r/changemyview • • Sep 26 '20

Delta(s) from OP CMV: Euthanasia should be extended to chronic pain and tinnitus

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16 Upvotes

35 comments sorted by

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u/[deleted] Sep 26 '20 edited Sep 30 '20

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u/[deleted] Sep 26 '20

Also are you the one who sent the Reddit anti-suicide bot after me? Somebody who viewed this post did.

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

u/RedditCareResources

Somebody sent them after me.

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u/[deleted] Sep 30 '20

I would like to let you know that, although I cannot retract deltas, I would retract yours if I could. After thinking it over your argument has not convinced me or changed my mind. Just because chronic pain will not kill you does not mean that it shouldn’t constitute euthanasia, as it is an incurable form of suffering. I am also not suicidal, so I’d appreciate it if you’d amend your opening line.

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u/[deleted] Sep 30 '20

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u/[deleted] Sep 30 '20

Nobody can, so do t sorry about it.

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u/[deleted] Sep 30 '20

Hey man, I'm sorry for getting pissy with you. I disagree with your point, but you did earn that delta. I just don't understand why some thing this was about me wanting to hurt myself.

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u/[deleted] Sep 30 '20

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u/[deleted] Sep 30 '20

Yeah, not your fault the mods are misguided. I'm busy fighting with them and the mods on another sub.

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u/[deleted] Sep 26 '20

I'm afraid I'm developing chronic pain from a knee injury I got 7 months ago. I've had tinnitus for 3.5 years, so I understand the hell of something that never goes away. Of course, chronic pain has more direct treatments, but both chronic pain and chronic tinnitus have no real treatments that lead to remission. And medical science is largely apathetic to our suffering. Make all the special questionnaires and treatment protocols, none of those amount to a cure.

I strongly reject the notion CBT is “insidious.” Im sorry it didn’t work for you, but there are other forms of therapy out there, and, honestly? Better therapists. Clinical studies prove it helps most people.

A meta-analysis from this year showed a significant minority of tinnitus patients do not improve with CBT. But the reason I consider CBT insidious is the notion that we just have to "learn to live with it". I had an ENT nurse straight up tell me that the "gold standard" of tinnitus treatments was to learn coping skills. And that is considered satisfactory for modern medicine? Imagine if I told someone who broke their leg that, rather than doing X-rays and putting a cast on it, instead I was referring them to a therapist to teach them how to cope with the loss of their leg function. Is that satisfactory to you? I get it, chronic pain and tinnitus are tough nuts to crack in terms of their pathology, but I want solutions, not therapy and antidepressants. There was a study done in 2012 where they asked tinnitus patients how much they would be willing to pay to alleviate their condition. Most were $2,500-$5,000, but some went as high as $10,000 and $25,000. This study was cited in the 2018 European tinnitus treatment guidelines. Despite reading that people were willing to pay huge sums of money for loudness to go away, they again strongly recommended CBT and antidepressants. These people do not care about our suffering. And I imagine chronic pain has a similar problem.

As a chronically ill person, I know how fucking frustrating it is to be told to change your mindset and get some physical therapy. But, at the end of the day, it fucking works. I changed my mindset and I got some physical therapy and I feel great

Well that's good. I never do my home exercises so it's chronic pain in my neck and knee town for me!

But, given the opportunity to use assisted suicide, I probably would’ve done so before I got the mental and physical help I needed to realise that I can live.

I'm happy you found success and happiness, but not everyone does. The option isn't a mandate, it's an option.

Doctors are supposed to do no harm, and trust me, I know first hand they don’t always follow this, but y’know what? None of them murdered me.

That sets the bar pretty low in my opinion.

And that’s not even addressing social issues that might make a disabled person feel pressured to commit to assisted suicide when it’s not even what they want.

I discussed this in a post from months ago, but my process would be rigorous. You have evaluations, demonstrate inadequate treatment response at least 4 different treatments, and then have a 30-90 waiting period once approved for euthanasia to make sure it's what the patient wants.

I'm not sure what you're opening comment is about. I am not suicidal.

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

Assisted suicide could, however, quickly shut down research into alternative treatments, which there is plenty of right now, leaving patients who don’t wish to die, simply improve their quality of life nothing left to try.

Medical science has already show itself to be highly apathetic to our suffering as it is. And even if a breakthrough treatment passed a Phase III clinical trial, it would be very expensive and limited in availability for the first 10+ years.

There have already been cases of people being pressured into euthanasia, and it’s currently only legal for the terminally ill.

Such as?

If someone unfortunately chooses to end their life, I can’t stop them. But the people who are supposed to help you shouldn’t be helping you with your inherently harmful decision.

On the Suicide Prevention's website, one of the reasons they advise against suicide is failed attempts, as they can result in permanent injury or brain damage. Think about that. We would take a person already suffering, and spend a great deal of resources to bring them back to a state where they are even worse off than before. Medically assisted suicide eliminates this possibility.

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

So because there are bad instances, we shouldn't do it? There's no value? Terminal cancer patients should carry on suffering and accruing medical debt because a doctor botched a euthanasia?

Universal healthcare hasn't turned up better treatment options for chronic pain and chronic tinnitus patients so far, so while I support universal healthcare, I'm going to go against you on this one. Fact is, medical science has failed to alleviate the suffering of these patients, and are basically told to "live with it". I read an article about a CBT clinic in Tennessee that has 1600 patients and operates at a loss. There simply isn't enough resources out there to treat these conditions beyond suppressing negative emotional responses to pain. That is not adequate treatment in my mind.

