Latest / Why We Do What We Do / Dr. Kevorkian
Transcript
- 0:03Speaker 1: You're listening to Why We Do what we Do. Welcome
- 0:15Speaker 1: to Why We Do what we Do. I am your
- 0:19Speaker 1: medically questionable host Abraham.
- 0:21Speaker 2: And I'm your driving around in a very safe van
- 0:25Speaker 2: host Shane.
- 0:26Speaker 1: Okay, we are a psychology podcast. We talk about the
- 0:30Speaker 1: things that humans and non human animals do and have done.
- 0:35Speaker 1: Sometimes we talk about historical things and the grand implications
- 0:40Speaker 1: that they rise within our moral considerations of appropriate human activity,
- 0:45Speaker 1: which is the topic of today. So jumping right into it,
- 0:49Speaker 1: I'm going to warn everybody that as we get started
- 0:52Speaker 1: that we are going to be talking about in this
- 0:55Speaker 1: episode quite a bit about suicide and end of life care.
- 0:59Speaker 1: This may be difficult for some folks to hear. We'll
- 1:01Speaker 1: mostly be discussing laws and medical processes and approvals for
- 1:04Speaker 1: assisted suicide. But nevertheless, we want to put this disclaimer
- 1:08Speaker 1: at the top of the show. That's not something you're
- 1:10Speaker 1: comfortable hearing. You might want to set this one out,
- 1:13Speaker 1: but we'll try and handle this sensitively as well. But
- 1:16Speaker 1: before we get into anything else, wanted to let you
- 1:18Speaker 1: know that was a thing.
- 1:20Speaker 2: Yes, because today we are talking about doctor Jack Kavorkian,
- 1:24Speaker 2: a controversial figure in the nineties that actually led to
- 1:29Speaker 2: some interesting legislative changes in the next few years after
- 1:32Speaker 2: his charges and all those things. So there's a lot
- 1:35Speaker 2: to unpack here, and I think.
- 1:37Speaker 3: It'll be an interesting discussion.
- 1:38Speaker 1: Yeah, for those of us who are around when this
- 1:41Speaker 1: was happening, Like I remember this name being in the news,
- 1:44Speaker 1: and I remember learning about some of the things that
- 1:48Speaker 1: people were talking about in some of the conversations that
- 1:51Speaker 1: arose from this sort of controversy. If you are not familiar,
- 1:54Speaker 1: then you are in for a bit of a roller coaster.
- 1:57Speaker 1: I think, yeah, yeah, so this really interesting. But before
- 2:02Speaker 1: we get into all of that, I would like to
- 2:04Speaker 1: just let you know that if you enjoy what you
- 2:06Speaker 1: hear today and you'd like to support us, you can
- 2:07Speaker 1: join us on Patreon, leave us a rating and a review,
- 2:10Speaker 1: like subscribe, tell a friend. I'll talk more about that
- 2:13Speaker 1: at the end of this discussion. Furthermore, if you are
- 2:16Speaker 1: a returning person, then welcome back. I hope that you
- 2:19Speaker 1: keep finding joy and the things that we deliver here.
- 2:22Speaker 1: And if you're someone who is new, then welcome and
- 2:25Speaker 1: hope that you enjoy what we.
- 2:26Speaker 3: Are delivering here.
- 2:27Speaker 1: So both of the same message, I guess, yes, But
- 2:30Speaker 1: either way, you found yourselves here on tax Day and
- 2:33Speaker 1: so we're sorry and we'll go ahead. And also in
- 2:38Speaker 1: the spirit of helping to relieve the tension, Happy Anime Day.
- 2:42Speaker 2: Yes, yes, yes, yes, it's also Happy Banana Day.
- 2:45Speaker 1: These are actual, like, by the way, real holidays. If
- 2:48Speaker 1: someone if you're new here and you hear us just
- 2:50Speaker 1: saying these things, we're not making it up. Yeah, actually
- 2:52Speaker 1: telling you On today, April fifteenth, Happy Income Tax Payday,
- 2:57Speaker 1: Happy Jackie Robinson Day.
- 2:59Speaker 2: Yes, it's also Microvolunteering Day, which is when you volunteer
- 3:04Speaker 2: for ants. And then it's National ASL Day as well
- 3:08Speaker 2: for American Sign Language.
- 3:10Speaker 3: Oh.
- 3:11Speaker 1: I had the greatest idea for like a April Fool's
- 3:15Speaker 1: joke that we were going to do an episode entirely
- 3:17Speaker 1: in ASL.
- 3:19Speaker 3: Listen, I love that.
- 3:20Speaker 2: The other day I made a joke to somebody because
- 3:23Speaker 2: somebody was telling me that I was monolingual when lingual
- 3:25Speaker 2: because I only speak English, and I was like, I
- 3:27Speaker 2: was talking to them via voice to text, and I
- 3:29Speaker 2: was like, no, look, I can also do sign language.
- 3:32Speaker 3: Like I'm going to say this, and I just did.
- 3:33Speaker 3: I went.
- 3:35Speaker 2: Like my hands were waving like in the movies, like
- 3:38Speaker 2: when they do like so it was like you hear
- 3:39Speaker 2: those sound effects of like wind rushing when hand I
- 3:42Speaker 2: was like see I just said this, and they were
- 3:44Speaker 2: here and they were like, you are so annoying.
- 3:51Speaker 1: Okay, So yes, National ASL Day. That was where we
- 3:54Speaker 1: were at. Yes, love ASL. I actually started learning ASL.
- 3:57Speaker 1: It's beautiful bit and oh I love it so much.
- 4:00Speaker 1: I really I hope I get like to the point
- 4:02Speaker 1: where I can actually have a conversation. Yeah, in ASL
- 4:05Speaker 1: worth unpacking at some point, if we haven't already, I
- 4:08Speaker 1: don't sure.
- 4:08Speaker 3: Do you think we have. I don't know that we have.
- 4:11Speaker 1: Okay, well maybe a thing. Those the most sidetracked we've
- 4:14Speaker 1: ever been on holidays. It is National Greiper's.
- 4:18Speaker 3: Day, it certainly is. It's also one Boston Day.
- 4:21Speaker 1: It is one day without shoes.
- 4:23Speaker 3: I accept sure. It's Rubber Eraser Day. Charlie Day is
- 4:27Speaker 3: really stoked about that. He will eat yours if you
- 4:29Speaker 3: would like.
- 4:34Speaker 1: Pop culture reference specific, Yeah, so specific.
- 4:38Speaker 3: It is School librarian Day. We appreciate those people.
- 4:42Speaker 2: Yes, we certainly do. It is also that Sucks Day.
- 4:46Speaker 3: Unrelated.
- 4:47Speaker 1: It is Titanic Remembrance Day.
- 4:49Speaker 3: Also related.
- 4:53Speaker 2: Yeah, yeh, not the movie, the actual event, right, yeah,
- 4:56Speaker 2: it is a universal day of culture.
- 4:59Speaker 1: Ind wow, the whole universe. Huh, is a World Art Day.
- 5:04Speaker 3: All of it. Yeah, it's Canada Book Week.
- 5:07Speaker 1: Okay, the books in Canada are books about Canada or
- 5:10Speaker 1: sure books made. It is Holocaust Remembrance Week.
- 5:16Speaker 3: Yes it is.
- 5:17Speaker 2: And it's also International Trombone Week.
- 5:20Speaker 1: I also don't know if we've done one explicitly on
- 5:23Speaker 1: the Holocaust, but that's what I've been thinking about too.
- 5:25Speaker 3: That. Yeah, I feel like that's going to be a
- 5:27Speaker 3: multi part thing.
- 5:28Speaker 1: Yeah, there is a lot of storage to tell there. Yeah, yeah,
- 5:32Speaker 1: depending on how deep we want to go. But okay, yeah,
- 5:35Speaker 1: so we did our warning. We are going to be
- 5:36Speaker 1: talking about suicide, end of life, care assisted suicide, those
- 5:41Speaker 1: sorts of topics. So again, one more warning before we
- 5:44Speaker 1: jump into that topic. If you or anyone you know
- 5:46Speaker 1: is struggling, please seek help. You can call the National
- 5:49Speaker 1: hotline in the United States nine to eight eight. I'm
- 5:51Speaker 1: not sure what it is in other countries, but look
- 5:54Speaker 1: up that number because there are people there who want
- 5:56Speaker 1: to help. I have lost a so many more people
- 6:00Speaker 1: that I would like to have lost to suicide that
- 6:02Speaker 1: it's really one of the most heartbreaking things when it happens,
- 6:07Speaker 1: and I hope to never ever ever have to experience
- 6:11Speaker 1: it again for myself, and I really don't want that
- 6:13Speaker 1: for anybody else because it is just the worst. So
- 6:15Speaker 1: with that being said, there are very different ways of
- 6:18Speaker 1: thinking about suicide and the conditions under which end of
- 6:22Speaker 1: life care may involve something like that, at least with
- 6:25Speaker 1: respect to some people and how they choose to approach
- 6:28Speaker 1: these things. So that is kind of how we're going
- 6:30Speaker 1: to talk about that today.
- 6:32Speaker 2: Yes, so we are going to talk about Jack Kavorkian.
- 6:35Speaker 2: So he's an interesting case study related to the topic
- 6:37Speaker 2: of assistant suicide. In the nineties, he was a topic
- 6:40Speaker 2: of controversy due to his moniker doctor death and his
- 6:43Speaker 2: work in assistant suicide, and he was a national discussion
- 6:46Speaker 2: and brought the topic of dignity and death to the stage.
- 6:48Speaker 2: So we are going to kind of talk about that
- 6:50Speaker 2: from that perspective of what assistant suicide is. But we
- 6:53Speaker 2: really want to give the context of doctor Kavorkian because
- 6:56Speaker 2: I think that it's one of those situations that is
- 6:59Speaker 2: I think conflated, like it's kind of like how the
- 7:01Speaker 2: Satanic Panic occurred, where I think people made this a
- 7:04Speaker 2: much bigger deal than it actually was.
- 7:06Speaker 3: Not to say that.
- 7:07Speaker 2: There weren't some concerns here and there, but like just
- 7:09Speaker 2: to kind of like, as we unpack this, you'll see
- 7:11Speaker 2: that it's maybe not a sensationalist as we think it is.
- 7:14Speaker 1: Yeah, yeah, I think the moniker of Doctor Death helped
- 7:18Speaker 1: really elevate this into the national sort of zeitgeist and consciousness.
- 7:22Speaker 1: But it really was, for better or for worse, more
- 7:27Speaker 1: mundane than it sort of felt like it probably was. Sure,
- 7:31Speaker 1: obviously when we're talking about life and death, those are
- 7:34Speaker 1: serious things, but there was just a lot more nuance
- 7:36Speaker 1: to this then people wanted to paint it with a
- 7:39Speaker 1: broad brush, and there was more nuance to it than that.
- 7:43Speaker 1: I think we're good to transition to getting into the
- 7:45Speaker 1: background of this character, though.
- 7:46Speaker 3: You think, yeah, yeah, let's go ahead and do it. So.
- 7:49Speaker 2: Doctor Murrad Jacob or Jack Kuworkian was born in nineteen
- 7:53Speaker 2: twenty eight in Pontiac, Michigan, to Armenian immigrants. His parents
- 7:57Speaker 2: actually fled the armeny In genocide of nineteen fifteen and
- 8:00Speaker 2: found their way to the United States in the early
- 8:02Speaker 2: nineteen hundred, so he's a first generation US citizen and
- 8:06Speaker 2: his family from Armenian immigrants.
- 8:08Speaker 1: So kuvorkiad here. He was considered a child prodigy. He
- 8:12Speaker 1: demonstrated the ability to learn very quickly. He spoke five languages,
- 8:17Speaker 1: including German, Russian, Greek, and Japanese obviously English. He was
- 8:22Speaker 1: raised in a strict religious household, where he often found
- 8:25Speaker 1: himself struggling with the Christian belief systems in general, which
- 8:30Speaker 1: I can relate to.
- 8:31Speaker 3: Yeah, yeah, absolutely.
- 8:33Speaker 2: He eventually graduated from the University of Michigan Medical School
- 8:35Speaker 2: and ann arbor I received training in anatomical and clinical pathology,
- 8:40Speaker 2: and shortly after he began practicing as a physician and
- 8:42Speaker 2: spent much of his time working with terminally ill patients.
- 8:45Speaker 2: That's going to be critically important as we go. By
- 8:48Speaker 2: nature of study. He was a pathologist, and so he
- 8:50Speaker 2: did practice as a physician underneath that, but his specialty
- 8:53Speaker 2: was pathology.
