May 27 2005
To Who do “we” Listen and for Who do “we” Act?
This time last week I was full of confidence (well almost!) that at last the Victorian Government was going to listen to the people, that is the majority of 70% that said they favored Euthanasia (withdrawing treatment from comatose patients) opportunities with strict guidelines in place. The Venue was the annual Autumn Conference of the ALP where Delegates and Ordinary Members from throughout the State of Victoria meet in an exchange of views, and to present various policy recommendations , from 14 Policy Committees, for consideration to Parliament. Sounds like democracy at work? The people who work tirelessly get a chance to see the machine of Government in Action? Wonderful stuff on paper!. Anyone that watched the Saturday night News will know that in reality it was an opportunity for opposing factions to vent their spleen at each other. And well orchestrated, when opposing sides weren’t getting the response they wanted to hear!. (A man sitting two seats from me, was screaming across the very large Centre “you’re nothing but a cockroach”) And, of course, the Media loved it!. Policy presentations were timetabled to begin at 11 am but in reality commenced at about 3 pm, the day starting about 9 am. Hours were spent debating the virtues of whether one or two days should have been allowed “but we had the Hall up to 12 pm” and then, of course there was the “Branch Stacking” issues which really brought out the best in people! I was ashamed. But I sat through the hours and waited patiently for the Health, Community Services & Senior Victorians Policy Committee recommendations to be presented, and just about 4.30 pm it happened..
Included in their Recommendations, had been the Motion regarding Advanced Directives, that they be given Statutory Recognition, that it applied to any condition which may have rendered the patient incompetent, (not just the current condition at the time of writing the AD), and that a Register be maintained in all hospital/health care facilities detailing their medical power of attorney. AD, (Living Will) etc. And that the Government embark on an awareness program that such a change had been implemented. eg Maria Korp is in a permanent vegetative state and had she had an AD, this would have ensured her release from “life” support. Currently it is at the discretion of the attending physician, sometimes a very nervous physician worried about legal ramifications, not the patient’s expressed wish. An AD is “taken into consideration” but has no legal status under the existing unchanged Medical Treatment Act 1988.
Not difficult for anyone to accept, you’d think?. If one doesn’t want their treatment stopped under any circumstances, just don’t complete the Advance Directive. Do nothing and nothing will happen! So simple? No, somewhere between it leaving the HCSSV Policy Committee (unanimously adopted) that particular section dealing with Advance Directives (No 58 from memory) was pulled from the documents that were presented to the Conference. (the wording may have been in the delegate’s packs but they were just words to be tossed away) A Motion that had been endorsed unanimously by the members of the policy committee suddenly disappeared from the public arena. Why, Who By and on Whose Authority????? Democracy at Work? Sorry, but I want answers. Unofficially I have been told that the conservatives “were nervous”. What Of? I want to know! Sorry the “slippery slope theory” is getting boring to say the least. Who or What ensured it never stood a chance of being heard and considered. Other Motions were amended and adopted on the day. Conscience of the individual parliamentarian an issue? Sorry not buying that one either! A Delegate did ask the Conference not to let the “motion get forgotten” (or words to that effect), but by then I was leaving the Hall in tears of sadness, anger, frustration, feeling the ALP was not true to its Charter, feeling discriminated against because my needs were not being included, along with those powerful factions that are gripping both sides of conservative Government. Previously I had been ashamed of the anger demonstrated against members of the same party, now I was ashamed just to be a member of that Party. A Party who demonstrates such contempt for so many ordinary citizens, of which 30% have no religious belief whatsoever to deter them from making a choice to die with dignity. The ALP, which I have supported without a doubt, since Nov. 11, 1975, when previously I had voted for the Liberal Party. I understand the “politics” of running an Organisation, but just sometimes the little person needs a voice.
Given the current run of favoritism of Governments leaning towards appeasing people purporting to represent the Religious point of view, I personally feel discriminated against, because I do not belong to a Religious Group. Who or what division, was so “powerful” that a Motion that I initiated (with alternative wording) through my local branch (over three meetings), through the Policy Committee, took to three Conferences, only to have it turned away yet again, from the public debate at the most recent Conference.
