by Zachary D. Schmoll, The Public Discourse, 8 May 2017
Mr Schmoll is a PhD student.
As a man with a physical disability, I need a lot of help to perform many basic daily activities. I still consider myself to be an independent thinker, but my physical independence is substantially limited by my severely reduced muscle strength. I need help to drive my van, get dressed, prepare my meals, and complete other daily tasks. For me, this is life. For many others, this level of dependence is motivation to consider bringing life to an end.
In a 2005 study published in the Journal of General Internal Medicine, out of thirty-five individual cases of people who were seriously considering physician-assisted suicide, twenty-three of the patients were motivated to pursue a hastened death because of a loss of bodily function. Twenty-two of these patients were motivated by a loss of sense of self, while twenty-one of them expressed fears about future quality of life and dying. To put this number in context, only fourteen of them were motivated to end their lives because of pain or the side effects of pain medications. Instead, each of the most highly cited reasons for pursuing physician-assisted suicide are related to issues of dependence and independence. Our society tells us that autonomy is what makes life worth living. Once these patients began to lose bodily function, they were told that they were also losing their identity and quality of life.
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