I have been given the opportunity to view some VCR tapes from the previous ten years of media coverage regarding VE.
Whilst all the programs were interesting two people stood out as being role models for promoting the cause for voluntary euthanasia.
Firstly, I watched Marshall Perron, ex Chief Minister of the Northern Territory, addressing the Press Club Luncheon, speaking just before the NT legislation was overturned. He was brilliant in his decisive analysis of what needs to be done. He reminded the press club that no Politician will suffer at life’s end because there’ll always be a contact for them to achieve a good death, as with the doctors themselves.
Unfortunately, he was also blunt of the possibilities of success in trying to promote change to State Legislation within 12 months of an election. Exactly what we are facing in Victoria in 2006. Notice the increase in advertising on TV promoting how wonderful the Victorian Government has been looking after everything from Education (easy to read Reports for Parents), to Speed Limits around Schools, to saving Water!. I am waiting for the Health plug!
The second person that grabbed my attention was Dr Rodney Syme, soon to be ex, President of the Victorian VE Society. He really has stuck his neck on the chopping block over many years to promote the concept that a good death is everyone’s right. He took gambles, taking the fight right up to the authorities. Premier Kennett lost a golden opportunity waiting for the AMA to initiate support for VE. The AMA will never entertain losing their best customers for the sake of ensuring patients die a good death, only some doctors at the front of the coal mine face had the guts to admit they couldn’t walk away.
Dr Syme is asking that a Care for the Dying Procedures, be put into place,
I want to say a very sincere thank you to all those people who went public sharing their stories and their pain to demonstrate first hand the face of Voluntary Euthanasia. Most will not longer be with us but their families will be. Mrs Mary Mortimer who helped her husband die, because he wanted his children to remember him as a fit healthy person, not a dying invalid. Mollie Collins, an MS sufferer, who would ensure death occurred before she was overwhelmed by the insidious disease. Mr Dent’s son, and the young man suffering with Leukemia who took on the bright young thing in a forum, who thought it was just mind over matter!. He’d come prepared for the TV program, with his incontinent nappy held high for all to see. The reality of genuine illness is not pretty.
Mr Richard Carlton appears to support VE, while Ian Gawler does not. Ian Gawler, whose book was given to me by three people placed too much emphasis on spirituality to be of assistance to me. I was not in a meditative mood. Interestingly, two women I met during chemo treatments shared my views, having attended his Retreat program, and got nothing out of it. Getting back to that support base mentality, rely on a religious faith or yourself. Another Choice to be made.
Dr Jack Kevorkian spoke well in defending his stance promoting VE and it is quite sad to see such a humanitarian living out his final years confined to a jail in America (where else is vengeance so very sweet as to keep an elderly man confined until death. Good Christian Charity still at work. ). He spoke of the heart break of disease such as Alzheimer’s, where patients were reduced to mixing and eating faeces with their food because they didn’t know the difference. As far as JK was concerned the only important person was his patient.
My agenda is to promote Legislative Change and I am very aware of the Resolution that went through the Australian Labor Party’s Victorian State Conference in December 2005. (spelt out for my international visitors).
The wording of the resolution adopted by the Victorian State Conference of the Australian Labor Party, December 3, 2005 is as follows:
” To make appropriate provision for people’s wishes about the management of their future medical conditions to be respected, Labor will:
a) Give statutory recognition to enable competent Victorians to refuse
treatment, or request treatment, for a future condition by way of an
advance healthcare directive;
b) Limit statutory recognition of advance healthcare directives to apply
only to patients in the terminal phase of a terminal illness or who are in
a persistent vegetative state and who are incapable of making
decisions about medical treatment when the question of administering the treatment arises.
c) Create a register recording medical enduring power of attorney and
advance healthcare directives completed by Victorians;
d) Provide for regular reviews of advance healthcare directives and
validation every twelve months. This process must include advice to
individuals on advancements in medical technology.
e) Require all healthcare institutions to record any existing medical
enduring power of attorney and advance healthcare directives on admission of patients;
f) Require all healthcare institutions to advise patients, in
consultation with their GP, of their rights under the Medical Treatment Act
1988 and of the option of completing an advance healthcare directive,
informing patients that there is no compulsion to complete an advance healthcare directive: and
g) Labor will consult with key stakeholders and the community concerning
amendments to the Medical Treatment Act 1988 .”
