motorcycle accident in June, 1973, paralyzed George Zygmaniak, aged
twenty-six, from the neck down. The indications were that the paralysis would
be permanent. George begged his brother, Lester, to kill him, saying he would
kill himself if he could. Lester shot and killed his brother in his hospital
bed.
The case went to trial, and the jury, after deliberating for two hours and
thirty-five minutes, acquitted Zygmaniak on the grounds that he was insane when
he shot his brother. The jury also found that he had regained his sanity and he
was freed. In this and in similar cases, what the court produces is not so much
a verdict as a diagnosis. And a remarkable diagnosis it is, touching as it does
on the past, present, and future mental state of the defendant. The jury judged
that Zygmaniak's past insanity was such as to excuse him from what would
otherwise have been an act of criminal homicide. The jury then pronounced
Zygmaniak cured, and the court, by releasing the defendant without further ado,
underwrote the inference that his lethal illness would not recur.
In August 9, 1967, Robert Waskins, a twenty-three-year-old college student,
killed his mother by shooting her three times in the head. When the police
arrived and advised him of his rights to silence, he simply replied: "It's
obvious. I killed her." He was arrested and charged with murder.
Waskins' mother had been suffering from leukemia. She had at the most several
more days to live. She was, however, in extreme pain and wanted to die. In fact
she had begged her son to kill her. Three days previously, she had tried to
commit suicide by taking an overdose of sleeping pills. Both her husband and
the doctors witnessed to the fact that she was in deep pain at the time she was
shot.
The case went to court. The letter of the law had little to offer Waskins.
Motive, however benevolent, is no defense in cases of mercy killing. Motive can
influence the judge in sentencing, but the most lenient sentence in Waskins'
case would be fourteen years in prison with no hope of probation.
On January 24, 1969, a jury deliberated for only forty minutes and with instant
psychoanalysis found Waskins not guilty by reason of insanity. They further
found that he was no longer insane and he was released. There is no psychiatric
evidence that Waskins was ever insane, but thus the case was resolved.
In a famous case in New Hampshire in 1950, Dr. Herman Sander was charged with
the murder of a cancer-stricken patient. Dr. Sander had given the patient ten
cc.s of air intravenously four times and she died within ten minutes. It is
reported that the patient asked the doctor to put her out of her misery. The
doctor noted on the patient's chart that he had given her these air
injections.
The defense offered for Sander at his trial was that the patient was already
dead at the time of the injections. The jury acquitted the doctor apparently on
the grounds that there was no proof that his action had caused the patient's
death. Thus ended what appears to be the first case in which a doctor in this
country was tried on the charge of euthanasia. Jurists who had hoped that the
case would set a precedent on the legality of euthanasia, however pleased they
might have been for Dr. Sander, were understandably disappointed in the
rationale of the verdict. The jury, it would seem, can scarcely be faulted. The
judge had Stated at the very outset of the trial that the question of mercy
killing could not legally be an issue at the trial. One wonders what could be
the issue?
Sometimes in cases of mercy killing, the evidence is simply brushed aside. In
the Illinois case of People v. Werner, the defendant pleaded guilty to a
manslaughter charge for having suffocated his wife, who was a hopelessly
crippled arthritic and had begged her husband to put her out of her misery.
After hearing testimony from the family of the defendant regarding his devotion
to his wife, and after the doctor testified to the excruciating pain and mental
despair of the woman, the defendant was allowed to change his plea to not
guilty. The court then acquitted him on the grounds that a jury would not be
inclined to convict in such cases. The judge also observed that in this case
there was no likelihood of recidivism, that is, of repeating this kind of
activity.
Resorting to reasons of insanity for acquittal in mercy killing cases is a
common tactic. This tactic would seem to constitute a commentary on the state
of the law. What is happening in these instances is that there is a flight to
psychiatry when there is no help from the law. Such cases are not rare. Carol
Paight, a Connecticut college girl who had been indicted for second-degree
murder for killing her hospitalized father who was dying of cancer, was
acquitted by reason of temporary insanity at the time of the commission of the
act. And in Michigan, Eugene Braunsdorf won the same merciful judgment after
killing his crippled adult daughter, who was spastic, mute. and had required
hospitalization all her life.
