voluntary stop eating and drinking

Wesley J. Smith appeared on Ave Maria in the Afternoon with Dr. Marcus Peter to discuss recent attempts by assisted suicide advocates to encourage self-starvation among Alzheimer’s patients. Smith explains what “voluntary stop eating and drinking” (VSED) is, why it’s concerning, and the importance of defending the rights and inherent value of people with Alzheimer’s and dementia. Read, “Alzheimer’s Patients in the Crosshairs of VSED — Suicide by Self-Starvation“

My mother died of Alzheimer’s disease at the ripe old age of 99. With invaluable help from hospice, my wife and I cared for her in our home for the last five months of her life.

Was it difficult? Very. Does that matter? No. Mom deserved the best care available regardless of her mental incapacity.

My mother’s brother also died of Alzheimer’s. He received excellent care in the memory unit of a Baptist-affiliated assisted living facility for the last years of his life.

Was it difficult? Very. Does that matter? No. My uncle deserved the best care available regardless of his mental incapacity.

The compassionate support my mother and uncle received was once the expected moral standard. Unfortunately, that seems to be changing. Increasingly, dementia patients are viewed by many as better off dead sooner rather than later.

Many Western countries and jurisdictions are legalizing euthanasia and assisted suicide. That opens up a problem for the death pushers. Since states aren’t going to get into the wet work of the actual killing, medical professionals and caregivers are going to be conscripted to do the deadly deeds — even if that means violating their religious beliefs and moral consciences.

Instead of resisting this rank authoritarianism, the medical and bioethics establishments are increasingly going along. This proposed coercion includes requiring doctors’ participation in suicides when patients starve and dehydrate themselves to death — known as VSED for “voluntary stop eating and drinking.”

As I wrote a few weeks ago here, the British Medical Association just so opined. And now, following closely in that guidance’s wake, a major article in the Journal of Health & Biomedical Law argues similarly — using dementia patients as the prime example — that doctors have to both inform patients about their right to commit suicide by VSED and ease the process by providing palliative care against the agony that killing oneself in that manner causes.

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.

In a newly released paper in the prestigious journal Bioethics, three prominent bioethicists argue that when someone decides to commit suicide via self-starvation and dehydration — known in euthanasia movement parlance as “voluntary stop eating and drinking” (VSED) — doctors should be allowed to “terminally sedate” the person trying to die when necessary to prevent intractable suffering. Patients who commit VSED are often not terminally ill. In fact, euthanasia organizations promote self-starvation to the elderly who are not dying and as a means of becoming eligible for assisted suicide where it is legal by making oneself “terminal” via lack of sustenance. VSED must be distinguished from the common circumstance when actively dying people stop eating. That’s a natural process and Read More ›

Geriatric suicides used to be considered a tragedy. But these days, increasingly, they are celebrated — whether Compassion and Choices (formerly, the more honestly named Hemlock Society) teaching elderly people to starve themselves to death (VSED), joint lethal jabs of aged married couples in places like the Netherlands, Belgium, and Canada, or suicides facilitated at Swiss death clinics. These clinics are proud of their toll. One Swiss clinic even “prioritizes people who are elderly but not seriously ill,” while others willingly engage in geriatric assisted suicide of depressed elders if they have other conditions. From the odious Exit International’s newsletter: “Conscious suicides are different from others,” says Jean-Jacques Bise, Co-President of Exit in French-speaking Switzerland. The figures from RTS suggest Read More ›

Moves are afoot in bioethics to require caregivers to withhold food and water by mouth from a patient made incompetent by dementia if that patient, while compos mentis, has signed such a request — and even if the patient willingly eats, enjoys meals, or asks for food. It is sometimes called “voluntary stop eating and drinking [VSED] by advance directive,” in the parlance.

I have frequently criticized VSED by directive as inhumane to the patient, cruel to caregivers (as it forces them to starve people to death), and designed to open the door to lethally jabbing those with advanced dementia as the less onerous alternative to their being made to starve to death.

Now, as supposedly some form of compromise, there is a proposal on the table to barely feed — i.e., malnourish — dementia patients who have previously signed such a directive. From, “Mr. Smith Has No Mealtimes,” published in the Journal of Pain and Symptom Management (citations omitted):

Minimal Comfort Feeding (MCF)…is the provision of only enough oral nutrition and hydration to ensure comfort. With MCF, eating and drinking is not scheduled; rather, caretakers offer food and liquids only in response to signs of hunger and thirst. Patients are neither wakened for regular mealtimes nor encouraged to eat or drink. Instead, they are offered frequent, fastidious mouth care, continued social contact, therapeutic touch, sensory distraction, and medications to relieve distress associated with apparent thirst or hunger before being provided with minimal amounts of liquid or food.