Bad Cripple: William Peace on the Assisted Suicide Debate, Tom Shakespeare – and Me

Regular readers have probably come to expect periodic links to Bill Peace at his Bad Cripple Blog.

His latest entry, posted on Sunday, is titled “Assisted Suicide: A Necessary but Depressing Debate.”

It should come as no surprise when I strongly recommend that people who are interested in these issues read what he has to say.

Part of his entry has to deal with Tom Shakespeare’s recent published support of the Falconer bill in the UK – and my critique of his essay:

Like Drake, I found Shakespeare’s position and arguments weak and misleading. I also agree with Drake that Shakespeare is simply wrong in advocating for effective assisted suicide legislation in Britain. However, I think Drake could temper his critique because writing that Shakespeare’s editorial relies on “easy platitudes, fuzzy assertions and some pretty gross misrepresentations of euthanasia laws” only heightens an existing divide between the two men. In my estimation Drake is correct in his assertion about Shakespeare’s editorial in the Guardian but neglects to point readers in the direction to Shakespeare’s aforementioned book, especially chapter 8 on “Autonomy and the end of life”. Instead of going for the jugular in his pointed critique of Shakespeare I wish Drake had stuck to the facts–they are not only in his favor but on the side of any reasoned argument against assisted. For instance, Shakespeare is clear on the fact he favors assisted suicide for only those who are terminally ill. Yet Shakespeare does not in any way define who is and is not terminally ill. This is not a matter of minor debate but a central issue that gets to the core of assisted suicide at a practical and theoretical level.

Believe it or not, I am not going to argue with Bill’s critique of my critique. He makes intriguing points – and he’s operating from a knowledge base I don’t share. I have lots of “holes” in my own reading – in disability rights and in bioethics. Tom Shakespeare is one of those people whose work I probably should know – and don’t.

So I get to think about how that knowledge would have affected what I wrote – and I’m still not sure how that would work out. I’m still going back and rereading Bill’s piece for his thoughts – on Shakepeare and on the wider debate.

When Bill writes something about assisted suicide, euthanasia or related topics, I realize how much I’ve missed having a larger and richer discussion about these issues. Not so many years back, there seemed to be a flood of activists and scholars eager to write about their views on Terri Schiavo and “Million Dollar Baby.”

These days, for reasons I am still trying to sort out, those same scholars and activists (more true of the former than the latter) are less visible and vocal on these issues.

But this week, anyway, I have Bill Peace’s latest entry to read – and reread. Please do the same. –Stephen Drake

Video Link to July 7 Debate on Falconer Bill (Swiss Suicide Immunity)

There’s good news and bad news. I can provide the link to the debate on Lord Falconer’s bill on extending immunity to people who accompany family members to Switzerland to commit suicide at a Dignitas facility.

The bad news is this:

It’s a continous videostream of the entire 7.5 hours of debate in the House of Lords that day and the connection and buffering can be erratic.

As I’ve mentioned before, I have terrible trouble doing transcripts myself. Unless someone else types a transcript, there won’t be one available – as far as I know.

Having said that, the link to the debate is below.

The statements by Baroness Campbell opposing the bill start at about 3:45:45 in the 7.5 hour video stream. The bar that advances the video is at the bottom of the screen. That means – with luck and some fine motor coordination – you can advance the video to somewhere near the time that Baroness Campbell starts to speak.

Lords Chamber – Meeting started on Tuesday 7 July at 2.30pm – ended at 9.59pm

Sorry I couldn’t provide something more accessible this time. –Stephen Drake

UK: More on Jane Campbell – Baroness of Surbiton

I hope to get a transcript and/or link to video up later, but it turns out that Baroness Campbell of Surbiton delivered a speech during debate of the Falconer bill that caught everyone’s attention – and may have significantly affected the outcome of the vote.

Om July 7th, the Daily Mail ran an article about Campbell and her statement to the House of Lords:

Speaking from a wheelchair and needing help from a colleague to sip water, Baroness Campbell condemned the amendment for ‘turning the traffic light from red to green on state-sanctioned assisted dying – albeit in another country’.

She said she had been told by doctors that her life was at an end – and said she could imagine that others would come under similar pressure from relatives.

‘I tick every box of Lord Falconer’s criteria to die. I could go tomorrow and, believe me, I would have no trouble in persuading two doctors. Three years ago two doctors persuaded me it was time for me to go on my way.’

She added: ‘It takes extraordinary will to rise above these views, especially when such views are held by loved ones.’

Baroness Campbell, who needs a ventilator to breathe at night, added: ‘Legalising premature death is a treatment option to plant the seeds of doubt about one’s right to demand help to live with dignity and undermines the state’s responsibility to ensure all citizens can live with dignity.

‘If this amendment were to succeed I believe it will place a new and invidious pressure on disabled and terminally ill people to think they are closer to the end of their lives. Some will consider death is preferable to fighting for the support to live with dignity. It would be the cheapest, quickest, simplest option.’

That wasn’t all there was to the story, either. On July 11th, The Telegraph ran another story on Campbell, with even more detail:

Baroness Campbell considers herself very, very lucky. Her husband was able to tell the medical staff what his wife could not: that she already spent every night on a ventilator. And yes, she did want to be resuscitated. Her condition may be degenerative. But she was a fighter, and she wanted to live. To the hospital’s shame, he was forced to show doctors photographs of Lady Campbell receiving an honorary doctorate in law from Bristol university to ”prove” the quality of her life.

”What frightens me about that night is that I knew these doctors were doing what they thought was best,” she says. ”Doing what they thought I would have wanted. But if Roger hadn’t been there, there would have been no one to tell them my wishes.

