On a brisk day at a restaurant outside Chicago, Deb Robertson sat with her teenage grandson to talk about her death.

She’ll probably miss his high school graduation. She declined the extended warranty on her car. Sometimes she wonders who will be at her funeral.

Those things don’t frighten her much. The 65-year-old didn’t cry when she learned two months ago that the cancerous tumors in her liver were spreading, portending a tormented death.

But later, she received a call. A bill moving through the Illinois Legislature to allow certain terminally ill patients to end their own lives with a doctor’s help had made progress.

Then she cried.

“Medical-aid in dying is not me choosing to die,” she says she told her 17-year-old grandson. “I am going to die. But it is my way of having a little bit more control over what it looks like in the end.

That same conversation is happening beside hospital beds and around dinner tables across the country, as Americans who are nearing life’s end negotiate the terms with themselves, their families and, now, state lawmakers.

  • kromem@lemmy.world
    link
    fedilink
    English
    arrow-up
    63
    ·
    edit-2
    9 months ago

    The flip side of our ability to prolong life more and more successfully is that we equip ourselves to extend suffering more and more unbearably.

    Puritanical attitudes around the right to die will impact a vast majority of people in terrible ways that will largely get ignored as on the other end of it the victims have no voice and often the family is mourning and wants to move on or just doesn’t even fully realize how terrible that end was.

    But the doctors and medical staff…

    The people I know well in those roles get upset when healthy patients take a turn for the worse and die when they had so much life before that. But by far the most upset I see them is when a family member of a patient decides because of beliefs to choose life prolonging options that are the equivalent of extended torture.

    As our medical capabilities improve we really need to continually rethink just what it means to “do no harm.”

    • FraidyBear@lemmy.world
      link
      fedilink
      arrow-up
      26
      ·
      9 months ago

      My grandpa passed a year ago now, COPD. Likely honestly a heart attack after all the steroid meds for his lungs created heart problems including a heart aneurysm. When he was diagnosed way back in 2006 they told us he had 5 years if he was lucky, I didn’t think he’d see me graduate HS. Well he had a lot more than 5 years in him but after about 2014 it was all shit. He started telling my grandma that he was ready to die, wanted to die, in 2018, he begged for it on hard nights. He tried to kill himself in 2021 and 2022. Both attempts left him strapped to a hospital bed “for his safety” as he struggled to breathe, he hadn’t been able to reliably breathe laying on his back for several years by then but they didn’t care as long as he lived.

      I never felt anything but sympathy for him after those attempts. As someone with chronic lifelong asthma, I know how my end will go. I know what it’s like to suffocate and struggle to breathe and in case anyone wonders, it fucking sucks. It’s terrifying, it’s slow, and you know it’s coming. Panic is inevitable. He felt like that for nearly 10 fucking years. He told me once after it had gotten bad that he’d always felt so bad for me as a kid to have asthma but now he finally understood, he said I was so brave to have dealt with it for so long but in that moment I didn’t feel brave I felt lucky. When I use my inhaler I can breathe again, for him it just made him struggle less. For a long time I wished he would die, my absolute favorite person on the planet, and I wanted them dead. It destroyed me mentally for years. When he finally did die it was horribly sad and also such a massive relief for everyone to know that at least he wasn’t suffering anymore.

      I say all this, partially to get it off my chest but mostly to say, if we are going to prolong life we need to also give people the option to check out. Life isn’t life without quality of health, it’s just suffering. Prolonging suffering makes use torturers, it’s not a saving grace. If we have the capacity to do this for our pets then people deserve the same mercy.

  • antlion@lemmy.dbzer0.com
    link
    fedilink
    arrow-up
    42
    arrow-down
    1
    ·
    9 months ago

    We need a federal constitutional amendment of bodily autonomy. Abortions, tattoos, personal drug use, gender reassignment, plastic surgery, suicide, neuralink, etc. All the same issue: My body, fuck off. You can make it more complicated than that but it’s not.

    It doesn’t matter whether you agree with face tattoos or not. Nobody is making you get one. It’s not your concern. An artist can choose not to give face tattoos, as a doctor can choose whether they want to give a vasectomy to a young child-free man. But the government should have no say about what a person is allowed to do or have done to their own body. The government can regulate to make it safer, but not disallow.