I am one “pissed off” ALP Member.
I wrote my first letter to all Victorian State Politicians, both Houses, on November 10, 2003, I did a follow up letter in August 2004, printing, postage and envelopes paid by myself. I am an ordinary individual with a passionate belief in Choice in Dying. Also, I wrote specifically to the Shadow Minister for Health, Mr David Davis because he’d taken the time to answer both letters but when I took him up on his offer of “contacting his office if I needed any further assistance” absolutely dead silence was the response. I’ve learnt to understand “political speak”, where really, if one has a serious issue to confront them with, they suddenly have much more important things to do!.
I have become very cynical and untrusting, given 18 months of believing “We Listen, We Act”. “I’m Labor. Count me in.” is the current slogan, but what do we get counted in” for. What is the benefit of being counted in? if, “being counted in” is just a bum on the seat without any rights to be heard. Through my tears, I ensured my folder was turned inwards on the way home, inviting no one to see my slogan proudly displayed on my folder, and my ALP T-Shirt was well covered up!
I want to be heard, listened to, treated as an individual with personal needs that do not impose themselves on anyone else. I want legal status for my wishes for choice and dignity in dying! I am talking about my right for choice, for me, just me! I don’t want to make a decision for anyone else, just myself!
My question to Premier Bracks is, To Who do “we” Listen and for Who do “we” Act?
I present this Editorial Opinion, taken from the Age dated 10 years ago, different Government, same philosophy, asking the reader, does it really matter who is in Government to achieve Choice and Dignity in Dying????
THE AGE
EDITORIAL OPINION
Should Euthanasia be legalised?
Saturday 25 March 1995
A time to die
THE SEVEN Melbourne doctors who have written to the Premier, Mr Kennett, declaring they have broken the criminal law by helping terminally ill patients to die have presented the Government with a challenge: either enforce the law as it stands or change it. There are many people, some doctors included, who will say it is unwise to force the issue. Why not retain what the doctors describe as the existing “uneasy hypocrisy** under which some doctors do help suffering patients to die but are seldom if ever prosecuted? For two reasons at least: first because it is grossly unfair to expect doctors to commit a criminal offence to provide what they believe is the most compassionate medical care; secondly, because grave decisions such as when it is permissible to end a human life should be firmly set out in law.
What the Victorian Government will be tempted to do is what governments here and elsewhere have done in the past: ignore the issue. There are few political gains for them in amending the law, and if they try they can expect a fight from vocal members of conservative religious groups. These are people who sincerely believe that only God has the right to end life. Their views should be respected. However, we are a pluralistic and largely secular society and most people do not hold this belief. According to opinion polls, three out of four Australians believe a competent, terminally ill person has the right to decide when his or her life should be ended,
One argument against any relaxation of the law is that it will put society on a slippery slope towards an eventual devaluation of human life. There is no reason why this should be so. Human societies are constantly being required to draw lines on complex moral issues. Another objection is that the only reason lives become unbearable is that proper palliative care has not been given. But the evidence of doctors and patients must be accepted when they say some patients’ pain cannot be stopped by anything medical science can provide. In any case, physical pain may not be the only criterion. Weakness, nausea, loss of control over bodily functions, loss of any quality of life, combined with the knowledge that it is never going to get better would be reason enough for many of us to want to die.
The instincts of the medical profession, and indeed of society in general, are towards saving lives, not ending them. We would rush to prevent a young man jumping from a building because we realise he is probably suffering from some temporary, curable depression. Would we so readily try to stop an elderly, terminally ill person who we knew was suffering terribly from swallowing a fistful of sleeping pills? We would be far more likely in this case to respect a wish to die.
