Thursday, July 16, 2009

Justice Is Supposed To Be Blind, But Never Ingorant

"Justice is the convergence of Law, Truth and Good," well, or so I've believed for a while now. This is hardly a complete definition - but I would like to think it serves as reasonable summary of the thought that these virtues have flowered in a progression toward a common goal over time.


For longer than recorded history undoubtedly there have been laws. The earliest might have been something like, "Don't leave meat out in the cave, don't draw pictures defiling 'god,' etc.. In the time of recorded history, we have seen societies a few societies reflect some very advanced thinking of fair treatment of all citizens, such as ancient Athens exemplify nearly pure democracy, granting everyone reasonably equal standing before the law, but more commonly ancient societies were brutal, with harsh punishments for the merest of crimes. We have also seen societies like Imperial Rome, or even the Papacy, which twisted the law to allow for abuse, usurpation of rights, and the enslavement of entire nations. Even ancient religious/biblical laws, such as those in Leviticus, called for the stoning of those who wear clothing of two fabrics, or sew fields with two crops.

Over time, it seems to me, laws have usually become more fair, more respectful of complex rights. They recognized rights to dissent such as rights of free speech, and also recognized the presumption of innocence, due process protections and the need for fair legal representation. These obviously were outgrowths of realizations that older laws were unjust when they failed to protect the innocent. So, mankind has improved things to achieve fair treatment under the law and to and provide the defendant and equal chance as the state has for the truth to come out. In essence, the truth, the betterment of mankind's treatment by government, have been the root of what we desired in law. We have sought to punish only the wicked, restrain the wrong, and prevent harm to the innocent.

We have also sought to temper the law, to have it treat even the guilty with a measure of compassion. Where past punishments provided for death, or the severing of a limb, or keel-hauling or quartering, we have decided some crimes are far lower in harm than the punishments which we meeted out, and we drew back from that practice. We sought to marry compassion to truth, and to make law from it. I am mindful of this as I watch "Victim's Rights advocates decry Sonya Sotomayor as wrong for daring to actually have some regard for the fairness of the law, the proportion of the punishment to the crime, when deciding that punishment.

So, if compassion is a reflection of what we feel is fair, and good is doing the least necessary harm meaning ensuring we do not improperly harm the innocent as we protect society from the guilty, it seems we have thus sought over time to marry both fairness and goodness to the law - this convergence of two paths, one of truth, the other of the ability of the people to set forth codes of conduct -it is this convergence, it seems to me, which is what justice is.

Last Friday my neighbor down the street apparently took his own life. He was dying of cancer - he was 59. We don't know for certain what happened exactly. I am speculating a bit, but the police said there was no threat to the public - which usually means either suicide or domestic dispute. His wife was in her late 50's, and there doesn't seem to be any history of difficulty between them - so, it is at least conceivable that he preferred death to the ravages of palliative chemotherapy.

As a child, I watched my grandfather and grandmother both waste away from cancer. They died four days apart, my grandmother in the end could only acknowledge her wants and needs by tapping her foot - once for yes, twice for no. She was an extraordinarily warm, kind, compassionate and cheerful person, watching her degrade into quadriplegia and then mute agony was heartbreakingly difficult as 9 year old. For my grandfather, who was himself dying of Hodgkin's disease, I imagine it was 10 times worse.

I also recently watched my father-in-law waste away and die to kidney cancer - he fought like hell, lost 110 of his 220 pounds. He was determined to live, but succumbed in the end. His wife (my mother in law), cared for him up until the last few weeks in her house, cleaning up after him, bathing him, fetching him from wandering aimlessly down the street. When my children went to see him three months after having last seen him (and a few weeks before his death) they walked right by him as he sat in his wheel-chair. They didn't even recognize him. It was excruciating for my wife and my mother-in-law. In the end, the woman who had been married to him for 50 years felt that, "It was harder to have him here than to have him gone." She was relieved I"d guess, though she undoubtedly felt guilty for feeling it.

I say all this because, when someone has family and friends they want to live for, as the father of two of my children's closest friends had (Wayne died three years ago, when his kids were 11 and 7) - I think they should do everything they can, fight with every breath, to be there as long as they can - it is more than just about them at that point. However, when they have fought long enough, when the pain is too much, when the future is too bleak, I believe it is their right, and their right alone to decide when that time has come. Ready access to firearms makes death an easy companion, usually for all the worst reasons in the most horrid and sudden of ways. Yet, who are we to decide for those whom we have little idea the agony they suffer, that they are wrong to act to avoid the last few painful, empty, harrowing weeks?