The wheels of justice do not grind evenly here, however. In the same year in
which Paight and Braunsdorf were so acquitted Harold Mohr in Pennsylvania was
convicted of voluntary manslaughter for the killing of his blind,
cancer-stricken brother. He was sentenced to from three to six years in prison
and fined five hundred dollars even though he also pleaded temporary insanity,
and even though, in contrast to the other two cases, there was in the Mohr case
evidence that the accused had acted upon the urgent and repeated requests of
his brother. Ironically, the judge in sentencing Mohr described the defendant
as a martyr who must suffer the price of martyrdom!
As another example of the uncertain state of the law, it is interesting to note
the Texas case of Sanders v. State. Here the act of assisting someone to kill
himself by furnishing the means of death is considered to be innocent of any
criminality. Then the Texan Court of Criminal Appeals went even further, saying
that someone who "administered" poison was guilty of no offense if the poison
were taken voluntarily. This would seem to give an open road to some forms of
euthanasia in the State of Texas. However, in another case, the Texas court
went on to say that anyone who administered poison by placing it in the
"victim's" mouth was guilty of murder. In other jurisdictions, though, persons
who mixed poison and made it available to incurably ill persons who wanted it
and took it were found to be guilty of murder.
Beyond all theoretical questions of what the legal status of mercy killing
ought to be, two facts are painfully obvious about the way it is. The current
situation is inherently unfair by reason of the unevenness in the judgments
reached. Verdicts range from murder in the first degree to acquittal.
Prosecutors, judges, and juries generally approach cases of mercy killing in a
way that contradicts the law as given. Devious means to circumvent the rigor of
the law are the order of the day. But devious means are unregulated and in some
cases the law in all of its conceptual rigor will be enforced. Thus the
evenhandedness that a rule of law should ensure to create a sense of justice in
society is not in evidence.
Secondly, the way in which the law has to be circumvented would appear to merit
the epithet hypocritical. Judges and juries, sensing that the law as it stands
is deficient, and being unable to do anything about it, declare the defendant
deficient, that is, insane. Pleasing as acquittal may be to the defendant,
there is some inequity in his having to get the verdict he and the jury want
and believe to be just by the loss of his claim to mental health. The situation
is all the more macabre since it is often clear that the defense of insanity is
only a gimmick used to make it possible to slip out from under the harshness
commanded by the law but not by the facts.
The present categories of the law do not encompass the realities involved in
death by choice, that is, cases in which by omission or by commission one's own
death or the death of another is opted for in preference to continued living.
The kinds of death spoken of here are those usually referred to in popular
parlance as mercy killing or euthanasia. The motives for these deaths are
compassion and an unselfish desire to bring on death when continued living is
unbearable for the patient due to physical and/or mental suffering. Mercy
killings thus described do not fit into any of the categories of unjustifiable
homicide available in American law. They are not murder in the first or second
degree, nor are they a form of criminal manslaughter.
Murder is the killing of one human being by another with malice aforethought,
either express or implied. "First degree murder is distinguished from other
grades of homicide primarily by the mental element known as 'malice
aforethought' or 'express' malice, and the unique characteristic of this degree
of murder is deliberation or premeditation--a design to take life" (American
Jurisprudence). Thus first-degree murder is not something unplanned or
impulsive or the product of sudden and overwhelming passion.
In a mercy killing case, there is usually obvious deliberateness and
premeditation. The mercy killer has to plan to get the poison or shotgun or
whatever means he may use. The immensely serious action, normally involving a
loved one, will have been mulled over for a long time during the progressive
course of illness. Mercy killings are usually clearly planned events. There is
deliberation and premeditation aplenty. But what about the business of
"express malice"?
