A Fight to Live

On Sunday afternoons we observe post liturgical nap time. It is a sacred time where the apartment is absolutely still as we go to our respective spots and either nap, read, or rest in general. We have done this as long as we have been married and I don’t believe it will ever change.

This Sunday I curled up on our impossibly soft couch with an article in the New Yorker called “The Death Treatment”. What is normally a restful time was interrupted by a chilling read.

The article centers around the story of Godeleiva and Tom, a mother and a son in Belgium. In September of 2011 Godeleiva sent an email to her son and daughter telling them that she had filed an euthanasia request with a Doctor Wim Distelmans and was waiting the results. Her reason? Psychological distress. She had been in therapy since she was 19 years old and was now 63. She was done, finished – it was time to die.

Wim Distelmans, a Belgian oncologist, has become a sort of celebrity in Belgium. His accomplishments are not artistic, though some may call them so; instead he is seen as one who is promoting a “tremendous liberation” for promoting assisted suicide as a human right. He lectures across the country – at clinics, schools, and even at cultural centers.

When Tom received the email declaring his mother’s intent, he talked to his supervisor who basically told him there was no way Distelmans would approve the request without first talking to the family. But the next time Tom heard from his mother was the day after she was euthanized. He received a letter written in past tense saying she donated her body to science. The rest of the article dives deeply into the Belgian law and it’s intersection with Tom’s personal story and his struggle to come to terms with his mother’s decision.

The practical implications of the law in Belgium gave me an icy chill and at one point I thought I might have to stop reading the article.

In the past five years, the number of euthanasia and assisted-suicide deaths in the Netherlands has doubled, and in Belgium it has increased by more than a hundred and fifty per cent. Although most of the Belgian patients had cancer, people have also been euthanized because they had autism, anorexia, borderline personality disorder, chronic-fatigue syndrome, partial paralysis, blindness coupled with deafness, and manic depression. In 2013, Wim Distelmans euthanized a forty-four-year-old transgender man, Nathan Verhelst, because Verhelst was devastated by the failure of his sex-change surgeries; he said that he felt like a monster when he looked in the mirror. “Farewell, everybody,” Verhelst said from his hospital bed, seconds before receiving a lethal injection.

The laws seem to have created a new conception of suicide as a medical treatment, stripped of its tragic dimensions. Patrick Wyffels, a Belgian family doctor, told me that the process of performing euthanasia, which he does eight to ten times a year, is “very magical.” 

I know people with all those illnesses and disease states. I know them and I love them. They teach me much about what it is to live well in the midst of suffering.

For terminal illnesses, the Belgian law requires that two physicians consult on the case while the non-terminal cases require three. But, the article states, doctors are applying “increasingly loose interpretations of disease”.  Indeed, 13 percent of those euthanized in 2014 did not have a terminal illness.

“We at the commission are confronted more and more with patients who are tired of dealing with a sum of small ailments—they are what we call ‘tired of life.’ ”* 


Six hours from Boston, in the city of Rochester, New York, a man I love very much is nearing the end of his life. He is 91 years old and he is my father, my dad. He has a cough that stuns the onlooker and his body is weakening by the day. He can no longer do the things he loves, the things he has done his entire life – some simple, like driving, others more involved, like traveling across the country and the world.

Yet, despite his body betraying him, he continues to fight to live. “We live by degrees – we die by degrees.” As long as he has breath he will fight to live. He sees life as a gift, a gift from God. He does not see suffering as something to be avoided at all costs, but something that can, and is, redeemed. He does not see suffering as a mistake, an omission of God’s love, but a place where his love can shine through.

“Suffering is not the absence of goodness, it is not the absence of beauty, but perhaps it can be the place where true beauty can be known…That last kiss, that last warm touch, that last breath, matters — but it was never intended for us to decide when that last breath is breathed.”**

My dad is suffering, but he is still living. Because living matters. Because my dad’s story matters. Because my dad’s story is not complete on this earth until God says it’s complete, until he enters into the glorious grace and arms of his Father and hears the words “Well done, my good and faithful servant.”


As I finished the article, the light was fading into dusk. Autumn’s soft chill had me wrapped in a blanket and light from both outside and in bathed the room in a soft glow. My mind was alive with thoughts and feelings of life and of death. I often struggle with tears as I think about the universal suffering in the world and the personal suffering of individuals. But as I thought about the article I had just read and contrasted it to my father’s fight to live, I had a moment of crystal clarity: My dad’s fight to live is a beautiful grace.  

“I do not feel like I have the courage for this journey, but I have Jesus—and He will provide. He has given me so much to be grateful for, and that gratitude, that wondering over His love, will cover us all. And it will carry us—carry us in ways we cannot comprehend.” from Kara Tippetts

*From the article: Although their suffering derives from social concerns as well as from medical ones, Distelmans said that he still considers their pain to be incurable. 

