Checking out

Sometimes, after a stressful period digging through work, family, and community obligations, I find myself driving past a cemetery and telling myself a private joke. "Lucky bastards," I utter in a serious voice. "They get to to have endless amounts of deep sleep." I'm trying to be ironic at those moments (though I always do enjoy my own jokes!). There is a serious point to this. Many people have had enough, and they do want to end their lives. It turns out that they do have some options other than an often gristly self-inflicted suicide, the type of death that leaves behind families that are horrified, angry and/or guilt-ridden. Since 2002, Holland has allowed euthanasia to those afflicted with 'hopeless and unbearable suffering' certified by two doctors. But now, after 112,500 signatures were collected on the issue, Holland’s legislature is considering pushing the envelope even further. According to World News, the Dutch legislature is considering a measure that provides for this:

Assisted suicide for anyone over 70 who has simply had enough of life is being considered in Holland. Non-doctors would be trained to administer a lethal potion to elderly people who 'consider their lives complete'. The radical move would be a world first and push the boundaries even further in the country that first legalised euthanasia. Supporters say it would offer a dignified way to die for those over 70 who just want to give up living, without having to resort to difficult or unreliable solitary suicide methods.

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Measuring subjective happiness

In the January 29, 2010 issue of Science (available online only to subscribers), Richard Layard considers whether subjective reports are valid ways of measuring the well-being of a population. After all, we've been hearing some rather extraordinary findings of studies over the years based upon subjective happiness. For instance, studies consistently show that higher national income does not increase "quality of life," (defined by subjective happiness). In fact, based on studies relying on subjective judgment, there has been no increase in happiness over the past 50 years in the United States. Layard asks a fundamental question: "Can subjective well-being really be measured well enough to be used in policy analyses?" Even though the science of measuring happiness is "very young," Layard indicates that subjective measures of happiness are well correlated with at least five relevant sets of variables:

The reports of friends; the possible causes of well-being; some possible effects of well-being; physical functioning, such as levels of cortisol; and measures of brain activity.

There is good reason to be optimistic that we will get better at measuring happiness. "Fifty years ago, there was considerable debate on how to measure depression, but by now this has become much less controversial in all likelihood, the measurement of happiness will become similarly less controversial." As we fine-tune our methods of measuring of subjective happiness, Layard believes we will be better able to monitor trends of happiness, we will deal to identify problem groups within populations and we will be better able to determine why some people are happy and others are not. Better measurements will certainly allow us determine quality of life better than the many efforts to do so in terms of money. What's at stake according to Layard? As we leave behind our crude financial measurements of the quality of life and continue to develop better methods of measuring subjective happiness, "it will produce very different priorities for our society."

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Framing the deaths of children

An article at MSNBC caught my eye. The title: "Doctors hastened dying kids’ death, say parents." My initial reaction was that the doctors had done something bad. The article turned out to be more nuanced than the headline, but the opening paragraph suggested that some doctors were acting nefariously:

It's a situation too agonizing to contemplate — a child dying and in pain. Now a small but provocative study suggests that doctors may be giving fatal morphine doses to a few children dying of cancer, to end their suffering at their parents' request.
But then I thought, what if the opposite were true? And then what if the opposite headline read like this:

A provocative study suggests that some doctors are refusing to give enough pain-relieving morphine to children dying of cancer, thereby exacerbating and extending their horrific suffering.