Here the court often turns to the classical definition by Blackstone: "Express
malice is, when one with a sedate and deliberate mind, and formed design, doth
kill another; which formed design is evidenced by external circumstances
discovering that inward intention, as lying in wait, antecedent menaces, former
grudges, and concerted schemes to do him some bodily harm."
Blackstone dips into motive here and implies (what should be obvious) that
malice, in legal as well as in common parlance, normally imports some sinister
overtones in the agent's reason for acting. Thus the idea of ambush,
menacings, and grudges. The conclusion would seem to be then that the mercy
killer is certainly not eligible of the charge of first-degree murder since his
motives, be they right, wrong, or misguided, do not at all manifest
Blackstone's or anyone else's "express malice."
Nonetheless, efforts are made to describe mercy killing as first-degree murder.
How do the courts achieve this? How do they describe the "malice" of the mercy
killer? In the California Supreme Court case of People v. Conley, Chief Justice
Traynor shows how it is done. He observes that "one who commits euthanasia
bears no ill will toward his victim and believes his act is morally justified,
but he nonetheless acts with malice if he is able to comprehend that society
prohibits his act regardless of his belief." What this remarkable description
amounts to is a nonmalicious sort of malice! Blackstone stresses the quality
of ill will and spells it out a bit. The courts which allege malice in mercy
killings admit that there is no ill will. Indeed, in the case of Harold Mohr we
noted that the judge sent the mercy killer off to jail with the expressed and
almost admiring recognition that the man was a martyr. One wonders just what
he was a martyr to. Could it, perchance, be to the inadequacy of the laws? Are
there malicious martyrs?
And why does the law not employ this enigmatic notion of well-intentioned
malice in any other legal use of the term such as in cases of "malicious
abandonment," "malicious damage," et cetera?
When the law imputes malice to mercy killings it is indulging in the
Anglo-Saxon penchant for confusing reality with legality. Happily for the human
race, legality and reality do not always coincide. That is why wise judges are
needed to temper the shortcomings of the written law. That is also why the
Greeks insisted on the virtue of epikeia, whereby it is reasoned that the law
is too general to cover every particular case and that therefore there are
valid exceptions which epikeia discovers. Epikeia discerns the primacy of the
spirit over the letter of the law. It is the virtue that knows that the spirit
gives life whereas the letter can be lethal.
To say that mercy killing is first-degree murder because it is premeditated and
malicious, and that it is malicious because it is against the law, is a non
sequitur. It ignores the possibility that this case is not covered by the law
as it now stands. It also lumps together all kinds of disparate cases. By not
observing the distinction between illegality and malice. It places Dr. Sander
who dispatched his patient at her request to put her out of terrible misery in
a class with a rapist who kills his victim to eliminate the witness. Both are,
on the face of it, murderers in the first degree. Obviously, common sense, to
which the law is not immune protests. And, of course, the judges and juries who
wiggle out of such judgments by gymnastic contortions are also protesting.
Mercy killings may be wrong and because of this maybe they should be classified
as illegal and felonious. They do not, however, qualify under the essential
requirement of first-degree murder--malice aforethought." If they are wrong,
another category and rationale must be found for them.
Murder in the second degree is characterized by "implied malice," which is
present, for example, where death is caused by recklessness, but where willful
design is absent. Thus a murder charge goes from first to second degree when
there is no deliberately and explicitly formed plan to take life or when the
action is not part of another felonious action, which other felony would, the
law thinks, show enough malice to make the murder first degree.
The key then to second-degree murder is "implied malice," as opposed to malice
that is aforethought or "express." Some statutes define second-degree murder as
a killing "perpetrated by any act imminently dangerous to others and evincing a
depraved mind regardless of human life, although without any premeditated
design to effect the death of any particular individual." Sometimes verbal
provocation will be enough to change the charge from first to second degree. An
example of this may be illuminating and may help show whether we are in a
category suitable for acts of mercy killing.
