I would like to offer one set of consequences of not fixing this problem.
The problem as I see it is this:* it is difficult if not impossible for a citizen in this country to legally master his or her own life’s end. This is true even though this country has the technology to allow every citizen to plan for a life’s end that affords dignity and maximum comfort. In addition, the life’s end process is economically catastrophic. This no more true than with retired or elderly couples who, when one dies in a hospital or after a long stay in a nursing home, the other is all too frequently left destitute.*
That’s just wrong.
I am a 66 year old man, in good health, comfortably retired, and happily married for 20 years. I am ten years older than my spouse, so she will most probably live at least a decade longer than I will. I retired from a 35 year career as a project manager in information technology at age 62. We are not wealthy, we are not poor. We live on my Social Security, my small AT&T pension, a small annuity from my 401k, and on my wife’s salary. My wife will retire in 4 years, using her 401k as an income bridge until she reaches her earliest Social Security retirement date in 6 years. We recently refinanced our home on a new 15 year loan at a very low interest rate – and we have in excess of 75% equity accrued. We are comfortable – life is good.
I have never purchased life insurance. I abhor gambling and purchasing insurance is gambling; just like in a casino, the odds are heavily stacked for the house. I’ve been accused of being pig-headed about this – but I don’t care – right or wrong, it is how it is.
I am very aware of the possibility of catastrophic illness in my future leading to death. I am determined that this natural course of my life will proceed in dignity, and will not leave my spouse destitute. I am determined not to spend extended time in a hospital for any reason unless I am certain I will leave that hospital alive and well. I am determined not to enter a nursing facility at all, ever, for any reason. I have many reasons for these refusals, but the reason most pertinent to this discussion is the astronomical cost.
I realize that the various systems in our culture will contrive fiercely to defeat my determination not to do these things. I know I can be physically forced into either a hospital or a nursing home, and physically restrained from leaving either of those organizations. This does not affect my determination in the least. In fact it helps me to understand the seriousness of my decisions and how carefully I must plan if I expect to ensure a dignified, reasonably comfortable death that will not result in economic disaster for my spouse. After a successful career as a project manager I have the skills for effective planning, so, time permitting, I know I can create and execute an effective plan for a dignified life’s end.
I’ve researched suicide extensively and have finally determined that the most effective method, the one that has the most potential to provide a quiet, clean, and reasonably comfortable death, is heroin. It is a reasonably stable drug and if kept in a vacuum sealed container in a cool, dark place, will remain potent for many years – so I can purchase it ahead of time and not be concerned that it will be impotent when I need it. I am now in the process of researching how I can purchase a sufficient quantity of this drug for my purpose and ensure its level of purity. Obtaining the “kit” should be relatively easy. Once everything is assembled my current plans include vacuum packing the drug, placing kit and caboodle in a water-proof container, and burying it in an unfinished portion of my basement where it will be easily accessible.
I have not told my spouse about this. She, of course, knows my feelings about hospitals and nursing homes (death-and-illness-profit-centers), and about the obscene attitudes in our culture concerning death, but I will never let on what I’m planning because just as I do not want her to lose everything because of my death, I do not want her facing liability or criminal prosecution for how I chose to die. Also, as it turns out, my life-long refusal to purchase life insurance shows a bright silver lining since, as a result, there is no death-and-illness-profit-center out there that can refuse to pay off because of the way I chose to die.
So you see, the consequence for me of the attitudes toward death in our culture being so draconian and obscenely barbaric is that I must become a lawbreaker if I have any chance of a dignified and economically reasonable death. In my planning for my life’s end I have to consider the dangers of being arrested, the very real possibility of purchasing bad drugs that will only make life’s end worse, and I have to plan on how to protect my wife from the law after I am gone. You have no idea how angry that makes me. I’ve been a law-abiding citizen all my life, and it is absurdly unfair to force me to become a criminal at the end.
In spite of my anger I am optimistic that our culture will one day wake up and these problems will be considered yesterday’s news. I only wish it could have happened in my life time.
If you’ve read this far, I applaud your patience and thank you for your time.