”What was even worse was the isolation I would have felt if I had been alone. Part of me began to think: ‘would I have want to live on a ventilator? When you are in that situation it could be very easy to be persuaded that maybe you wouldn’t. I knew they weren’t right but I remember thinking: ‘how much say have I got in this? If Roger wasn’t here, would I have been allowed to die because the doctors believed it was kinder to end my life?”

Campbell’s story is disturbing and stops short of where real horror lies.

What if Campbell had been a lower-middle class pensioner with no higher educational degree or notoriety of any sort?

Let’s push it farther than that:

What is happening right now to disabled people with little education or income – and with no one to convince doctors that their lives are worth living?

Readers of this blog might note similarities between Campbell’s story and the one posted last month about Terrie Lincoln and her family’s fight to make sure she survived a spinal cord injury.

The recent vote in the UK, along with the attention given to Campbell’s story in the press, indicates stories like those of Baroness Campbell and Terrie Lincoln are powerful advocacy tools. I strongly suspect that these stories are just the tip of the iceberg. We need more of these stories – and people willing to tell them. The trick is finding people who actually survived these kinds of situations. –Stephen Drake

NY Case on Feeding Tube Withdrawal – Gary Harvey

Unfortunately, there’s an all-too-familiar scene playing that’s been playing out in Chemung County in New York. In January 2006, Gary E. Harvey had a heart attack and fell down a flight of stairs. The injuries left him permanently and severely disabled.

Gary Harvey was placed in Chemung County Nursing Facility – and a familiar battle began. Sara, Gary’s wife, started complaining about the quality of care – or lack thereof. After pushing their own allegations, the facility was successful in having Sara removed as her husband’s guardian, severely limiting contact and removing any right to make decisions on her husband’s behalf.

Sara Harvey is the best person to tell her story – and she’s done so at the National Association to Stop Guardian Abuse.

Here is an excerpt from her entry on May 18th on their blog:

Jan. 2006, my husband Gary E. Harvey, age 55, suffered a tragic accident leaving him severely brain injured. As his wife and sole advocate, I’m fighting to ensure he gets the best possible care and quality of life. We’ve been abused and taken advantage of by Chemung County, CCNF, APS, DSS, Attorneys, and Supreme Court.

I pray that Gary has a full recovery. A man who served his country should not be treated this way! No matter what, I want him home where he’ll be loved, safe, and properly cared for.

The County is divorcing me from my husband and holding him prisoner.

All they care about is money. I only count when it comes to keeping health insurance on Gary and paying the bills; an obligation – not a WIFE. We are not rich and don’t want to see our home and all we worked our entire lives for, taken by the county.

For more information, please check out the link (bizarrely named) “Dying with Dignity” for a televised report on the situation.

Next up is a hearing in Chemung County on July 27th. Sara hopes to prevent impending orders to implement both “DNR” orders for Gary and removal of his feeding tube. She also wants to regain guardianship.

What, ultimately does she want? Again, she says it best herself:

I want my husband home where he belongs and where he will be safe and taken care of – and where he will be allowed to interact with not only his family, but his friends and his priest. Socialization is vital to his well-being as it is for anyone. I fear if he is not rescued from CCNF soon, he will lose his will to live, his spirit will diminish and I will lose him forever. I see him losing his spirit a little more each day. Time is an enemy here. The longer he remains in CCNF, the more his will suffers.

I also fear if he is forced to remain incarcerated in CCNF, he will die of a neglectful action resulting from ongoing, documented inadequate care. Gary trusts me; he cannot speak for or defend himself. He has no one to advocate for him at CCNF because the court has rendered me helpless to protect him.

More on this situation in the next week, as we get more information. –Stephen Drake

More on Falconer Bill: Open Letter from Leaders of Disabled People’s Movement in UK and USA

Over the weekend, a letter opposing the Falconer bill was circulated among disability advocates/activists in the US and the UK. Diane Coleman and I both signed on to the letter on behalf of NDY. But the majority of the endorsers are disability advocates and activists from the UK.

The letter was submitted to a couple of newspapers in the UK, but was never published. It did get circulated by other means, though, and was probably seen by people who needed to read it.

The letter is up now – on Crippen’s blog. Dave Lupton is a disability activist and a funny and talented cartoonist, whose works are posted on his blog. Best of all, Dave takes accessibility seriously – all of his cartoons are provided with alternate format rich text descriptions of their content. Dave’s blog is just one of several hosted on the site “Disability Arts Online,” which is a site well worth checking out to find out what the more artistically talented members of our community are doing.

As mentioned at the top of this post, Dave Lupton has posted the Open Letter on his own blog and is titled “Final Solution.”

Here is an excerpt:

As leaders of the disabled people’s movement in the UK and the USA, we are extremely concerned about how the proposed amendment to the Coroners and Justice Bill will impact onthe lives of disabled people.

If Lord Falconer’s amendment succeeds in the House of Lords on Tuesday 7 July then those who assist ‘terminally ill’ people to go abroad to end their lives in ‘suicide clinics’ would be immune from prosecution.

The phrase ‘terminally ill’ is not defined in the amendment, and could apply to people with a very wide range of chronic progressive illnesses some with life expectancy stretching to decades. Disabled people who experience progressive conditions understand far more than non-disabled people about what it is live with these pressures. We know what is acceptable as disease or disability progresses, and for the huge number of us who say no to assisted suicide, it is because we fear the changing culture such an amendment would bring. People without experience of disability, including our friends and families cannot predict what each stage of our personal journey will mean. Furthermore, financial and emotional conflicts of interest will always present an added burden to the situation. A law decriminalising assisted suicide would undoubtedly place disabled people under pressure to end their lives early to relieve the burden on relatives, carers or the state.

Read the rest, with the list of endorsers, at Crippen’s Blog. –Stephen Drake