  • Ultragigagigantic@lemmy.world
    link
    fedilink
    arrow-up
    26
    arrow-down
    2
    ·
    9 months ago

    It must be tough to get to the end of your life and see nothing but people looking to profit off your passing.

    Put me in a coffee can and blow it up or something.

    • CrowAirbrush@lemmy.world
      link
      fedilink
      arrow-up
      12
      ·
      9 months ago

      I always said: “just put me out with the trash”.

      The cost of anything death related is so immensly high, even the cheap options are too much imo.

      • Malfeasant@lemmy.world
        link
        fedilink
        arrow-up
        2
        ·
        9 months ago

        My mom said the same thing most of her life. When it came down to it, (bone cancer in her hip) she asked to be cremated, and her ashes scattered somewhere she’d never been. That’s hard to do, she’s been a lot of places.

      • Queen HawlSera@lemm.ee
        link
        fedilink
        English
        arrow-up
        1
        ·
        9 months ago

        Personally given how fucked my brain is from mental unwellness, I’d like my remains to be studied for whatever I can provide to the future of modern medicine.

    • Queen HawlSera@lemm.ee
      link
      fedilink
      English
      arrow-up
      2
      arrow-down
      1
      ·
      9 months ago

      The dying and dead are great people to fight for, you get to name ANYTHING your heart desires and claim you’re doing it for them.

      The dying can contradict you and you can just blame it on delirium “See! They’re so crazy from illness that they think they don’t need me, that PROVES that they need me!”, and the dead will quietly let you exploit them for sympathy!

    • Hotmailer@lemmy.world
      link
      fedilink
      arrow-up
      2
      arrow-down
      25
      ·
      9 months ago

      All death is undignified. It’s the loss of the most precious thing we have. Only atheists view it as a cessation of being.

      • Queen HawlSera@lemm.ee
        link
        fedilink
        English
        arrow-up
        11
        arrow-down
        1
        ·
        9 months ago

        If anything, you’d think Atheists would value life more considering under that paradigm life is a finite resource that can and will run out.

        • Flying Squid@lemmy.world
          link
          fedilink
          arrow-up
          3
          arrow-down
          1
          ·
          9 months ago

          I’m an atheist and I certainly value life more. I don’t believe in an afterlife, so that’s all you get.

          But I also think that death can be very dignified. What can be very undignified is dying, especially if it is in a very agonizing way.

          And that is why I support legal euthanasia. Forcing people to suffer something unbearable that is impossible to escape as long as they are alive is cruel.

        • LustyArgonian@lemmy.world
          link
          fedilink
          English
          arrow-up
          1
          arrow-down
          1
          ·
          edit-2
          9 months ago

          Yeah almost like an afterlife is a made up idea to convince people to be chill with dying in war

          That being said, there are experiences no one really needs to go through. There’s no point to feeling the agonizing pain of end stage cancers. There’s no point to feeling calcium deposits or liver failure. If someone wants to skip those things and cut off a few months of suffering, I don’t blame them.

    • colforge@lemmy.world
      link
      fedilink
      arrow-up
      18
      ·
      edit-2
      9 months ago

      “Off yourself by X date and your designated beneficiary will receive a payout equal to 5% of the expected healthcare costs of managing your condition until your inevitable agonizing death! Act now and we’ll throw in an additional funeral package at no cost!”

      • Flying Squid@lemmy.world
        link
        fedilink
        arrow-up
        6
        ·
        9 months ago

        I don’t know about the funeral package. Those things are expensive and you’re talking about insurance companies.

      • Lesrid@lemm.ee
        link
        fedilink
        arrow-up
        3
        ·
        9 months ago

        This is the largest reason why it has to remain illegal. Capitalism will find a way to make it marketable.

  • VARXBLE@lemmy.dbzer0.com
    link
    fedilink
    arrow-up
    14
    arrow-down
    2
    ·
    9 months ago

    All the jabronis in this thread with “being able to decide when you die is BAD actually” have clearly never had a loved one painfully and slowly waste away in a shitty hospital bed praying for death every day.

    People should have the right to decide when they decide to end the game of life. They should be able to make this decision with a qualified medical professional, preferably one who specializes in end of life care.