- 8:54Speaker 1: Okay, And yeah, the fact that he's around people that
- 8:57Speaker 1: he was frequently watching them make painful and sometimes slow,
- 9:03Speaker 1: prolonged transitions to end of life, and that that was
- 9:08Speaker 1: something you just kind of were there for and they
- 9:10Speaker 1: maybe was providing palliative care. But that was just sort
- 9:14Speaker 1: of the context in which he had a lot of
- 9:17Speaker 1: his experiences in sort of a medical practice setting, he
- 9:21Speaker 1: was no stranger to controversy in his career. He left
- 9:24Speaker 1: the University of Michigan after he proposed that prisoners who
- 9:27Speaker 1: were given the death sentence should be able to voluntarily
- 9:31Speaker 1: elect to join medical experimentation as a form of execution
- 9:34Speaker 1: called terminal human experimentation. His employers asked him to discontinue
- 9:41Speaker 1: advocating for such a concept, but he chose to leave
- 9:44Speaker 1: rather than be silenced on this fact.
- 9:48Speaker 3: I could see where he's coming from.
- 9:50Speaker 1: And I think we made our position generally fairly clear
- 9:54Speaker 1: on this show that we are just against the killing
- 9:59Speaker 1: of other humans, particularly when it is because we're going
- 10:03Speaker 1: to be getting into this like end of life caret
- 10:05Speaker 1: and I think think there's a lot of nuance there.
- 10:06Speaker 1: But like we're talking about like as a form of punishment,
- 10:10Speaker 1: as a way of like addressing challenging behaviors in conflict,
- 10:19Speaker 1: we are vehemently anti killing humans on this show. And
- 10:25Speaker 1: that's not even to say that we're going to be
- 10:26Speaker 1: pro anything that doctor Kavorkian was advocating for doing here,
- 10:31Speaker 1: but just to say that, like, if he's like, well,
- 10:34Speaker 1: these are prisoners who are going to be put to death.
- 10:37Speaker 1: We can use this as an opportunity to practice this
- 10:41Speaker 1: end of life thing with them. I would be like, well,
- 10:45Speaker 1: let's not put them to death. And but you know,
- 10:50Speaker 1: I think he wasn't doing it out of malice.
- 10:53Speaker 2: No, I don't think he was doing any of this
- 10:54Speaker 2: out of malice. Like a lot of the discussions around
- 10:57Speaker 2: death and dying and all the things that kind of
- 11:00Speaker 2: come up in his kind of orbit. You know, part
- 11:03Speaker 2: of his proposals when he was talking about this type
- 11:05Speaker 2: of thing with experimentation was harvesting organs from inmates following
- 11:10Speaker 2: the death penalty, following like after they've been put to death.
- 11:13Speaker 2: But every time he would contact the prison or any
- 11:16Speaker 2: of the officials, they actually declined to cooperate. So like
- 11:18Speaker 2: whenever somebody would be put to death, they would never
- 11:21Speaker 2: they would never contact him, they wouldn't deal with them,
- 11:23Speaker 2: They wouldn't they wouldn't collaborate with him. So what we
- 11:25Speaker 2: were finding, What he was finding was that people were
- 11:27Speaker 2: being put to death and then they in useful organ
- 11:30Speaker 2: tissue was not being harvested that could save somebody's life.
- 11:33Speaker 3: So he had he had a real problem with that.
- 11:35Speaker 1: Got you, okay, one day, I think we probably should
- 11:38Speaker 1: do a relatively in depth reveal, like discussion about the
- 11:44Speaker 1: death penalty, about the components of the controversy of it,
- 11:48Speaker 1: the issues with it, and generally how it is just
- 11:51Speaker 1: a terrible thing.
- 11:52Speaker 3: I think.
- 11:53Speaker 1: I think we're both of the same opinion that we
- 11:56Speaker 1: were anti death penalty. Yes, like anti capitol bunch meant
- 11:59Speaker 1: great perfect. So anyway, that's just a thing I think
- 12:03Speaker 1: we might want to take on at some point.
- 12:05Speaker 3: Yeah.
- 12:05Speaker 2: Yeah, So back to doctor Kreworky, and I kind of
- 12:09Speaker 2: thinking about this too, Like it is around this time
- 12:11Speaker 2: that he is proposing this terminal human experimentation and stuff
- 12:15Speaker 2: like that, he is already expressing a high interest in
- 12:18Speaker 2: death and dying and all those things. And this is
- 12:20Speaker 2: where he gets his nickname doctor Death. Like this is
- 12:22Speaker 2: where his cohort, his peers, everybody starts calling him doctor
- 12:25Speaker 2: Death because he's not obsessed, but he is at least
- 12:28Speaker 2: like this has become a special interest for him, and
- 12:30Speaker 2: he has definitely like kind of spent this.
- 12:32Speaker 3: This is turning into a life's work for him.
- 12:35Speaker 1: Yeah, yes, where he has his experience, it's where he
- 12:38Speaker 1: is like familiar with the processes that are involved. And
- 12:42Speaker 1: I think just became increasingly comfortable with it and like
- 12:45Speaker 1: probably would just found himself more and more making peace
- 12:47Speaker 1: with what this entailed. And in many ways, as we'll see,
- 12:53Speaker 1: he seen it as being compassionate. But during his work
- 12:56Speaker 1: at Pontiac General Hospital, he developed a procedure to transfuse
- 13:00Speaker 1: blood from very recently deceased patients into living patients and
- 13:05Speaker 1: to do so successfully with great success. Yeah, he found
- 13:08Speaker 1: this to be of possible interest to the US military,
- 13:10Speaker 1: but he didn't really get any traction for his idea. Again,
- 13:13Speaker 1: there's just I think a lot of distaste around the
- 13:18Speaker 1: idea of I guess doing anything adverse to someone who's
- 13:23Speaker 1: already in the end stages of life.
- 13:25Speaker 3: I can appreciate.
- 13:26Speaker 2: So his proposal was that he like if they were
- 13:30Speaker 2: wounded soldiers, recently wounded or like, like recently wounded soldiers
- 13:34Speaker 2: on the battlefield and needed blood transfusions but blood was
- 13:36Speaker 2: not available that they could get them from recently deceased
- 13:40Speaker 2: soldiers that were already on the battlefield, that they were
- 13:42Speaker 2: able to recover.
- 13:43Speaker 3: So like, so it was like a practice.
- 13:45Speaker 2: It was actually like a practical application in an unfortunate situation. Like, yeah,
- 13:50Speaker 2: it's still war and it's really terrible, but like it
- 13:52Speaker 2: was one of those things where there was like an
- 13:54Speaker 2: actual like he was coming from it from a practical
- 13:56Speaker 2: standpoint of like saving lives, not desecrating the dead.
- 14:00Speaker 1: It's interesting too, because you think, like we they use
- 14:03Speaker 1: cadavers regularly, and everyone seems okay with that, but there's
- 14:07Speaker 1: something about blood that feels like maybe that's uh, they
- 14:11Speaker 1: feel like that's a line crossed or something.
- 14:13Speaker 3: Yeah.
- 14:14Speaker 2: I feel like when people talk about blood they get
- 14:15Speaker 2: the same feeling that they get when you hear about ads,
- 14:18Speaker 2: or you just get like the hebgb's you're like, ooh,
- 14:20Speaker 2: you know, we're back and we're talking about doctor Gregorkian
- 14:30Speaker 2: right now. At this point in time, he has been
- 14:32Speaker 2: developing a special interest around death and dying and kind
- 14:36Speaker 2: of like he's working with terminally ill patients. He's tried
- 14:39Speaker 2: to work with the US military. They're not particularly interested.
- 14:42Speaker 2: He's been fired from his jobs or been released from
- 14:44Speaker 2: his jobs because he won't stop advocating for different things.
- 14:47Speaker 2: But he actually struggled to maintain employment throughout the mid
- 14:50Speaker 2: sixties and seventies. So he's a trained professional, but because
- 14:53Speaker 2: of his views and because he's very outspoken, and he's writing.
- 14:56Speaker 2: When he's writing stuff about like things like the military
- 14:59Speaker 2: blood transfer usions and terminal human experiments, he's writing about
- 15:03Speaker 2: them in research journals. These are not like blogs. These
- 15:06Speaker 2: are like actual and actually in research journals is like
- 15:09Speaker 2: proposed theoretical philosophical discussions.
- 15:11Speaker 3: Yeah, so he tries to open a clinic. It ends
- 15:13Speaker 3: up failing.
- 15:14Speaker 2: He felt like he was like and this is actually
- 15:16Speaker 2: something he reported a lot. He was unable to connect
- 15:18Speaker 2: with his peers in the field due to his ideas.
- 15:19Speaker 2: Nobody he was kind of like very nuclear. Nobody really
- 15:22Speaker 2: wanted to work with him, and he was being described
- 15:25Speaker 2: as radical in the field as a result of those
- 15:27Speaker 2: kind of thoughts and those things that we talked about.
- 15:29Speaker 2: But in nineteen eighty two, he was homeless and barely
- 15:32Speaker 2: making it by using Social Security income. So he's a
- 15:36Speaker 2: trained physician with these ideas. He trained at like a
- 15:40Speaker 2: prestigious medical school, and he is living out of his
- 15:42Speaker 2: car and he is living on social Security income because
- 15:45Speaker 2: he has he just doesn't have a career at this
- 15:47Speaker 2: point in time.
- 15:48Speaker 1: Wow, that is a wow, right, So Okay, So in
- 15:54Speaker 1: the early nineteen eighties he began exploring the idea of death.
- 15:59Speaker 3: Counts, those kind of it. Yeah, that's what he called it.
- 16:02Speaker 1: Yeah, yeah, his name for it and the ethics of
- 16:05Speaker 1: euthanasia and humans. Around nineteen eighty six, he learned that
- 16:09Speaker 1: doctors and the Netherlands were helping people upon their request
- 16:12Speaker 1: to die bi lethal injection. This sparked his interest in
- 16:17Speaker 1: assisted suicide and resulted in a set of new articles
- 16:20Speaker 1: discussing the benefits and ethics of euthanasia selected by the patient.
- 16:25Speaker 1: In terminally ill patients and I mean most people I
- 16:28Speaker 1: think who listen to a podcast of this nature is
- 16:30Speaker 1: going to know what the word terminally ill means. But
- 16:33Speaker 1: we're talking about people who, as far as medical professionals
- 16:37Speaker 1: can tell, they are at their end of life stages.
- 16:40Speaker 1: They have an illness that they cannot come back from
- 16:43Speaker 1: some kind of injury or disease or whatever malady, and
- 16:48Speaker 1: that they will pass from this disease in not to
- 16:53Speaker 1: long period of time. And often people where we can
- 16:56Speaker 1: project the timeline of their mortality fairly accurately because of
- 17:00Speaker 1: diseases of this nature, we also kind of know how
- 17:05Speaker 1: bad it can be and how much suffering they may experience,
- 17:09Speaker 1: where they are just in constant pain, they can't communicate
- 17:13Speaker 1: in many cases, so they can't share anything with loved ones,
- 17:17Speaker 1: loved ones can't really interact with them.
- 17:20Speaker 3: And there are.
- 17:21Speaker 1: Definitely those who have argued that in those circumstances it
- 17:26Speaker 1: is more compassionate to take that pain away by ending
- 17:31Speaker 1: that person's life if they have no chance of recovery.
- 17:35Speaker 1: And therein lies some of the controversy is like there
- 17:37Speaker 1: have been people who sort of came back from what
- 17:39Speaker 1: looked like terminal illnesses and had they not been given
- 17:43Speaker 1: that chance, then they would have been prematurely killed.
- 17:47Speaker 2: Yeah, and well, and will definitely unpack some of that too,
- 17:49Speaker 2: because that's gonna be some of the unique nuance of this.
- 17:51Speaker 3: Right.
- 17:52Speaker 2: So at this stage, during the stage in his career,
- 17:55Speaker 2: he actually like as he's interested in this, and he
- 17:57Speaker 2: starts to kind of think about, like this his death
- 17:59Speaker 2: counseling piece. He developed something called the Thanatatron thha N
- 18:04Speaker 2: A t r O N and he makes it out
- 18:06Speaker 2: of forty five dollars materials, and what it is is
- 18:09Speaker 2: essentially this is his first device. This is the device
- 18:11Speaker 2: that he uses for the assistant suicide work that he does.
