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As the socialistic Canadian medical system runs aground, the government actively promotes physician-assisted suicide as a way to save the system and promoting “die with dignity” at the same time.
Original article: https://mises.org/mises-wire/assisted-suicide-logical-outcome-government-controlled-medical-care
Assisted Suicide is the logical outcome of government-controlled medical care by William
L. Anderson.
Christianity today recently published an article by Christie Etheridge that was very critical
of Canada's medical assistance in dying, made, program, something that would not be surprising
given the magazine's evangelical Christian outlook on issues.
The article, again, not surprisingly, dealt mostly with how many Christian groups, and
especially the Roman Catholic Church, have spoken out against Canada's program and
similar programs in Europe and in the US, wrote Etheridge.
Many Christians spoke out against Assisted Suicide in the 1990s when Dr. Jack Kavorkian
became a household name for participating in dozens of suicides in Michigan.
Since then, evangelical passion against Assisted Suicide seems to have waned.
While evangelicals have left a void in many public spaces regarding end-of-life issues,
the Catholic Church has often stood in the gap.
As more states and countries consider legalizing the practice, believers must raise their voices
together in defense of life.
Christians who oppose Assisted Suicide affirm that life is sacred.
God created human beings in His image, Genesis 1, 27, and we do not have the right to destroy
ourselves or each other.
At least, writing in Christianity today noted, the Church's moral teaching has always
held that murder, defined as the intentional taking of innocent life, is intrinsically
evil.
It follows that actively intending the death of an elderly or sick human being and then
deliberately bringing about that death through some positive action, such as the administration
of drugs, is always and everywhere morally wrong.
Promotors of Assisted Suicide always couch their arguments in the language of compassion
for those suffering from terminal illness, and 11 U.S. states also permit Assisted Suicide,
all of them except for Montana being dominated by the Democratic Party.
This practice always has been couched in the language of death with dignity, and it generally
has strong support from the political left.
Although the hard left socialist publication, Jacobin recently had an article by Jeremy
Appell critical the circumstances under which some Canadians choose Suicide, declaring,
that the legalization of MADE has brought to the fore some disturbing moral calculations
particularly with its expansion in 2019 to include individuals whose deaths aren't reasonably
foreseeable.
This change opened the floodgates for people with disabilities to apply to die rather than
survive on meager benefits.
I've come to realize that euthanasia in Canada represents the cynical end game of social
provisioning within the brutal logic of late stage capitalism.
We'll starve you of the funding you need to live a dignified life, demand you pay back
pandemic aid, you applied for in good faith, and if you don't like it, well why don't
you just kill yourself?
The problem with my previous perspective was that it held individual choices as sacrosanct,
but people don't make individual decisions in a vacuum.
They're the product of social circumstances, which are often out of their control.
It is not surprising to see Jacobin blaming capitalism for something done within the confines
of a socialist system, but socialists go by the mindset that says if something is bad,
it is the fault of capitalism, since socialism produces only happy results.
But Appel is not wrong in pointing out that what began as a way ostensibly to end the
suffering of terminally ill people has morphed into a program responsible for one in
20 Canadian deaths.
With more than 100,000 people killed since the program began a decade ago, as Canada's
government did away with the requirements that only those with terminal illnesses could
request doctor assisted suicide.
Indeed, the government is happy to recommend made to people for a variety of reasons.
In 84-year-old woman who visited a Vancouver emergency room with back pain, was offered
made by an attending physician, a suggestion the woman turned down.
The government is even expanding its program to cover people with mental illness, including
veterans who experienced PTSD as a result of trauma suffered in combat in places like Afghanistan,
and have made eligibility for these people coming in 2027.
Appel writes, in another instance, retired Corporal Christine Gauthier, who is paraplegic
and competed for Canada at the 2016 Rio de Janeiro Paralympics, and the Invictus Games,
was offered assisted suicide with veterans affairs offering to provider with the necessary
equipment.
Gauthier had been fighting for five years to have veterans affairs provide her with a wheelchair
ramp.
They wouldn't provide the ramp, but they would give her the means to end her life.
Most critics fail to recognize the real reason, made exists, and there are plenty of religious
and moral reasons to criticize this kind of a program.
Although many libertarians have openly supported assisted suicide with some exceptions, it is
important to separate the right to die movement from programs like Made in Canada and in Europe,
such as the Netherlands, which has had an assisted suicide law on the books for more
than 20 years.
There are not one support such policies.
As bad as many believe they are, it becomes much worse when government healthcare agencies
are the entities recommending that people have doctors put them to death, as there is no
way a program like this does not become coercive.
In a country like the U.S., the government cannot refuse medical care to someone who does
not seek another doctor to end one's life.
In Canada and most European countries, that is exactly what the government can do.
While entities as far apart religiously as many religious groups, and Jacobin might
decry the same things for different reasons, they are united in their support for the welfare
state and state control over medical care.
The Christianity today writers and others in the evangelical camp, such as World Magazine,
tend to frame made as a purely ethical issue, and while ethics obviously play an important
role in all of this, none of these writers seem to understand that Canada's government
controlled system has made good medical care even more scarce than it should be.
It should be obvious even to someone like Appel that Canada's system reduces the amount
of available care, which should surprise no one who is familiar with socialism.