My point is not just to be provocative. Before going further, I should disclose that I am the parent of two young (healthy) children, so this horrid situation is something that I find extremely uncomfortable to even contemplate. Nonetheless, what would I do if I had a a child who was writhing in pain, and who had only weeks or months before he would die? Would it really a bad thing to give that child more pain medication in order to lessen his pain, knowing that it would shorten his already terribly shortened life expectancy? I am amazed at how Americans make simplistic cartoons out of so many moral dilemmas. We call it "mercy killing," even when the aim is to reduce suffering. I would never criticize a parent for wanting to relieve a child's suffering by giving pain medication when that child is dying of cancer. Maybe we need a new language to meaningfully discuss this situation. How about calling it "relieving the suffering of an innocent child." Why call it "killing" at all? Why even call it euthanasia (literally, "good death")? When a child is being non-stop crushed with pain, what kind of parent enhances the pain by withholding drugs in order to attempt to display an incredibly shallow version of moral superiority to others in the community? Shouldn't the whole focus be what's best for the child? Is it better for the child to be in excruciating pain, every hour of the day, or to be given relief from the pain, even though it shortens his life? I know that many people disagree with me--they think that any wretched existence is superior to the end of one's earthly existence. Ironically, most of those people believe in an afterlife. I don't get it. When we're dealing with the family pet, everyone knows the answer. We call it being "humane" to the pet when we choose to painlessly put the pet out of its misery. But somehow, when we are being "humane" to humans, we intensify and extend their suffering. What's driving this upside-down logic? Are the critics merely having sport with doctors, most of whom are working extremely hard to give the families what they need and want? This issue is not limited to dying children, of course. Hence the moral second-guessing when sick elderly adults choose to die in far off places like Switzerland. There are many other ways to needlessly kill healthy children and to make them suffer and to deprive them of healthy minds, but we don't use the word "kill" when describing legislation that does this. You know . . . legislation that cuts medical care, closes subsidized daycare, fails to fund nutrition education centers, or allows bad schools to continue to operate. Perhaps we should use the word "kill" in those situations, since that word often provokes people to take action. But I also think that we need to jettison the "kill" language for those gut-wrenching situations where children are dying and parents are struggling to figure out what to do. We should start over when an entirely new language devoid of the word "kill," because it is the disease that is killing such children, and the parents are trying to deal with the disease. Only with a new language with a more thoughtful version of causation is worth of such situations.

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More of my favorite quotes

I collect lots of quotes. Lots of bang for the buck. There's a novel in every good quote. Here's my most recent batch of favorites: "Television is more interesting than people. If it were not, we would have people standing in the corners of our rooms." Alan Corenk "Be kind, for everyone you meet is fighting a hard battle." Plato "It is the mark of an educated mind to be able to entertain a thought without accepting it." Aristotle "I've missed more than 9000 shots in my career. I've lost almost 300 games. 26 times, I've been trusted to take the game winning shot and missed. I've failed over and over and over again in my life. And that is why I succeed." Michael Jordan "Statistics are like bikinis. What they reveal is suggestive, but what they conceal is vital." Aaron Levenstein (Professor of Management at Baruch College, City University of New York) "I think it only makes sense to seek out and identify structures of authority, hierarchy, and domination, and to challenge them; unless a justification for them can be given, they are illegitimate, and should be dismantled, to increase the scope of human freedom." Noam Chomsky "Some people are called to build the piano, some to carry the piano, and some are called to play the piano" Darrin Patrick "One of the most powerful teachings of the Buddhist tradition is that as long as you are wishing for things to change, they never will." Pema Chodron, Start Where You Are “None of us are as smart as all of us” Japanese proverb "The average man does not want to be free. He simply wants to be safe" H.L. Mencken Success is a lousy teacher. It seduces smart people into thinking they can't lose Bill Gates Atheism is a religion like off is a TV channel. The Godless Blogger "There are two ideas of government. There are those who believe that you just legislate to make the well-to-do prosperous, that their prosperity will leak through on those below. The Democratic idea has been that if you legislate to make the masses prosperous their prosperity will find its way up and through every class that rests upon it." William Jennings Bryan at the Democratic National Convention in Chicago in 1896. "[T]he life of man, solitary, poor, nasty, brutish, and short." Thomas Hobbes "Remember, Ginger Rogers did everything Fred Astaire did, but backwards and in high heels." Bob Thaves, "Frank and Ernest", 1982 "Question with boldness even the existence of a God; because, if there be one, he must more approve of the homage of reason, than that of blind-folded fear." Thomas Jefferson

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