- 18:14Speaker 2: So it includes three bottles that are delivered in successive
- 18:17Speaker 2: doses of fluids. So first the person gets saline, and
- 18:20Speaker 2: then they get a painkiller, and then they get potassium chloride,
- 18:24Speaker 2: which at the prescribed dose that he was looking at
- 18:27Speaker 2: was fatal. It is lethal. So at this point in time,
- 18:29Speaker 2: he gets you get saline to fleshow.
- 18:31Speaker 3: I'm not going to tell you what that dose is. Yeah, yeah,
- 18:33Speaker 3: we're not going to tell you what that dose is.
- 18:34Speaker 2: I'm sure you'll be able to find it if you
- 18:36Speaker 2: wanted to, but we do not recommend looking at it.
- 18:38Speaker 3: Now.
- 18:39Speaker 2: The device allowed patients to administer the fluids themselves. And
- 18:42Speaker 2: this is super important to know, is like this device
- 18:46Speaker 2: was designed, he was not administering these medications. He was
- 18:49Speaker 2: a doctor who had access to the prescriptions and he
- 18:52Speaker 2: when people would request this and he would counsel them,
- 18:55Speaker 2: he would get these prescriptions and he would set up
- 18:57Speaker 2: the device. But the person at the center of it,
- 19:00Speaker 2: the person who is choosing and electing to use the device,
- 19:03Speaker 2: is pressing the button, they're pulling the levers, they're doing
- 19:06Speaker 2: all that. He never in this circumstance, he never administers
- 19:11Speaker 2: the medications.
- 19:11Speaker 3: Here.
- 19:12Speaker 1: Wow, you can see where he's coming from. Like he
- 19:15Speaker 1: is trying to do this the compassion away and put
- 19:17Speaker 1: all of the choice in the hands of the patient,
- 19:19Speaker 1: where they do not have anything forced upon them that
- 19:22Speaker 1: they did not choose themselves. Right now, as a quick
- 19:25Speaker 1: side note on here, you hear thanata tron and maybe
- 19:29Speaker 1: you hear the root words of this, but this essentially
- 19:32Speaker 1: translates to instrument of death. In ancient Greek, Thanatos is
- 19:38Speaker 1: the Greek personification of peaceful death and is described as
- 19:41Speaker 1: a winged, darkly dressed man. He is the son of
- 19:44Speaker 1: Nix Knight and Erebus Darkness. His twin brother is Hypnos Sleep.
- 19:50Speaker 1: His siblings, the Kiris, are personifications of violent death. But yeah,
- 19:56Speaker 1: I think tron is like machine. Yeah, and then or
- 20:00Speaker 1: some kind of like mechanical device. And then Thanato is
- 20:02Speaker 1: meaning death, so essentially death machine.
- 20:04Speaker 3: Yeah.
- 20:05Speaker 2: And I think fitting that he named it after the
- 20:08Speaker 2: personification of peaceful death, right like so, Thanatos is the
- 20:13Speaker 2: personification of peaceful death, not violent death.
- 20:15Speaker 3: Which was the Keras, which were his other siblings peaceful
- 20:18Speaker 3: death machine, peaceful death machine.
- 20:20Speaker 2: I did include a picture, and I did show this
- 20:22Speaker 2: to Abraham the last time we were talking, because I
- 20:24Speaker 2: thought this picture is so interesting because it's it's a
- 20:28Speaker 2: picture of the device, and it's basically to describe it,
- 20:30Speaker 2: there's a metal box in the bottom with like these
- 20:33Speaker 2: like struts that are kind of like almost like like legs,
- 20:36Speaker 2: like how you would see like in a like to
- 20:37Speaker 2: kind of like hold or steady the box. And then
- 20:40Speaker 2: there is what you can describe as like kind of
- 20:42Speaker 2: like an arch or like a handle almost like a
- 20:45Speaker 2: monkey bar type of situation where there are three bottles
- 20:50Speaker 2: or piece of medical equipment hanging from them so that
- 20:53Speaker 2: gravity basically pulls the the fluids out of the bottles. Right,
- 20:57Speaker 2: But the picture is him showing the device, and he
- 20:59Speaker 2: is I'm so happy about it, Like he is gritting,
- 21:02Speaker 2: like he just opened a PlayStation on Christmas, Like he
- 21:06Speaker 2: is so excited about it. And it's just an interesting
- 21:09Speaker 2: photo to It's like such a juxtaposition, right of like
- 21:12Speaker 2: this guy who like seems happy and proud and all
- 21:15Speaker 2: this and then a device that is specifically used to
- 21:18Speaker 2: help people pass. So it's just a really interesting photo.
- 21:21Speaker 2: So we'll make sure to share it too.
- 21:23Speaker 3: Yes, for sure.
- 21:24Speaker 1: I don't know how to segue appropriately, So here's an ad. Okay,
- 21:35Speaker 1: we are back. Doctor Kavorkian has invented his death machine.
- 21:41Speaker 1: Which is to say, a peaceful death machine. Yeah, his
- 21:44Speaker 1: instrument to facilitate suicide by putting the choice in the
- 21:47Speaker 1: hands of the patient. So we can now get into
- 21:50Speaker 1: sort of the timeline of events here a bit.
- 21:53Speaker 2: So.
- 21:53Speaker 1: His first assisted suicide patient was a woman named Janet
- 21:57Speaker 1: Adkins in nineteen ninety. She was a fifty four year
- 22:00Speaker 1: old and one of his Alzheimer's patients in Michigan.
- 22:03Speaker 3: Wow, that is young. Yeah.
- 22:04Speaker 1: Prior to her diagnosis, she belongs to a group called
- 22:08Speaker 1: the Hemlock Society, which is an organization that advocates for
- 22:13Speaker 1: end of life choices through right to die legislation and policies,
- 22:18Speaker 1: and Adkins specifically sought out practitioners once she received her
- 22:21Speaker 1: diagnosis so she could make an end of life decision
- 22:24Speaker 1: prior to the disease taking full effect. I'm not going
- 22:28Speaker 1: to try and advocate that people be not have these
- 22:33Speaker 1: beliefs or not try and have these choices, but I
- 22:35Speaker 1: do think that, like, in my opinion, it would be
- 22:39Speaker 1: ideal to try and provide as much support as possible
- 22:44Speaker 1: so that people can Like, having Alzheimer's doesn't mean that
- 22:48Speaker 1: your life is over. Like, there are a lot of
- 22:49Speaker 1: people who are working to provide assistance and support into
- 22:53Speaker 1: communities of people with Alzheimer's so that they can have
- 22:56Speaker 1: the most comfortable and fulfilling life possible post disease in
- 23:00Speaker 1: Alzheimer's is a terrible disease, and we should definitely talk
- 23:03Speaker 1: about it at some point, But like, I understand the
- 23:06Speaker 1: fear of it, but like, there are a lot of
- 23:08Speaker 1: people who really try to care for and give meaningful
- 23:12Speaker 1: lives to people who suffer with that, and I'm very
- 23:14Speaker 1: appreciative of the fact that those communities exist. And again
- 23:17Speaker 1: that's not to say that I want to suggest there
- 23:20Speaker 1: shouldn't be people who have support for like right today
- 23:24Speaker 1: policies and legislation, but I do think it's worth considering that, Like,
- 23:29Speaker 1: if the difference is that you just don't have enough support, like,
- 23:31Speaker 1: then let's just provide that support. I'd rather you have
- 23:34Speaker 1: the life that you can possibly have and not feel
- 23:37Speaker 1: like you don't have a choice.
- 23:38Speaker 3: Yeah, I think that's fair.
- 23:39Speaker 2: And I think the other side too, is that you know,
- 23:42Speaker 2: when we're talking about this particular episode or this incident,
- 23:45Speaker 2: this is from nineteen ninety, right, so this is thirty
- 23:47Speaker 2: six years ago, where like our medicine has advanced too,
- 23:50Speaker 2: So like I think that that context is also really important,
- 23:54Speaker 2: because I mean not to say that there weren't treatments
- 23:56Speaker 2: and there weren't care facilities and things back then as well.
- 23:59Speaker 2: I think that just the care is advanced, right, And
- 24:02Speaker 2: that's just kind of what happens, yeah, a lot over
- 24:04Speaker 2: and that's what happens over a timeline. So just to
- 24:07Speaker 2: kind of go back to the scenario, Janet Atkins is diagnosed.
- 24:10Speaker 2: She is has made a decision with support from the
- 24:13Speaker 2: Hemlock Society, and we'll talk about why it's called the
- 24:16Speaker 2: Hemlock Society later or like why Hemlock is such a
- 24:18Speaker 2: big deal here. So she finds doctor Givorkian and goes,
- 24:22Speaker 2: this is the guy, he will help me. This first
- 24:24Speaker 2: administration of the use of the thanatron and with doctor
- 24:28Speaker 2: Givorkian in this assistant suicide space took place in a
- 24:31Speaker 2: public park in doctor Kivorkian's VW Van. Okay, so this
- 24:37Speaker 2: should give you pause to kind of go, Okay, he's
- 24:40Speaker 2: got a mobile facility. That's maybe a concern right now.
- 24:44Speaker 2: She passed within five minutes of the administration though, so
- 24:46Speaker 2: she passed very rapidly as a result of this device.
- 24:49Speaker 2: And this was the first time, the first administration, the
- 24:51Speaker 2: first the first time this's worked in doctor Givorchian's Doctor
- 24:55Speaker 2: Kivorkians essentially his patient zero for this, this whole career
- 24:59Speaker 2: that he's about to take off.
- 25:00Speaker 1: Wow, I don't know how you explain to like cops
- 25:05Speaker 1: who show up and the like, I know you had
- 25:06Speaker 1: parked of this van for a long time. What do
- 25:08Speaker 1: you got going on in Yeah, it's just a dead body.
- 25:11Speaker 1: You're like, no, no, she asked me to do it.
- 25:12Speaker 3: Yeah, yeah, he goes she did it. Yeah, Yeah, she
- 25:15Speaker 3: did it. She did it, not me.
- 25:16Speaker 1: And as you imagine, the fallout from this event was
- 25:19Speaker 1: swift and.
- 25:21Speaker 3: Intense.
- 25:22Speaker 1: Yeah, he was immediately charged with murder, though the charges
- 25:25Speaker 1: were dismissed due to a lack of legal precedence related
- 25:28Speaker 1: to assisted suicide, Like they didn't have any laws to
- 25:31Speaker 1: turn to. We didn't have laws about assisted suicide. At
- 25:33Speaker 1: this point, his medical license was suspended in Michigan, which
- 25:36Speaker 1: ultimately limited his access to the necessary drugs to use
- 25:41Speaker 1: in the Thanata tron, and this led to the development
- 25:44Speaker 1: of Mercatron, which developed carbon monoxide through a gas mask
- 25:48Speaker 1: instead of the fluids in the Thanatatron, which I feel
- 25:52Speaker 1: like would maybe be slightly less comfortable.
- 25:54Speaker 3: I'm not sure.
- 25:55Speaker 2: Also, I will say like he's not very good at
- 25:57Speaker 2: naming things. To be fair, I think down from the Natatron,
- 26:01Speaker 2: I think the Natatron has like a nice ring to it.
- 26:03Speaker 2: The Mrs Trons feels like CARNIVALI fair.
- 26:07Speaker 1: Yeah, maybe also something from Transformers.
- 26:10Speaker 3: Yes, yes, exactly.
- 26:12Speaker 2: So I think an important point though, like he was
- 26:14Speaker 2: not charged with this right, so like this is at
- 26:16Speaker 2: this point in time, there is no legal precedent for.
- 26:18Speaker 3: What he did.
- 26:19Speaker 2: Yeah, that is confusing for people in the legal space,
- 26:23Speaker 2: especially when it comes to people dying.
- 26:25Speaker 1: And she pulled the trigger, you know. So it's like
- 26:28Speaker 1: his active involvement was supplying the equipment, but she was
- 26:31Speaker 1: the one who did the deed, so to speak.
- 26:33Speaker 2: And that's why they were able to suspend his medical
- 26:35Speaker 2: license is because of that right, because he did provide
- 26:38Speaker 2: the material. So now going forward, Gavorkin was charged the
- 26:41Speaker 2: following year once Michigan passed law's outlaw assisted suicide. So
- 26:45Speaker 2: he actually as a result of this event, had they
- 26:48Speaker 2: had to make legislation to catch up with what he
- 26:50Speaker 2: was doing. So he was jailed twice, but he was
- 26:53Speaker 2: never charged in those those other crimes because the administration
- 26:58Speaker 2: of the medication was based on the quote intent to
- 27:01Speaker 2: relieve pain and suffering. So he felt there's a loophole.
