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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.
I don't see the need to complicate things. Assisted suicide is objectively bad, and restricting a persons freedom to commit suicide is objectively bad if and only if said person is having an episode (a temporary state of mind of lowered lucidity).
Making it into a business incentivizes death (by incentivizing profits, which is a trivial result of the death of unproductive members of society). Do I need more arguments? Did I even need this one? Assisted suicide is never needed. Suicide is trivial, and obvious. Obviously trivial. But in case there's some psychological defense mechanism which blind people to obvious, painless methods of suicide, I'm not going to write the method for now. If anyone reading this is suicidal, it's a good thing that they think they need to travel to an entire other country just to stop being alive. Being unable to think of a fast, easy and painless way out is great.
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.
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."
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.
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.
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.
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".
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