In the United States, for example, only one state, Oregon, has assisted suicide laws - so the actions of my neighbor, and certainly of anyone who helped, will be deemed illegal. Even in England, a somewhat more liberal country regarding some of the social structures we argue about here - there is no allowance for these kinds of circumstances..and, as this story helps illustrate, it leads to people leaving the country to end their pain. (http://www.nytimes.com/2009/07/15/world/europe/15britain.html?_r=1&emc=eta1)

"The controversy over the ethical and legal issues surrounding assisted suicide for the terminally ill was thrown into stark relief on Tuesday with the announcement that one of Britain’s most distinguished orchestra conductors, Sir Edward Downes, had flown to Switzerland last week with his wife and joined her in drinking a lethal cocktail of barbiturates provided by an assisted-suicide clinic."

This was a distinguished member of the nobility who sought to end his life in Switzerland rather than disobey British law. He was 84, his children were sad, but supportive of his choice to die with the worman he had spent 50 years with as a life partner. His son was quoted saying:

“Within a couple of minutes they were asleep, and died within 10 minutes,” Caractacus Downes, the couple’s 41-year-old son, said in the interview after his return to Britain. “They wanted to be next to each other when they died.” He added, “It is a very civilized way to end your life, and I don’t understand why the legal position in this country doesn’t allow it.”

If the law says such actions are wrong, why? Is there truly a need to require someone to keep living in agony? Is there truly a need to require the families of those who are terminal to watch them fall into oblivion of Alzheimer's final days, of cancer's final weeks of morphine induced stupors, of chemotherapy's cadaverous preludes?

To me, the law to me seems to be written for the ignorant. Perhaps it was originally motivated by religiosity rather than compassion, but it certainly seems unaware of the heartbreaking impacts of requiring someone to be present, when the agony to them and their loved ones required for presence is worse than loneliness of no longer having them around.

If someone is taking 50 units of morphine per half hour (as my father in law was), if they have no control over bodily function as my grandmother lacked, what religion would say ending this pain is wrong? Is it compassionate to force them to live on? Perhaps the time has come for us to stop forcing people like my neighbor (assuming this is the case) to break the law to find justice and peace. Is it fair or right or truthful or good to require their presence in a life which is more painful to us to witness and to them to live, than to allow it to peacefully end?

It is lawful, I suppose, but is it Just?

13 comments:

  1. There ain't no easy way off of this carousel, kid.

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  2. Perhaps, but should I be forced to wear a restraining belt after the ride is done spinning?

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  3. Pen wrote:

    "Is it fair or right or truthful or good to require their presence in a life which is more painful to us to witness and to them to live, than to allow it to peacefully end?

    It is lawful, I suppose, but is it Just?"

    Is it GOOD? I don't think so.

    I had an aunt, a dearly loved aunt, who suffered for ten years from Alzheimer's. For the last few years 'she wasn't in there'; she had no shred of consciousness or awareness. She had to be tube fed, because the part of her brain which controlled swallowing stopped working. She had to be on artificial respiration to assist her breathing, because that part of her brain stopped working also. Her weight dropped to less than half of her normal very fit size, closer to a third. When she first learned she had Alzheimer's, she begged my sib and I not to let her deteriorate into this kind of state. She expressly stated she wanted to be dead instead of that happening. We were unable to carry out her wishes, and because of that I will always have a sense of having let her down, of having failed her, by being law abiding.

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  4. The european countries, like switzerland and the netherlands have come up with some pretty efficient methods of intensive review coupled with stringent guidelines for qualifying for this.
    Oregon seems to be doing a pretty good job as well in avoiding abuses.

    I think that giving people more of the control for their lives AND their deaths is important to quality of both, and to dignity.

    In the case of my aunt, the problem was not only the Alzheimer's but that her overall physical condition had deteriorated
    until she looked like the worst victims in Hitler's concentration camps when the allies liberated them. Skeletal people, in her case, curled up in the fetal position. Despite a clear DNR decision, her life was assisted to continue long past when unassisted she would have died, to an extent that was simply grotesque.

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  5. Actually K, you could argue it is both there, and not.

