The “Futile Care” Idea Is Simply Euthanasia Not-So-Lite

Andrea Clarke in Houston is the latest case.

Wesley Smith lays out the dangers (”Death by Ethics Committee”) if “futile care” becomes the accepted norm:

….. The idea behind futile-care theory goes something like this: In order to honor personal autonomy, if a patient refuses life-sustaining treatment, that wish is sacrosanct. But if a patient signed an advance medical directive instructing care to continue — indeed, even if the patient can communicate that he or she wants life-sustaining treatment — it can be withheld anyway if the doctors and/or the ethics committee believes that the quality of the patient’s life renders it not worth living,

….. Clarke’s case involves value judgments rather than medical determinations. In such “qualitative futility” cases, treatment is stopped in spite of a patient’s or family’s objections — the intervention is necessary not because the treatment doesn’t work, but because it does. In essence then, it is the patient’s life that is deemed futile and, hence, not worthy of being preserved.

We should also note that the Clarke controversy isn’t anything like the Terri Schiavo case. Schiavo’s tube-supplied food and fluids were ordered withdrawn (supposedly) to carry out her wishes. But Clarke apparently wants to live and her family all agree that she should continue to be sustained. In other words, it is as if Michael Schiavo and Terri’s parents, Bob and Mary Schindler, agreed to maintain Terri’s feeding tube but a hospital ethics committee overruled their decisions and doctors removed the tube anyway.

….. Texas, however, has become ground zero for futile-care theory thanks to a draconian state law passed in 1999 — of dubious constitutionality, some believe — that explicitly permits a hospital ethics committee to refuse wanted life-sustaining care.

….. Cases like Andrea Clarke’s could not be more important. If the principle is ever established that doctors, hospitals, and faceless ethics committees can dictate who can live and who must die, the already weakening faith of the American people in their health-care system will be seriously undermined and the door will be thrown wide-open to medical decision-making based on discriminatory hierarchies of human worth. As German physician Christoph Wilhelm Hufeland wrote presciently in 1806, “It is not up to [the doctor] whether . . . life is happy or unhappy, worthwhile or not, and should he incorporate these perspectives into his trade . . . the doctor could well become the most dangerous person in the state.”

Be very afraid if futile care catches on. Those in a position to prevent its adoption should fight with every ounce of energy they have.