Tuesday, July 22, 2014

Peacefully exiting when there is no exit

I have always strongly held on to an understanding that India is beyond understanding.  Things happen and  all I can do is merely try to follow the developments.  This is the case for me, who was born and raised in that old country; I have nothing but sympathies, therefore, for the true outsider, whether in love with India or filled with nothing but hate for it.

Thus, I felt blindsided when a friend asked me what I thought about India's supreme court's ruling on euthanasia.  "I was reminded of what you blog about in your Oregon" she said.  Of course, I first had to clarify that what we have in Oregon is not euthanasia but terminally ill patients having the option to call it quits on their own terms, death with dignity, without having to suffer through it all until the bitterest of all ends.

But, euthanasia in India, and its supreme court has asked for a debate? Seriously?
The issue concerns the rights of a terminally-ill person, after doctors unanimously rule out chances of survival. Active euthanasia would involve a doctor injecting a lethal medicine to trigger cardiac arrest. In passive euthanasia, doctors, with consent from relatives, withdraw the life support system of a person being kept alive with the help of machines.
Very different from the Oregon protocols.  But, am shocked that India is now engaged in this discussion.  The India of the sacred cow when governed by the saffronists?
Union health minister Harsh Vardhan here on Sunday said there should not be any rush to decide on euthanasia and efforts should be made for a national consensus on it.
"A consensus should be developed on whether to allow killing of terminally-ill people with no chances of revival. It is a complex issue. There should not be any hurry to decide on this highly emotive subject," the minister said, responding to a query on the July 16 Supreme Court decision to adjudicate legality of euthanasia.
An open discussion despite using phrases like "allow killing of terminally-ill people"?  Only in India!

Even stranger is this: the newspaper reporting on that, the Times of India, has set up a website exclusively for this discussion!
The Supreme Court has in the past acknowledged that the right to dignity in life also extends to the right to a dignified death, though that ruling applied this principle only to ‘natural death’. It is time now to extend it further and adjust the law to the reality and to a more modern moral sensibility by allowing people to choose to die peacefully.

This paper has in the past campaigned in favour of passive euthanasia and decriminalization of attempted suicide. Besides allowing passive euthanasia, the Supreme Court recommended in the Aruna Shanbaug case that the provision penalizing attempt to suicide should be deleted by Parliament. We believe that the time has come not only to do away with Section 309 IPC but also to enable active euthanasia.

In line with the Supreme Court’s  decision to throw the issue open for debate, The Times of India is launching an online campaign so that those who favour active euthanasia can signal their informed support.
Only in India!

Of course, India is not the only country struggling with policies on end-of-life.  For that matter, in the US it is even more of a struggle about the beginning of life itself!  The Economist also has taken a principled stand on this:
Death is a fearful thing, but it is the pain of life that leaves many ill people in despair. Like Nicklinson, some people would like to die peacefully, at a time of their choosing and with the assistance of a doctor. Their desire for a humane end should not offend liberal societies, which rest on the principle of self-determination, so long as one’s actions do not harm others. This newspaper supports making assisted suicide legal. So, according to polls, do more than two-thirds of Americans and western Europeans.
Assisted suicide.
Active euthanasia.
Looks like we in the US are wimps who way prefer euphemisms instead of the brutally honest descriptions.

Whatever be the language used, I hope we will get into honest discussions on this profound public policy issue.  After all, we might even be able to get away from the taxman, but there is no escape from death.  Here is to hoping that death with dignity will become a human right.

3 comments:

Ramesh said...

Completely lost as to why you think it strange that India should debate euthanasia. Just as every nation and culture is struggling with it, so is India. If your surprise is at the use of direct language, India isn't yet completely taken over by the awful PC brigade

Having said that we will take another 100 years to move forward on this. Everything moves at snail's place anyway. This is such a highly emotive issue that almost any stand will unleash the Arundhati Roys and Medha Patkars we have. So, slowly, slowly.

Sriram Khé said...

Ahem, you forgot the most important person of all who can, and will, slow things down ... Ramamritham ;)

I am surprised that there is open talk about this issue because India is not known for open conversations at all. Heck, the government even wants to rein in sex education and the supreme court wants Indians to talk about, gasp, dying and death with dignity? There is some serious disconnect, my Indian friend ;)

Sriram Khé said...

hey, speaking of sex education in India, have you heard of this "sexpert"?:
http://www.bbc.com/news/magazine-28353027

I had no idea about him until that report popped up in my newsfeed ...