    First on the not there side. At the time the Constitution was framed, there were pretty strict opinions about suicide. It was a sin against God - it was murder, and those who perpetrated it, went to hell. If someone helped them, they were hung, shot, strangled, something - to prove killing was wrong.

    Then again, on the for side, you have the preamble regarding sustaining the blessings of liberty for our posterity, and you have the 10th amendment which precludes the federal government from interfering in things the states have jurisdiction on. While a state could/can obviously rule on the matter - and suicide is a state legal matter - there is the issue of federal jurisdiction on matters of personal liberties.

    Yet, the 14th suggests that without good cause, the federal government cannot intrude.

    So, at a glance/thought, if the State of Oregon says it's ok, then in fact it IS in the Constitution that the Federal Government can't interfere. However, I suspect that the rabidly religious would create some pretext for interference and attempt, just as they've done with abortion, to say that the action is denying the person (they themselves are) their right to "life, liberty and pursuit of happiness."

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  6. I do not read anything for or against allowing states to make very specific instances of assisted suicide legal. That said, maybe it is time that there should be something that specifies giving the states that right.

    Or, specifies general guidelines for the states to follow in the instances where the states decide to make it legal, which would ensure that it is a clear right, and ensure equal protection of life and death under the law.

    Additionally, it doesn't hurt the discussion for Oregon to continue to establish a track record for how this can be done well.

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  7. K-rod says;
    "Again, the federal constitution is there to tell the federal government what specific limited rights it has, not the other way around.


    So just settle down, Oregon is leading the way, if you want to do something then have your individual state legislature do something... similar to Oregon... "

    'my' individual state is I believe the same state as yours - Minnesota. I don't see this state changing in that regard any time soon.

    Given that the Bush administration had a number of court challenges to Oregon's state law, and given the kerfuffle over Terri Shiavo, while I would prefer to see it handled by the states, I am not sure that it will be left up to the states (whatever my preferences). That was behind my thoughts about the federal government involvement; that they already have been and continue to be, so maybe to end that, it's time to do something affirmative at the fed level.

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  8. K-Rod, pursuant to the Food and Drug Act, the Federal Government, specifically the FDA and the DEA regulate a physician's ability to prescribe medication. While I am NOT trained in medicine, it is my understanding that with a few exceptions, to be able to write a prescription for humans without restriction, one must be either a M.D. or D.O, and be otherwise licensed to practice medicine. (For instance, I believe that a Physician's Assistant may write a prescription, but it must be countersigned by the physician in most cases)

    I think you might find, K-Rod, that we are closer on this issue than we are on many others. I think that the federal (and in most cases the state)government should butt out of medical decisions, including end of life issues. Those issues are, in my opinion, a private matter between a patient, their doctor, and their God, (if the patient has a faith). Conversely, there should be some protections built into the system to ensure that we don't use assisted suicide to end anyone's life without their consent, and without their full awareness. I believe that there IS a governmental interest in putting regulations in place to ensure this.

    If one opposes abortion, however, then one must also oppose assisted suicide, and believe that both must be and will have to be completely wrong. Here's the logic: The "right" to abortion is was explained by the SCOTUS as a privacy right. Although the US Constitution does not explicitly contain a right of privacy, there is a long list of SCOTUS cases which define a right of privacy. In addition, a right need not be clearly defined in the Constitution in order for it to be protected: This where the 10th amendment argument comes into the picture. Regardless of that, if one were to argue successfully that there is no right of privacy in the US, then this means, (for instance) that the government could force one's children to attend only public schools, that they could absolutely force immunizations, etc. Most of those who insist that abortion is wrong usually overlook the reasons that the SCOTUS decided that abortion, while being perhaps morally reprehensible, is legally allowable up to the point of viability. (yes, I know, I've over-simplified, and I do NOT want to turn this into a debate over abortion). My point is, if one believes that assisted suicide is permissible in some cases, with certain safeguards, then one must also agree that abortion is allowed, in some cases with certain safeguards.

    Writing seperately to Penigma:

    I don't quite understand your argument. The 10th Amendment reserves to the states (or the people) any right not explicitly reserved to the federal goverment. The 14th Amendment in these types of cases would normally only be involved if it was a due process issue. To approach a due process issue the plaintiff (in this case, people seeking to have a federal ban overturned, etc) would have to show that the ban was depriving them of a fundamental right without due process of law. I'm not agreeing or disagreeing with you at this point, I would like further clarification.

