Archive for June, 2009

Q&A with Louise Harbour on Euthanasia

Friday, June 26th, 2009
Question 1:  How long have you been working for Action Life?
 
I have worked for Action Life for 11 years and have been a member for 22 years.
 
Question 2:  Do you see euthanasia being legalized any time soon in Canada?
 
It is our hope that with education campaigns Canadians will reject euthanasia. There is a threat on the horizon with Bloc Québecois member of Parliament Francine Lalonde having introduced a bill to legalize assisted suicide for the third time. The two previous attempts failed when the bills died on the order table because elections were called. Canadians need to be informed about the dangers of legalizing euthanasia and assisted suicide. Ms. Lalonde presemted her bill yesterday. We are concerned about the possibility of this becoming law.
 
Question 3: Would you say euthanasia is morally wrong? Why or why not?
 
Yes, euthanasia is morally wrong. Why? Because euthanasia is killing. It is intentionally causing the death of another human being. Euthanasia is the abandonment of the vulnerable. As for the law, it makes a moral statement.  It says that we will not accept certain acts and it exists to protect the vulnerable. The prohibition against euthanasia in the Criminal Code is there because it considers euthanasia as homicide.
 
Question 4: Does a person have the right to take his or her own life? Why or why not?
 
Suicide is a cry for help. It is an expression of depression, of despair. We do not prosecute individuals who attempt suicide because society has recognized that suicide is a cry for help. Istead we offer assistance to enable the person to overcome his or her problems.
 
Now as concerns assisted suicide and euthanasia: In any other circumstance if a person said, he or she wanted to end  his or her life, would you help the person to kill herself/fhimself or would you help the person to live? The caring response would be to help the person to live, to tell her that he/she matters to you, that his or her life has meaning. Assisted suicide is a criminal offence in Canada. It entails someone providing the means for a person to kill themselves. It can be a physician providing a prescription for lethal drugs  (physician assisted suicide) or another individual counseling or providing the means for someone to kill himsel/herself. Again, the law against assisted suicide is there to protect the vulnerable. Euthanasia also involves a second party. It involves a physician administering a lethal injection or withholding or withdrawing of treatment with the intention to cause death. It involves the physician in an act of killing. Euthanasia alters the role of the physician from one of healing to one of killing. The legalization of euthanasia would adversely affect the patient / doctor relationship. This would undermine the trust which patients put in their physicians. In 2000, the British medical Association said in a statement concerning the doctor patient relationship that if euthanasia were legalized patients will have to wonder whether…”the physician coming into my hospital room is wearing the white coat of the healer or the black hood of the executioner.”
 
There really is no such thing as the right to take your own life or the right to die.

 

Question 5: What treatment should Canadian health care develop as opposed to euthanasia?
 
The emphasis should be placed on providing excellent end of life care. Palliative care and hospice care should be available to all Canadians who need it. The late Dame Cecily Saunders of the United Kingdom founded hospice/palliative care in the late 1960′s. She came up with the concept of total care. ELC she called it. It stands for Efficient Loving Care. This method of cares involves looking after the physical, spiritual, emotional needs of a patient. Saunders said in an interview: “I realized that we needed not only better pain control but better overall care. I coined the term ‘total pain’ from my understanding that dying people have physical, spiritual, psychological and social pain that must be treated.” Her philosophy and methods of care have spread all around the world.
More funds should be directed towards palliative care in Canada to increase access to these services. 
 
Question 6: Does Action Life lobby the government to improve palliative care?
 
Since Action Life is not a political organization, it does not lobby governments. we do not engage in political work. We have however presented or sent briefs to government committees on issues that are of concern to us as an educational pro-life group. We can educate and inform through a brief or letter about palliative care or the experience of euthanasia in the Netherlands or send research materials about life issues.
 
Question 7: Is euthanasia a cop-out to avoid paying high medical fees for palliative care? If so why do you think it is becoming more prevalent in our culture?
 