As noted before, many of complaints against assisted suicide are rooted in a belief that
people choose to have medical providers kill them is because they lack resources.
Appel writes, an excellent piece from global news reporters Brennan-Leffler and Marianne
Dema, headline how poverty not pain is driving Canadians with disabilities to consider medically
assisted death notes the excruciating cycle of poverty that leads disabled people to choose
assisted death rather than live a life filled with barriers to their existence.
Appel then declares more government spending as the solution.
We've let the May Genie out of its bottle.
There's no going back.
We must ensure that our healthcare systems have sufficient resources to guarantee everyone,
regardless of ability or mental health, a dignified existence.
Appel, however, has it wrong.
Poverty supposedly does not matter in the Canadian system because no one pays for medical care.
This is in a case of Joe dying of liver disease because he can't afford a liver transplant.
This is about Canada's system having shortages of doctors, equipment, medicine and all of
the other components of healthcare and shortages are a feature of socialism.
In other words, the way to keep people from using the medical establishment from taking
their own lives is to expand medical care and since outfits like Jacobin C. government
as the only legitimate provider of healthcare, that means pouring even more tax revenues
into the medical system.
Yet it should be clear that government control of the medical system, especially in Canada,
has very predictable results, shortages and denial of care.
More than 20 years before Canada instituted its made program, Jane Orient, a practicing
physician, predicted that the Canadian system would find that the premature death of patients
would provide financial savings to the program.
Writing about government-provided care, she likened it to providing only free ways to
move automobile traffic.
Wouldn't it be wonderful to have all the medical care you needed or wanted without ever
worrying about the bill?
And wouldn't it be wonderful to drive to work every day without ever paying a toll
or stopping at a red light?
The second question usually provokes much more critical thought than the first.
Before people vote the money to build a freeway through their downtown, a lot of inconvenient
objections are raised.
The first is this, do we want to tear up the main business district of town?
The idea of comprehensive healthcare reform to assure universal access should stimulate
the same thought process.
To build such a system, you start by destroying the insurance and medical system that we already
have.
She continued, when we build a freeway, we don't necessarily destroy all the resources
or all the other roads.
In Britain and Germany, private medicine is allowed to coexist with nationalized medicine.
But in Canada, it isn't.
If you're a Canadian and want something, the government isn't willing to pay for, or
you want it now instead of three years from now, you have to go to the United States.
A lot of proponents of universal access want to close the private escape hatch.
They want no other roads, just the freeway.
Of course there may be some back alleys or secret tunnels or special facilities for
congressmen, but those won't provide American class medical care to ordinary folk.
Some think we don't need other roads if we have a freeway.
But remember what a freeway is, a controlled access road.
Orient continued her freeway analogy, noting that the Canadian system is not built on ensuring
better care, but rather promoting equal care, even if that care might be substandard or
even nonexistent.
In Canada, you don't have to pay to get medical care.
In fact, you are not allowed to pay.
Once the global budget is reached in Canada, that's it.
The on ramps are closed.
It doesn't matter if you have money.
Hospital beds are empty for lack of money to pay nurses.
And CT scanners sit idle all night for lack of money to pay a technician.
But if some people are allowed to pay, Canadians fear that some people might get better care
than others.
In other words, Canadian care is more about people equally sharing scarcity than being
able to get medical help for their ailments.
She noted that the government systems like what we see in Canada routinely deny care
for serious illnesses and medical problems while promoting euthanasia as a solution.
The roadblocks are at the exits that lead to the hospital.
The global budgeters contain costs, ration health care, by denying those things that you
do need insurance to pay for.
Heart surgery, radiation treatments for cancer, hip replacements, things like that.
Out of compassion, reformers may open another exit, the one that leads to the cemetery.
Do you think it's accidental that euthanasia and universal access are on the agenda at the
same time?
When government gets involved in providing health care, health care must be rationed.
Given that medical care is as scarce good, there always will be trade-offs in some form
of rationing.
However, government systems discourage entrepreneurship and are more likely to be restrictive,
increasing the scarcity problems and making it even more difficult for people to receive
care that can make the difference between life and death.
Advocates of state-sponsored medical care claim that rationing by price is immoral, but
rationing by bureaucratic decree is immoral imperative.
Thus, if Joe were to die because he could not afford a heart transplant, that would be
immoral.
But if he were to die because the government agency, making those decisions, denied that
care, that would satisfy all moral criteria.
Conclusion, assisted suicide is on the increase in places like Canada because it permits
the government to deny medical care in the name of compassion and dying with dignity.
It should not be surprising to see increased rates of doctor-sponsored killing, running
parallel with more government involvement with health care.
As we see more state involvement with medical care, the relative scarcity problems with
health care will increase, and as medical scarcity increases, physician-assisted suicide rates
also will rise.
Death is already built into socialism, so we should not be surprised to see practitioners
and advocates of socialized medicine welcoming the grim reaper as one of their own.
Perhaps the greatest irony is that the mainstream Christian groups, such as the Presbyterian
Church, USA, and the Episcopal Church, that openly support the Canadian system and demand
it be implemented in the U.S. are silent about the proliferation of medical suicide incidents
either ignoring the problem altogether or quietly supporting it.
As they are blind to the negative effects of the massive state-sponsored intervention
they support, their response to maid and other assisted suicide movements is to call for
more of the same.
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