    • LustyArgonian@lemmy.world
      link
      fedilink
      English
      arrow-up
      2
      ·
      9 months ago

      There are certain moments no one should have to endure. Really recommend the documentary “How to Die in Oregon.”

  • whotookkarl@lemmy.world
    link
    fedilink
    arrow-up
    11
    arrow-down
    1
    ·
    9 months ago

    It should also be noted that these decisions primarily affect people who are too poor to afford to travel with their loved ones to places that currently allow assisted suicide. If you’re wealthy you are able to die how you want.

  • SadSadSatellite @lemmy.dbzer0.com
    link
    fedilink
    arrow-up
    9
    arrow-down
    1
    ·
    9 months ago

    But what about the pharmaceutical company shareholders? Don’t they get any say in how long we need their products? Yes one person might be in terrible pain for years, but at least twelve people will make a lot of money.

    • nac82@lemm.ee
      link
      fedilink
      arrow-up
      3
      ·
      9 months ago

      Making suicide profitable surely won’t have any kind of twisted dystopian effects on companies…

      • SadSadSatellite @lemmy.dbzer0.com
        link
        fedilink
        arrow-up
        1
        ·
        9 months ago

        With how much they can charge for every individual comfort, suicide will never be more profitable than suffering. It it was, we wouldn’t be having these debates.

        • nac82@lemm.ee
          link
          fedilink
          arrow-up
          1
          ·
          9 months ago

          It doesn’t have to be the most profitable in all scenarios to be an optimization aspect of business to cheapen services and increase fees. Long-term care has long-term costs, if it is cheaper to push somebody to suicide, there will be economical vectors that seek to exploit the opening for profit.

    • Flying Squid@lemmy.world
      link
      fedilink
      arrow-up
      5
      arrow-down
      1
      ·
      9 months ago

      This is not so much about giving you a reason than giving a doctor the legal option to assist you.

      • tsonfeir@lemm.ee
        link
        fedilink
        arrow-up
        4
        arrow-down
        1
        ·
        edit-2
        9 months ago

        I understand. And, that doctor shouldn’t be able to deny my request.

  • Sorgan71@lemmy.world
    link
    fedilink
    arrow-up
    9
    arrow-down
    2
    ·
    9 months ago

    I’d support it for any nation with free healthcare. But people are now going to be choosing between being with their families and not bankrupting them. I would not doubt it would be used to justify insurance companies not covering terminally ill patients because they only cover death for the terminaly ill.

    • Crikeste@lemm.ee
      link
      fedilink
      arrow-up
      7
      arrow-down
      1
      ·
      9 months ago

      Yeah, as great of an idea it is, it’s terrifying to envision this through the lense of American capitalists.

  • Shelbyeileen@lemmy.world
    link
    fedilink
    arrow-up
    2
    ·
    9 months ago

    I’m permanently disabled with a degenerative condition. Once I’m just surviving and not living, I’d love the freedom of a painless end. I watched grandparents suffer, I’ve watched them be kept alive through machines and drugs, I listened to my grandfather beg me for death… you’ll never change my mind that assisted suicide for the terminally ill is the ethical choice.

  • Queen HawlSera@lemm.ee
    link
    fedilink
    English
    arrow-up
    2
    arrow-down
    12
    ·
    9 months ago

    Eh, I used to be all in favor of Right To Death laws, but when Canada passed theirs they started pushing the disabled and impoverished onto it, not just the terminally ill. Which is basically ethnic cleansing.

    So while I understand the Slippery Slope argument is not a good one, I’m going to need to see some common sense restrictions before I could support this as fervently as I did before

  • uis@lemm.ee
    link
    fedilink
    arrow-up
    1
    arrow-down
    12
    ·
    edit-2
    9 months ago

    Looking at likes to dislikes ratio I am in relative minority, but I think all efforts should be spent on increasing lifespan instead of shortening it.

    And this is before considering psycological impact killing patients makes on doctors.

      • uis@lemm.ee
        link
        fedilink
        arrow-up
        1
        arrow-down
        3
        ·
        9 months ago

        “Everyone who got papercut should be killed because sepsis is suffering” - someone pro-euthanasia. Maybe few centuries ago.

        • pycorax@lemmy.world
          link
          fedilink
          arrow-up
          1
          ·
          9 months ago

          Who the heck is saying that people should be killed? It’s about providing the option, not forcing it.