"Where the deceased refused to withdraw the remark that defendant was a 'son of
a bitch,' by continued repetition of the remark in the face of the defendant's
stern warning not to continue with the name-calling. There was sufficient
provocation to merit a reduction of the charge from first to second degree
murder."
Similarly, the intoxication of the killer at the time of the act may have the
effect of reducing the crime to second-degree murder.
The first and obvious difficulty with fitting mercy killing into the second
degree of murder is that we are still dealing with malice, albeit implied.
Everything we said about malice above also applies here. Nor are mercy killings
caused by recklessness. They will be marked by considerable emotional strain,
but they are caused by willful design.
Suppose, however, for the sake of argument that there is some kind of legal
malice involved in mercy killing. Would it be correct to say that it was of the
"implied" kind? On the contrary if it is artificial to say there is express
malice in these cases, it is also artificial to say that the malice is of the
implied variety. The word "implied" points to diminished premeditation. It is
difficult to imagine one killing out of compassion with diminished
premeditation; the motivating compassion which leads the mercy killer to act
would also lead him to act only after intense premeditation.
Then there is manslaughter: "Manslaughter is a distinct offense, not a degree
of murder. It is an unlawful killing of a human being done without malice,
express or implied, either in a sudden quarrel or unintentionally while in the
commission of an unlawful act" (American Jurisprudence).
If this sounds a lot like second-degree murder to the astute reader, let him be
consoled by knowing that many juries have been baffled by the way in which the
law in word and in practice distinguishes the various degrees and classes of
homicide. Voluntary manslaughter is that which is done in the heat of passion
caused by a sudden provocation. (Involuntary manslaughter is a killing which
results from the commission of certain nonfelonious but unlawful acts without
the intention of taking life. Obviously, mercy killing does not fit into the
involuntary category since it is entirely geared to taking life.) What then of
voluntary manslaughter?
Voluntary manslaughter is usually a consequence of quarrels and combats. It
occurs suddenly, without reflection or prearranged plan to kill. The killer
acts "in the heat of blood." The things which would usually provoke this heat
are assault, trespass, epithets, insults, gestures, and threats. The emotion
provoked may be anger, or resentment, or it may be fear, extreme excitement, or
nervousness. For this charge to stick, and not be escalated to murder in some
decrees the courts seem to agree that the passion must not have had time to
cool. The manslayer acts with all reason obliterated by the sudden provocation.
There is no premeditation and no malice. Manslaughter is like an angry strike
of retaliatory, unanticipated lightning.
There are two reasons why voluntary manslaughter is not a suitable
classification for mercy killings. First, this charge requires that the agent
be impelled by uncontrollable passion arising from a sudden provocation;
manslaughter is incompatible with passage of much time. The courts presume that
if there was "an appreciable length of time," there was premeditation. There
is, it would seem, always "an appreciable length of time" in mercy killing.
People do not usually gun down a relative upon the first news that he has a
terminal illness.
All of the emotions cited in manslaughter cases are self-defensive in
character. This is the psychological element that both anger and fear have in
common. The emotions and motive of the mercy killer are of another nature. They
are marked by sympathy, concern, and anxiety for another, generated usually
over a long period of time, in a context that is likely to generate strong and
mixed emotions with the consequent need for adjudicating reason. Those who
would put mercy killing into the first-degree-murder class are on better
ground, and, as I argued, their better ground is not sufficient.
In the second place, manslaughter, though it does not involve malice in the
sense that murder does, is an action by which death is dealt without reason or
just cause. It is a lesser crime than murder only because of the distraction of
the killer. There is, presumably, no just cause for ending a life. Mercy
killing is based on the position that there may be a just cause for ending
life. This is the fundamental reason why mercy killing does not fit into any
one of the categories of unlawful killing.
