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Forever Sleep

Earned it we have...
May 4, 2022
9,228
In countries where assisted suicide is legalised- does anyone actually know what the effect of refusing treatment has on a person's right to die?

So, let's say, as a scenario: I get diagnosed with some sort of awful illness. I refuse treatment but I request pain killers. How likely is it a doctor would support an application for VAD in that case? Would I have to hold on until my condition was dire- if it wasn't initially? Would they even support it then?

I get the impression that approval for VAD quite often relies on the approval of more than one doctor. I vaguely remember it needing to be three. Three doctors need to agree that, no more can be done for the patient- I'm assuming and- their illness is sufficiently bad to ensure an awful quality of life. So, does that mean they have to have tried every drug/ medication going to be considered?

The problem I have with that is it's bribery effectively. If you don't try these things- we won't support you in your right to die. But- how do we know those drugs or treatments are even safe?!! There are a number of people here who claim their lives are so much worse for long-term SSRI usage. Why should people agree to be guinea pigs and test out their new theories and drugs to try and get at that golden carrot of a peaceful death?

There's the commercial side to it too of course. I'm sure that big pharma companies are a part of driving the economy. In that context- if what they're pushing isn't fully tested or, even safe(!) we shouldn't be expected to just accept it! We shouldn't have other rights stripped from us if we don't comply.

Maybe I'm wrong. I very well could be. I genuinely don't know enough about VAD. I suppose, I'm just cynical in believing it won't be this reassuring solution for a lot of people. I get the impression it will be incredibly conditional and its process will infringe other human rights to choose. We'll likely never get the power to decide for ourselves. I suspect the medical profession/ industry will always hold on to that. An industry that makes money by keeping us alive and on a bunch of chemicals.

Even with the Sarco pod say- yes- it doesn't require medical personel to operate yet- are they truly going to allow someone in there who hasn't been diagnosed with something horrible and likely incurable by a doctor? I kind of doubt it. They're putting themselves at enormous risk doing that. Surely, the law will make it so that certain (likely terrible) criteria have to be met and agreed upon by doctors.

Obviously, something's better than nothing with regards to VAD. Maybe we'll eventually all get the opportunity to look forward to its assistance- once our own situations have become adequately dire of course.

I think probably the biggest hurdle is the issue of ideation ironically! If you've ever visited Pegasos or Dignitas websites, you'll get the impression that their ideal patient/ client is one who wants to live but can't have a reasonable life because of incurable conditions. They don't want people who are suicidal. (I'm assuming because they connect ideation with mental illness and mental incapacity.)

So- I suppose that reflects back to: 'Why did you refuse treatment? You don't want to die do you? We're not helping you if it's your actual wish to die! We'll only do it if you see it as your last resort.'

That's the impression I get. Anyone else? Any thoughts? Any knowledge on this? I actually don't know much about it to be fair. I may have done the whole system a gross injustice. This is more an impression/ fear I get relating to it.
 
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Praestat_Mori

Mori praestat, quam haec pati!
May 21, 2023
11,107
TL;DR. To be accepted to VAD or legal ways to die you must be dead already to be accepted aside from the fact that you additionally need quite a lot of money. Do public/private health insurances cover the costs in countries with legal VAD?

I think you can always refuse treatment in any case (this is probably also be country dependent) as long you are fully conscious.

A living will can also help not to be kept alive against the will if only machines can keep you alive - this is probably also country dependent.
 
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Forever Sleep

Earned it we have...
May 4, 2022
9,228
TL;DR. To be accepted to VAD or legal ways to die you must be dead already to be accepted aside from the fact that you additionally need quite a lot of money. Do public/private health insurances cover the costs in countries with legal VAD?

I think you can always refuse treatment in any case (this is probably also be country dependent) as long you are fully conscious.

A living will can also help not to be kept alive against the will if only machines can keep you alive - this is probably also country dependent.

Thanks. Interesting about medical insurance- I kind of doubt it. They probably want people alive to keep paying their premiums!

I was thinking more of a long-term illness that may or may not kill you I suppose. Say- I found a lump that turned out to be cancer. I make the choice to refuse treatment but request pain management. At what point will a doctor agree that my situation is bad enough to warrant VAD? Will they get pissy that I didn't accept treatment so, refuse to support me in return? That's the kind of scenario I was wondering about. I have this suspicion that doctors will only support VAD after a patient has gone through a whole load of treatment.
 
