{"id":3655,"date":"2017-12-21T10:40:05","date_gmt":"2017-12-21T15:40:05","guid":{"rendered":"https:\/\/collectif.lesartsmartial.com\/en\/?p=3655"},"modified":"2017-12-21T10:40:05","modified_gmt":"2017-12-21T15:40:05","slug":"theory-meets-reality","status":"publish","type":"post","link":"https:\/\/collectifmedecins.org\/en\/theory-meets-reality\/","title":{"rendered":"Theory meets reality"},"content":{"rendered":"<p class=\"m_-7815499658084113581gmail-MsoNormal\">Prior to legalisation of \u201cmedical aid in dying\u201d (active euthanasia), from the comfort of an abstract theoretical detachment, 48 % of doctors in the city of Laval QC said they would be willing to intentionally cause the death of a patient. Another third diplomatically gave \u201cconditional responses\u201d. In other words, even among the people sufficiently politicised to respond at that time, fewer than half would be willing to perform euthanasia under the present criteria.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">And that was before the prospect became real.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">\u201cWhat we see is that providing medical aid in dying is more complex than we thought\u201d, says Marie-\u00c8ve Bouthillier, director of the centre for ethics of CISSS de Laval and coauthor of\u00a0<a href=\"https:\/\/www.fmsq.org\/en\/mediatheque\/editions\/le-specialiste\" target=\"_blank\" rel=\"noopener\" data-saferedirecturl=\"https:\/\/www.google.com\/url?hl=en&amp;q=https:\/\/www.fmsq.org\/en\/mediatheque\/editions\/le-specialiste&amp;source=gmail&amp;ust=1513957078279000&amp;usg=AFQjCNEkPArxabXHdInVUJC7mVG2wEfVTg\">a study of 61 Laval doctors<\/a>\u00a0who received 113 requests for euthanasia. Obviously. And it is a wonder that the ruling class managed to ignore that fact for so long.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">Once the\u00a0<i>Act respecting end-of-life care<\/i>\u00a0came into effect, 77% of the doctors who received real requests from real patients discovered that complexity, and concluded that they could not stomach the thought of killing their patients.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">What did we expect?<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">On the one hand, there is an absolutely instinctive and universal human horror and avoidance of death. And although many doctors have learned to work with dying people, the thought of actually killing someone takes suppression of natural instincts to a whole new level.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">And on the other hand, we have a political fantasy that doctors (being told euthanasia has been redefined as a benign \u201cmedical treatment\u201d) will suddenly be at ease with killing people. Dr. Bouthillier even expands on this wishful thinking by postulating initiatives to make the whole problem go away: \u201cWe need to provide training to make this practice more acceptable, to integrate it into doctors\u2019 clinical work.\u201d So what now? When the study authors realize they cannot just \u201cre-educate\u201d people into this practice, what then? Coercion?<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">Beyond the absurdity, there is a sinister dimension to this research and the agenda which is motivating it.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">The\u00a0<i>only<\/i>\u00a0justification legally offered for a refusal to participate is \u201cright of conscience\u201d. But only 14 % of the doctors interviewed for this study were considered to have\u00a0<i>real<\/i>\u00a0moral objections. Therefore, the study seems to conclude, the others are refusing to kill people\u00a0<i>for no good reason<\/i>.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">Contrary to what some would have us believe, moral conscience is not the unique purview of established religion or traditional moral codes: it is universal. It is one of the many &#8212; and one of the most important \u2013 things that make us human.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">What is the \u201cmoral burden\u201d invoked by 59% of respondents, otherwise at ease with accompanying dying patients, if not an innate repugnance to the act of killing someone? The same repugnance at a societal level explains the \u201cfear of stigmatization\u201d mentioned by 27%. And the \u201clack of expertise\u201d cited by 36% may well conceal similar reasons: it certainly has nothing to do with knowing how to give an injection.<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">What is the extreme emergency that would require us to convince \u2013 or coerce &#8211; all doctors to kill people on request? Do we really want doctors who no longer listen to their conscience, however that is defined? Do we really aspire to having a medical profession that cheerfully and unquestioningly carries out whatever political fashion may demand? Is this the best model the profession can offer to future generations?<\/p>\n<p class=\"m_-7815499658084113581gmail-MsoNormal\">It seems logical to us that the fewer doctors desensitized to killing, and the more who exercise their prudential moral judgment before jumping on the bandwagon, the better for all concerned.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prior to legalisation of \u201cmedical aid in dying\u201d (active euthanasia), from the comfort of an abstract theoretical detachment, 48 % of doctors in the city of Laval QC said they would be willing to intentionally cause the death of a patient. Another third diplomatically gave \u201cconditional responses\u201d. In other words, even among the people sufficiently [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_oasis_is_in_workflow":0,"_oasis_original":0,"footnotes":""},"categories":[88],"tags":[],"class_list":["post-3655","post","type-post","status-publish","format-standard","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Theory meets reality - Physicians\u2019 Alliance against Euthanasia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/collectifmedecins.org\/en\/theory-meets-reality\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Theory meets reality - Physicians\u2019 Alliance against Euthanasia\" \/>\n<meta property=\"og:description\" content=\"Prior to legalisation of \u201cmedical aid in dying\u201d (active euthanasia), from the comfort of an abstract theoretical detachment, 48 % of doctors in the city of Laval QC said they would be willing to intentionally cause the death of a patient. 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