By the way a “Resolution”, is something that created to lull us into thinking something is actually happening. In reality it has no legal status whatsoever and can be comfortably filed away under a pile of papers, until “hopefully” everyone forgets about it and then it can be binned altogether. Cynical? who me? It makes people feel like they’re “doing something”, when, in fact, they’re not!. Committees hand it over to the State Conference, fully confident their recommendations follow many hours of research, and then it rests with the Minister for Health. Unless, of course, someone puts a Private Members Bill, which is easily got rid of, by allowing insufficient time for Parliamentary Business to be attended to. Then starting the process all over again another time, with loss of valuable time, expertise and patience. It’s called “games that people play”, only this one is at the expense of the most vulnerable of all society, that is the chronically, hopelessly and terminally ill.
As I was watching the numerous tapes I tried to take notes of facts, figures and observations, understandably perhaps I was not always able to record particularly which person said what in which program. But I managed to note some interesting stuff for myself which I’ll share now:
10 Million Australians support VE, which include the following
69% Catholics
73% Presbyterian
76% Methodist
81% Anglican
Based on the averages of percentages it is said that about 75% of Politicians actually agree privately, with VE, but because they may be sitting in Seats that have a 3% swing, they dare not alienate the silent conservatives. It is seen better to do nothing than provoke the anger of the unknown. Politicians are said to squirm uncomfortably when collared by either sector of the passionate pro and anti VE, and will avoid at all costs being labeled one way or the other. Then again, some come out of the woodwork after they’re elected with a vengeance.
Senator Barnaby Joyce lost no time at all in coaching Pro Lifers in the art of negotiating a stated position and making sure you got the commitment you wanted before you left the Member’s office. He really is a very devious operator yet comes across as such a “nice person”. He has, I feel, already developed his “polish” using charm to disarm the opponent. It didn’t work at the Exit Conference in November though, where I found myself defending him because of his faith. He was seen by some as really stupid for quoting bible passages to such a forum. Surprisingly, even a strong religious woman I sat next to during the lunch break had nothing good to say about his attempts to explain his position as a parliamentarian, not a churchman. State & Churches are separated for very good reason. No man can serve two masters (benefiting all people equally.)
What the Politicians are terrified of, is being seen to treat VE as a financial bonus to the Health budget. In 1993, Federally, it was about 33 Billion Dollars. Graham Richardson, the then Minister for Health said that common sense tells us that there should be National Guidelines set up to deal with the issue. Successive Governments have done nothing.
Dr Jeff Richardson, a Medical Economist thought that doing nothing is not an option.
It was revealed that for all the millions spent within the Health Budget only 25% of the money spent was evaluated for cost effectiveness. Money was spent like a sausage machine, in one end and out the other, the mix unknown. The then Minister for Health was definitely on the back foot with that scenario. I wondered if things have changed greatly since.
You can’t easily overdose on morphine without medical advice as it makes one vomit.
5% of the terminally ill wants voluntary euthanasia
According to Helga Kuhse 60% of doctors support VE
The experts in their fields predict that Governments will be forced to act on some sort of legislation because the budget blowout from keeping people alive artificially. A time line of some 15-20 years was projected. Someone expressed the opinion that it was a pity the NT Legislation was overturned because being a smaller population, lessons could be learnt from their experience. Providing the States with a good foundation policy on which to base their own needs.
Statistically, seven people a day, die a “hard death”, that is palliative care does not relieve the pain and suffering.
