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Notes -
Following up on the post about assisted suicide, here's more about that Swiss clinic which is the subject of allegations by an Irish family:
Now, I'm not going to argue over the right to die, when is suffering intolerable, religious objections, slippery slopes or the rest of it. What I'm going to do is say that this is a business (indeed, this is a claim made in the story by one of the families). And, just the same way that IVF has become a business, and embryonic selection (see the Herasight proceedings) will become a business, when we get into business territory, it's about profit. And to maximise profits, we reduce costs. If that means setting up a clinic that looks like a blocky industrial estate unit and skimping on postage, so be it.
There's some indication, at least from claims by these families, that procedures are not being followed through, or at the very least, merely rubber-stamped and not, in fact, keeping the promises they made about communication with and informing the families:
The same way that someone in the comments over on ACX described her experiences with IVF and why the clinic downplayed/ignored her problems, it's the same answer here: it's a business now, and profit (not the message about "we'll compassionately give you what you so emotionally desire") is the motivation. And the more it becomes just another business, the more slippage we'll see. No, I don't mean slippery slope, I mean this kind of thing: we don't email you, you have to track your mother's ashes "using a code, like she was a parcel in the post", and hey, verbal promises aren't worth the paper they're written on, we're legal in this country so too bad.
Standards only last as long as the brakes are on. When we take the brakes off, then it's a business and death (and life) is a commodity to be monetised.
If we respect basic autonomy, why should an adult’s adult children have to sign off on whether they are allowed to end their life? As @self_made_human says, Switzerland has had legal euthanasia since the 1940s, and major clinics offering the service since the 1980s.
This is in possibly the most civilized country in the world, certainly in the top 3. People live better, longer, healthier lives in Switzerland than almost anywhere else. Things in Switzerland just work. Even from other wealthy countries like the US, going to Switzerland often feels the way a Malaysian must feel going to Singapore or something - there is a clear upgrade in the quality of life in a general sense, things are just cleaner, better, more efficient, more advanced, more premium. Along almost any scale it would be good for any other country to become more like Switzerland, and bad for Switzerland to become more like any other country.
The functional outcome of articles like this is for other Western countries to try to start banning their terminally ill citizens from going to Switzerland. This would be laughable, since you can just cross the border, but the effect would be to harass innocent people for no reason.
There are things that work in a high trust society that don't in a low trust society. Switzerland, notably, almost singularly in Western Europe, is still super homogeneous, and hasn't thrown open it's welfare state to 3rd worlders. Good for them that they haven't manage to slide down some slippery slope when it comes to assisted suicide. But they've made profoundly different choices about the type of nation they want to be than just about all their peers. I doubt we can pick and choose how we wish to emulate them without there being significant unintended consequences.
Switzerland is less homogenous than much of Western Europe and has relatively large amounts of non-European immigration. In any case, given that legal euthanasia is nonexistent in the Islamic world (for largely the same religious reasons Christians oppose it) I find it hard to believe mass immigration from there will lead to greater permissiveness.
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