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There are two places in my world where I would wish to be.

The first is a seashore, a mile of firm wet sand beneath my feet, a spray-loaded westerly gale in my face, and white-caps marching in military file upon the rocks. To stand before the might of nature and feel her snatching at my toes: to be for an instant at one with the primal power that speaks to us all, had we the ears to listen, these are the sights and sounds and sense of glory for me.

The second place within my heart is a quiet wood, among placid deciduous trees where tiny sunshine sprays of summer heat slip in between the leaves and birds provide quiet music to a percussion of breeze-stirred leaf and twig. A different perfection this, to sit upon some ancient bench beside a tripping forest stream, watching time drift past me into nothingness.

In either place, alone – for at the last Nature is our one true friend – I would gladly meet my fate. If I could my quietus make from earth to oblivion with such an image imprinted in my soul I would pass through the gate without fear.

When I watch the brief lives of our smaller cohabitants on this planet pass before me, expired in little more than a season, or a year, or ten, I reflect that the one true advantage we have gained over them all is comfort. Churchmen may sanctify life, politicians may play with it, but we normal mortals gain only by having food on our table, a place away from the snow, and the ability to express and resolve pain: and yes, it is right that we should bestow those gifts upon our brother species, and it is charitable to do so, where we have the means, so even when we feel the need to satisfy our carnivorous appetites we afford some dignity to the hordes we kill. If we count ourselves as ‘civilized’ we try to make death quick and painless, for every species but our own.

Somehow we have allowed ourselves to be persuaded by an argument that human life is different to that of the other animals that are forced to co-exist with us; that we are made ‘in the image of God’ and therefore a special case. We have taken the simple truth of death as an ending and made a science of an improbable land beyond it; and from that science derived a plethora of reasons why we should delay and protract our own death in a way that, if we observed it practiced upon an animal, we would denounce as gross cruelty.

I have my views about religion. It has been responsible for the genocide of millions yet we still espouse it in one or other of its forms, whilst I regard it as the greatest perversion of thought to be visited on mankind. Our greatest gift, on the other hand, is not a theoretical, but a real victory over death. We can end life, terminate it without pain. We should feel free to reject the sorrowful protestations of the former and joyfully sanction the latter.

If I wish it, and of course only if I freely wish it, I should be allowed my final hour without pain, dreaming of that seashore, or resting in that wood. Rejecting all peripheral arguments about family pressures and financial complications I should retain that essential right. By simply gaining agreement that medicine is primarily about mercy, at a stroke I would save treatments and bed-space needed for those with hope, rather than wasting them upon my losing battle. The timing would be mine. I would give my relatives peace, and leave my life as I have lived it.

I believe that, given a vote, an overwhelming majority would agree with me, and at last even the great and the good seem to be coming round to acceptance. After all, we take willingly all the other benefits medicine can give us – why not bestow the freedom upon us to use this last one?