In effect, American law outlaws and bans all but the most conservative moral
opinion on mercy killing. Ensconced in our law is a discriminatory bias which
takes no account of the legitimate moral pluralism which has developed on this
issue. Conscientious objection is disallowed. (Since the Supreme Court was
unwilling to give exclusive rights to more rigorous opinions on the disputed
subject of abortion, it would be interesting to see how they would rule on the
disputed issue of mercy killing. Even the conservative American Medical
Association, while condemning "mercy killing" and opposing legislative efforts
to define the moment of death, adopted a "death with dignity" solution at its
December convention, stating that "the cessation of the employment of
extraordinary means of prolonging the life of the body when there is
irrefutable evidence that biological death is imminent is the decision of the
patient and/or his immediate family."
Of course, there are apparent mercy killings which are immoral and should be
unlawful. The patient may be done in for reasons that have nothing to do with
mercy. This is why, even if our law were reformed to permit some kinds of mercy
killing, the mercy killer would still have to prove his mercy.
Law is always interested in precedents, and the legal systems of other nations
offer us a few striking ones. There have been a variety of modern reforms in
various countries, most of them stressing, in mercy killing situations, the
significance of motive and the character of the action. The reform which went
furthest is that of Uruguay. This law provides for complete exoneration in a
homicide case in which the act was motivated by compassion and performed upon
the "victim's" own request. As it was promulgated in 1933 it reads: "The judges
are authorized to forgo punishment of a person whose previous life has been
honorable where he commits a homicide motivated by compassion, induced by
repeated requests of the victim." This provision is understood to be a
conferral of power on the judges to offer pardon in these circumstances.
Germany does not go so far as Uruguay in this regard, but its laws are an
enlightened move in the direction of reform. The German law follows the trend
of modern European reform by stressing not the act so much as the actor. Thus,
they are concerned not with a type of action such as killing, considered in the
abstract, but with the psychological state of the actor, the killer. They want
to know the actor's character, his dangerousness or lack of it, the probability
that he will repeat his act, his motives. To get it out of the abstract and
into the concrete. German law even replaced the conventional terms "murder" and
"manslaughter" with the personal terms "murderer" and "manslayer."
Premeditation and deliberation are not looked on as decisive, since both
compassion and villainy can be premeditated and the law sensibly recognizes
that compassion and villainy are not the same reality.
The German definition of a murderer shows the paramount importance of motive.
Notice what a far cry it is from the confusion of "malice aforethought" of
American law. "A person is a murderer if he kills a human being out of lust for
killing; for the satisfaction of sexual desire; out of greed, or any other base
motives; in a treacherous or cruel manner or by means causing common danger; or
in order to make possible or to conceal another crime." Mercy killings are in
the separate category of "homicide upon request." These are indeed punishable,
but with lighter sentences.
The Swiss penal code provides that the judge "may mitigate the
punishment...where the actor was induced to commit the act by honorable
motives." This, in cases of compassion, may lead to total exonerations. Swiss
law also provides that whoever ''from selfish motives assists someone to commit
suicide shall be punishable; if the motives are not selfish then there will be
no punishment. This means that a physician who, motivated by compassion,
assists his patient to commit suicide is not subject to punishment.
The law of the land--any land--always allows for killing as a legitimate
activity. No society functions without the recognition that life may be
terminated for good reasons. Usually the laws mirror the mores of the populace
in this regard, though at times they run ahead, and at times they lag behind.
The kinds of killing indulged by American law provide a specimen of some
traditional and some not so traditional attitudes toward acceptable killing.
Americans are permitted by law to terminate life in four kinds of situations:
abortion (because of the Supreme Court decision of January 22, 1973), capital
punishment (though the Supreme Court struck down the death penalty laws of
thirty-nine states in Furman v. Georgia, nineteen states, not yet ready to fire
the hangman, have restored the penalty), war (declared and undeclared), and, in
some jurisdictions, suicide. What this indicates is that in some cases, such as
war and abortion (if one follows the Court in discounting the moral claims of
the fetus in the first six months of its uterine life), man's moral dominion
over death has been exaggerated. In other cases, such as death by choice in a
medical context, no moral dominion is recognized. Particularly in war, the
tolerance for killing is virtually unlimited. Long and destructive wars can be
waged by this country without the usual constitutional formalities such as
declaration by the Congress. The powers of a President to wage war have swollen
malignantly. Dubious precedents are adduced to justify military crusades
without giving the people a real chance to judge. The worm, however, is
turning. In the Indochina war it was deemed necessary to hide the facts of war
from the people and the Congress in order to wage it. The mores, in a word, are
less tolerant of war now than are the legal structures.
