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March 25, 2005

THE GRAVE'S A FINE AND PRIVATE PLACE/BUT NONE I THINK DO THERE EMBRACE: TERRI SCHIAVO AND OUR OWN MORTALITY

        The torrent of cant from politicians and lawyers in the case of Terri Schiavo has rendered Horsefeathers silent---until now. Now that the politico-legal proceedings are just about over, one fact seems to have been consistently ignored: no one, neither Michael Schiavo, nor Terri's parents, none of the lawyers and pundits, not even the patient herself, knows what she feels, thinks or wants, or even if she is capable of feeling, thinking or wanting. The legal efforts to determine the "facts" of what she wanted 15 years ago are utterly absurd and irrelevant to her present state. The offhand comments of a healthy young woman are about as relevant to the reality of her situation many years later as the dorm room musings of an inexperienced adolescent about the meaning of life. This is not a Million Dollar Baby situation where Clint Eastwood can nobly help a patient carry out her clearly expressed wish to die. Given Mrs. Schiavo's current state of severe brain damage rendering her incapable of knowing and communicating, we are left with everyone else's fantasies- projections of our own anxieties, fears and hopes onto the blank slate she presents. Death, our own deaths, the ultimate affront to our narcissim, is what each of us sees, fears, and wants to escape. We each have our own way of dealing with this painful inevitability. Many turn to religious faith in an afterlife free of suffering, to which this life, full of trials and tribulations, is merely a precursor. Interestingly, some religious conservatives favor Terri's assisted death precisely because they are persuaded the afterlife will be kinder to her than her present condition. David Frum and Neil Boortz(here)take this position. Others, like Horsefeathers, put faith in the scientific method which argues that no convincing evidence of an after life exists. Consolation for us comes in the form of poetry, like Philip Larkin's Aubade in which he addresses the fear of death thusly:

"...This is a special way of being afraid
No trick dispels. Religion used to try,
That vast moth-eaten musical brocade
Created to pretend we never die,
And specious stuff that says No rational being
Can fear a thing it will not feel, not seeing
That this is what we fear--no sight, no sound,
No touch or taste or smell, nothing to think with,
Nothing to love or link with,
The anaesthetic from which none come round
..."

        Horsefeathers' faith in the scientific method leads us to conclude that death is final; indeed, it is"the anesthetic from which none come round", and it is this finality which makes us extremely wary of terminating a life, even one as limited and constricted as Terri Schiavo's. We don't believe there is a better world to which she is going. At the same time, we do not fool ourselves into thinking she will recover. While there are some neurologists who differ, we accept the weight of medical judgment that the brain damage is too extensive to allow for recovery. We ourselves think we would want to have the plug pulled in similar circumstances, not because we'd prefer death to life, but because we'd want our relatives and loved ones to get on with the process of mourning so they could be free to live their own lives.
        Having said that, once we acknowledge the projected, personal nature of our speculations about Mrs. Schiavo's inner life, we are left with two irreducible facts: 1)Mrs. Schiavo's parents' desire to keep their severely damaged daughter alive, and 2)Mr. Schiavo's desire is for her to die. We think Terri's parents' wishes should trump his. We can understand Mr. Schiavo's position, even though we doubt his assertion that he is compassionately representing Mrs. Schiavo's wishes to be dead. It is much more plausible and understandable that he has moved on to create a new family, with a new 'wife' and children, and wants to be done with the past. Removing the feeding tube and letting Terri starve to death would mark a clear ending to that relationship. Terri's parents, on the other hand, want to take care of their severely damaged child in order to feel they've fulfilled the responsibilities they assumed when they brought her into the world. Horsefeathers regrets that these clashing personal wishes and needs were not worked out among the family members years ago. How sad that they were never able to bridge their differences. At this point though, one other important fact is clear: the Schiavos are personally willing to assume responsibility for their daughter's care. On the other hand, Mr. Schiavo is not willing to personally assume responsibility for ending Terri's life. He has left that to others: lawyers and health care workers have been the instruments through which his personal wishes have been expressed. Had he gone to the hospice and personally removed the feeding tube, or had he administered a morphine overdose, we would respect him for putting his money where his mouth is. We come down on the side of Mrs. Schiavo's parents. They have, it seems to us, earned the right to assume the burdens of caring for their daughter. They can't move on to find another daughter, as Mr. Schiavo can move on to find another wife. This is ultimately not about Terri but about the needs of the survivors.
        One additional point: as physicians we know there are many times when health care providers assist terminally ill people to die quickly. This is done after talking and listening to the family. We think this is a good thing, a function performed by physicians since time immemorial. Government already has too large a role in private health care decisions. This time the federal government may have intervened to keep a patient alive, but next time it may decide and direct health care workers to terminate unwanted lives. In Ray Bradbury's futuristic dystopia Fahrenheit 451, firemen no longer put out fires, but start them. We don't want the state employing and encouraging health care providers to become angels of death.





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"We don't believe there is a better world to which she is going. "

No one really knows, of course, but oft in the stilly night I feel the communion of saints myself.

"Oh, nane sall ken where he is gaen" sing the old Scots ballad, "and o'er his banes when they are bare, the wind sall blaw forever mair." Death will be with of course until the end of the world.