Dr Robert Hunt, a Palliative Care Specialist was pleased to have the VE Debate because it causes the Governments to immediately better fund palliative care so as to ward off the claim that palliative care does not meet the full needs of the patient.
A PET Scan machine (Federal Budget) in the nineties, cost $20 million dollars, almost the entire cost of the NSW State Budget, yet the point was made that while the machine took pretty pictures, it didn’t actually cure anyone. Wasn’t someone looking after their mates by buying these terribly expensive machines?
Dr Brendan Nelson, then spokesman for the AMA admitted that he’d helped two people die. He spoiled it though, by making it sound like an apology, a momentary weakness which he later regretted. It rather took the shine off his “humanity”.
Professor Helga Kuhse, as always didn’t let anything slip under her guard when defending her beliefs in Euthanasia, particularly when Germany was again targeted as a reason why laws should not be put in place to promote VE. (It really has become quite boring using that old smoke screen. Strangely, “the slippery slope” smokescreen failed to make headway).
A 400 gram baby born costs half a million dollars until it leaves hospital. It’s survival is not assured, and the majority do die, but cost factors are not important if it means the baby goes on to lead a normal healthy life. (I think I know one of them personally). It was suggested that Doctors should be given a cut off margin for ascertaining survival. Currently many decisions are made within the individual hospital, without guidelines at all.
Dressings for a wound can costs in excess of hundreds of dollars in a day. (I personally had a nurse come to the house to dress a gaping wound which took weeks to heal saving the cost of a hospital room. The only time I’ve seen my sister rock on her feet, white faced as she peered into the (5 cm? ) crater in my abdomen! I thought she was going to faint on top of me!)
Money may be saved by limiting expensive drugs to only those who meet a select criteria. A renal drug, Eprex 4000 was quoting as costing $8000 per year, each patient. It’s use was limited to cancer patients not renal failures! (Stiff luck eh?) The point was made that until the drug companies accepted their responsibilities and reduce their prices, limits would remain. Yeah Right!
In surveys carried out it has been established that between 28% to 33% of doctors have helped patients to die. (recent Sun Herald article would bear this out).
Dr Robin Bernhoft, an Anti VE doctor imported from America to advise Politicians on overturning the NT Legislation said he believed less than 1% of patients could not be successfully palliated. In direct conflict to our own Robert Richter QC, Civil Liberties, who told us that 5% of patients suffered very badly at the end. Semantics with numbers, I trust Dr Bernhoft would not want to be among the 1% or 5% if he was part of the statistics. Mr Richter also pointed out that Governments should initiate action to protect Doctors of “GoodWill”, who acted only with the purest of intentions in hastening the death of their patients.
Dr Darren Russell, A Victorian Doctor, who joined with Dr Syme in signing “the Letter” all those years ago, worked with HIV-Aids patients in particular and had no qualms about admitting his participation in achieving a good death for those under his care. (A particularly horrendous way to die, I believe, left alone unaided).
One “Sunday” Program ran “How Much is a Life Worth” November 1993 where Mr Bruce Allison, suffering Muscular Dystrophy, came into North Shore Emergency Hospital, and was deeply offended by the invitation to consider his options by Professor Malcolm Fisher, Head of Emergency. He was obviously not a candidate for VE, but I wished so much he understood what the good doctor was offering, not compelling, not suggesting, but rather letting him know he had choices. I silently thanked Dr Fisher as I listened to him spell out his reasoning behind the original discussion. He made perfect sense. Limited resources mean choices have to be considered. I would have given my life a dozen times 7 years ago, and today, to protect the resources for the 10 years olds. Choices between a 21 year old car injury victim who may well recover fully or a person suffering the degeneration of muscular dystrophy. In a perfect world every single person should have their needs accommodated. We do not live in a perfect world. Mr Allison was given Choice
It it takes economic rationalism to solve the “complex” problem of allowing people to die who want it for themselves then bring in the accountants.