Eugenics to Euthanasia
ARCHBISHOP CHARLES J. CHAPUT
reflecting on physician-assisted suicide, the first lesson for
our lawmakers is that any killing motivated by a distorted sense
of mercy — no matter how many reasonable and honeyed words
endorse it — leads to killing that has nothing at all to do with
the best interests of those killed.
Archbishop Charles J. Chaput
See if this story sounds familiar: A happily married couple — she is a
pianist; he a rising scientist — have their love suddenly tested by a
decline in the wife's health. Diagnosed with multiple sclerosis, she
falls victim to a steady loss of muscle control and paralysis. The
desperate husband uses all his professional skills to save her. But
ultimately he must watch her deteriorate in hideous pain. The wife
worries that she will soon no longer be “a person anymore — just a lump
of flesh — and a torture” for her husband. She begs her husband to kill
her before that happens. And eventually, worn down, the reluctant
husband releases his wife from her misery with poison.
The husband is indicted for murder. But the understanding judge and
jury soon agree that, given the circumstances, the husband is not a
killer, and the law needs to be reformed. Meanwhile, in impassioned
public comments, the husband attacks “the proponents of outmoded beliefs
and antiquated laws” who inflict unnecessary anguish on the terminally
ill, “who suffer without hope and whose death would be deliverance for
The story fits comfortably with today's medical headlines. It could
easily be a 20/20 segment or a page from Jack Kevorkian's latest trial.
But it comes from another era. Produced in 1941, it's the plot line of
I Accuse, one of the Third Reich's most effective propaganda
films. I Accuse was created for one reason only: to advance the
Nazi campaign of euthanasia for the mentally and physically handicapped,
“antisocial elements,” and the terminally ill. And it worked. It was a
big box-office success. It's also the classic example of how compassion
can be manipulated to justify mass killing — first in the name of mercy,
then in the name of cost and utility.
Obviously, America in 1997 is not Germany in 1941. Americans have a
practical sense of justice that favors the weak and the little guy. But
if we want to keep it that way, we shouldn't assume that merely knowing
about a past tragedy prevents us from repeating it. We need to learn
from history. And in reflecting on physician-assisted suicide, the first
lesson for our lawmakers is that any killing motivated by a distorted
sense of mercy — no matter how many reasonable and honeyed words endorse
it — leads to killing that has nothing at all to do with the best
interests of those killed.
Let's examine a few simple facts
First, every one of us fears the image of a dying patient stripped of
dignity and trapped in a suffering body. But today, no one needs to
suffer excruciating pain in a terminal illness. Modern pain-suppression
drugs can ensure the comfort of persons even in the final stages of
dying. Hospice care, focused on ensuring a natural death with comfort
and dignity, is increasingly available. It's true that some doctors
underprescribe pain medication or seek to artificially prolong life
beyond reasonable hope of recovery. But that is an issue of training.
Patients have the right to decline extraordinary means of treatment.
They also have a right to be free of mind-numbing pain. Both these goals
can be accomplished without killing them.
Second, terminally ill persons seeking doctor-assisted suicide
usually struggle with depression, guilt, anger, and a loss of meaning.
They need to be reassured that their lives and their suffering have
purpose. They don't need to be helped toward the exit. We should also
remember that in helping the terminally ill to kill themselves, we're
colluding not only in their dehumanization, but our own. Moreover, the
notion that suffering is always evil and should be avoided at all costs
is a very peculiar idea. Six thousand years of Judeo-Christian wisdom
show that suffering can be — and often is — redemptive, both for the
person who suffers and for the family and friends of the one in need. In
any case, it is very odd to try to eliminate suffering by killing those
Third, the Hippocratic Oath has very good reasons for binding
physicians to “do no harm.” Doctors wield enormous power over their
patients. And that power quickly corrupts the profession unless it is
rigorously held in check. That is one of the reasons the American
Medical Association has rightly, and so strongly, opposed
The alternative is immensely dangerous. The doctors who killed their
patients in Nazi Germany may be written off as the product of a special
and terrible time. But what about the doctors in the Netherlands — right
now, today — who admit to killing patients without their approval?
Physician-assisted suicide among the Dutch has been quietly tolerated
for some time. But no one was prepared for the number of Dutch doctors
who have taken it beyond that, proactively dispatching the terminally
ill without their knowledge. The point is: The logic behind
doctor-assisted suicide naturally expands. Can anyone honestly argue
that physician-assisted suicide will limit itself to voluntary
candidates in an era of ruthless medical cost-efficiency? And do we
really want a society where patients aren't sure they can trust their
One final point: While the Supreme Court upheld state bans against
physician-assisted suicide in Washington and New York earlier last
summer, the debate is far from over. Missing from too much of today's
discussion of doctor-assisted suicide is the presence of God. Yet God,
in the view of the great majority of Americans, is the author of life
and its only true “owner.” Life is God's gift, and he alone is its Lord.
However wounded or attenuated it may seem, life is precious. Every life
is sacred, from conception to natural death. We rarely understand life.
We certainly don't own it. But if this sad century has taught us
anything, it's that we have no right to dispose of it — however good the
Chaput, Archbishop Charles J. “Eugenics to Euthanasia.” Crisis
Reprinted by permission of the Morley Institute a non-profit
education organization. To subscribe to Crisis magazine call
Archbishop Charles J. Chaput is the Archbishop of Denver, Colorado.
Copyright © 1997