cover of episode 'The Interview': The Doctor Who Helped Me Understand My Mom’s Choice to Die

'The Interview': The Doctor Who Helped Me Understand My Mom’s Choice to Die

2024/11/16
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David Marchese作为一名亲历母亲安乐死的儿子,对安乐死的医学、法律和哲学层面提出质疑,并分享其个人感受和思考。他关注安乐死评估的合理性,以及安乐死对哀伤和对生命意义的理解的影响。 Ellen Wiebe医生作为一名经验丰富的安乐死执行者和倡导者,从人权和自主的角度出发,肯定安乐死的合法性。她强调安乐死评估的重点在于患者是否充分理解自身状况并做出自主决定,而非仅仅关注患者的物质条件或家人的感受。她分享了多个案例,说明安乐死并非总是悲伤的结局,也可能包含对逝者人生的庆祝和回忆。她还探讨了安乐死与哀伤的关系,以及安乐死在社会文化中的转变。她认为,医生作为安乐死的执行者,需要在专业和人性的角度上兼顾,并保持适当的界限感,避免将患者的悲剧带入个人生活。 Ellen Wiebe医生详细阐述了安乐死评估流程中的关键考量因素,包括患者对自身状况的理解、自主决定的能力以及痛苦的程度。她强调,评估并非简单地判断患者是否符合条件,而是需要医生深入了解患者的整体情况,包括其生理和心理状态、家庭关系以及社会经济状况等。她还解释了如何区分抑郁症导致的非理性想法和对自身状况的理性认知,以及如何处理患者家属对安乐死决定的不同意见。她认为,安乐死合法化改变了社会文化,人们对安乐死有了更多了解和接受,这使得那些没有选择安乐死的患者也能在面对疾病时感到安心。

Deep Dive

Key Insights

Why did Dr. Ellen Wiebe choose to become a MAID provider?

Human rights have been a major focus of her life, and her practice includes abortion, which also deals with bodily autonomy. She feels honored to help people regain control over their lives in difficult situations.

How does Dr. Wiebe handle the emotional toll of her work?

She sets boundaries to protect herself from secondary trauma and finds meaning in her work. She balances her work with personal life to maintain her mental health.

What are some common concerns about MAID, and does Dr. Wiebe find them valid?

Concerns include the slippery slope effect, religious objections, and potential for coercion. Dr. Wiebe acknowledges these concerns and emphasizes the importance of thorough assessments to ensure patients are making informed decisions.

How does Dr. Wiebe determine if a patient is eligible for MAID?

She assesses whether the patient has a grievous and irremediable medical condition, understands their prognosis, and is making a rational decision. She also considers the patient's capacity to make decisions and the nature of their suffering.

What role do doctors play in the MAID process in Canada?

Doctors are trusted gatekeepers who assess patients for eligibility, ensuring they meet the criteria for MAID. This role is based on the trust society places in doctors to act in the best interest of patients.

How does Dr. Wiebe differentiate between rational decision-making and disordered thinking in MAID patients?

She looks for signs of disordered thinking, such as self-blame or a negative view of the world, which may indicate clinical depression. Rational decisions are based on a clear understanding of one's situation and the consequences of their choices.

What impact does MAID have on the grieving process?

MAID can make the grieving process more manageable by allowing families to say their goodbyes and understand the patient's decision. However, it can also lead to feelings of abandonment if the patient chooses to die earlier than necessary.

How does Dr. Wiebe address concerns about coercion in MAID?

She ensures that patients are not making decisions based on external pressures, such as financial reasons or family burdens. She assesses the patient's situation comprehensively to determine the true nature of their suffering.

What challenges does Dr. Wiebe face from opponents of MAID and abortion?

Anti-abortion opponents have been more violent, with incidents of shooting and stabbing. Anti-MAID protesters are generally less violent, often resorting to prayer. Both groups use similar rhetoric to demonize her work.

How has Dr. Wiebe's experience with death influenced her view on life?

Her patients teach her about the importance of living a meaningful and enjoyable life. She values spending time with loved ones and finds fulfillment in her work, emphasizing the importance of making life worthwhile.

Chapters
Dr. Ellen Wiebe discusses her motivation for becoming a MAID provider, drawing parallels to her work in abortion rights, and her approach to handling the emotional aspects of her work.
  • Dr. Wiebe's work is driven by a focus on human rights and bodily autonomy.
  • She feels honored to help patients through difficult decisions and restore their autonomy.
  • Dr. Wiebe balances her work by also being an abortion provider, seeing both as fundamental rights.

Shownotes Transcript

Dr. Ellen Wiebe has performed hundreds of medical aid in dying (or MAID) procedures and is one of Canada’s most prominent advocates for the practice. David Marchese had questions — medical, legal and philosophical — about when it makes sense for doctors to help people to die, and also about how MAID might shape our thinking on what, exactly, constitutes a good death.Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.