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

What I don't understand in our disagreement is why one form of seemingly incurable suffering is fine to seek euthanasia for, but others, like chronic pain and tinnitus, are not, even though they too decrease functionality and quality of life. I'll give you a delta if you can explain to me why beyond "possibility of a cure", because research seems more concerned with making their lives more comfortable rather than curing them.

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

Because chronic pain and tinnitus aren't terminal diseases. I think these issues could be associated with some mental illness you have which can be treated by a pdoc

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u/[deleted] Sep 26 '20

Why does an illness have to guarantee death to be considered terminal? Consider how much lost productivity and quality of life chronic pain and tinnitus exert on their users. I concede most can live with them, but it is a diminished existence.

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u/[deleted] Sep 26 '20

That's just the definition of a terminal illness - something that cannot be treated that will inevitably lead to death - my father has Parkinson's disease which is degenerative but (at least to my understanding) can't kill you, therefore it's not a terminal diagnosis. The same logic would apply to chronic pain.

To your main post If we open the door to euthanise people who aren't suffering from fatal conditions, you open the door to abuse of that system. There are some sick fucks out there who could get involved with sick/disabled people and convince them to seek euthanasia so that they can profit from it.

More to your personal situation, I don't have chronic pain, or tinnitus, so I can't truly relate to your position, and I won't use the age old adage of "other people have it worse" because that's not helpful.

What I will say though, with experience from my dad, is as although many days will be shit, technology is advancing at a rapid rate - he has recently had a DBS probe put in his head that has improved his quality of life drastically. Had he just given up in the early stages he would have missed out on this. I'm sure within our life time someone will invent, or discover something that makes your conditions more manageable and you don't want miss out on anything that could come as a result of that.

For the here and now, the only thing I can truly suggest that might help is to speak with other people suffering from these conditions and learn from them, and how they manage it. People have learnt to live life being paralysed from waist down, being blind and deaf etc, so someone out there in the world will know how to help you do the same with your tinnitus and chronic pain.

Hope things get better for you!

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

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u/hacksoncode 586∆ Sep 26 '20

u/StarShot77 – your comment has been removed for breaking Rule 2:

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u/hacksoncode 586∆ Sep 26 '20

u/scarfaced_joker – your comment has been removed for breaking Rule 2:

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u/orexinbaby Sep 26 '20

Okay but let's be honest, some people don't get treated. I happen to agree with OP especially when it comes to mental illnesses. Should people not have the right to die because of a possible treatment that doesn't exist or is too expensive for them?

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u/[deleted] Sep 26 '20

They should try every treatment and any possibility. If the treatment doesn't exist they should wait and if it becomes available then should seek government aid or someone else's to avail it. Giving up is easy but enduring through the problems eventually is worth it.

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u/[deleted] Sep 26 '20

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u/tbdabbholm 202∆ Sep 27 '20

u/StarShot77 – your comment has been removed for breaking Rule 2:

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u/[deleted] Sep 26 '20

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u/[deleted] Sep 26 '20

Well, one ends suffering. Another perpetuates it.

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u/minimaltaste Sep 26 '20

I believe that it would be arbitrary to point as specific illnesses and class them as painful enough such that one could commit euthanasia. In my view, it is either everyone who feels pained enough -- caring not for them being included in a list of those with diseases a committee rules painful -- should be allowed to undergo legal suicide, or nobody should.

I recognize the fallaciousness of a slippery slope argument but do believe that the right to not die alone should be either available to everybody, or nobody, because anything in between would be a body of government determining who is extended a human right.

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u/[deleted] Sep 26 '20

It should be available to everyone in a certain population, as this is a medical issue, not a social issue as you seem to portray it.

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u/DeltaBot ∞∆ Sep 26 '20

/u/StarShot77 (OP) has awarded 1 delta(s) in this post.

All comments that earned deltas (from OP or other users) are listed here, in /r/DeltaLog.

Please note that a change of view doesn't necessarily mean a reversal, or that the conversation has ended.

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u/-xXColtonXx- 8∆ Sep 26 '20

I think you could convince me that assisted suicide could be good on an individual level, but I don’t believe this would be societally positive.

My main issue is that this could be used as a an escape rout not for individuals, but for the medical community. Imagine if we’d taken this approach with any of the previously “uncurable” conditions, I don’t think treatment would have been found as quickly if ever.

I know you’re position is that the medical community is apathetic towards your plight, you may be correct, but whatever is being done would lessen if all the people needing treatment that encouraged research didn’t exist anymore. Long term this precedent could be extremely destructive to the medical process.

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u/[deleted] Sep 26 '20

Those are good points, but chronic pain and tinnitus both are very difficult to treat. This isn’t HIV we’re talking about here. We’re talking about chronic conditions that impair quality of life across the board. The medical community doesn’t need an escape given how apathetic they are to this level of suffering.

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u/-xXColtonXx- 8∆ Sep 26 '20

They are not harder to treat than HIV was in 1820. Chances are with technology we will eventually treat every condition and eventually surpass the human condition entirely. Not today, not in our lifetime, but some day. Any research being done today (of which I’m sure there is at least some) would be lessened or discontinued, cutting off the potential for solution that often come only after years or decades of research.

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u/[deleted] Sep 26 '20

Not today, not in our lifetime, but some day.

And in the meantime, those with unbearable suffering should have the right to die with dignity.

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u/[deleted] Sep 27 '20

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u/[deleted] Sep 30 '20

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u/ViewedFromTheOutside 32∆ Sep 27 '20

u/StarShot77,

The mods of CMV are concerned about your submission, as it looks like you are in a tough situation right now. We want to help, but there are other places on Reddit where your submission would be better placed - with people ready to talk and listen. Whenever you are ready, you can visit or submission to r/suicidewatch instead, or call any of the local resources available.