Also not reflected in the law is a major shift in attitude on the subject of
mercy killing. In a Gallup Poll the change of opinion since 1950 is remarkable.
The question asked both in 1950 and in 1973 was: "When a person has a disease
that cannot be cured, do you think doctors should be allowed by law to end the
patient's life by some painless means if the patient and his family request
it?" In 1950, only 36 percent said yes to this question. In 1973, 53 percent
replied in the affirmative. The breakdown of statistics also is striking. Among
adults under thirty years of age, the approval figure is 67 percent. It is
noteworthy too that only 46 percent of the Catholics interviewed said they
disapproved. Forty-eight percent approved and 6 percent were unsure, meaning
that not even a majority of Catholics voiced disapprobation of mercy killing.
It is worth saying too that the poll was not taken without a context. Two
stories were being highly publicized at this time, that of Dr. Montemarano who
was charged with giving a fatal injection to a patient and that of Lester
Zygmaniak who shot his brother, who had been paralyzed in a motorcycle accident
and had pleaded for death.
Thus there are shifts occurring in the general moral outlook on killing.
Inasmuch as those shifts reflect a recognition that we have overestimated our
moral right to kill in a military setting and underestimated it in some medical
and private situations, I believe the shifts are in the right ethical
direction. A look at the four classes of legal killing will bear out my
contention that the law is lagging behind the times.
The moral discussion of abortion is plagued by the wrong questions. Though the
wrong questions might accidentally lead to some right answers, they are more
likely to befoul discussion. This has happened in the abortion debate. The
first potentially bad question is, "Is the fetus a person?" The question is
pernicious if it implies that if the fetus is not a person, it has no claims to
reverence. Not only fetuses are threatened by the presupposition of this
question; infants are too. For if personhood and the distinctive, affective
imaginative, and intellectual activities thereof are the foundation of respect
for fetal and infant life, fetuses and infants are in trouble.
All of the emotions cited in manslaughter cases are self-defensive in
character. This is the psychological element that both anger and fear have in
common. The emotions and motive of the mercy killer are of another nature. They
are marked by sympathy, concern, and anxiety for another, generated usually
over a long period of time, in a context that is likely to generate strong and
mixed emotions with the consequent need for adjudicating reason. Those who
would put mercy killing into the first-degree-murder class are on better
ground, and, as I argued, their better ground is not sufficient.
In the second place, manslaughter, though it does not involve malice in the
sense that murder does, is an action by which death is dealt without reason or
just cause. It is a lesser crime than murder only because of the distraction of
the killer. There is, presumably, no just cause for ending a life. Mercy
killing is based on the position that there may be a just cause for ending
life. This is the fundamental reason why mercy killing does not fit into any
one of the categories of unlawful killing.
In effect, American law outlaws and bans all but the most conservative moral
opinion on mercy killing. Ensconced in our law is a discriminatory bias which
takes no account of the legitimate moral pluralism which has developed on this
issue. Conscientious objection is disallowed. (Since the Supreme Court was
unwilling to give exclusive rights to more rigorous opinions on the disputed
subject of abortion, it would be interesting to see how they would rule on the
disputed issue of mercy killing. Even the conservative American Medical
Association, while condemning "mercy killing" and opposing legislative efforts
to define the moment of death, adopted a "death with dignity" solution at its
December convention, stating that "the cessation of the employment of
extraordinary means of prolonging the life of the body when there is
irrefutable evidence that biological death is imminent is the decision of the
patient and/or his immediate family."