In having rendered suicide no longer is a criminal offence, the law in Victoria is halfway to recognising that people do have a right to end their own lives. What the law does not allow is for anyone, including a doctor, to help another person end his or her life. But compassion and human dignity demand that this should be lawful in some circumstances. Any amendments to existing laws should be undertaken with the utmost caution and provide for the most stringent safeguards. The request must come from a competent, terminally ill patient, and must be judged by a panel of doctors (which should include a psychologist to make sure the request has not been prompted by family or societal pressure). What is needed now is an intelligent, reasoned community debate that is listened to and acted upon. The last thing the Government should do is ignore it.
End of Editorial.
ALP looks at power on life support
By Farrah Tomazin and Carol Nader
May 19, 2005
A plan to be considered by Labor would allow patients to decide in advance if they want to live or die if comatose.
Victorians could decide in advance whether they want to be kept alive on life support if seriously injured, under a contentious proposal made to the State Government by ALP members.
Labor’s health policy committee will use this weekend’s state conference to push for laws allowing people to make an “advance health-care directive”, creating the right to refuse medical treatment years in advance.
At present, Victorians can refuse treatment for a medical condition only when they can think for themselves.
A senior policy committee source said the proposed changes to the Medical Treatment Act would mean that “people would have the ability to clearly articulate how they want to be treated when they are no longer able to articulate it for themselves”.
Victoria and NSW are the only states that do not allow people to issue an advance health-care directive.
The idea was welcomed by voluntary-euthanasia advocates, but was met cautiously by the Government and Opposition.
A spokesman for Health Minister Bronwyn Pike said: “The proposal raises a whole range of very complex ethical issues that should be met with extremely serious caution. We’re not going to pre-empt the debate, but we’ll wait with interest to hear what is said.”
Opposition health spokesman David Davis said the idea warranted debate.
Voluntary Euthanasia Society president Rodney Syme said Victorians had limited capacity to refuse medical treatment. “But putting it into statute law gives it a much sounder basis, defines the criteria and makes it ever so much better for everybody concerned,” Dr Syme said.
The Australian Nursing Federation has written to unions attending the conference asking them to back the amendment. State secretary Lisa Fitzpatrick said many people would welcome the opportunity to have control over how they are treated.
“This is for the future,” she said. “This is for people who end up being in a comatose state as a result of a car accident. You might not have a cognitive ability to make a decision and because there’s no directive, nothing can be done for you.”
Health Services Union state secretary Jeff Jackson will vote for the amendment. “It not only ensures that people have the right to dignity with regards to their . . . health care, it’s a commonsense policy that’s good for patients, (and) families and people who care for them in our hospitals.”
Medical ethicist Leslie Cannold said it would increase people’s ability to exercise autonomy. But she said people would need to update their directives as their views might change.
Australian Medical Association Victoria president Mark Yates said such a move could jeopardise care by limiting flexibility between doctors and patients. “A decision made 30 years in advance of an event shouldn’t be written down and enforceable in law,” he said.
Footnote: I will attend the ALP State Conference being held Saturday May 21st. As I have said in my letter to the Editor, Age Mr Yates, must be aware that the elderly, frail and infirmed will be the major users of this option and regardless, it is about the choice to access the option of implementing an Advance Directive .
“Flexibility” by the Medical Profession does not necessarily translate into what the patient actually wants and needs.
Ms Bronwyn Pike, the Minister for Health talks of “extremely serious caution” I believe 30 years is sufficiently “extremely serious caution”. If she needs “more time” to consider perhaps someone else needs to take a hand and help her out. She is not being “fair dinkum” when she belongs to a Party which uses a Election Platform, “We Listen, We Act” yet fails to hear the grass roots of the ALP Policy Committee which unanimously voted to table the Motion at the State Conference. I think 30 years of deliberations is long enough and it is now time to move forward and prevent Maria Korp becoming another Terri Schiavo.
Thank the Unions for their commonsense approach acting on our behalf. A bouquet of flowers to you who support our needs. For those who don’t, there is always the choice to enable a change of mind later. Currently there is a significant number of people who are conforming to someone else’s point of view when, in fact, they too have a different POV….which should be honoured in a democracy.