- 27:04Speaker 2: There's a loophole in the legislation that said, because the materials,
- 27:08Speaker 2: all that stuff, because it was it was provided under
- 27:12Speaker 2: the intent to relieve pain and suffering, they couldn't charge
- 27:14Speaker 2: him for homicide, murder or manslaughter or anything like that.
- 27:17Speaker 3: Wow, I know, super interesting.
- 27:19Speaker 1: I can imagine though, that law was probably written well
- 27:22Speaker 1: before because of people who when in their attempt to
- 27:26Speaker 1: like let's say, just for example, you had a patient
- 27:28Speaker 1: who was in a lot of pain and you provided
- 27:30Speaker 1: morphine and they were still in pain, so you provided
- 27:32Speaker 1: morphine and they were still in pain, so you provided
- 27:34Speaker 1: more and morphine, right, and eventually it reaches a critical
- 27:37Speaker 1: mass and they pass. All you're doing is, the doctor,
- 27:41Speaker 1: is to try and relieve pain, right, and so, like,
- 27:44Speaker 1: long before any of this was happening, it was relevant
- 27:48Speaker 1: that patients would pass during medical procedures, with doctors doing
- 27:53Speaker 1: their best effort to make sure that they didn't pass,
- 27:56Speaker 1: and often in the space that they were simply trying
- 28:00Speaker 1: to relieve them of their pain and suffering, and so
- 28:03Speaker 1: laws protected them from that because you could see people
- 28:05Speaker 1: getting frustrated and they lose loved ones, and the doctors
- 28:08Speaker 1: were like, I was just trying to, you know, alleviate
- 28:11Speaker 1: their pain and suffering.
- 28:12Speaker 3: Right.
- 28:12Speaker 1: Anyway, all that being said, that's essentially the precedent here.
- 28:16Speaker 1: He did continue to help patients despite these charges and
- 28:19Speaker 1: attempts to jail him. In nineteen ninety eight, he even
- 28:24Speaker 1: taped a session with Thomas Yuke, who had elected to
- 28:28Speaker 1: receive assisted suicide after suffering from lou Gerrigg's disease also
- 28:32Speaker 1: known as ALS, very different from asl YEP, another really
- 28:37Speaker 1: horrible disease that is quite unfortunate.
- 28:40Speaker 2: Yeah, absolutely, so this scenario is different. Was this tape
- 28:44Speaker 2: was actually aired on sixty minutes, so they actually aired
- 28:47Speaker 2: this treatment on.
- 28:49Speaker 3: TV WOW, so which is why wow.
- 28:51Speaker 2: And he was eventually as a result of this tape
- 28:54Speaker 2: and this airing, he was brought up on second degree
- 28:57Speaker 2: murder charges, where he was found guilty for Thomas Yuke's
- 29:00Speaker 2: murder for his homicide and served eight years in prison.
- 29:04Speaker 2: He had been sentenced to twenty five but was released
- 29:07Speaker 2: conditionally on good behavior. So he was released on the behavior.
- 29:10Speaker 2: As a result of this, they did finally catch up
- 29:11Speaker 2: with him, they did finally charge him. But here's why
- 29:13Speaker 2: they charged him. The reason that Thomas Yuke's case was
- 29:17Speaker 2: different than every other case was because in the video,
- 29:21Speaker 2: doctor Kavorkian is actively administering the lethal dose so he
- 29:25Speaker 2: is the one that administers it in this scenario, not
- 29:28Speaker 2: Thomas in his and making that decision on his own,
- 29:31Speaker 2: and every other case, the person electing assistant suicide administered
- 29:34Speaker 2: the drugs themselves, which is actually current practice in some
- 29:38Speaker 2: places as far as like the law stand. And that's
- 29:41Speaker 2: what they were able to charge him on is because
- 29:42Speaker 2: he administered the dose, not Thomas got it.
- 29:46Speaker 3: Okay, Yeah, and that did.
- 29:47Speaker 1: Yeah, as we sort of mentioned the legal president before,
- 29:51Speaker 1: where it was murky, was because he was all he
- 29:53Speaker 1: did was supply the equipment. But right once he was
- 29:56Speaker 1: the one pushing the plunger. Then the everybody else, like
- 30:00Speaker 1: lawyers who were just frothing at the mouth, were like,
- 30:02Speaker 1: we got him.
- 30:03Speaker 3: That's yeah, that's exactly what happened. That's exactly what happened.
- 30:06Speaker 1: So we're sort of covering the timeline here of his life.
- 30:09Speaker 1: On June third, twenty eleven, He died at the age
- 30:12Speaker 1: of eighty three as a result of kidney and heart problems.
- 30:15Speaker 1: At the time of his death, he had assisted with
- 30:18Speaker 1: at least one hundred and thirty patients between nineteen ninety
- 30:21Speaker 1: and nineteen ninety eight using his assisted suicide techniques. That
- 30:26Speaker 1: was sort of the overall counts there. I am guessing
- 30:30Speaker 1: he did not have the opportunity to die by assisted
- 30:33Speaker 1: suicide in his medical condition, but that would have been
- 30:36Speaker 1: interesting had he chosen that.
- 30:38Speaker 2: Yeah, yeah, that didn't come up in my research. It
- 30:41Speaker 2: maybe out there, but I didn't see. I didn't see
- 30:43Speaker 2: how that happened. I think he I think he passed.
- 30:45Speaker 2: I don't know that he made that choice though. Gotcha
- 30:48Speaker 2: all that to say, We've got doctor.
- 30:50Speaker 3: Gregork in here.
- 30:51Speaker 2: That's his life, that's the guy that kind of started
- 30:52Speaker 2: this discussion, And I think it's really important to kind
- 30:55Speaker 2: of take this and go go a little bit further,
- 30:58Speaker 2: right because, like, while his story is pretty linear, which
- 31:01Speaker 2: is went to school, he's had, you know, his troubles
- 31:04Speaker 2: and relationship troubles and whatever. He's interested in death and
- 31:07Speaker 2: all that stuff. Ultimately, the crux, the core, like the
- 31:10Speaker 2: critical feature, the central feature of this story is this
- 31:14Speaker 2: conversation about assistant suicide, and we'll talk about that. So
- 31:18Speaker 2: I think we're gonna take a quick gab break just
- 31:20Speaker 2: to fill your ears with some respite, and then we're
- 31:22Speaker 2: gonna really unpack what assistant suicide means and kind of
- 31:26Speaker 2: like current current terminology and stats and stuff like that.
- 31:36Speaker 1: All right, we are back. And Yeah, as you said,
- 31:39Speaker 1: doctor Gevorkian's story is interesting because of the topic of
- 31:43Speaker 1: assistant suicide, I mean interesting, provocative maybe.
- 31:46Speaker 3: Yeah.
- 31:46Speaker 1: The reason that his story was told and made the
- 31:49Speaker 1: news was because it was rooted inside of this nebulous,
- 31:53Speaker 1: sort of gray area that people hadn't necessarily thought a
- 31:56Speaker 1: whole lot about because there were very few laws about
- 31:59Speaker 1: it at the time, and like murder was clear and straightforward,
- 32:04Speaker 1: simply dying was fairly clear and straightforward.
- 32:06Speaker 3: Yeah, And for a while, before.
- 32:09Speaker 1: The government had a monopoly on violence, there was this
- 32:12Speaker 1: sort of do it yourself justice system in the old
- 32:15Speaker 1: Western the United States, where shooting someone for offending you
- 32:18Speaker 1: was kind of like, well, shouldn't offend people then type
- 32:21Speaker 1: of reaction. Sure, at this point in history, we're getting
- 32:24Speaker 1: to the part where like people who are as far
- 32:27Speaker 1: as we can tell, in the service of compassionate care,
- 32:31Speaker 1: attempting to relieve pain and suffering, and so that's the
- 32:34Speaker 1: sort of assisted suicide aspect of it.
- 32:37Speaker 3: Let's unpack this a little bit though.
- 32:38Speaker 2: So the central feature of the story, like I mentioned,
- 32:41Speaker 2: or the primary diliver, boils down to the concept of
- 32:44Speaker 2: assistant suicide. So are to define our terms and to
- 32:47Speaker 2: understand what it is. Assistant suicide refers to suicide effective
- 32:51Speaker 2: in the assistance of another person, especially the taking of
- 32:54Speaker 2: lethal drugs provided by doctor for the purpose by a
- 32:57Speaker 2: patient with terminal illness or in cure condition. So essentially
- 33:01Speaker 2: it's just saying this person has elected, under these conditions
- 33:05Speaker 2: to choose how their life ends, and as a result,
- 33:09Speaker 2: you've got this assistant suicide discussion that's come up.
- 33:11Speaker 1: Yes, man, this does get There's so much complication and
- 33:15Speaker 1: nuance here too. It assumes, at least to a point,
- 33:19Speaker 1: people have competence and understanding to make an informed decision,
- 33:25Speaker 1: and that it's not something that I think is even
- 33:29Speaker 1: necessarily recommended, but is potentially made available upon request. Should
- 33:34Speaker 1: somebody be seeking relief from their pain and suffering by
- 33:38Speaker 1: I guess requesting that their life be ended, Right, So
- 33:42Speaker 1: this concept falls in line with that right to die
- 33:46Speaker 1: view that we described earlier, which advocates for a person
- 33:49Speaker 1: to refuse measures intended to prolong someone's life when they
- 33:53Speaker 1: are terminally ill or commatose. That is something I also
- 33:57Speaker 1: have been directly adjacent too, I guess is somebody who
- 34:02Speaker 1: essentially wanted to die and didn't ask for help with suicide,
- 34:07Speaker 1: but then refused all medical treatment. And a doctor really
- 34:10Speaker 1: can't force someone to take a treatment that would save
- 34:14Speaker 1: their lives if that person is refusing it.
- 34:16Speaker 3: Right, they just can't.
- 34:18Speaker 1: And I mean, like and many ways I think we
- 34:20Speaker 1: just don't want them to, but they can't do that.
- 34:22Speaker 1: And so that's another sort of tricky part here, is like,
- 34:25Speaker 1: is it assisted suicide if you don't help when you could,
- 34:28Speaker 1: if you can't help because they won't let you, right right,
- 34:32Speaker 1: And therein lies the conundrum. But anyway, the idea here
- 34:36Speaker 1: with this right to die of you is that a
- 34:37Speaker 1: person should have ethical and legal responsibility to make autonomous
- 34:41Speaker 1: decisions about their end of life and their end of
- 34:44Speaker 1: life care.
- 34:45Speaker 2: Yes, absolutely, Now, the concept of assistant suicide has been
- 34:48Speaker 2: a long standing practices and not something that just started
- 34:50Speaker 2: to emerge in the eighties. And nineties with doctor cavortis
- 34:53Speaker 2: to something that's been around for a very long time.
- 34:56Speaker 2: Some accounts go so far as they go back as
- 34:59Speaker 2: far as three hundred ninety on BCE and a lot
- 35:01Speaker 2: of times in the like what the first documented account,
- 35:04Speaker 2: they found that suicide and the assistant suicide was actually
- 35:07Speaker 2: like accepted and was often assisted with hemlock. Hence the
- 35:11Speaker 2: Hemlock Society. Right, so, like a legal dose of hemlock
- 35:15Speaker 2: would would be used in those situations. As Christianity began
- 35:19Speaker 2: to take hold, though, suicidality was condemned as a violation
- 35:23Speaker 2: of religious doctrine, so it wasn't really until Christianity showed
- 35:27Speaker 2: up that they were like, oh this is bad.
- 35:29Speaker 3: Yeah you no no, no, no, no, no, no no.
- 35:31Speaker 2: No, and started wagging their fingers at people, right.
- 35:33Speaker 1: Yeah, which is confusing for the amount of violence and
- 35:38Speaker 1: death that they caused in so many places, but.
- 35:42Speaker 2: Right right, yeah, the guy's coming out of the crusades
- 35:45Speaker 2: going no.
- 35:45Speaker 3: No, no, no no no, you don't do that yourself. I
- 35:48Speaker 3: kill you. You don't kill you. We do that. Yeah, yeah,
- 35:52Speaker 3: we are.
- 35:52Speaker 1: The death machine. You don't make choices, We kill you.
- 35:57Speaker 1: And like the witch trials and the fact that the
- 36:01Speaker 1: most conservative places are the most religious have the most
- 36:04Speaker 1: capital punishments. It is a weird, wild conundrum there.
- 36:09Speaker 2: Yeah, you get whiplash from snapping your head back and
- 36:12Speaker 2: forth between those two views.
- 36:13Speaker 1: Yeah, incongruent is what I shall call it.
- 36:17Speaker 3: Okay, so that's a nice word.
