Friday, 24 January 2020

Book 3, Letter 18, part 2 of 3 To Tacitus, on Suicide



             The suicide of Seneca - by Manuel Dominguez Sanchez

Here in Australia, there isn't actually a law prohibiting the reporting of suicides, but there is an accepted convention of censorship in the main news outlets. By scratching the surface and looking at the available statistics, it seems that suicide deaths account for three times the number of deaths by murder. According to rumour, the highest rates of suicide are among returned soldiers, dentists, vets and farmers, with men committing suicide 3 to 1, when compared with women.

In my culture there is no pride to be found in stories of suicide, only silence and shame. There is so much shame and repression of suicidal thinking and discussion, that even dying is shrouded in a mysterious fog, and requesting assistance in choosing to die, even when one is old and suffering from the agonies of illness, is a criminal act. Euthanasia, from the Greek Eu meaning 'well', and Thanatos, meaning 'death', thus means choosing to die a good death.

However, on Tuesday 10 December 2019 the Western Australian Voluntary Assisted Dying Bill 2019 cleared its final parliamentary hurdle making Western Australia the second state after Victoria to legalise voluntary assisted dying for the terminally ill. To me this seems like progress, however in the other states of Australia, here is how things generally stand.

What is legal in Australia now?

    Both suicide and attempted suicide.
    Refusing unwanted, painful and futile medical treatment leading to death from the illness.
    Refusing food and drink leading to death from starvation and dehydration.
    Being administered large doses of pain-relieving drugs, even though this may hasten death.  This is not against the law if the primary intention of the doctor is to relieve pain.
    Being put into a permanent state of unconsciousness leading to death – this is often called ‘continuous palliative sedation’.

What is illegal in Australia now?

    Voluntary assisted dying.
    Voluntary euthanasia.

I have heard numerous stories of nurses choosing to follow their first vow, to do no harm, and who administer lethal doses of morphine to patients whose lives have passed the threshold of tolerable pain. I have heard it said that nurses do this more often than they could ever admit, that they place their gentle hands upon their patients, and with a kind whisper, help them onto a better kind of rest. A kind of rest that is better than a drug induced coma, better than a prolonged state of agonised zombification. It makes me proud to know that nurses are willing to do what is right, rather than to follow the letter of the law. I have heard stories of the the families, standing in the room and granting their whispered permission to ease the pain of their dying kin. It seems a blurry line between continuous palliative sedation and Voluntary assisted dying.

In reading your book Tacitus, and finding myself shocked at the culture of suicide you describe, I wonder what the popular methods of my own country are. How do people choose to end their own lives, here in the 21st Century in Australia? So, to follow your method of writing, I will start with the rumours, and end with the facts, as much as can be gleaned from government statistics.

I have heard that single occupancy, single car crashes are often considered suicides by the police, even though they are reported as accidents. Charles Bukowski, the 20th Century American poet once wrote that smoking and drinking are the only forms of honourable suicide left to modern man. With open reporting on the subject quietly suppressed in the media, it is hard to know what the truth is. I have three friends who ended their own lives. One chose to end her own life because the pain in her body became greater than her will to live. Another, it is uncertain, as they left no note, died of a Nitrous Oxide overdose. They were going through the long and difficult process of gender reassignment. The third took his life by the method described by Bukowski.

We humans are peculiar, born with the defect in our natures that grants us the will to self destruction that seems absent in other animals.

Is it a defect? Or is it a proud strength, that when faced with impossible options we humans may summon the courage to end our own suffering? Cato, the legendary stoic who committed suicide rather than live under the rule of Julius Caesar, is to history a hero for his act of self deliverance. Anthony Trollope, in his biography of Cicero, (published in 1880) puts it rather well.

...Cato must be allowed the praise of acting up to his own principles. He would die rather than behold the face of a tyrant... Men, indeed, have refused to see that he fled from a danger which he felt to be too much for him, and that in doing so he lacked something of the courage of a man. Many other Romans of the time did the same thing, but to none has been given all the honour which has been allowed to Cato.

Alternatively, Plutarch describes the suicide of the Spartan lawgiver, Lycurgus, as one of happiness and noble self sacrifice in service to the commonwealth. Having set down his laws and ordered the society of Sparta in the way he saw best, Lycurgus travelled to the Oracle to ask if his laws were good. He ordered his people to not make any changes to his laws until he should return.

The oracle answered that the laws were excellent, and that the people, while it observed them, should live in the height of renown. Lycurgus took the oracle in writing, and sent it over to Sparta; and, having sacrificed the second time to Apollo, and taken leave of his friends and his son, he resolved that the Spartans should not be released from the oath they had taken, and that he would, of his own act, close his life where he was. He was now about that age in which life was still tolerable, and yet might be quitted without regret. Every thing, moreover, about him was in a sufficiently prosperous condition. He, therefore, made an end of himself by a total abstinence from food; thinking it a statesman’s duty to make his very death, if possible, an act of service to the state, and even in the end of his life to give some example of virtue and effect some useful purpose. He would, on the one hand, crown and consummate his own happiness by a death suitable to so honorable a life, and, on the other, would secure to his countrymen the enjoyment of the advantages he had spent his life in obtaining for them, since they had solemnly sworn the maintenance of his institutions until his return.

Is a chosen death, a happy death?

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