Saturday, October 25, 2008

Mercy suicide?!

Daniel James with his mother and father.
The engineering student became a tetraplegic
after a scrum collapsed on him during rugby practice
(Picture from Mail Online)

Mail Online reports:
The mother of a paralysed rugby player who killed himself at a suicide clinic has defended her right to help him end a life 'filled with terror and indignity'.

This is serious matter, and a controversial one too.

This post is not to voice my opinion, but to share a story told in another blog maintained by Rev Dhammika.

It is quite long but well worth reading.

Please take your time:

Life. Don't Take It Lightly

[Just yesterday I heard that the British footballer Daniel James had gone to a euthanasia clinic in Switzerland and committed suicide, assisted suicide being legal in that country, even for non-terminal patients. James had been paralyzed from the neck down in a sporting accident and decided his life wasn’t worth living. When I heard about this I was both appalled and saddened.

A few years ago while I was staying at a Buddhist society in Europe I was informed that at 3 in the afternoon someone was coming to see me to talk about the Dhamma. Just before 3 I heard the front gate open and I saw a man in a wheelchair entering the premises. After a bit of fuss getting the wheelchair through the front door the man was pushed into the library by the person accompanying him and I entered to meet him. As we introduced ourselves he held out his hand, I took it and his grip nearly crushed my hand as he shook it. He was a good-looking man of about 25 with a fine complexion and well-developed arms and chest.

Almost immediately he got down to business. ‘Two years ago I was in a car accident in which the driver, my friend, and another person were killed. I was left paralyzed from the waist down. I’m undergoing therapy at present but the doctors tell me that if I have not regained the use of my legs within another 12 months I probably never will. I have decided that if I can’t walk again by that time I’m going to kill myself’. He paused for a moment, letting this piece of information sink in. Then he continued. ‘I have gone to Catholic and Protestant clergymen, a rabbi, a Baha’i teacher and a Hindu swami to ask them if they can give me good reasons why I should not end my life. Now I want to know what a Buddhist would say about this. That’s why I’m here.’ All this was said in a no-nonsense, matter-of-fact manner that convinced me he meant what he said. I asked him, ‘What did these other religious teachers say to you?’ ‘They all said I shouldn’t do it’ he replied. ‘Is being in a wheelchair so terrible,’ I asked him. ‘I will never get an erection again. I leak urine. You can probably smell it a bit. I can’t shit any more like normal people. Every morning I have to remove it manually. I used to love sports, I was a real sportsman. Ill never be able to run and jump like I used to. For the rest of my life I’m going to have to depend on others and quite simply, I don’t want to live like that.’ As he said this I detected a hint of emotion in his voice for the first time. I asked, ‘And have you given any thought to how you intend to kill yourself?’ ‘Gas’ he replied, ‘Its quick, clean and painless. So that’s it. Can you, as an expert in Buddhism, give me one good reason why I shouldn’t kill myself?’ I listened to all this and decided to take the approach I have sometimes found useful in such cases. I spent a few moments pretending to ponder his question and then I said. ‘No I can’t. Given your circumstanced I think suicide is your best option.’ He opened his mouth to say something but nothing come out. He must have assumed that I was going to try to convince him not to kill himself and when I didn’t respond as expected he was knocked off balance. His friend who was standing behind him gave me a horrified look and waved his hand indicating that I should not say such a thing. ‘So you agree. You think I should kill myself?’ ‘Yep, I said.’ Now it was my turn to be silent while my words sunk in.