"Wise though his plans are
artful beyond dreaming
they carry him both to evil and to good.
But for death he has found no cure.' (Antigone; Sophocles).

Now we see through a glass, darkly; but then face to face: no i know in part; but then I shall know even as I am known. (1 Cor 13)

Terri believed as far as I know and so do her parents. There can be no proof of this; there can be no argument. This is a matter of the heart not the head.

Yes, some of us are gang as they used to say to the land o' the leal as we leave the land o' the livin'.

The Saints shall be with God; "he will dwell with them. and they shall be his people, and God himself shall be with them, and be their God." (Rev 22)

There is an old song:

Oh, glorious hour! Oh, blessed abode!
I shall be near and like my God;
And flesh and sin no more control
The sacred pleasures of the soul.

Now the even's come at last
O Son of Mary!
There is peace on every hill
O Son of Mary!

will put my house in order
as I set to cross the border
Thou are near and in my heart
O SON OF MARY!

(ancient Scottish Song)

I prefer the song of mystery to the silence of the darkness. If I am wrong, I will sleep in peace without a care when my turn comes for the earth will have its portion.

Posted by: Richard "Ricardo" Munro [TypeKey Profile Page] at March 25, 2005 10:19 PM

Sorry, but I’m not really a fan of this article--my attention was lost among the myriad of extreme and irrelevant assumptions and analogies. The tone is condescending, and the text is that of someone trying too hard to sound “smart.” And the references--God, the references!--are utterly ridiculous. For example, the title of this article references Andrew Marvell’s classic poem “To His Coy Mistress.” The lines quoted--“The graves a fine and private place, but none I think do there embrace“--are hardly appropriate, given the nature and scope of the topic being discussed. In Marvell’s poem, the narrator uses these lines in an attempt to coax his virginal lover into bed--kind of like a salesman. The speaker of this poem is basically saying “sleep with me now, before you’re too old, too ugly, or dead!” Though the lines by themselves do seem to add to the ideas portrayed in this article, the poem to which they refer, and the ideas that arise from said reference, are inappropriate, and arguably offensive.


I don’t have time to criticize the entire article at length--honestly, I’m still not finished complaining about the title! But a few other big problems are worth noting: first, the article is fraught with unwarranted assumptions: for example, the author observes that it is impossible to know whether Schiavo, during the last few weeks of her life, wanted to continue living; furthermore, Schiavo’s fifteen-year-old statements--saying she never wanted to live as a “vegetable“--are irrelevant, according to the author, because such statements tell us nothing about what she wanted while IN a vegetative state. From this, apparently, euthanasia is unjustified in the case of Terri Schiavo.


But, dear author, it’s important to be equally critical of your own criticism: given the principles you’ve provided, it is still unwarranted to assume that just because we cannot determine Schiavo’s preferences in a vegetative state, that euthanasia is therefore unjustifiable in her case. In other words, your principles give us reason to doubt the relevance of some of the evidence as to whether euthanasia is justifiable in Schiavo’s case. But your principles do not come close to proving that euthanasia is unjustifiable in her case--the flaw you make is one of reverse causation, a classic logical leap.


Furthermore, the author adds a flawed analogy to strengthen the above claims: “the offhand comments of a healthy young woman are about as relevant to the reality of her situation many years later as the dorm room musings of an inexperienced adolescent about the meaning of life.” Hmmm, the author seems to ignore a few significant differences between the examples (s)he compares: for starters, Schiavo’s statements refer directly to the situation she eventually faced: whether or not to live in a persistently vegetative state. The dorm room musings to which the author so playfully refers would only be relevant if the life of the adolescent who made those comments would eventually depend on them. The comparison seems absurd--which is a judgment the author hastily (and ironically) makes of so many other lines of reasoning.


Finally--and I’m seriously stopping after this!--, I scrolled to the bottom of the article, in hopes of finding a strong conclusion or summation to compensate for the article’s thoroughly irritating first half; but my hopes were aggravated--literally aggravated: my temperature rose nearly 350 degrees, burning all my homework and textbooks to ashes--yes, I‘m referring to the author’s inappropriate reference to Fahrenheit 451!


Sorry, but I think the author could have referenced a number of more suitable novels to warn of the dangers of government funded euthanasia. What the novel has in common with the author’s fear is a state that funds the destruction of a group of entities. But even this “commonality” seems generous, because the entities in the former (Fahrenheit 451) are books, and the entities in the latter (the author’s fear) are human beings. Moreover, I fail to see where the legalization of euthanasia strengthens the government or its powers--and the ills of government supremacy is one of most important lessons (arguably THE most important lesson) of Fahrenheit 451! If anything, the legalization of euthanasia would add another right to citizens--the right to decide not to live--by taking away the government‘s unchecked power to force life on, well, vegetables!


I feel ridiculous even pointing out that health care providers who practice euthanasia are not “state [employed]…angels of death.” And, don’t worry, so long as all citizens read Marvell and Bradbury as critically as the author has, the “angels of death” won’t practice medicine--they’ll stick to politics. Better that than burn books and sleep with virgins, I guess..


Respectfully,

Jon Piron

Posted by: noripj [TypeKey Profile Page] at September 9, 2006 09:15 PM

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