One of the dangers of legalizing euthanasia is that it can be used to ration health care. It is much cheaper to kill a patient than to provide care.   Dr. Colleen Clements, assistant professor of psychiatry, University of Rochester, N. Y. State wrote in the Medical Post – June 20, 1989: “It would be foolish to think that assisted suicide or direct killing of patients would not be abused  for a cost containment agenda. Even withholding or withdrawing of treatment is subject to abuse, and there is clinical evidence to point out to current routine abuse…No, the medical profession should not promote as routine or as policy or as medical ethics, the passive or active killing of a patient. The risk to the chronically sick or terminally ill is just too great. It is a realistic risk not a slippery slope fallacy. We can actually demonstrate the probabilities and the actuality of its happening.”
 
It is more prevalent in our culture because of our diminished respect for human life. If a society accepts killing before birth by abortion, it will accept killing after birth by assisted suicide and euthanasia. The acceptance of abortion has devalued our very humanity. Some lives are viewed as disposable. Dr. Karel Gunning, a Dutch physician says: “Once you accept killing as a solution for a single problem, you will find tomorrow hundreds of problems for which killing can be seen as a solution.”
 
In our western world, life is no longer regarded as sacred. The legalization of euthanasia is a threat to the lives of the disabled, the chronically ill and the terminally ill. When euthanasia is suggested to a patient by a physician or family member, the patient may well take this suggestion to heart. He may receive the message from the physician or family member that we think you would be better off dead.
 
Question 8: How long has euthanasia been one of the issues that Action Life deals with? How old is Action Life?
 
Action has been educating on the issue of euthanasia for many years. Pro-life people warned that if we allowed abortion, in time calls to legalize euthanasia would follow.
Action Life was founded in 1971 and incorporated in 1976.
 
Question 9: Should euthanasia be considered as a medical treatment?
 
No because killing should never be considered medical treatment. The prohibition against euthanasia exists in law because it is regarded as homicide. Euthanasia is about allowing physicians to kill their patients. Euthanasia once legalized can never be effectively controlled. Voluntary euthanasia always leads to non-voluntary euthanasia, where the physician kills the patient without the patient’s consent. 
 
The experience in the Netherland reveals that euthanasia cannot be controlled. In fact, thousands of patients over the years have been killed without their consent. Further the practice of euthanasia in the Netherlands has expanded from euthanasia of the terminally ill to, the chronically ill, to the depressed to handicapped children. Adolescents may also access assisted suicide and euthanasia.
 
Question 10: Why do you think the Netherlands legalized euthanasia before anyone else?
 
Professor Ian Dowbiggin, chair of the History Department at the University of Prince Edward Island in his book A concise history of Life, Death, God and Medicine offers this explanation:”The Netherlands, like other countries was hard hit by the cultural revolution of the 1960s. But no western nation embraced the counterculture attack on long standing norms more than the Dutch. Even the medical profession was swept along by this current. In the words of one Dutch physician, traditional ethics collapsed in almost every area including the medical community. Almost overnight the Dutch adopted the idea that as long as people are going to use drugs, visit bordellos, and conceive babies out of wedlock, the government should regulate these behaviours rather than condemn them. The same thinking applied to euthanasia.”  
Physicians were breaking the law against euthanasia.
 
It has also been observed that Holland has lost its faith, that most of its churches now stand empty.
 
Question 11: What do you think is a major reason that people consider euthanasia a possibility?
 
I think fear of pain and the fear of being a burden. Some may have seen loved ones suffer due to poor pain management and fear  a similar situation. Other cite the loss of enjoyment of life as a result of illness. For euthanasia advocates, it is about autonomy. In fact euthanasia is not about autonomy.it is a mere illusion since guidelines are broken and patients are killed without thier consent.  
 
Question 12: Are there any curent legal proceedings that Action Life is aware of in Canada regarding euthanasia?
 