Finally I said, ‘The only thing I think you should reconsider is how your going to commit suicide. May I recommend another way?’ ‘Er, yes’ he said. His friend looked down and shook his head in despair. ‘This is what I would recommend. I live in Sri Lanka, in Kandy up in the mountains. Every time I go to the town market I see dozens of young guys on all fours crawling around amongst the crowd begging for money or food. They’ve all been crippled by polio. Now because they spend all their time down near ground level and are always breathing in dirt and dust, they often get lung infections. And of course because they crawl around their hands and knees are bruised, calloused and covered with scabs. I also know that almost none of them get any help from the government or any charitable organizations. They live by begging and petty theft. Now this is what I recommend you do. Sell everything you have, go to Sri Lanka, get yourself a one year visa, and do everything you can to improve the lives of these young guys. They have lived on the streets for years so they are a pretty tough bunch. I will be more than happy to give you contacts in Kandy who can help you get a house and the other things you will need. Of course there are no facilities for wheelchair-bound people in Sri Lanka, no ramps or anything. The pavements are uneven and the roads full of pot holes, so getting around will be a constant struggle. I calculate that two years of this plus the strain of working with these very difficult kids should finish you off. I think the only problem you might have is that someone might come to know of what you are doing and try to help you which might prolong your life or even stave of death altogether. But you can always tell them to piss off.’ I said all this in the same no-nonsense tone that he had used when telling me of his resolve to commit suicide. He sat looking at me for a while and then we had a long talk.

I can understand and I sympathize with the terminal patient who is in great pain and who wishes to end (or perhaps better, to shorten) his or her live. But to want to kill yourself just because your life is not going the way you want it, is, to me at least, nanarcisistic, selfish and stupid. The ‘If I can’t win I’m going to take my ball and go home’ attitude to life bewilders me. In Vienna I met a distinguished surgeon who told me his life had become meaningless since he retired some years previously. He didn’t know what to do with himself and was increasingly suffering from bouts of depression. I felt like grabbing him by the collar and shouting, ‘You selfish old man!’ With the skills he had developed during his career there was so much he could do for others – tutoring young medical students, volunteering his knowledge to some charitable organization, spending periods during the year in an undeveloped country passing on his skills to surgeons there. And even if he didn’t want to share what he knew, he could travel, write a book, do some research or take up a hobby. But for whatever reason such possibilities just never occurred to him. The Buddha said that to be reborn as a human is a rare opportunity pregnant with possibilities (S.V,457). To squander that opportunity, to fail to see its potential or to be so fixated on one particular course that it blocked out all others, seems to me to be a terrible tragedy; far worse than being confined to a wheelchair or paralyzed from the neck down. I am not advocating that ‘you can achieve anything if you really want it’ or that ‘never give up’ approach to life so popular in America. The first is a delusion – you can’t achieve anything you want; life is full of limitations. And the second is almost a recipe for unhappiness – knowing when to gracefully surrender, when its time to call it quits, is a mark of good judgment. I am talking about an appreciative awareness of the fact that we are alive and using the time we have well. Yes, we may find obstacles in our way, sometimes very serious ones, so we may have to modify our goals, adjust our expectations or consider completely new ones. I am constantly astonished at how people with serious disabilities find fulfilling and creative ways to spend their time or make their lives meaningful. Daniel James’ self-pity, lack of imagination and willfulness led him to take his life. How very sad.

When I returned to the Buddhist society the next year the young man in the wheelchair came to see me again. He invited me to lunch in the flat he had just bought and where I met his new girlfriend, who quite coincidently, happened to be a Buddhist. I didn’t ask him if he had changed his mind about killing himself but I assumed he had. Sometimes you have the privilege of making a significant difference to someone’s life. If Daniel James had made the goal of his life inspiring and encouraging those less disabled than he himself, I wonder how many lives he might have been able to change.]

Well, what do you think?


Barry said...

Reverend Dhammika's post fully expresses the wisdom and compassion he brings to his teaching. The violent death of any person diminishes all of us, even if the death occurs from a free choice.

That said, my experience of severely depressed people may be somewhat different than his. A person in the grips of severe clinical depression is rarely able to say, "Well, my life just isn't going the way that I had hoped, so I'll make some changes and then I'll be fine." Depression is not subject to a change of view.

Severe depression takes away life in the same way that severe cancer takes away life. Both are diseases, neither are subject to choice. Both need extensive medical care.

Those who teach the dharma, even those of us with the hubris to blog about the dharma, must recognize that human suffering takes many forms and that wisdom similarly must take many forms. Every disease needs a unique medicine.


Justin Choo said...


We are all inflicted with some "dis-ease" in one way or another.

Related Posts with Thumbnails