Physician Assisted Suicide - A Layman's View (January 14, 1997)

To: Editorial Board - Press & Sun Bulletin

Re: letter I sent to the New England Journal Of Medicine

I promise that this is the last letter I will send you. I thought it might help you to understand my passion. I don't know if the Journal will publish this letter … but I needed to send it. For me, it's pay back time for all that I am thankful for.

Brian McMahon

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Physician Assisted Suicide - A Layman's View

I read, with great interest, the editorials by Dr. Marcia Angell and Dr. Kathleen Foley regarding their opposing views on physician assisted suicide. They made their arguments with a delicate compassion for the great pain and problems of the terminally ill. I, too, am compassionate and torn. But I think that the doctors were addressing symptoms and missing the illness inherent in physician assisted suicide.

An individual's dying and death is not at the heart of this issue, rather, this issue is about living in a society and supporting each other in that society. I cannot pretend to know the pain any person is going through. I can try to help them cope with their pain but I cannot feel that pain no matter how much I ache with compassion. Pain is very personal. And in this pain, we can find a purpose … a cause … a dignity. I will tell you a story.

I was 19, in my first year of college, when disaster struck. No one could see my disaster; it was a disaster in my mind. I knew something was wrong. There was a veil over my once bright world. This veil descended overnight. Depressed? Yes. Anxious? Yes. I could not sleep. I could not eat. I was in hell and no one could see.

I went to the doctor hoping to find a name for my pain; hoping that he might tell me I was dying of cancer or some disease with fingers so that I could smile and say 'I'm dying of this', or, 'I'm dying of that', or, just "Thank God I'm dying". The doctor could not tell me of this pleasure. I was in perfect physical shape.

I went to the counseling center at the college and tried to tell them of my hell. "Have you ever considered committing suicide?" they asked. I nodded in shame but with the hope that they knew the name of my tormentor. "Any great leader throughout history has, at one time or another, considered suicide." Thus, were my hopes dashed.

That night, I stood at the railing, on the 3rd floor of my dorm, and stared at the marble floor 30 feet below. It did not look hard, but inviting. I leaned. I thought. I thought of my mother and father. I thought of my heroes. I thought of everything I had been taught to believe about how sacred life was. I thought of honor and dignity. I pulled back. I could not shame myself. I could not shame those who believed in me.

That was 25 years ago. I swore that night that no matter how tormented I was that my life would not be ended at my own hand. I would die with an honor and dignity worthy of those who believed in me. I struggled with my pain for 6 years. Alone. But this story is not of my heroics … it is of yours.

I have had a wonderful life. I have a wife, 3 kids, a grandson. I own a nice little business. If I were to die today, I would die a happy man. And I owe that all to you. Your medicine could not save me 25 years ago, but your belief system could. Your hand was on my shoulder that night. You pulled me back. My mother, my father, my friends and teachers were all there that night. I owe you my life.

And just as I owe it to you, I owe it to that child out there somewhere, alone, in pain, and leaning. I would not want to enter my hell again, but if I had to, I would try to stay true to the beliefs you taught me. Perhaps the hand that reaches out to save that child is not as strong as it once was. But there is a dignity in that hand; there is an honor; there is a healing.

We owe it to each other to believe. As a society we must believe. The sanctity of life is not a religious concept; it is a social concept that transcends theologies.

I have heard that the medical community has recently discovered evidence of the benefits of faith in the healing sciences. I have known and tasted this benefit for 25 years. Faith is not something you can go out and purchase at a pharmacy. To have faith you must believe in something. To give faith to others you must demonstrate a consistency in your beliefs. Sometimes, our belief system is tested in trials by fire. And not everyone passes that test. But to say that the belief system is wrong, or to say that it is okay to fail is to diminish the entire system.

I wonder, if I were at that railing now, would the hand that held me back be strong enough? Or would I hear the angry voice of debate shouting "Don't shove your religious beliefs down my throat. Go ahead and jump." You are the friends who saved me. I believe in us and it is good that I do. I only wish that I could convey my thoughts more clearly so that you could see the wisdom in what you taught me to believe.

Brian J. McMahon

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