There are at present no cases before the courst regarding euthanasia. As mentioned earlier, Bloc Québecois member Francine laonde ontroduced her bill in the House of Commons yesterday.
 
Question 13: What is the first thing or event you think when you hear euthanasia in the context of Canada? (events, model cases,etc.)
 
When I hear the word euthanasia, my thoughts turn to the dangers of legalizing the practice of euthanasia. It is a very real threat to vulnerable individuals; the disabled, the chronically ill, the terminally ill, the depressed. It is about abandonning individuals when they most require our love and our help. Better access to good medical care is what is needed not killing.
 
We can do better than offer killing under the guise of compassion and medical treatment. Euthanasia and assisted suicide are false compassion.
 
 
 

Questions About Stem Cell Research

Friday, June 26th, 2009
  • 1. Why is stem cell research so controversial?

Embryonic stem cell research is the cause of the controversy.  Why, because it involves the destruction of a human life.  The removal of the stem cells from a living human embryo causes the death of the embryo. This is why embryonic stem cell research is considered morally and ethically objectionable by some. There is however no moral objections to adult stem cell research or cord blood cell research.

  • 2. What is the difference between adult and embryonic stem cells?

Adult stem cells exist in our own body and provide a natural repair mechanism for many tissues of the body. It is entirely acceptable to take stem cells from a patient’s body for his own use to treat his or her disease.  Adult stem cells are found in various tissues and organs of the body such as fat, bone marrow, skin, brain, dental pulp, muscle, etc.  Patients who receive their own stem cells in transplantation will not experience immune rejection.

Embryonic stem cell research on the other hand involves the killing of a living human embryo. Embryonic stem cells have not achieved one beneficial treatment in human patients to date. Embryonic stem cells are difficult to control and can develop into the wrong type of cells. For instance, implanted embryonic stem cells have turned into bone or skin and other tissues when researchers had hoped they would turn into brain cells.  They have a tendency to tumour formation. Patients receiving embryonic stem cells would likely have to take anti-rejection drugs for the rest of their lives.

  • 3. What are stem cells being used for right now?

Adult stem cells have been providing beneficial treatments in human patients for many years. Other ethical sources of stem cells like stem cells from umbilical cord blood after the birth of a baby are already being used in treatment.

Adult stem cells have helped heart disease, Parkinson’s disease, Type 1 diabetes, multiple sclerosis, stroke patients and many other illnesses.  At the website www.stemcellresearch.org, you will find a list of 73 medical conditions where patients have been helped by a clinical trial or treatment using adult or cord blood stem cells.

 Go online  and read about Jennifer Molson, a patient with multiple sclerosis who was treated with adult stem cells by Dr. Harry Atkins of the Ottawa Health Research Institute.  A success story right here in Ottawa.

 Another patient, Anne Scott suffering with myasthenia gravis was treated with adult stem cells by Dr. Harry Atkins of the Ottawa health Research Institute and her disease is now in remission.

(Ottawa Sun, November 5, 2006)

Patrizia Durante was diagnosed with leukemia while pregnant. Her baby was delivered two months ahead of time so they could treat Patrizia with higher doses of chemotherapy. Patrizia became severely ill while waiting for a bone marrow transplant after her daughter’s birth in 2001.

Her oncologist Dr. Laneuville decided to transplant the stem cells from her daughter’s umbilical cord blood into Patrizia’s body. Mrs. Durante’s treatment with her daughter’s cord blood cells resulted in her cancer going into remission. ( Montreal)

Dennis turner, a patient with Parkinson’s disease underwent treatment with adult stem cells (10 years ago). This treatment allowed Mr. Turner to enjoy five good years with a marked improvement in his condition. His symptoms went into remission for four or five years. He was not however cured and his condition has now continued to deteriorate. Mr. Turner would be willing to undergo treatment with adult stem cells again to slow the progression of his disease.

Patients with type 1 diabetes have also been helped by adult stem cells as have other patients.

  • 4. What can stem cell research potentially lead to?