- 36:19Speaker 1: So in eighteen eighty five that saw the first proposal
- 36:22Speaker 1: to use a voluntary euthanasia practice and a medical practice
- 36:26Speaker 1: in the United States, and this followed accounts of assisted
- 36:29Speaker 1: dying methods where folks would go around and pull on
- 36:31Speaker 1: the legs of hangs people who hadn't immediately died to
- 36:34Speaker 1: help them accelerate the process.
- 36:36Speaker 3: Yeah.
- 36:38Speaker 1: Gross, but okay, So apparently you've got people hanging in
- 36:41Speaker 1: the gallows and you're like, if they had fallen, their
- 36:45Speaker 1: neck didn't break and they didn't suffocate yet, Like, let's
- 36:48Speaker 1: just cut pull them down harder so it cuts off
- 36:51Speaker 1: the airway so that they definitely die.
- 36:53Speaker 3: Yeah.
- 36:54Speaker 2: That was written in a newspaper article talking about how
- 36:57Speaker 2: that was like oftentimes a request from the prisoners and
- 37:00Speaker 2: the gallows because they were like, I don't want to
- 37:03Speaker 2: suffer up there.
- 37:03Speaker 3: Yeah, I want this to be quick.
- 37:05Speaker 2: So like they would actually request people doing that to
- 37:08Speaker 2: like go and like pull on their.
- 37:09Speaker 3: Legs to make that a little bit quicker. Oh what
- 37:11Speaker 3: a horrible thing. Yeah, And just that's in the late
- 37:14Speaker 3: eighteen hundreds. Yeah.
- 37:16Speaker 2: So in nineteen oh six, two bills were introduced in
- 37:20Speaker 2: Ohio and in Iowa, and they were called the Chloroform Bills.
- 37:23Speaker 2: And these two bills were aimed at legalizing euthanasia and
- 37:27Speaker 2: medical aid in dying, and specifically, the term medical aid
- 37:30Speaker 2: and dying is going to come up a couple times
- 37:31Speaker 2: because that's going to be kind of the more the
- 37:33Speaker 2: more current term than assistant suicide. These two bills were proposed,
- 37:38Speaker 2: both failed. People were absolutely not having that, and part
- 37:41Speaker 2: of that was because doctors were finding new drugs and
- 37:43Speaker 2: new ways to help people peacefully fall asleep and their
- 37:47Speaker 2: own lives.
- 37:48Speaker 3: Right then.
- 37:49Speaker 1: The first successful law to be passed, so these ones
- 37:52Speaker 1: failed in nineteen oh six, but the one that did
- 37:55Speaker 1: succeed was the Death with Dignity Act in Oregon in
- 37:59Speaker 1: nineteen ninety four, not taking effect until nineteen ninety seven,
- 38:04Speaker 1: but that was the general idea of that law.
- 38:06Speaker 2: So the reason that the organ law that that's with
- 38:09Speaker 2: the the act took so long is because in nineteen
- 38:12Speaker 2: ninety four it was passed, but it got challenged in
- 38:14Speaker 2: court quite.
- 38:14Speaker 3: A few times. Oh okay, yeah, so it took.
- 38:17Speaker 2: A little bit for for everybody to got to go
- 38:19Speaker 2: like it's fine. Now, laws that do exist for medical
- 38:23Speaker 2: aid in dying or assisted suicide have specific qualifications that
- 38:27Speaker 2: need to be met. So this is not just that
- 38:29Speaker 2: anybody can go, I want to do this. There are
- 38:32Speaker 2: four things that have to happen. The person has to
- 38:34Speaker 2: have a terminal illness that is incurable. And most laws
- 38:37Speaker 2: right now say that the person has to be they've
- 38:39Speaker 2: been given a prognosis of like six months, like they
- 38:43Speaker 2: are not going to make it past six months guaranteed,
- 38:45Speaker 2: right Some go up to a year, but most say
- 38:48Speaker 2: six months. So they have to have a terminal illness
- 38:50Speaker 2: that's incurable and resistant to treatment. And they have to
- 38:53Speaker 2: be of sound mind. So they have to be able
- 38:55Speaker 2: to And this goes back to Janet Atkins and in
- 38:58Speaker 2: the first Kvorkian case, where if she elected to choose
- 39:01Speaker 2: to do this, she was able to competently make that
- 39:04Speaker 2: decision and multiple times express that will.
- 39:08Speaker 1: Yeah, and I think you imagine someone who is maybe comatose,
- 39:11Speaker 1: who doesn't have a very good prognosis. If they can't
- 39:14Speaker 1: advocate for themselves, then they are not a candidate for
- 39:17Speaker 1: this right. If there is someone who had significant brain
- 39:20Speaker 1: damage or has some kind of mental disability or something like,
- 39:24Speaker 1: they also may not be able to understand what is
- 39:27Speaker 1: being offered to them and make an intentional choice within
- 39:32Speaker 1: like a clear understanding of the implications of that choice.
- 39:35Speaker 1: So that's why that part is like a baked right
- 39:37Speaker 1: into it as well. They also specifically will include the
- 39:43Speaker 1: requirement that the patient voluntarily and repeatedly express their wish
- 39:49Speaker 1: to die. If they're changing their mind, then like it's
- 39:52Speaker 1: a no. It's either a hard yes or.
- 39:54Speaker 3: It's a no.
- 39:55Speaker 1: Anything but a hard yes is a no, A maybe yeah, no, yes,
- 40:00Speaker 1: I'm not so sure. No, I don't really think so, No,
- 40:03Speaker 1: I do think so, I'm not so sure again. No,
- 40:06Speaker 1: Like there is just no lawfle like it is either
- 40:08Speaker 1: you are firmly in that camp or you are a no.
- 40:11Speaker 3: Yeah.
- 40:11Speaker 2: And even the people that are firmly in that camp
- 40:13Speaker 2: still make a decision at the end. So we'll talk
- 40:16Speaker 2: about that, right. So the final condition is that they
- 40:18Speaker 2: take the specified lethal dose by their own hand, and
- 40:21Speaker 2: this is largely because in medical profession specifically, they take
- 40:24Speaker 2: the hippocritic oath and they cannot be responsible for someone
- 40:28Speaker 2: for helping someone die in that space for the same
- 40:30Speaker 2: reason that like the death penalty is never administered by
- 40:32Speaker 2: a medical doctor or medical professional, it's always somebody who
- 40:35Speaker 2: is trained, but not somebody who has taken the hippocritic
- 40:38Speaker 2: oath and belongs to that group.
- 40:40Speaker 1: Aside from again, sometimes the alleviation of pain does result
- 40:45Speaker 1: in death in some cases, right, but again it is
- 40:49Speaker 1: gray area, but the intention is to just make them
- 40:52Speaker 1: more comfortable, which sometimes results in death, and sometimes the
- 40:55Speaker 1: doctors know that that is a risk, but they're like,
- 40:59Speaker 1: let's just make you us comfort as we possibly can.
- 41:01Speaker 1: Right for those people who are following, This exact scenario
- 41:05Speaker 1: is depicted in the season two of The Pit. Not
- 41:08Speaker 1: to spoil a big spoiler, I guess, but they handle
- 41:12Speaker 1: I think very well. And I think it is again complicated,
- 41:16Speaker 1: nuanced and interesting topic in of it in and of itself,
- 41:19Speaker 1: and yeah, what a good show. I don't know if
- 41:21Speaker 1: we've recommended that before, but oh my god, what a
- 41:23Speaker 1: good show.
- 41:24Speaker 2: I think we've talked about it, and I it's on
- 41:26Speaker 2: my list because I heard it's really good.
- 41:28Speaker 1: Oh man, Okay, Season two is about to rap at
- 41:31Speaker 1: the time that we're recording.
- 41:32Speaker 3: This, so okay, okay, we're close. You're close, all right.
- 41:36Speaker 1: Some argue that assisted suicide and Kavorkian's work is actually
- 41:39Speaker 1: not assisted suicide, but is something they're calling instead medical aid.
- 41:44Speaker 3: In dying or made maid. Huh.
- 41:48Speaker 1: The preferred name aligns closer with the legal precedents set
- 41:51Speaker 1: in place and attempts to remove the stigma that often
- 41:55Speaker 1: comes with the term suicide. And again they're trying to
- 41:59Speaker 1: really the emphasis on the fact that dying is happening
- 42:04Speaker 1: and the medical professional is helping to What's what I'm
- 42:09Speaker 1: looking for here, like assist you know, yeah, facilitating the process?
- 42:15Speaker 3: I guess, yeah. Yeah.
- 42:17Speaker 2: There's something really interesting about I mean, this is a
- 42:20Speaker 2: meditation on language, right, like a suicide medical aid.
- 42:24Speaker 3: And dying like it is.
- 42:26Speaker 2: It is a very like you've mentioned at the top
- 42:28Speaker 2: of the show, it's a very nuanced discussion, and it's
- 42:30Speaker 2: a very complex discussion, and it is a meditation on language,
- 42:33Speaker 2: on like what is the preferred nomenclature for something like
- 42:36Speaker 2: this that is ultimately going to be compassionate and result
- 42:40Speaker 2: in dignity, but also make sure that the person is not,
- 42:43Speaker 2: like you mentioned, waffling back and forth, Like it is
- 42:46Speaker 2: an incredibly complex space to be in, Like it's not
- 42:49Speaker 2: as easy as going.
- 42:50Speaker 3: This person has they just chose this, so it's fine.
- 42:52Speaker 2: It's like I've worked with people who are of not
- 42:54Speaker 2: sound in mind, not not of sound in mind, sound
- 42:58Speaker 2: not of sound mind. That's I'm trying to say, they
- 43:01Speaker 2: were not of sound mind, and I've heard them try
- 43:04Speaker 2: to make decisions like this and there's just no way
- 43:06Speaker 2: that would have been ethical or legally responsible.
- 43:09Speaker 3: Yeah it's so complex. Yeah, yeah, it really is.
- 43:12Speaker 1: So someone choosing this may either just pills or powders,
- 43:17Speaker 1: or take the dose intravenously, or use an inhalent, which
- 43:20Speaker 1: has been used in a few cases of Switzerland. So
- 43:23Speaker 1: there are some different things. It's actually, in some ways
- 43:26Speaker 1: it's not that easy to kill a person, like you
- 43:29Speaker 1: kind of got to you kind of work, you gotta
- 43:31Speaker 1: work for it. It does feel like sometimes it's easier
- 43:34Speaker 1: than others, but like it's not really that easy to
- 43:37Speaker 1: kill people. I think mentally the experience and then also
- 43:41Speaker 1: the fact that our bodies are trying really hard to
- 43:43Speaker 1: stay alive. Yes, so like, yes, are the rest of
- 43:47Speaker 1: our biology. It's basically its only job is to keep
- 43:50Speaker 1: us alive indefinitely until it fails, you know, right, so
- 43:56Speaker 1: or you know, like an autoimmune disease that attacks itself,
- 43:58Speaker 1: but that's it's yeah.
- 44:01Speaker 2: Yeah, So for pills and injections, generally, medical providers will
- 44:05Speaker 2: use propofol, mesdazolium, a roch uranium, or like a variety
- 44:09Speaker 2: of barbituates. It's basically stuff that like for the sedative
- 44:12Speaker 2: effects that they're looking for, but they just they do
- 44:15Speaker 2: it to a level that will eventually like stop because
- 44:18Speaker 2: part of the reason these drugs work the way they
- 44:20Speaker 2: do is because they suppress your respiratory system. And so
- 44:23Speaker 2: like once you are like unconscious, you're what ends up
- 44:26Speaker 2: happening is you're you stop breathing, right, And that's just
- 44:29Speaker 2: that's essentially the way that those work.
- 44:31Speaker 3: Yeah.
- 44:32Speaker 1: The brain doesn't last very long without oxygen, so it's yeah,
- 44:35Speaker 1: it's essentially like asphyxiation, which is quick, yeah, fairly quick,
- 44:39Speaker 1: not immediate, but it is. It doesn't take very long,
- 44:42Speaker 1: like when your brain stops getting oxygen. It's it's sort
- 44:45Speaker 1: of akin to having a stroke in a way. Yeah, anyway,
- 44:48Speaker 1: we don't need to get into that. Okay, we're at
- 44:50Speaker 1: the home stretch here, but that does mean that we
- 44:52Speaker 1: have to play more ads and so we will be
- 44:55Speaker 1: right back. Sounds good, Okay, we're back. We've been talking
- 45:04Speaker 1: about the assistant suicide or medical aid in dying.
- 45:07Speaker 3: Currently.
