Today's News & Views
August 14, 2007
 

Broadbased Coalition Key to Defeating Assisted Suicide Laws

"Twenty-one states, including some 'blue states' with progressive voting records, have rejected assisted suicide laws. 'What has happened in each of these states,' [Marilyn] Golden said, ''is that a cross-constituency has come together that spans left, right and center.'" [Golden is a policy analyst for the Berkeley-based Disability Rights Education Defense Fund.]
    From "Assisted suicide attacked from an unlikely front,"
  Los Angeles Times, August 6.

Assembly Speaker Fabian Nunez has whined that the assisted suicide bill was defeated because it was "demonized by the religious right." Baloney. … This bill was stopped because liberals, disability rights organizations, civil rights activists such as the League of United Latin American Citizens (LULAC), the California Medical Association, advocates for the poor, and others worked a vigorous grass roots campaign under the aegis of Californians Against Assisted Suicide to defeat the bill. Sure the religious right opposed it, along with  the Catholic Church. But they weren't the difference."
     From a June entry on the blog of bioethicist Wesley J. Smith.

Last week the Los Angeles Times chose to pick up on something that everyone close to the issue of physician-assisted suicide (pro or con) had known for years: these invidious measures have been defeated because of the efforts of a coalition that spans the ideological spectrum.

As the Times put it, "Five times in the last dozen years, bills on medically assisted suicide have risen in the California Assembly, and five times they have failed."

The latest measure--the so-called "California Compassionate Choices Act"--was supposedly modeled on Oregon's law, the only state to legalize physician-assisted suicide. AB 374 was shelved June 7, despite enlisting the services of the powerful Assembly Speaker Fabian Nunez.

The Times article focuses on the disability rights community, but such activists are part of a broader front that includes the Catholic Church and, typically, NRLC's state affiliate, such as the California Pro-Life Council. But as Marilyn Golden noted, in the quote that begins this edition, those with disabilities have a special credibility.

"We are on the front lines of this issue as it actually plays out in the medical system," she told the Times.

There is much to learn from the article. One of the points highlighted by Paul Longmore, a history professor at San Francisco State and "a pioneer in the historical study of disability," is hardly new but nonetheless pivotal.

 "Oncologists and others who do end-of-life care have told me there's a lot of treatable depression in terminally ill people, but it often goes undiagnosed and untreated," Longmore told the Times. "In a given case, I'd also want to know about the pain management the patient is getting. I'd want to know if they are worried about becoming dependent on their families. I'd want to know if they have access to hospice services."

These two inter-related considerations can not be emphasized enough. Depression in such situations can easily be missed and therefore not addressed.

Likewise, especially with the elderly, there is also a two-sided coin: not wanting to be dependent on family members and a dread of being a "burden." These powerful emotions can trigger or accentuate a pre-existing depression.

AB 374 is, according to Assembly Speaker Nunez, no longer in play for this session. But doubtless proponents will massage the language and come back with a laundry list of supposed "guarantees" and ironclad "safeguards."

The coalition wasn't fooled this time around. It won't be hoodwinked the next time either.