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  9. A while back I saw a segment of 60 minutes about Scalia. He said he thought Roe v Wade was bad law because of the clause about "anything not specifically given to the federal gov't was reserved for the states". He also said that because of the same clause he would overturn any federal law making abortion illegal. It was a matter for the states. I would think this would fall in the same category. As far as the moral issues that would be up to each individual and the primary role of the state would be to guard against abuse. I would have to go and find it again but shortly after the law in Oregon went into effect some insurance companies were encouraging assisted suicide in cases of terminal illness. I haven't read anything about doctors or patients abusing the law but apparently some insurance companies have tried. My mother (81 next month) has a living will and has told me that if she is kept alive by a respirator that when she does die she will come back and haunt me so I imagine one day I will have to tell someone not to keep her alive. Not an easy thing but it is what she wants.

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  10. We have some discussion, but at least reasonable beginnings for agreement over the assisted ending of life for people in extreme pain or distress, as euthanasia, merciful death. Whatever we understand the law to be or not be, the idea of not prolonging certain lingering difficult deaths has at least sympathy for it.

    What has been missed in this discussion is the news item about Sir Edward Downes, who was old, but not ill. His wife was ill.

    "The controversy over the ethical and legal issues surrounding assisted suicide for the terminally ill was thrown into stark relief on Tuesday with the announcement that one of Britain’s most distinguished orchestra conductors, Sir Edward Downes, had flown to Switzerland last week with his wife and joined her in drinking a lethal cocktail of barbiturates provided by an assisted-suicide clinic."

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  11. ToE,

    I was making the point that, for example, when the civil rights workers were killed in Alabama, and the local trial didn't convict, the federal government brought charges (in federal court of course) that the killers had denied the victims of their rights - specifically as I recall rights to liberty and life.

    The point is, the Constitutional framers were NOT on the side of assisted suicide. Prior to the 14th, the best argument for reserving this decision to the states was the 10th. The 14th (imho) doesn't give the Federal government additional powers, but rather, limits those powers further to essentially needing 'good cause' to intrude (i.e. what Brandeis used to frame 'right to privacy'.)

    You've made my point also, specifically that a 'right to privacy' is something the right wing denies, because it flies counter to the 'original intent' - which they frequently complain doesn't support any 'new' concept - and thus use that original intent argument to argue against a host of things in addition to 'right to privacy.'

    It wasn't my intent to go into this argument here, but as you say, it is a paradox that supposed right-leaning civil liberterians argue against the 14th in one breath, but argue FOR a non-intrusive government in the next. I believe, just as K has shown himself here, that the liberterians DO believe in many things we'd all agree upon, such as a non-intrusive government or assisted suicide, and they've only been roped into this 'original intent' meme' as part of the overall political campaign against abortion. They agree with the idea of constraining government ability to take liberties, as any good liberterian should - but don't see the slippery slope of 'original intent' argumentation.
    I was NOT for a moment meaning to suggest the 14th would allow for the government to bring a case against someone (at the federal level) for helping in a suicide, quite the opposite in fact.

    I appreciate your support, however, of my earlier commentary overall on the Constitution - I hope you'll critique what I've said herein - perhaps it will help us move past worries about "do you KNOW it says that.. blah, blah" and on into finding some common ground.

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  12. ThoughtsOfEternity-
    I hate it when people say "if you believe A, you MUST believe B".
    If the fetus is considered a person, then believing that the state must protect its rights makes it an entirely different issue than whether or not a person has a right to kill him or her self.

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  13. I have to partially agree with Terry here that if big IF a fetus merits the full legal rights of a person, then it would be correct that because it is unable to participate in decisions about it's own life or death, it should be protected.

    The essence of this discussion is after all about each of us having the greatest control over our own life and death, without undue government involvement, as an essential freedom, if I understand the framing of this discussion correctly.

    I do NOT happen to agree that a fetus is either a full or separate person prior to viability separately, but those reasons are based on my own knowledge of bio sciences generally, and the reproductive sciences particularly, rather than the usual ideas presented by both sides of that debate.

    I look forward to spirited discussion on that as a separate topic, including the nature of souls, and the nature of identity and the neurology of sentience, under a new heading at a future time.

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