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Culture War Roundup for the week of August 11, 2025

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Assisted suicide is never needed. Suicide is trivial, and obvious.

An able-bodied person has a million ways to kill themselves. It looks very different when you are paralyzed from the neck down and lying in a hospital bed with a heart rate monitor connected and a reanimation team on standby.

Reading between the lines of your post, you are saying that a person of sound mind should have the right to kill themselves. But for most rights people have, there is an assumption that they also have the right to hire others to secure their rights.

  • I have the right to buy a car => I have the right to send a properly authorized agent to buy a car in my name.
  • I have the right to defend myself (in some circumstances and jurisdictions) => I have the right to hire a bodyguard to defend me.
  • I have the right to freedom of expression => I have the right to hire contractors to spread my ideas (e.g. running a webserver, or a billboard campaign) instead of just yelling them at random pedestrians.
  • I have the right to face my accuser => I have the right to let my attorney cross-examine my accuser.
  • I have the right to masturbate => I have the right to hire others to masturbate me (in the civilized world, anyhow).

Now, society can impose reasonable restrictions on what agents I am allowed to contract -- I can not send a 10yo to sign a contract in my name, and I certainly can not hire them as a prostitute.

Garden variety suicides are unregulated. You can't imprison a dead person, so there is little society can do to deter them. This leads to a lot of messes. Bystanders become traumatized, or get killed. People who survive but at large costs to their health. People who die on an impulse action they would have regretted five minutes later.

With homicides, there is a wide understanding that there are different categories, that some are vile crimes while others are tragedies or even completely justified. With suicides, there is little distinction that way. The lovesick 16yo and the 60yo cancer patient who jump of a bridge are lumped together in one category.

Rather than leave it up to chance who gets to die, I would prefer legalized but regulated suicides. Let the people who are of sound mind and have a stable commitment to end their lives do so with a minimum of harm to themselves and others, and delegitimize unilateral suicides. "If you want to exit the building, we ask that you walk out through the corridor and the front door and not try to jump through the closed window."

Let the people who are of sound mind and have a stable commitment to end their lives

Except I've seen plenty of people argue that these are completely mutually exclusive — a "commitment to end one's own life" being itself proof positive of an unsound mind. I once had a therapist argue, in all seriousness, that the 47 Rōnin must have been clinically depressed — along with every other samurai who ever committed seppuku — because suicidal intent always means depression, without exception.

This can be used to turn your proposal to a clear Catch-22: you can kill yourself via "legalized but regulated" suicide so long as you're of sound mind… but the fact you're seeking to do so proves you aren't — the only people allowed to kill themselves, then, are those who don't want to.

suicidal intent always means depression, without exception

I find this view fascinating, like flat-eartherism or young age creationism. Like learning about the biotopes around hydrothermal vents which work without any sunlight and are utterly alien to any life forms I regularly interact with.

9/11 was not a self-help group for depression gone horribly wrong. These jerks were fully expecting to respawn in heaven and be rewarded for their great deeds. Their final moments were the best moments of their lives.

Even a pure suicide without any intended side effects can be very rational. The caught spy biting on his poison pill is a well-established trope. He is not depressed because he is anticipating getting tortured and betraying his secrets.

If some comic book super-villain captures a person and her loved ones and tells her that she can either kill herself and save her loved ones or she will spend the next month first watching her loved ones being slowly tortured to death and then being tortured to death herself, suicide is an entirely rational response.

A toy model of endogenic depression would be that it just imposes some mood penalty, which adds to situational modifiers. So a person who had just been dumped by their girlfriend (-30), buried a parent (-40) and got caught in the rain (-1) might not attempt suicide, but a person who was also melancholic (-20) might.

Or one might describe depression as an epistemic attractor state -- a strong belief that one's life is shitty which is self-reinforcing through confirmation bias.

I generally support interventions to prevent suicides if it seems likely that the mood penalties can be fixed or that the patient can be moved away from that attractor state. Turning a depressed person into a non-depressed person is much preferential to turning them into a corpse.

But at the end of the day, people's emotional baselines differ, and it is not up to outside society to tell them if their permanent modifiers make their life worth living or not. And I would fire any therapist who could not agree to that on the spot as fast as if they had suggested that I should just let Jesus into my heart.

9/11 was not a self-help group for depression gone horribly wrong.

The 9/11 Attack Considered as a Self-Help Group for Depression.

Osama Bin Laden was the organizer of the therapy session.

The north tower got off to a bad start.

I agree with this first claim, but I imagine that the "suicidal and paralyzed from the neck down" crowd is pretty small. My arguments so far have not accounted for that one situation, but I think a good rule is "Follow their instructions, even if they request something which will kill them". You cannot really implement this legally, so this should be one of those things which are technically illegal but which everyone pretends that they don't see when they happen.

There is an assumption that they also have the right to hire others to secure their rights.

This is basically the right to give away some of your agency, which could lead to consequences which harm your rights. Tricky situation, but I don't think it's bad from this direction. Having the right to ask somebody to end your life isn't the issue - the issue is that, if we make institutions which can legally end your life, then your environment could systemically pressure you to make this decision.

To give an example, you're not forced to marry anyone. Being able to marry is a freedom you have. But there may be economic benefits to marriage, and this is where the problem starts. Do you know why I'm not an organ donor? It's because it seem that some doctors don't really do their best to save you if you're an organ donor and they're short on whatever organs you have. I haven't looked into it much, but it's not hard to imagine how this incentive might come into being.

There is little society can do to deter them

This is how it should be. For instance, I could grab a hammer right now, run out of my apartment, and start bashing random people with it. I won't make this choice, but you cannot deprive me of the ability to make it without depriving me of my fundamental human freedom (the ability to use tools, the ability to open my front door, the ability to move my body, and the ability to interact with other people). My neighbour has the same freedom. This is exactly how it should be, every alternative is worse.

I'm alright with temporarily putting suicidal people under watch, since they might be acting on impulse. But if they continue being suicidal for longer periods of time, it becomes apparent that it's their genuine will.

I would prefer legalized but regulated suicides

Here's what will happen: Millions of old people will be considered a drain on society and made to kill themselves. There's a million paths leading to this, and number 13215 is "Accidentally give older people medicine which has the side-effect of increased risk of suicide". An AI will A/B test medicine, and then look at the results. Would you look at that, medicine X leads to greener numbers: Lower costs, and less complaints about pains. The reason you don't see: The lower costs are due to less old people remaining alive, and the lowered complaints are because those who suffered the most have died. Another possibility is that they're given medicine which is stronger but accelerates their death, this also leads to less pain, and thus less complains, and it also makes other numbers on the spreadsheet look green in that more deaths mean lower costs. Did you know that "we don't know" how most modern algorithms actually work? It's just a blackbox with an input and output. Well, that's why we won't see that we're just killing old people faster, all our metrics will show "improvements".