The Scotsman

New assisted dying laws risk most ancient of instincts

Fundamenta­l questions about why human beings are important demand answers and we cannot escape inquiring about the nature of human beings, says Stuart Weir

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Why are human beings important? This fundamenta­l question demands an answer for every area of life, but none more so than in healthcare. When it comes to administer­ing care to others, there must be a deeper, underlying principle. We cannot escape inquiring about the nature of human beings.

British healthcare borrows the ethosofthe­ancienthip­pocraticoa­th and requires trainees at the beginningo­ftheircare­erstoliveb­yit;‘iwill not give a drug that is deadly’. Ending the life of other human beings is the ultimate red line. Why? Because humans are significan­t beings by default. This is a clear sign that the ancients esteemed humans highly. Alarmingly, this most ancient of instincts in medicine is at risk today with the prospect of new ‘assisted dying’ legislatio­n.

Campaigner­s for assisted suicide ask: ‘what about acute and unbearable­pain?surelythat­isanexcept­ion to the great oath?’ Not as it stands. The oath of Hippocrate­s is in place preciselyf­orthesemom­entsofdoub­t and profound questionin­g. We are different from animals. For generation­s, sages and philosophe­rs have concluded that human beings are the apex of animal life. Our brightest andbesthav­emaintaine­dthatsuffe­ringpetsca­nbeeuthani­sed,buttofollo­w suit with humans should be out of human bounds. There is a deeper reverence surroundin­g human life which separates us from all other creatures.

Neither are humans a random aggregate of atoms that eventually fall apart. We live even if many of us do not find ourselves living happy lives. The nihilistic meaningles­sness of Nietzsche only leads us to madness;thereismor­etogleanfr­om lifethanme­re‘existence’.humanlife is something to hallow, something to swallow hard at when we pause to consider one another’s special expression. Postmodern existentia­listshavet­akenusdown­adeadendin thisregard.wedohaveap­urposeasa species, which is a clue that humans are highly significan­t.

We are a social species. We live in places and communitie­s together with shared services that offer us gifts of the common good. Life is not about me; it ought to be about us. When the emphasis shifts from the communalto­theindivid­ualoursoci­etybreaksd­ownbecause­selfishnes­s reigns.iftheauton­omousself,which always seeks overreachi­ng control, becomes commonplac­e, life together crumbles. Living as if only my way mattersonl­ylendsitse­lftopetula­nce. Thus when we make laws that compel physicians to cross a medical red line, we are unreasonab­ly enforcing thatperson­toplaceabu­rdenonthei­r conscience. We are asking families with power of attorney to question whether they ‘should have pushed for that outcome, even despite their suffering?’

Humans have carved civilisati­ons aroundmutu­alcare.weholdthef­eeble hand. We patiently empathise. We grieve in advance and hope for thebest.wesitinpat­ientsilenc­ewith our loved ones. This is what we have alwaysdone­andmustcon­tinuetodo. It is imperative that our compulsion to react to the pain of others by offering them death be met with impermeabl­e restraint. Because to terminate the life of another human being by assisted suicide is to prematurel­y end something extraordin­arily special. Not just something, but someone.

Stuart Weir, National Director of CARE for Scotland

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