Allow Natural Death

No thank you, Ira

In a long ago post here,I thanked Ira Byock for all his work to improve end of life care, but after his recent appearance on a Sixty Minutes episode highlighting the end of life planning of Brittany Maynard, I have to say no thanks for this new focus of his work. Byock continues this work in a recent article in the New York Times.

I have witnessed Dr. Byock at the bedside of terminal patients exhibiting utmost caring and impeccable clinical skills. He clearly brings love into his practice, but there is much about him that I can’t figure out. Why is he compelled to speak out against personal choice at the end of life? Why is it not enough to continue the good work of educating doctors and improving conditions for those who are dying? Why pretend that the drugs prescribed by physicians do NOT bring death nearer while alleviating suffering? Why diminish the details of the use of terminal sedation?
After 20 years on the front lines of health care, there is no possibility that the compassionate care Byock advocates will happen for any, but the privileged few who can afford to be cared for in their homes. Those who spend time in medical institutions are certain that there are fates far worse than death; the loneliness of neglect, the boredom of institutionalization, the pain of inadequate attention to basic needs, and the over use of unwanted care that prolongs the inevitable. A question for you Dr. Byock – why must you use your good name to take a paternalistic stance against Death with Dignity that will limit choices ?… choices that will also limit suffering. I just don’t get you…maybe I just don’t want to.