Adult stem cell research holds great potential to help patients and provide successful treatments for diseases. The website www.stemcellresearch.org   has a fact sheet listing the 73 conditions for which adult stem cell treatments or clinical trials have helped human patients. Adult stem cell research offers great promise for further therapeutic benefits.

Embryonic stem cell research has not so far helped a single human patient.

  • 5. What are the obstacles that must be overcome before the potential uses of stem cells in therapy will be realized?

More clinical trials are needed using adult or cord blood stem cells. More funding should be directed toward adult stem cell research which is morally and ethically acceptable. As for obstacles, adult stem cells are said to be less flexible and may be more difficult to reprogram to form other tissue types.  They can sometimes be difficult to obtain in large numbers.

The obstacles with embryonic stem cells have already been mentioned in answer to question 2.

  • 6. Why don’t we just study adult stem cells, if they aren’t as controversial?

There is much hype surrounding embryonic stem cell research. We are told it holds the key to cures for many diseases in spite of having delivered nothing so far to help human patients.  Some scientists and others are not opposed to the destruction of living human embryos for research purposes. Dr. Jack Wilke of the Life Issues Institute offers the following as an explanation to why some are pushing embryonic stem cell research when the successes have come from adult stem cells; “For scientists, the unknown is a challenge, a horizon that needs to be explored. They want to boldly go where no man has gone before. Whether or not palatable results seem reasonably obtainable is irrelevant.  Exploring the unknown is a goal in itself. They are however faced with the obvious fact that private money will not subsidize such questionable investigations. This is why there is tremendous pressure from scientists, the liberal media and, very clearly a powerful and well-financed biotech industry to appropriate tax money for such research.”

There is much confusion surrounding stem cell research among the public. When they hear media reports concerning breakthroughs or successful treatments with stem cells, they assume or think of embryonic stem cells. They know very little about the differences between adult and embryonic stem cells. 

We should remember the principle that the end doesn’t justify the means.

  • 7. Have any diseases been cured with either embryonic or adult stem cells in humans?

As mentioned previously, adult stem cells have helped many patients. Embryonic stem cells have not helped a single human patient. 

  • 8. Are stem cells safe or effective?

There are many difficulties to overcome with embryonic stem cell research. One being that the cells are difficult to control, the other being their capacity to forms tumours. Such risks are not present with adult stem cell treatments. Remember that any type of treatment or surgery carries certain risks.

I would like to point out that you once were an embryo. Causing the death of one living human at the embryonic stage to potentially help another devalues and commodifies human life.

Again, the end doesn’t justify the means.

The Euphemism of Assisted Suicide

Thursday, June 25th, 2009

Euthanasia and assisted suicide advocates claim that the legalization of these practices is about choice and autonomy. However safeguards to protect patients against euthanasia have not worked in the Netherlands where the practice is legal as the evidence gathered over the years has shown that many patients are killed by euthanasia without their consent.   So much for choice and autonomy!  

As for Oregon where assisted suicide is legal, there is cause for concern as well.  In times of rising health care costs, providing lethal drugs for assisted suicide is much cheaper than caring for patients. An Oregon newspaper reported in 2008 that the Oregon Heath Plan refused to pay for cancer treatments for some patients but offered to pay for assisted suicide or comfort care instead.  As one patient Barbara Wagner stated “To say to someone, we’ll pay for you to die but not for you to live is cruel. I get angry. Who do they think they are?” Thankfully her oncologist contacted the pharmaceutical company who agreed to supply her with the medication at no cost for a year.  To legalize euthanasia and PAS would put immense pressure on the chronically or terminally ill, the disabled and those suffering emotional or psychological distress.  

Euphemisms such as “physician assisted dying”, choice in dying, right to die cloak the harsh reality of what’s really at stake in the debate.   Euthanasia and assisted suicide must be rejected because killing and helping someone to kill themselves should never be a solution or considered medical treatment. 

By Louise Habour

Originally posted in the Ottawa Citizen


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