- 45:08Speaker 1: There are a lot of places in the world where
- 45:10Speaker 1: this is allowed. So it's legal in Australia, Austria. This
- 45:15Speaker 1: is alphabetical, by the way, Belgium, Canada, China, Columbia, Denmark, France, Germany, Iceland, Ireland, Italy, Luxembourg, Netherlands,
- 45:26Speaker 1: New Zealand, Norway, Portugal, Slovenia, South Africa, Switzerland, United Kingdom,
- 45:31Speaker 1: and Uruguay. I tried to read that with as much
- 45:34Speaker 1: dynamic like as I could, like it was, I'm just
- 45:39Speaker 1: listing countries, but those are the places.
- 45:41Speaker 3: Yeah.
- 45:41Speaker 2: Yeah, it's interesting to find that it's it's not just
- 45:44Speaker 2: like a uniquely United States thing. Right now in the US,
- 45:47Speaker 2: it is currently legal in Oregon, Washington, Montana, Vermont, California, Colorado, Hawaiian,
- 45:52Speaker 2: New Jersey, Maine, New Mexico, Delaware, Illinois, and New York.
- 45:56Speaker 2: Most of this legislation has taken place in the last
- 45:58Speaker 2: twenty years, Oregon being the first one in nine teen
- 46:00Speaker 2: ninety seven officially, but the rest of them have taken
- 46:02Speaker 2: place in the last twenty years in Illinois and New
- 46:04Speaker 2: York are the most recent editions as.
- 46:06Speaker 3: Of twenty twenty six. Wow, so like.
- 46:10Speaker 2: That's that's how recent this legislation is being passed now.
- 46:12Speaker 2: Florida has explicitly written laws to prevent this from ever happening,
- 46:16Speaker 2: and they go so far as to in the legislation call.
- 46:19Speaker 3: It self murder.
- 46:21Speaker 2: So they there are stories of people who like will
- 46:25Speaker 2: commit suicide or like they will end their own life,
- 46:28Speaker 2: and then the family is responsible for whatever damages that
- 46:32Speaker 2: person has caused because it falls under self murder. So
- 46:35Speaker 2: like if somebody jumps in front of a train, the
- 46:36Speaker 2: family is responsible for the repairs on the train and
- 46:38Speaker 2: stuff like that.
- 46:39Speaker 3: Wow, unbelievable.
- 46:42Speaker 1: It is kind of ironic that the places where capital
- 46:45Speaker 1: of punishment is the most prevalent and used the most
- 46:48Speaker 1: are the places where like this would not be available.
- 46:52Speaker 1: Right again, murders by state, okay, murder by choice not okay.
- 46:57Speaker 1: I mean death by chase r not okay. Right, And
- 47:00Speaker 1: they're the ones who say they don't want big government.
- 47:02Speaker 1: They're like, we only want the government to kill people, right.
- 47:05Speaker 3: It's so bizarre, dude, it's so bizarre.
- 47:08Speaker 1: Anyway, So you may be listening to this and going
- 47:12Speaker 1: and thinking to yourself, well, what is the problem here?
- 47:15Speaker 1: The Heritage Foundation has four problems that they would like
- 47:20Speaker 1: you to know about.
- 47:21Speaker 2: Yes, yes, reliable source. Yeah, Heritage Foundation.
- 47:25Speaker 1: Of course not reliable. But okay, no, let's take turns
- 47:30Speaker 1: Number one. Assisted suicide and dangers weak and marginalized people
- 47:33Speaker 1: because it pushes people toward death instead of getting them assistance.
- 47:38Speaker 3: Okay, not accurate, but whatever.
- 47:40Speaker 2: Assist The suicide changes the culture of medical practices by
- 47:43Speaker 2: corrupting the profession and allowing professionals to use tools of
- 47:46Speaker 2: healing for killing.
- 47:48Speaker 1: As they do in capital punishment. Assisted suicide harms our
- 47:52Speaker 1: entire culture, specifically for family and intergenerational obligations. We will
- 47:57Speaker 1: begin to see older folks as burdens and advocate for
- 47:59Speaker 1: assisted suicide for them. That is called the slippery slope
- 48:04Speaker 1: logical fallacy.
- 48:05Speaker 3: Yes, yes it is.
- 48:06Speaker 2: And then the last one that they have a problem
- 48:08Speaker 2: with is assistant suicide quote, and this is a direct quote,
- 48:11Speaker 2: violates human dignity and denies equality. Before the law end quote,
- 48:17Speaker 2: unbelievable as.
- 48:19Speaker 1: An organization who seems to have as their mission statement
- 48:22Speaker 1: denying people dignity and equality before the law, it's ironic
- 48:27Speaker 1: that they'd have a problem with that.
- 48:28Speaker 2: Yeah, yeah, yeah, And just so we're all on the
- 48:31Speaker 2: same page, the Heritage Foundation is full of shit, like
- 48:34Speaker 2: and this is just a gateway for them to like,
- 48:38Speaker 2: for example, the second problem when they're professionals are using
- 48:41Speaker 2: the tools of healing for killing. I'm telling you that
- 48:44Speaker 2: is therein for changing things like abortion laws, for removing rights,
- 48:48Speaker 2: for doing all those things that are saying that the
- 48:50Speaker 2: doctors are going to make the ultimate decisions, and those
- 48:52Speaker 2: decisions are going to stand like they are. These are
- 48:54Speaker 2: the seeds that they plant for those that legislation to
- 48:58Speaker 2: align with that stuff and so and it's and it's
- 49:00Speaker 2: never based on accurate medical information.
- 49:02Speaker 3: Yeah, because there's no.
- 49:03Speaker 2: Doctor going, oh good now I can kill people Like
- 49:07Speaker 2: that's not happening the way that they're saying. And the
- 49:10Speaker 2: argument about like intergenerational obligations, we're going to see older
- 49:14Speaker 2: folks as burdens, It's like, well, the burden is the
- 49:16Speaker 2: healthcare system that doesn't allow us for resources to take
- 49:19Speaker 2: care of our families. So then we have the additional
- 49:22Speaker 2: invisible labor of taking care of our families when they're
- 49:24Speaker 2: ill while having to work sixty hours a week to
- 49:26Speaker 2: make ends meet because capitalism has been so pervasive that
- 49:30Speaker 2: it has ruined everything for everybody. But that's what the
- 49:32Speaker 2: Heritage Foundation is aiming for, is all of that. So
- 49:35Speaker 2: it's just they're so fullish.
- 49:37Speaker 1: And I also am going to say that I without
- 49:42Speaker 1: having evidence necessarily to back this up, I feel pretty
- 49:45Speaker 1: confident in my ability and general understanding of human behavior
- 49:50Speaker 1: and saying that most people, whether or not their laws
- 49:55Speaker 1: against this, would never push for assisted suicide in someone
- 50:00Speaker 1: because they felt like they were a burden, like a
- 50:02Speaker 1: family member specifically. And the people who would push for that,
- 50:06Speaker 1: they again, their problem existed well before and outside of
- 50:10Speaker 1: whether or not these laws exist, Right, So there are
- 50:15Speaker 1: people who fall into that spectrum who like they're like
- 50:18Speaker 1: ID rather than be a burden, I wish they were
- 50:19Speaker 1: just gone, But I'm like, that's not. That has nothing
- 50:22Speaker 1: to do with like whether or not this is available anywhere,
- 50:24Speaker 1: And the overwhelming majority of people are not going to
- 50:27Speaker 1: advocate for assistant suicide even if they have a family
- 50:30Speaker 1: member who is a burden, like right, speaking of someone
- 50:33Speaker 1: who has worked with a lot of families with children
- 50:35Speaker 1: who have profound, profound disabilities, require twenty four to seven
- 50:39Speaker 1: care for their entire lives and are They're expensive and
- 50:44Speaker 1: can be challenging and essentially mean, like your full time
- 50:48Speaker 1: obligation at all waking hours of the day is to
- 50:51Speaker 1: be a caregter for this person. There's a very hard
- 50:54Speaker 1: place for those people to be and they do it
- 50:55Speaker 1: without asking for anything, right because they're family. So like, again,
- 51:01Speaker 1: that's a slippery slope, absolute bullshit argument that they're trying
- 51:04Speaker 1: to make there And then going to the very first point,
- 51:07Speaker 1: because this is actually aligned with something I said earlier,
- 51:10Speaker 1: is like, instead of getting them assistance, I do think
- 51:14Speaker 1: that what we should do is try and make as
- 51:16Speaker 1: much assistance as available as possible. I don't think this
- 51:20Speaker 1: pushes it toward them toward that, and I don't see
- 51:23Speaker 1: any evidence to suggest that this is specifically targets weak
- 51:26Speaker 1: or marginalized people in any way. I think this is
- 51:30Speaker 1: death is a universal thing. I will tell you all,
- 51:33Speaker 1: if you don't know already, you will die someday. I'm sorry,
- 51:37Speaker 1: but it's gonna happen. Like no one human has ever
- 51:41Speaker 1: lived more than a lifetime. So besides Highlander was high
- 51:45Speaker 1: Highlander who was not a human that we discovered in
- 51:47Speaker 1: Highland or two, so again just humans like they don't
- 51:53Speaker 1: get to live forever. So anyway, point being that, like
- 51:57Speaker 1: I think they're essentially push in incorrect arguments to try
- 52:02Speaker 1: and make their arguments very part for the course for
- 52:05Speaker 1: them anyway.
- 52:05Speaker 2: Well, and also the argument of assistant suicide pushes people
- 52:10Speaker 2: like dangerous, we can marginalize people like this is the
- 52:13Speaker 2: only time they ever care about that because they're not
- 52:15Speaker 2: doing anything to set up social programs to ensure that
- 52:19Speaker 2: the people are getting the assistance they need. So like
- 52:22Speaker 2: that they're cutting those programs or privatizing all that stuff.
- 52:25Speaker 2: They're putting bids for contracts out for private organizations to
- 52:27Speaker 2: manage this type of stuff. Like this organization is talking
- 52:31Speaker 2: like I mean, if you're listening to this show, you
- 52:33Speaker 2: probably are already aware. But the Heritage Foundation is talking
- 52:36Speaker 2: out of two sides of their mouth like they are
- 52:38Speaker 2: absolutely the epitome of hypocrisy. And this is just telling
- 52:41Speaker 2: you exactly that.
- 52:43Speaker 3: Now.
- 52:43Speaker 2: The thing is you can tell that their argument doesn't
- 52:45Speaker 2: hold any water because there's literally no statistics or studies
- 52:48Speaker 2: to back up what they're saying, Like there's nothing that
- 52:51Speaker 2: supports what they're saying. And these are the exact types
- 52:54Speaker 2: of things that they're the slippery slope types of things
- 52:56Speaker 2: that end up with overturning abortion laws and roe versus
- 52:59Speaker 2: wading on. This is just another way for them to
- 53:02Speaker 2: kind of like start, but to set a precedent or
- 53:04Speaker 2: set a guideline or set a value that drives all
- 53:07Speaker 2: of the work that they do in lobbying in politics
- 53:09Speaker 2: that ends up with more conservative, more fascist types of policies.
- 53:13Speaker 3: And legislation that's in place like this is this.
- 53:15Speaker 2: Is exactly the type of rhetoric that sounds very fancy
- 53:18Speaker 2: and is completely missing the mark one hundred times over
- 53:21Speaker 2: and over.
- 53:22Speaker 1: Sorry, I just have to go back really quick because
- 53:23Speaker 1: I was also thinking they advocate for and ensure that
- 53:28Speaker 1: they pass policies that create weak and marginalized people so
- 53:33Speaker 1: those groups don't exist without their help. Like they create marginalization,
- 53:38Speaker 1: they create dependency, they create inefficient systems, and that's why
- 53:43Speaker 1: we have groups of people who are in danger and
- 53:47Speaker 1: at risk for being potentially targeted by poor outcomes, which
- 53:52Speaker 1: I don't think again would be unique to them in
- 53:55Speaker 1: the assistant suicide space.
- 53:56Speaker 3: But I digress. We run long.
- 54:00Speaker 1: We have some more science to bring to this and
- 54:03Speaker 1: some take on points, but we have to do an
- 54:05Speaker 1: ad first.
- 54:14Speaker 3: All right, we're back.
- 54:14Speaker 1: Let's get into some more of the science here and
- 54:17Speaker 1: sort of I think where we would approach this from
- 54:20Speaker 1: sort of our professional perspectives.
- 54:22Speaker 2: Yeah, so behavior analysis doesn't have any articles on this
- 54:25Speaker 2: on assistant suicide or made at all. And as you
- 54:28Speaker 2: can imagine, it makes sense because death likely marks the
- 54:31Speaker 2: end of the analysis of the living organism's behavior. Right,
- 54:34Speaker 2: So like usually when somebody passes, we're not doing that
- 54:36Speaker 2: level of analysis unless you're working forensic behavior analysis.
