Why a Coma Machine?
Doctors administering strong palliation to
terminally ill patients at the end stage of life
are obliged to prolong a patients' physical life
as long as is necessary to avoid the appearance
of ending their life, by accident or design,
with the powerful drugs that are required in
these circumstances, to avoid possible
prosecution.
But how long is long enough? One day, 2, 3, 4
days?
Clearly 4 days is long enough. But what makes
1 day, or 6 hours, or less, not long enough?
In reality, many doctors, judging their
patient's (and their family's) ordeal to have
proceeded long enough to immunise them from risk
of prosecution, and that further prolongation is
of no use whatsover to the patient, and both
unnecessary and needlessly stressful to their
family, administer larger doses than are
medically required for strict palliation. They
can then claim, in good conscience, that the
patient died of their disease, by relying on the
doctrine of 'double effect'. Very rarely are
these cases subject to any scrutiny, because of
the prolonged and public nature of the ordeal to
which the patient has been subjected.
This form of slow euthanasia allows the
fiction to be maintained that doctors do not
actively assist their patients to die. Death by
ordeal is often not what patients, or their
families want, but is regarded as "good medical
practice" only to maintain the public fiction
upon which the NT Voluntary Euthanasia law was
overturned.
Who benefits from this practice? Patients who
declare they do not want to die in this way, and
their family members who concur with them,
certainly do not benefit at all. Some family
members of patients, consenting or otherwise to
this form of death, could be said to benefit in
that their grieving needs may have in part been
fulfilled. The only certain beneficiaries of
this practice are, whether they intended it or
not, the doctors involved, and the manufacturers
of the often enormous quantities of drugs
required.
Calibrating a coma machine to administer
palliative drugs purely on the basis of the
physiological signs of the comatose patient is
far 'safer' because it does not rely upon the
subjective judgement of the doctor, influenced
by fear of possible legal consequence.
The coma machine offers terminally ill
patients who wish to die, and would otherwise
have used voluntary euthanasia had it not been
made illegal, a far more reliable guarantee of
entering a coma from which they will not awake
than administration by a doctor fearful of legal
consequence. At least barring 'acts of God' like
power or equipment failure during the period
required for the patient's biological functions
to cease.
Under these circumstances some terminally ill
patients will certainly elect to make use of it,
even though it may delay their physical death
considerably longer than a doctor, unaided, ever
could. At least they have a credible guarantee
of never knowing how long their ordeal lasted.
Some may also take comfort from knowing that
this barbaric 'last resort', to which the law
now relegates the terminally ill, is a problem
only on the conscience of those living who deny
them the right to choose the time and
circumstance of their final moments.
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