Dame Cecily Saunders

The other day, in response to the British Medical Association requiring doctors to participate in VSED (voluntary stop eating and drinking) suicides, I wrote that “suicide nihilism is exerting an ever-increasing gravitational force.” With this post, I double down on that depressing conclusion.

Hospice was designed to care for people who are diagnosed with terminal illnesses until their natural deaths. But a study just published in the Journal of Pain and Symptom Management — the publication of the American Academy of Hospice and Palliative Medicine — argues that people intending to commit suicide via VSED should qualify for hospice care even if they are not otherwise dying!

What? Why? Because someone dying within six months qualifies for hospice. VSED takes less than that amount of time to die. Hence, such suicidal people should be admitted to hospice. The mind just boggles.

The subtitle of the revised and updated version of my book criticizing utilitarian bioethics, Culture of Death, is, “The Age of ‘Do Harm’ Medicine.” Helping patients kill themselves by self-starvation and dehydration — known in euthanasia parlance as VSED (for voluntary stopping eating and drinking) — certainly fits that designation.

Two major medical associations now have endorsed doctors assisting in such suicides by palliating the painful symptoms to help patients go all the way to death. The first was the American Academy of Hospice and Palliative Medicine (AAHPM) in 2023. This is especially notable because the organization shamefully went “neutral” on the legalization of assisted suicide, despite that action being the antithesis of the hospice philosophy enunciated by the great medical humanitarian Dame Cecily Saunders. The AAHPM’s journal also published a piece recently endorsing intentionally undernourishing dementia patients under certain conditions (MCF, or “minimal comfort feeding”) — VSED in slow motion, if you will.

Now, another “do harm” shoe has dropped. The British Medical Association has issued an ethical guidance that requires practitioners to participate in VSED when asked to do so by a patient. While the AAHPM guidance assumes that the act will only be done by terminally ill or seriously ill or disabled patients, the BMA guidance notably acknowledges that even those not in ill health can kill themselves in this slow manner — and that doctors must further the suicide palliatively. From the guidance (my emphasis):

Yesterday, I posted about a Vermont bill that would allow nondoctors to prescribe death. I found out today that Oregon has similar legislation pending that would allow “providers” to lethally prescribe. SB 1003 specifies that “provider” can mean a licensed physician, a licensed physician assistant, or a licensed nurse practitioner. I wouldn’t trust a PA or NP to diagnose me with six months to live. Would you? That is not a putdown. These valuable medical professionals’ primary roles are to provide generalized care, monitor and manage chronic conditions, and provide wellness services. But they are not physicians. They receive less education and specialized training as compared with physician-certified specialists like cardiologists, oncologists, nephrologists, or neurologists. I suspect that the reason for expanding categories of eligible lethal Read More ›