I am a nurse and work on a unit with quite a lot of the End of life patients. Including patients with MND and COPD which need careful management for breathlessness.
I don't support this legislation. My opposition is based on the fact that enabling someone to have a peaceful death involves a interplay of numerous environmental social and biological factors. The new legislation will need to fit into this complex environment without disrupting the practices which have built up to manage EOL care.
For example suffering for a patient will be significantly eased if the doctor explains clearly what is expected to happen and what the patient is likely to experience.
A patient with COPD, might be afraid to experience breathlessness. But the medical team explain how it will work, the nurses introduce it gradually and the patient does not suffer. Its the interplay of the technology, the professionals, the biological process and, obviously the patient and the beliefs and uncertainty.
Likewise a completely dependent MND patient will requite 16 full time nurses to provide for his needs. They might feel like a burden. Again its an interplay between the patients needs, symptoms and the professionals and technology we use to meet these needs.
If we overlay on this situations the knowledge that the patient could simply take their own life, its not clear to me that this would alleviate suffering.
Billionaires often make compelling arguments for why they should get to keep their money (Paul Graham and Elon Musk being two examples).
I disagree with their point of view because:
1. My neighbour having enough food to eat and a warm house is a form of wealth FOR ME.
2. If wealth that is generated is taxed, this means that it is harder to accumulate wealth, this means that the people that do manage to accumulate wealth have better qualities than the people that do so in a tax free environment. And thus they make better decisions about how to allocate their money.
3. Billionaires are not accountable to anyone for how they spend their wealth. This is fine if they are all like Musk. But they are not. Of the countless number, only two are trying to build rockets to Mars. Counter examples are Osama Bin Laden and the guys who funded the NRA. If the wealth is taxed then it is fought over in a shared space in which we all have a say, no matter how small.
I like the argument that Rawls made in "A theory of Justice", where he said that when you are deciding how to make a fair society you should think from a perspective in which you do not know what role you will have in that society.
> However, I think a far more important aspect is how much more active the system as a whole gets. I don't have time to get into it in detail here, but overall that means there will be more and more extremes. More droughts. More floods. More severe winds. More heat waves. More freezing storms.
I don't think there is much evidence to support this relationship. I'd be glad to be proven wrong.
Another way of looking at it is: what proportion of your wealth would you give to be wealthy for e.g. 60 years. This tax doesn't transform wealthy a wealthy person into a non wealthy person over time.
I don't support this legislation. My opposition is based on the fact that enabling someone to have a peaceful death involves a interplay of numerous environmental social and biological factors. The new legislation will need to fit into this complex environment without disrupting the practices which have built up to manage EOL care.
For example suffering for a patient will be significantly eased if the doctor explains clearly what is expected to happen and what the patient is likely to experience.
A patient with COPD, might be afraid to experience breathlessness. But the medical team explain how it will work, the nurses introduce it gradually and the patient does not suffer. Its the interplay of the technology, the professionals, the biological process and, obviously the patient and the beliefs and uncertainty.
Likewise a completely dependent MND patient will requite 16 full time nurses to provide for his needs. They might feel like a burden. Again its an interplay between the patients needs, symptoms and the professionals and technology we use to meet these needs.
If we overlay on this situations the knowledge that the patient could simply take their own life, its not clear to me that this would alleviate suffering.