- 54:39Speaker 3: Then there's a different conversation there, but for the most
- 54:41Speaker 3: different field, also an entirely different field.
- 54:44Speaker 2: But the conditions under which many elect to engage or
- 54:48Speaker 2: to enlist made are actually widely varied and complex. As
- 54:51Speaker 2: we mentioned before, the majority of folks who elect this
- 54:54Speaker 2: medical aid in dying, they are terminally ill and may
- 54:58Speaker 2: have no more than six months to live. So they
- 55:00Speaker 2: are people who are experiencing severe, significant cris not crises,
- 55:05Speaker 2: but like they are coming to end of life decisions,
- 55:07Speaker 2: and they are really complex. There's lots of complex factors
- 55:10Speaker 2: inside of that.
- 55:11Speaker 1: Yeah, we sometimes joke because if you are alive, you
- 55:14Speaker 1: are behaving, whether or not you're conscious, you're even behaving,
- 55:17Speaker 1: and so living is behaving, and so when someone says
- 55:21Speaker 1: they weren't behaving, then we might jokingly respond, oh, no,
- 55:24Speaker 1: when did they pass? Right, Because like, if you're not behaving,
- 55:28Speaker 1: you're no longer alive. So that's sort of the end
- 55:31Speaker 1: of where our field participates. But anyway, since its introduction
- 55:36Speaker 1: in nineteen ninety seven, Medical Assistance are Medical Aid and
- 55:39Speaker 1: Dying in the US has seen it confirmed twelve four
- 55:42Speaker 1: hundred and twenty five people successfully complete these steps. Number
- 55:46Speaker 1: is possibly underrepresented. There might be some people who do
- 55:49Speaker 1: sort of back alley versions of this, but the ones
- 55:53Speaker 1: that you are aware of, that's the number.
- 55:56Speaker 2: And only about sixty one percent of people who receive
- 55:58Speaker 2: their prescriptions actually fall through with the procedure. So there
- 56:02Speaker 2: are people who who will order it and request it
- 56:06Speaker 2: and get approved for it, and they are pretty consistent,
- 56:08Speaker 2: and because at the end of the day, like they
- 56:09Speaker 2: are still the ones that has like their finger on
- 56:11Speaker 2: the button to make the decision. There are some folks
- 56:14Speaker 2: that just don't do it sure, So even though they've
- 56:16Speaker 2: been evaluated, even though they've been approved, even though they
- 56:18Speaker 2: have the prescription, they still have the autonomy to decide
- 56:22Speaker 2: otherwise through the entire process, and that is critically important
- 56:26Speaker 2: for processes like this.
- 56:27Speaker 1: And I think it does show the importance here of
- 56:30Speaker 1: like if all they all they wanted was the choice,
- 56:33Speaker 1: and they might not choose that, And that's I think,
- 56:36Speaker 1: you know, the sort of the slippery slope and sort
- 56:39Speaker 1: of worst case scenario dooms day approach of like if
- 56:42Speaker 1: we allow this, everyone's going to be dying all the time.
- 56:44Speaker 1: It was the same thing of the like, you know,
- 56:46Speaker 1: if we legalize weed, everyone's going to be smoking weed
- 56:48Speaker 1: all the time. And I'm like, it definitely became easier
- 56:52Speaker 1: for people. But I'm asking, like the person who's advocat
- 56:55Speaker 1: against us some I'm like, are you going to start
- 56:57Speaker 1: smoking weed.
- 56:57Speaker 3: If this becomes legal? Right?
- 56:59Speaker 1: Because is like a lot of people who don't have
- 57:02Speaker 1: that as a habit are unlikely to start picking that
- 57:04Speaker 1: up as a habit, you know.
- 57:05Speaker 3: What I mean?
- 57:06Speaker 1: Like, right, just because it's exactly and so I don't know,
- 57:09Speaker 1: it's I think it just it creates the worst case
- 57:12Speaker 1: possible scenario which is never it's always hypothetical and never real, right,
- 57:16Speaker 1: but all right, eighty nine percent of people who use
- 57:18Speaker 1: medical aid and dying are already in hospice or palliadive
- 57:21Speaker 1: care services. This is almost ninety percent, seventy nine almost
- 57:25Speaker 1: eighty percent of the people who use made are able
- 57:29Speaker 1: to return home and pass in their preferred place of comfort,
- 57:32Speaker 1: meaning that they don't use it and then return home.
- 57:34Speaker 1: They go home so that they can receive these Yeah, yeah,
- 57:37Speaker 1: aig of course, right, And this has been generally identified
- 57:40Speaker 1: as the preference in the United States is that they
- 57:42Speaker 1: can be in a place they're comfortable, surrounded by loved
- 57:44Speaker 1: ones at a time of their choosing.
- 57:47Speaker 3: And then that's sort of how that that.
- 57:48Speaker 2: Goes, right exactly, So as we kind of like get
- 57:52Speaker 2: to the end of this, this conversation for me started
- 57:54Speaker 2: with doctor Gavorkian, and it's hard to me it's hard
- 57:56Speaker 2: to say whether Kavorkian was a bad person or not,
- 57:58Speaker 2: because I don't I think as behavior analysts, I would
- 58:00Speaker 2: not say that. But morally speaking, was he right or wrong?
- 58:03Speaker 2: And that's I think hard to say. You could argue
- 58:05Speaker 2: that he could have done some things better, right, like
- 58:07Speaker 2: maybe like I don't know, done some legislative practices, maybe
- 58:11Speaker 2: like I don't know, not done it in his van,
- 58:13Speaker 2: Like there's some things that are maybe a concern there.
- 58:15Speaker 3: Right.
- 58:16Speaker 2: He could have also done a better job of confirming
- 58:18Speaker 2: whether or not people were terminally ill and competent to
- 58:20Speaker 2: give consent, Like he didn't really have a process for
- 58:23Speaker 2: that that was really clear spelled out, And again, hindsight
- 58:25Speaker 2: is twenty twenty now. Some also argue that his work
- 58:28Speaker 2: presented disability rights concerns, with his actions being considered as
- 58:32Speaker 2: by some as suggesting that some people weren't worth keeping alive.
- 58:36Speaker 2: But these are usually people who kind of like fall
- 58:38Speaker 2: on the conservative side. They're like, oh, he didn't value life,
- 58:41Speaker 2: And I would argue, and I think most people could
- 58:43Speaker 2: argue when you really understand a story, that he actually
- 58:46Speaker 2: valued life quite a bit and that his views were
- 58:48Speaker 2: more compassionate and his goal was to alleviate suffering of
- 58:52Speaker 2: others and that was really his primary driving value, or
- 58:55Speaker 2: you could make that argument. I should say his work
- 58:57Speaker 2: sparked a larger debate, and his example actually led to
- 59:00Speaker 2: the development of systematic processes and safeguards for folks seeking
- 59:04Speaker 2: made specifically in the form of legislation and the development
- 59:07Speaker 2: of those procedures for folks who were terminally ill. So
- 59:10Speaker 2: it's hard to say, like did he have an impact absolutely,
- 59:14Speaker 2: was it good or bad? I think that that's a
- 59:15Speaker 2: personal viewpoint per se, but I do I genuinely think
- 59:19Speaker 2: and kind of where I land on this is that
- 59:21Speaker 2: I do think that he was approaching this from a
- 59:23Speaker 2: compassionate and dignity based standpoint where he just wanted to
- 59:27Speaker 2: help people who are sick. After watching people suffer and
- 59:30Speaker 2: die interninally ill wards as a physician for so many years, Like,
- 59:34Speaker 2: I think that he truly just wanted to save as
- 59:36Speaker 2: many lives as he could in any way that he could,
- 59:39Speaker 2: and then when he could, and he wanted people to
- 59:40Speaker 2: be able to like pass peacefully.
- 59:43Speaker 1: Yeah, yeah, yeah, I agree with all that I do.
- 59:48Speaker 1: It's I heard a debate where there were some people,
- 59:51Speaker 1: like in good faith, arguing for and against this idea
- 59:54Speaker 1: of medical aid and dying, And one of the arguments
- 59:58Speaker 1: that the people against it pointed out is how much
- 1:00:00Speaker 1: many people who when they have potentially attempted to end
- 1:00:04Speaker 1: things early for whatever reason, but primarily if they were
- 1:00:08Speaker 1: like had some kind of disease or whatever and were unsuccessful,
- 1:00:11Speaker 1: so they actually tempted it and did not were unable
- 1:00:14Speaker 1: to complete it, that some portion of them were glad
- 1:00:17Speaker 1: that they failed and instead were happy to like they
- 1:00:21Speaker 1: were glad they got some more time afterward.
- 1:00:24Speaker 3: And I think that's a compelling argument.
- 1:00:26Speaker 1: Yeah, I do think that they make the case that, like,
- 1:00:29Speaker 1: and going back to the thing that said is like,
- 1:00:30Speaker 1: I would feel best about this if we've done everything
- 1:00:33Speaker 1: to make people's lives as supported as they can possibly be,
- 1:00:38Speaker 1: so that it's not done out of desperation, and it's
- 1:00:41Speaker 1: not done because they feel like they can't have a
- 1:00:43Speaker 1: quality of life that actually could be afforded to them
- 1:00:46Speaker 1: given the care that we could potentially provide. There are
- 1:00:49Speaker 1: going to be cases, I think, where people are like
- 1:00:52Speaker 1: actively suffering and they're just like they're miserable, they are
- 1:00:57Speaker 1: in pain, and they just like there is just no
- 1:01:02Speaker 1: hope for them, and it's hard for me to say
- 1:01:04Speaker 1: you shouldn't have relief from that pain, you know, that
- 1:01:07Speaker 1: feels really bad to me to like say like you
- 1:01:10Speaker 1: don't deserve this because I don't feel good about it, right,
- 1:01:13Speaker 1: And they're like, what you feel, I'm in pain? Like
- 1:01:15Speaker 1: you don't know what this is like, right, And so
- 1:01:19Speaker 1: I can appreciate like where a lot of the people
- 1:01:21Speaker 1: who advocate for this come from on that particular topic,
- 1:01:23Speaker 1: and and so I think, you know, I do it.
- 1:01:26Speaker 1: It just can't be a black and white thing. And
- 1:01:28Speaker 1: I think sometimes laws are just they're too black and
- 1:01:31Speaker 1: white in the way that they're painted, and they don't
- 1:01:33Speaker 1: consider enough nuance. And I have a strong value for life,
- 1:01:36Speaker 1: and I have an appreciation for the compassion of the
- 1:01:39Speaker 1: approach that was taken with these people and the idea
- 1:01:43Speaker 1: behind this and most of these advocacy groups, and like
- 1:01:46Speaker 1: I think you, I want people to have as much
- 1:01:49Speaker 1: of a life as they can possibly have where they're
- 1:01:51Speaker 1: you know, able to participate meaningfully and effectively and have
- 1:01:53Speaker 1: the support that they need and not be killed by
- 1:01:57Speaker 1: ice agents or police.
- 1:01:59Speaker 2: Agreed, agreed, yeah, or killed by anybody yeah, like I
- 1:02:03Speaker 2: but especially police and ice and.
- 1:02:04Speaker 1: Like state sponsoredaire.
- 1:02:06Speaker 3: Yeah.
- 1:02:06Speaker 2: So I think where I would end on this too
- 1:02:08Speaker 2: is like I had a friend of mine who had
- 1:02:10Speaker 2: a loved one that was in end of life care
- 1:02:13Speaker 2: and they had elected to do this, and they said
- 1:02:15Speaker 2: it was a gift to have the opportunity to be
- 1:02:18Speaker 2: in a situation where they could be there with them
- 1:02:20Speaker 2: at a time of they're choosing by their side, they
- 1:02:22Speaker 2: knew it was going to happen, and they could prepare, Like,
- 1:02:24Speaker 2: there were lots of things that were like, really pretty
- 1:02:27Speaker 2: wonderful about having that moment together, even if it was
- 1:02:30Speaker 2: the last moment they had, you know, that's their story
- 1:02:33Speaker 2: to tell. But it was one of those things where
- 1:02:35Speaker 2: like when they told me, I was like, I couldn't
- 1:02:37Speaker 2: imagine being in a situation. I could imagine if like
- 1:02:40Speaker 2: somebody I love, like really dearly decided to do that.