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Praestat_Mori

Mori praestat, quam haec pati!
May 21, 2023
11,107
I think probably the biggest hurdle is the issue of ideation ironically! If you've ever visited Pegasos or Dignitas websites, you'll get the impression that their ideal patient/ client is one who wants to live but can't have a reasonable life because of incurable conditions. They don't want people who are suicidal. (I'm assuming because they connect ideation with mental illness and mental incapacity.)
They can't be that obvious! They would stand in a bad light to just help someone to die who doesn't want to be homeless but would still be able to apply for welfare - although applying for welfare can be such a humiliating action one is forced to do. This is just one extreme example that can also drive someone to suicide.

Thanks. Interesting about medical insurance- I kind of doubt it. They probably want people alive to keep paying their premiums!

I was thinking more of a long-term illness that may or may not kill you I suppose. Say- I found a lump that turned out to be cancer. I make the choice to refuse treatment but request pain management. At what point will a doctor agree that my situation is bad enough to warrant VAD? Will they get pissy that I didn't accept treatment so, refuse to support me in return? That's the kind of scenario I was wondering about. I have this suspicion that doctors will only support VAD after a patient has gone through a whole load of treatment.
I think it's very complex and there're too many possibilities- cancer is also not fully understood and still curable and incurable in the same time. Doctors are generally there to help you and to keep you alive and to cure you - Hippocratic Oath (afaik).

There have been cases where people were diagnosed with incurable and deadly cancer within the next 6-12 months but they were diagnosed wrong or for an unknown reason and what seemed to be impossible their bodies (immune systems) have beaten the disease (ofc those are very rare cases).

None of us knows the future and although such people are affected directly they can be considered as uncontrollable external circumstances. After we're dead we're free - death is inevitable - but we don't know what comes after death. Ultimately we will die and we can't take anything with us that is of worth in this world/existence.

The wish to die shouldn't be rejected at any time.
 
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NoPoint2Life

Why is this so hard?
Aug 31, 2024
205
What I've always wondered about is what could be done legally. Let's say you got cancer and didn't want treatment. Can someone legally force you? I'm sure it's different in every country. But a family member maybe could get a conservative ship over you. Maybe a doctor could legally do something even if it's send you to the psych ward.

Although I didn't actually consider the part of requesting pain medication if someone tries to do this. In my sick mind I just imagined going through an excruciating experience if something like this happened and just plain suffering. But yeah, medication sounds kind of nice now actually.
 
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Forever Sleep

Earned it we have...
May 4, 2022
9,228
What I've always wondered about is what could be done legally. Let's say you got cancer and didn't want treatment. Can someone legally force you? I'm sure it's different in every country. But a family member maybe could get a conservative ship over you. Maybe a doctor could legally do something even if it's send you to the psych ward.

Although I didn't actually consider the part of requesting pain medication if someone tries to do this. In my sick mind I just imagined going through an excruciating experience if something like this happened and just plain suffering. But yeah, medication sounds kind of nice now actually.

I doubt they could force treatment on someone who was of sound mind. We are allowed to refuse treatment. I believe the ideal now for any course of treatment- a drug, an operation etc. is that the doctor goes through the potential benefits and risks with you. They'll obviously tell you whether they think the chances of a benefit outweigh the risks but ultimately, it's the patient who gets to decide.

I've only had one surgery and they made absolutely sure I knew what was going on and consented to it. You have to sign forms these days.

Where I think they could well have more leverage is if you deny them the opportunity to 'save' you but then request pain management or even worse- their referral to VAD. It's mainly that I was wondering about here.
 
N

NoPoint2Life

Why is this so hard?
Aug 31, 2024
205
I doubt they could force treatment on someone who was of sound mind. We are allowed to refuse treatment. I believe the ideal now for any course of treatment- a drug, an operation etc. is that the doctor goes through the potential benefits and risks with you. They'll obviously tell you whether they think the chances of a benefit outweigh the risks but ultimately, it's the patient who gets to decide.

I've only had one surgery and they made absolutely sure I knew what was going on and consented to it. You have to sign forms these days.

Where I think they could well have more leverage is if you deny them the opportunity to 'save' you but then request pain management or even worse- their referral to VAD. It's mainly that I was wondering about here.
That's a comforting thought. But you bring up one really good issue-being of sound mind. I have a CTB attempt in an inpatient stay on my record. I wonder how that would affect things.

For VAD I agree with you that they probably don't want someone who at any point in their past had suicidal feelings but especially anyone who has an actual medical record of it. That's certainly not gonna help your case. Probably even more so if you are currently on any psychiatric medications . Even if you have no record and no current medications, I would bet they evaluate you more than once to make sure you are of sound mind.
Plus even in countries where it is legal, there are so many hoops to jump through and it's such a long processthat I wonder how many people are actually healthy enough (with their terminal disease) to be able to try applying for VAD or have someone to help advocate for them for VAD.
 
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