one would look at a Terri Schiavo and say,"Someday I want to be just like her." But it DOES NOT FOLLOW that if you were in her situation you would want to die. The drive of self-preservation is a strong one. Many is the disabled person who is grateful for every day he or she is alive, whether born with a disability or whether the disability came along later in life.

    I scoff at so-called "terminal" diagnoses. I know the following people who are all still very much alive:

    a 52-year old who's parents were told she'd be dead by age 10,

    a 55-year old who's parents were told he had 12 hours to live when he was age 18,

    a man with metastasized lung cancer who was told he had four months to live ten years ago,

    and a recent college graduate who's parents were told he wouldn't live through the night at age 2. 

    Surely you know people who were similarly mis-diagnosed.

    Studies have shown that the people who request physician-assisted suicide are far and away suffering from depression. Treat the depression and the request for PAS is withdrawn.

    Let us celebrate life whether disabled, terminal, or in some other way normal.

     

  5. Guest Avatar
    Guest

    God bless you for someone finally saying the emperor has no clothes!  The insiduous creep of the euthanasia lobby to repeat Germany of the 1930's and 1940's grand plan to get rid of all those who didn't fit the ideal of the "new order" has been steady and slimy.  Let's get this out to the world beyond our Catholic neighborhood.  The time is quickly coming when we are going to have to "put up or shut up" as Catholics, and be prepared to pay the price.  Standing up for what is right and good is not the job of just the religious.  We laity must be ready to be counted. Christianity is not for sissies!

  6. Guest Avatar
    Guest

    A good article, thank you.  The historical perspective is appreciented. But in the same breath, it is far to one-sided and ignores the unfortunate requirement of such documents in today's health care system.  The reason we have to depend on such legal docuemts stem from the combination and propensity of our health care providers to articifically extend the life of patients via feeding tubes, etc., along with the tendancies of our public to sue the health care providers for not "prolonging and doing every possible thing to save my loved one".  The unfortunate reality is once a feeding tube has been inserted …. it takes nearly a supreme court injunction to remove it.  Now your loved one has lost their ability to die naturally.  And it the medical field today, end of life financial and emotional tolls can be catastrophic.  

    So I believe the church is right in her acceptance of this document – for it's proper use is a needed counter-balance the system, re-giving the family control rather than that control being left in a judge's chamber. 

    Regadless of how a Living Will came to be … this does not eliminate it's proper benefical use.  Just as the church has taken the bad and mad it good over it's history, so to can it realize the unfortunate reality of needing living wills in todays broken health care field. 

  7. Guest Avatar
    Guest

    dwcrago,

    Perhaps it has something to do with the fact that water and food are not extraordinary means of extending life.

    Looking thirty years (or less) down the road, unless something radically changes, I expect most of us currently under the age of fifty will ultimately be euthanized under the direction of our own children.

    Consider the Netherlands where this has been legal for some twelve years. Almost 15% of all deaths are from euthanasia – and some 40% of them are without the expressed consent of the patient.

    That's a lot of killing, Herr Doctor. And that's a lot of children who are going to have to live with the fact that they looked up from their checkbook and gave the thumbs-up to the Kevorkian stand-in.

  8. Guest Avatar
    Guest

    PTR,

    I am 110% pro-life, so please do not confuse my post with that of endorsing euthanasia.  I detest it … and agree we need to protect against this practice slipping into our health care.  But, what Julie and others are not addressing is the "real world" need for patients to be allowed to die naturally.  And for those who have no experience in this … it is a real problem in our medical field.  At present, the living can be a document to help enforce a patient's right to die naturally … meaning no extraordinary care is provided to prolong life.  Now, if the wording or phrasing of a living will is going past that purpose … then it should be prevented.  But I would be careful not to lump all living wills into a mercy killing category.   

    Peace,

     

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