- 1:02:43Speaker 2: I think I would honor that, but I think I
- 1:02:45Speaker 2: would have a really hard time with that. And it
- 1:02:46Speaker 2: just kind of made me reflect on that quite a bit,
- 1:02:48Speaker 2: Like because I think, again, I think it's complicated. I
- 1:02:50Speaker 2: think my value is people should have a choice in
- 1:02:53Speaker 2: how they go and what that looks like and in
- 1:02:56Speaker 2: their care, and this is part of their care. I
- 1:02:58Speaker 2: think in a personal situation, I think I would have
- 1:03:00Speaker 2: a really hard time with it. Yeah, but I think
- 1:03:02Speaker 2: that's the nuance of this discussion, you know.
- 1:03:03Speaker 1: Yeah, it's because I think we are people who generally
- 1:03:08Speaker 1: love humans and have a lot of love for people
- 1:03:12Speaker 1: in our lives, and we as behaviorists value choice tremendously
- 1:03:17Speaker 1: right and those sometimes those things don't always align exactly
- 1:03:22Speaker 1: the way that we wish.
- 1:03:23Speaker 3: That they did, but right exactly exactly.
- 1:03:26Speaker 1: Okay, Well, we ran long, but there was a lot
- 1:03:28Speaker 1: to say about this. This is a very heavy episode.
- 1:03:30Speaker 1: So if you made it all the way through it
- 1:03:32Speaker 1: with us, then thank you. I hope that you at
- 1:03:34Speaker 1: least got some kernels for thought in there. And if
- 1:03:37Speaker 1: you would like to share some of your thoughts with us,
- 1:03:38Speaker 1: you should email us. You can write to us directly
- 1:03:40Speaker 1: at our email at info at WWDWWD podcast dot com,
- 1:03:45Speaker 1: or reach us on the social media platforms, or if
- 1:03:48Speaker 1: you stop us in the street and tell us your
- 1:03:50Speaker 1: thoughts that's okay too, as long as we're not in
- 1:03:51Speaker 1: a big hurry, or send us a letter. I don't
- 1:03:54Speaker 1: know where to because I closed down our po box,
- 1:03:56Speaker 1: but figure it out then cool. Anyway, we'd love to
- 1:04:00Speaker 1: hear your thoughts on this, And if you do enjoy
- 1:04:02Speaker 1: the show and you would like to support us, there
- 1:04:04Speaker 1: are multiple ways you can do that. You can leave
- 1:04:06Speaker 1: us a rating and review, like subscribe, tell a friend.
- 1:04:09Speaker 1: Reviews really help get our podcasts out to other people,
- 1:04:12Speaker 1: and you know, it's a free thing that you can
- 1:04:14Speaker 1: do ratings. You don't have to leave a review. If
- 1:04:16Speaker 1: you leave a rating, it just be five stars. And
- 1:04:18Speaker 1: if you don't like us, then just go away.
- 1:04:20Speaker 3: We don't need to.
- 1:04:21Speaker 1: Leave your roots of the rocks get lost. But anyway,
- 1:04:28Speaker 1: if you haven't joined us before and you're new, we
- 1:04:30Speaker 1: have some things to recommend still and we're going to
- 1:04:33Speaker 1: do that thing after some nths. Okay, we're back and
- 1:04:43Speaker 1: we do have recommendations. But I also didn't totally get
- 1:04:45Speaker 1: through all the credits because I started mentioning ways that
- 1:04:47Speaker 1: you could support us, and one of the ways you
- 1:04:48Speaker 1: can do that is to join.
- 1:04:49Speaker 3: Us on Patreon.
- 1:04:50Speaker 1: Yes, theario good at free content, early episodes, some other
- 1:04:53Speaker 1: sort of stuff, and we really appreciate the people who
- 1:04:55Speaker 1: do this. And the biggest benefit possibly is that we
- 1:04:59Speaker 1: will re your name at the end of our full
- 1:05:02Speaker 1: length episodes. Is a thank you to the people who
- 1:05:04Speaker 1: continue to support us over there, So a big shout
- 1:05:06Speaker 1: out and thank you too, Mike, m Meghan, Mike t, Justin, Kim, Brad, Stephanie, Brian, Ashley,
- 1:05:13Speaker 1: Kiara and Charlie. Thank you all so much for keeping
- 1:05:16Speaker 1: us afloat.
- 1:05:17Speaker 3: Yeah, y'all are just truly the best.
- 1:05:19Speaker 1: My team of people helped me do this podcast writing
- 1:05:22Speaker 1: and fact checking. From Shane to myself. Thank you so
- 1:05:24Speaker 1: much for your work on the notes today and for
- 1:05:26Speaker 1: recording with me today.
- 1:05:27Speaker 3: Thank you.
- 1:05:27Speaker 2: This one was a lot of fun to put together.
- 1:05:29Speaker 2: Super interesting, yeah, but real thought provoking.
- 1:05:31Speaker 3: Yeah, yeah for sure.
- 1:05:32Speaker 1: Our social media coordinator is Emma Wilson, and our audio
- 1:05:35Speaker 1: engineer technician extraordinary Emperor Penguin is justin where's my pebble baby?
- 1:05:43Speaker 1: And so thank you to all of my team as well. Okay,
- 1:05:46Speaker 1: I think we are ready for recommendations.
- 1:05:47Speaker 3: Let's do it recommendations, all right. I'm gonna recommend a
- 1:06:00Speaker 3: book series.
- 1:06:01Speaker 2: And I got this recommendation from a co worker and
- 1:06:05Speaker 2: then it was bolstered by you specifically, And so I
- 1:06:09Speaker 2: just finished the entire series, and that is the Silo
- 1:06:11Speaker 2: series by Hugh Howie. The books that are included in
- 1:06:14Speaker 2: this are Wool Shift and Dust. I just finished Dust
- 1:06:19Speaker 2: yesterday afternoon.
- 1:06:20Speaker 3: Wow.
- 1:06:20Speaker 2: What a great series. Ye like the twist and turns,
- 1:06:23Speaker 2: you never get bored reading it. There's not like big
- 1:06:26Speaker 2: long explanations of like like how you know, like Lovecraft
- 1:06:30Speaker 2: will explain an armoir for thirty pages. Like it's nothing
- 1:06:33Speaker 2: like that, right, Like, it's it's great science fiction.
- 1:06:36Speaker 3: It's post apocalyptic future.
- 1:06:37Speaker 2: It's people living in these silos and Hijinks and Sue
- 1:06:42Speaker 2: and it's a it's a great it's a great read.
- 1:06:44Speaker 2: I really love it. It's like one of my favorite
- 1:06:46Speaker 2: sci fi series I've ever read.
- 1:06:47Speaker 1: Hijinks is a very light and fluffy way to put it.
- 1:06:51Speaker 3: The Yeah, yeah, yeah, yeah.
- 1:06:52Speaker 1: Yeah it is. It's depressing in some ways, it's very
- 1:06:57Speaker 1: uplifting in others. The action of the these books moves
- 1:07:00Speaker 1: at just breakneck speed. It is like things happen so fast.
- 1:07:06Speaker 1: So yeah, you're right that there is never a dull moment.
- 1:07:08Speaker 1: It is just go, go, go, go go, and it
- 1:07:11Speaker 1: really keeps you on the edge of your seat the
- 1:07:13Speaker 1: whole time. Yeah, but the prose is beautiful. It's possibly
- 1:07:18Speaker 1: my favorite prose of like modern authors. Yeah, just the
- 1:07:22Speaker 1: way he writes is so even though it's it's high
- 1:07:26Speaker 1: octane sort of plot developing, it's told in this beautiful,
- 1:07:33Speaker 1: illustrative way. His writing is just very It really paints
- 1:07:36Speaker 1: a picture, So I think, yeah, he has some of
- 1:07:39Speaker 1: my favorite pros of like modern authors. And just the
- 1:07:41Speaker 1: way that he puts together a sentence is beautiful. Yeah.
- 1:07:44Speaker 3: Yeah, it's so descriptive. It's so great.
- 1:07:46Speaker 1: Yeah, but yeah, and like really poetic and beautiful and
- 1:07:50Speaker 1: I don't know it just like you think about a
- 1:07:53Speaker 1: sentence and like why did you choose to write it
- 1:07:55Speaker 1: that way? And like it's interesting, like it makes me
- 1:07:56Speaker 1: think of this thing that was probably an intentional choice
- 1:07:59Speaker 1: on his part, Like really fantastic writing. So second to
- 1:08:02Speaker 1: that recommendation for sure.
- 1:08:04Speaker 3: Absolutely, all right, that's the Silo series.
- 1:08:06Speaker 1: I'm recommending a TV show. It is just wrapped its
- 1:08:10Speaker 1: third season. It's a little bit related to this topic,
- 1:08:13Speaker 1: not directly in any particular way, but this is Shrinking
- 1:08:18Speaker 1: season three specifically. This is an Apple TV Plus show,
- 1:08:21Speaker 1: but it's generally about some psychologists. They are cognitive behavioral psychologists, therapists,
- 1:08:27Speaker 1: and their families and their interactions with each other. It
- 1:08:31Speaker 1: is starring Harrison Ford, Jason Siegel, and then a whole
- 1:08:35Speaker 1: bunch of other actors who have Kobe Smolders is in
- 1:08:38Speaker 1: there at some point. Jeff Daniels is in there at
- 1:08:40Speaker 1: some point. So there's quite a few people in it
- 1:08:43Speaker 1: and a lot of other stars in it. Has a
- 1:08:45Speaker 1: great opening song by Death cap for CUTI nic But
- 1:08:49Speaker 1: the show is just it's very heartwarming at various points,
- 1:08:53Speaker 1: it's extremely sad, but you just love the characters so much,
- 1:08:58Speaker 1: and the story is so awesome as an folds, and
- 1:09:01Speaker 1: Jason Siegal's so wonderful. He's funny, but he's also dramatic
- 1:09:06Speaker 1: and the way he carries everything is really awesome. So
- 1:09:11Speaker 1: I really couldn't recommend it enough. Actually, we had when
- 1:09:14Speaker 1: we did our episode last year with the authors of
- 1:09:17Speaker 1: the book that you helped publish. Sorry, the title, I
- 1:09:21Speaker 1: keep I mess up the title every time. Reframe I
- 1:09:23Speaker 1: want to say reframing, and I'm like, it's one of
- 1:09:26Speaker 1: the two and I'm not sure what, so reframe. They
- 1:09:28Speaker 1: recommended this as well, and I've and I hadn't at
- 1:09:30Speaker 1: that time watched it. Now I've watched all three seasons.
- 1:09:33Speaker 1: But it's a phenomenal TV show. I really really strong recommend.
- 1:09:38Speaker 2: Yeah, it's good stuff. I'm super stoked to I got
- 1:09:40Speaker 2: the clips. I've seen them, like, oh yeah, yeah, this
- 1:09:42Speaker 2: is this is right up my alley. I just need
- 1:09:44Speaker 2: to sit down and watch it.
- 1:09:46Speaker 1: Yeah, definitely worth the time. So okay, I think that's
- 1:09:49Speaker 1: what we have to say. About shrinking and the Silo
- 1:09:52Speaker 1: book series. A lot of people sometimes think of woll
- 1:09:55Speaker 1: because it's the first one, but yes, the trilogy there,
- 1:09:58Speaker 1: and then there's another book of short story is called
- 1:10:00Speaker 1: machine Learning that has apparently three stories from this universe
- 1:10:03Speaker 1: and I haven't read them. Shane maybe has read them,
- 1:10:06Speaker 1: because the series you got came with a companion book
- 1:10:08Speaker 1: with short stories related to this, So.
- 1:10:10Speaker 3: Yes, it came with all of them.
- 1:10:11Speaker 2: Yes, and it's uh, it's it's an interesting follow up.
- 1:10:15Speaker 3: Yeah.
- 1:10:16Speaker 1: So anyway, I think that's what I have to say
- 1:10:17Speaker 1: about all of that. Is there anything I forgot you'd
- 1:10:19Speaker 1: like to add before we say goodbyes?
- 1:10:21Speaker 2: Uh?
- 1:10:22Speaker 3: Nope, not today. Be safe, be safe? Yes, indeed, thank
- 1:10:26Speaker 3: you all for listening. This is Abraham and this is Shane.
- 1:10:28Speaker 3: We're out. See up. You've been listening to Why We
- 1:10:32Speaker 3: Do What We Do.
- 1:10:33Speaker 2: You can learn more about this and other episodes by
- 1:10:36Speaker 2: going to WWD WWD.
- 1:10:38Speaker 3: Podcast dot com.
- 1:10:40Speaker 2: Thanks for listening, and we hope you have an awesome day.