Bender: I'm a bender. I bend girders, that's all I'm programmed to do.
Fry: Were you any good?
Bender: Are you kidding? I was a star. I could bend a girder to any angle. 30 degrees, 32 degrees, you name it. 31... But I couldn't go on living once I found out what the girders were for.
Fry: What for?
Bender: Suicide booths.
Like nearly everything in Futurama, when you peel away the hilarity there's a much deeper layer there for you to think about. Could there in fact be a distant future in which the purposeful taking of one's own life not only isn't taboo but is actively encouraged for those who would wish it? The basic rationale for the suicide booth concept was laid out in a now 115-year-old short story, The Repairer of Reputations, in which the distant future being envisioned was the year 1925. In the story, the Governor of New York spoke to introduce the first "Government Lethal Chamber":
"The laws prohibiting suicide and providing punishment for any attempt at self-destruction have been repealed. The Government has seen fit to acknowledge the right of man to end an existence which may have become intolerable to him, through physical suffering or mental despair. It is believed that the community will be benefited by the removal of such people from their midst. Since the passage of this law, the number of suicides in the United States has not increased. Now that the Government has determined to establish a Lethal Chamber in every city, town and village in the country, it remains to be seen whether or not that class of human creatures from whose desponding ranks new victims of self-destruction fall daily will accept the relief thus provided." He paused, and turned to the white Lethal Chamber. The silence in the street was absolute. "There a painless death awaits him who can no longer bear the sorrows of this life. If death is welcome let him seek it there." Then quickly turning to the military aid of the President's household, he said, "I declare the Lethal Chamber open," and again facing the vast crowd he cried in a clear voice: "Citizens of New York and of the United States of America, through me the Government declares the Lethal Chamber to be open."
While a fundamental right to life has been celebrated by Western political thinkers for centuries, a corresponding right to death has proven far more controversial and, to many, abhorrent. But the contemporary debate on the subject rarely even considers the full breadth of the question. It focuses on the ethics of allowing euthanasia for the purpose of ending human suffering by allowing patients who are terminally ill, in extreme pain, or facing a severely impaired quality of life due to injury or illness to end their lives with dignity. Certainly this is an important debate to have, complicated--as I'm sure Jim knows--by the bit of the Hippocratic Oath in which doctors pledge: "I will not give a lethal drug to anyone if I am asked, nor will I advise such a plan."
But the understanding of the freedom of self-termination associated with the concept of the suicide booth is far more expansive than this. You don't need a doctor's note, you don't need an externally "valid" reason to end your own life. Simple existential weariness, intense dissatisfaction, or mental disquietude are no less valid reasons for voluntarily exiting existence than is terminal illness.
The reasons for allowing this seem clear. One of the great truths underlying the logic of natural selection is that not all beings that come into existence are meant to be in the time and place in which they find themselves. For these creatures, when the paradox is revealed circumstance corrects the cosmic error. In many ways, our mastery of our environment has disrupted this cycle, leaving self-selection for existential departure the only defensible replacement for it (the alternative, preferred at present by social attitudes, is dogged and often purposeless persistence in the face of misery and paradoxical existence). Most of us know from experience that there is a great deal of mental anguish that must be endured by the sharp and self-reflective mind. The demands of sentience can simply be too taxing, particularly in the absence of overriding faith or hedonistic indulgence.
Given these realities, it seems only logical that the right to life would be balanced by the right to end one's life in the time and manner of one's choosing (provided, perhaps, that the process is minimally disruptive for others). But as novel as the idea of the suicide booth--or a voluntary "lethal chamber"--is, it reinforces the prejudice that such an act must necessarily be unpleasant, lonely, and desperate. This is, I suppose, an artifact of the view of death that is so pervasive in our culture--namely, that it's something unspeakably horrible to be avoided at any cost (literally, considering the vast sums of money we spend on briefly extending the lives of people who are irrevocably on their way out). We might view self-termination as the antithesis of what I view to be an unhealthy obsession with immortality that seems so common these days. It is the acceptance--the embrace, even--of mortality as a necessary and perhaps desirable component of existence.
We can look elsewhere in science fiction to find an alternative to the cold, sterile, and frankly unpleasant vision of self-termination that seems inherent to the suicide booth (as brilliant as the concept is). In my favorite scene from Soylent Green, the protagonist's friend and partner, Sol, opts to end his life at a government assisted suicide facility after discovering the awful truth about one of the world's main synthetic foodstuffs, the eponymous Soylent Green (SPOILER: It's people!). You can watch the process he goes through below. It's portrayed as being a singularly moving and beautiful experience; the scene is more poignant when you remember that Soylent Green takes place in a vastly overpopulated, environmentally devastated dystopia where the images Sol enjoys are found virtually nowhere in the world anymore.
