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Feasibility aside, what are the arguments against a culture of widespread euthanasia in the old? I find it an attractive option provided there’s the right cultural infrastructure. I’m thinking something like, “once you cease to be of value to others or once you experience too much pain, you willingly die, which is honorable.” By value to others, I mean that you can no longer relay to the young any worthwhile stories or wisdom, can no longer provide any emotional warmth to others, your redeeming personality traits have decayed, and you have too many costly medical problems. The way in which this occurs is also important. I find euthanasia by injection in a hospital disgusting and barbaric and aesthetically displeasing, whereas something like a speedy decapitation in a beautiful natural environment is preferable, and in fact how Samuraii died and similar to how animals are killed in kosher law.
I’m unpersuaded by the typical religious argument that life is so sacred we cannot take it. We do take it, all the time, in war and executions. I’m unpersuaded that this reduces the dignity of man. This increases the dignity of man, by giving him power over when he dies, and by serving as a reminder that life is about wellbeing and benefit rather than selfish clinging to the flesh and absurd quantitative metrics (“how long you live in days” is a silly metric). There is, with that said, an economic incentive to do this: the money that is spent keeping the old alive is transferred to the young, the living root of life, which has a compound benefit, increasing quality of life and education.
Scott’s fantastic who by very slow decay, and a recent experience involving a distant relative, is what truly motivated my thinking that our culture of death needs reform. Dying is a horrible experience for everyone who witnesses it. Dying itself is not the pain, watching the death slowly is the pain. The amount of psychological stress and pain and burden that my relatives experienced as a relative slowly died was significant and impossible to ignore. Were the death to have occurred one night in sleep, a huge amount of pain would have been avoided. But we can’t will ourselves to die peacefully in sleep. The best we can do is pick when we die, so that we die before we increase the sum total pain in ourselves and others.
I am considering this from the standpoint of “how I would like to die”, not “boo old people”, to be clear. Death is inevitable and mundane. Our hospital culture hyperfixates on continuing life for its own sake and on clinging to life, and this reifies the mistaken impression that personal death is a catastrophe. Were we to truly care about life, we would forget the old (who start to decay well before expiration) and instead focus on the young, the living root of life, and we would focus on increasing their health so that human life flourishes. That’s where life resides. Why take care of an old flower when you could nurture young seedlings? It’s the same life, it is just found in the young and not the old. So, when I imagine the most enjoyable way to die myself, it’s that it occurs right before the worst of age-decay sets in. I have an enjoyable weekend with loved ones, we celebrate living, and then they give me the Marie Antoinette treatment and everything is quite peaceful. It actually doesn’t appear to be stressful or anxious or sad at all, though (we should all hope) there are some loved ones present who will miss my presence.
I can perhaps accept an argument that we should be more accepting of the death of the elderly, but I don't think it is moral to encourage it. A culture of maybe taking a more serious look at what kind of life you might have remaining, and accepting a person's decision to no longer prolong it through medical procedures -- I can maybe accept that. But not intentionally ending (or pushing for the end of) someone's (or your own) life.
"No longer prolong" compared to "intentionally ending" is a fuzzy distinction. Which one is removing a feeding tube?
And even if that counts as "no longer prolong", that still means people have to die in agony instead of peacefully.
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