The Myth of ‘Death with Dignity’ – A No on Question 2

As a nurse I’ve cared for hundreds of people who are going into surgery, women who are in labor, people who have cancer, people who are dying. It has been both a privilege and a burden. It brings me face to face with my mortality, my frailty, and my need to figure out what this thing called ‘Life’ is all about.

I have sat with people waiting for their last breath, only to realize there would be none. I have been beside women as they gave birth to still-born babies, weeping with them as tears streamed down their cheeks. Tears that fell on the heads of babies who did not feel them or know the pain of their mamas.

I have cleaned up vomit, suctioned mucus, emptied bedpans,

So there is one thing I can tell you with certainty: There is no dignity in being sick. There is no dignity in bed pans. There is no dignity in throwing up. There is no dignity in fainting or seizures; in high fevers or runny noses, in chemotherapy or intravenous antibiotics. There is no dignity in getting the dreaded diagnosis “You have cancer…”. None. There is absolutely no dignity in labor as you’re hanging out all over the place just waiting for that little muffin’s head to crown.

And Psalm 23 is not kidding about the “Valley of the shadow of death” for there is little dignity in dying.

And yet the Massachusetts ballot is presenting me with a question come November 6 – a question where I have the choice to vote ‘yes’ or ‘no’. It is called the Massachusetts Death With Dignity Act, but it is really a vote up or down for Physician Assisted Suicide.

I get it. We hate pain – for ourselves and for others. “Needless pain!” we cry out! Why should we have to suffer? Why should those we love have to suffer? We’re going to die anyway! Why not be able to control the process?

So why do I, who ooze compassion when I see a hurt bird, let alone human, plan to vote no on this bill that would supposedly “alleviate” suffering?

There are several reasons.

1. While diagnosis is a fact, prognosis is an opinion. Most of us know people who have lived far longer than the prescribed prognosis given for a particular disease state. This is because many things go into living. It’s not about a doctor’s evidence, what has happened before, or what typically happens – it’s about the individual, it’s about will, it’s about faith, it’s about God.

2. Amazing strides have been made in pain relief and end of life care. No longer does end of life care need to be a time of intense suffering. Current research and practice gives great hope to patients and families who are dealing with end of life issues. Palliative care focuses on relief of pain, easing of symptoms, and improving quality of life. This area needs to be strengthened, not weakened by diminishing its importance through allowing patients to request medication that will end their lives.

3. There is no requirement in the language of the law that any family members be notified. This is unconscionable to me! That a patient can take the medication alone, with no one else present, and no record of having taken it is unbelievably bad practice. The potential scenarios this presents have law suits written all over them.

4. Death is not, and never will be, dignified. To paint the issue with language like this is disingenuous at best. Just because you are the one who holds the medicine that can end it all doesn’t mean it will be dignified. The very nature of death is that of losing control, taking a last breath, mouth gaping open, losing control of bodily functions, fighting to live only to die. I am all for easing some of the pain and discomfort of death but let me repeat: It is not, and will never, be dignified. It’s death.

The only dignity given in death is given by others to the one dying, it cannot be given to oneself.

5. Organizations that I respect are against it. The Mass Medical Society, Massachusetts Hospice and Palliative Care Federation, the American Medical Directors Association, and the Massachusetts Academy of Family Physicians are all against it. Why? Because it’s poorly written, because there is already a strong end of life care program in the state that aims to alleviate suffering, because patients are not required to see a psychiatrist or psychologist to check mental health status before being prescribed a lethal dose of medication to end their lives, and because they recognize that physicians should be in the business of providing “compassionate, high-quality care during every stage of life.”

6. I believe the act diminishes and violates the Hippocratic Oath at the deepest level. In the classical version of the oath the statement “I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect.” are words sworn by most physicians on graduating from medical school. The entire oath speaks to the need to practice medicine ethically and compassionately.

Lastly, it is because I operate from a God-centered worldview. I see all of life through this lens. And so I believe that all of Life is sacred – whether it be in the abortion clinic, the battlefield, the workplace, the slum, the homeless shelter, the hospital room, or the hospice. Life, all of it, is sacred. And in believing that Life is sacred, I believe that only One can give or take life. Only One has and knows the big picture.

Only One can offer death with dignity and so, clear-eyed and clear-headed, I’ll vote No. 

 “Take away my capacity for pain and you rob me of the possibilty for joy.” Ross W. Marrs

“The role of family physicians is to provide compassionate, high quality health care to all patients, in each stage of life. End-of-life care is no different. Given the tremendous strides made in palliative care delivery services, patients with terminal illnesses often live active and fruitful lives for months, if not years….“Given the seriousness posed by the ballot question, and especially given our daily experience as family physicians caring for patients, we urge Massachusetts residents to vote NO to Question 2 on November 6.” Massachusetts Academy of Family Physicians

“We’ll continue to educate voters that Question 2 is poorly written, confusing, and flawed. This is why concerned doctors, nurses, hospice workers, religious leaders and citizens have banned together to defeat Question 2. Visit our website to see the full list of organizations opposed to physician assisted suicide”. Coalition against Physician Assisted Suicide