Sol died when he no longer wished to live and he did so in a manner of his choosing, resulting in an experience much more pleasant than that offered by a suicide booth. That scene epitomizes my own vision of a future where a humanitarian option for self-termination exists for those (presumably a fairly small minority of humanity) who, for whatever personal reason, realize, as Sol did, "I've lived too long." A beautiful and controlled departure for those who are ready to leave.
Ain't no rest for the wicked, 'til we close our eyes for good.
† In case you don't get the joke, the title of the theme from M*A*S*H is "Suicide is Painless."
Hey Mike! This post is really interesting for me on a lot of fronts, and hopefully I'll get some time to really discuss all of them bit by bit. To start off, I've spent a lot of time really thinking about Physician Assisted Suicide (PAS) and euthanasia as options for end-of-life care, both in college and here in med school (we actually had a mock debate on the topic). I did that PAS and euthanasia bioethics elective in the Netherlands and Belgium my freshman year of college too...which really got me interested in the subject in the first place. Though most of these talks focused on the role of physicians in the death process, the discussion often strayed to whether suicide was an action undertaken by a sane individual...if we could really be making a clear-headed, intelligent, rational decision if we chose to end our own life. This is an argument used a lot by those against PAS and euthanasia (because one of the criteria for performing PAS or euthanasia in a terminally ill patient is determining that the patient is not clinically depressed, and that they are capable of rational thought and decision making), but I think it applies to what you were talking about also. Personally, I think it comes down to a frank moral (or religious...could be one in the same) stance, one that can't be solved by debate or logic games. So I don't think we'll make much progress in making that suicide booth a reality until we figure out how to answer questions like those.
ReplyDeleteIt's interesting that you brought up the Hippocratic Oath too, as I could probably write a whole new post on this alone. To be honest, the Hippocratic Oath just doesn't hold much weight to what physicians do anymore. It's more of a showy way to induct new med students into a school, and start them on their way...but it's not something that's really taken that literally (though it shows up in our med school code of conduct...I still think that's a little odd, but whatever). Just skimming it again really fast, the Oath mentions swearing to the Greek gods and goddesses, doing no harm (I'm of the mind that chemo and surgery are harm to someone's body...maybe I'm getting technical about the semantics. You can decide) leaving surgery up to the barbers, never performing an abortion (which some doctors choose to do), and, in some versions, it says that physicians will train other physicians for free (I wish!!!!). I feel like we just pick and choose what we wanna follow from the Oath, rather than taking it as the "guiding principle" of practicing medicine. Usually, docs just say that this or that in the Oath is outdated...that it was written so long ago without the knowledge and technical capability that we have today, so it shouldn't be strictly adhered to.
Well, gotta get up bright and early to study, but I'll try to get a few more posts in here and there. This is such a huge topic, and there are so many directions to go in...makes for a fun discussion.
I have to go to work so I only have time for a brief comment (more later, I think) but when you say some people question "if we could really be making a clear-headed, intelligent, rational decision if we chose to end our own life," I'm reminded of this:
ReplyDeleteThere was only one catch and that was Catch-22, which specified that a concern for one's own safety in the face of dangers that were real and immediate was the process of a rational mind. Orr was crazy and could be grounded. All he had to do was ask; and as soon as he did, he would no longer be crazy and would have to fly more missions. Orr would be crazy to fly more missions and sane if he didn't, but if he was sane, he had to fly them. If he flew them, he was crazy and didn't have to; but if he didn't want to, he was sane and had to. Yossarian was moved very deeply by the absolute simplicity of this clause of Catch-22 and let out a respectful whistle.
"That's some catch, that Catch-22," he observed.
"It's the best there is," Doc Daneeka agreed.
What we're talking about is sort of an anti-Catch-22 in content but in structure they're the same. If we define sane as not desiring a departure from existence, then sure anyone who seeks it will be labeled insane.
Of course, that presumes insane people shouldn't be allowed to commit suicide either and I'm certainly not convinced of that.
So let me throw this one out there: does giving someone else veto power over your choice to die imply that they should also have veto power over your choice to live? And if not, where does the asymmetry enter into the equation?
ReplyDeleteI will say the one special case I can think of that seems like an exception--but in reality isn't because the symmetry is preserved--would be in the case of an unborn child. A fetus can't decide whether to live or die (though the same is true of a newborn), but its life is entangled with that of the mother. So for that nine month period, I would argue that she should have full rights to make decisions of life or death on behalf of that child, which includes having veto power over its life. If she has the right to die herself (i.e. make death decisions) and if she is also given decision-making authority over the being that is biologically linked to her, she should be able to choose termination for herself, the child, or both.
they should install one of those booths at the foxconn factory:
ReplyDeletehttp://news.bbc.co.uk/2/hi/world/asia_pacific/10137101.stm