Of course, there are apparent mercy killings which are immoral and should be
unlawful. The patient may be done in for reasons that have nothing to do with
mercy. This is why, even if our law were reformed to permit some kinds of mercy
killing, the mercy killer would still have to prove his mercy.
Law is always interested in precedents, and the legal systems of other nations
offer us a few striking ones. There have been a variety of modern reforms in
various countries, most of them stressing, in mercy killing situations, the
significance of motive and the character of the action. The reform which went
furthest is that of Uruguay. This law provides for complete exoneration in a
homicide case in which the act was motivated by compassion and performed upon
the "victim's" own request. As it was promulgated in 1933 it reads: "The judges
are authorized to forgo punishment of a person whose previous life has been
honorable where he commits a homicide motivated by compassion, induced by
repeated requests of the victim." This provision is understood to be a
conferral of power on the judges to offer pardon in these circumstances.
Germany does not go so far as Uruguay in this regard, but its laws are an
enlightened move in the direction of reform. The German law follows the trend
of modern European reform by stressing not the act so much as the actor. Thus,
they are concerned not with a type of action such as killing, considered in the
abstract, but with the psychological state of the actor, the killer. They want
to know the actor's character, his dangerousness or lack of it, the probability
that he will repeat his act, his motives. To get it out of the abstract and
into the concrete. German law even replaced the conventional terms "murder" and
"manslaughter" with the personal terms "murderer" and "manslayer."
Premeditation and deliberation are not looked on as decisive, since both
compassion and villainy can be premeditated and the law sensibly recognizes
that compassion and villainy are not the same reality.
The German definition of a murderer shows the paramount importance of motive.
Notice what a far cry it is from the confusion of "malice aforethought" of
American law. "A person is a murderer if he kills a human being out of lust for
killing; for the satisfaction of sexual desire; out of greed, or any other base
motives; in a treacherous or cruel manner or by means causing common danger; or
in order to make possible or to conceal another crime." Mercy killings are in
the separate category of "homicide upon request." These are indeed punishable,
but with lighter sentences.
The Swiss penal code provides that the judge "may mitigate the
punishment...where the actor was induced to commit the act by honorable
motives." This, in cases of compassion, may lead to total exonerations. Swiss
law also provides that whoever ''from selfish motives assists someone to commit
suicide shall be punishable; if the motives are not selfish then there will be
no punishment. This means that a physician who, motivated by compassion,
assists his patient to commit suicide is not subject to punishment.
The law of the land--any land--always allows for killing as a legitimate
activity. No society functions without the recognition that life may be
terminated for good reasons. Usually the laws mirror the mores of the populace
in this regard, though at times they run ahead, and at times they lag behind.
The kinds of killing indulged by American law provide a specimen of some
traditional and some not so traditional attitudes toward acceptable killing.
Americans are permitted by law to terminate life in four kinds of situations:
abortion (because of the Supreme Court decision of January 22, 1973), capital
punishment (though the Supreme Court struck down the death penalty laws of
thirty-nine states in Furman v. Georgia, nineteen states, not yet ready to fire
the hangman, have restored the penalty), war (declared and undeclared), and, in
some jurisdictions, suicide. What this indicates is that in some cases, such as
war and abortion (if one follows the Court in discounting the moral claims of
the fetus in the first six months of its uterine life), man's moral dominion
over death has been exaggerated. In other cases, such as death by choice in a
medical context, no moral dominion is recognized. Particularly in war, the
tolerance for killing is virtually unlimited. Long and destructive wars can be
waged by this country without the usual constitutional formalities such as
declaration by the Congress. The powers of a President to wage war have swollen
malignantly. Dubious precedents are adduced to justify military crusades
without giving the people a real chance to judge. The worm, however, is
turning. In the Indochina war it was deemed necessary to hide the facts of war
from the people and the Congress in order to wage it. The mores, in a word, are
less tolerant of war now than are the legal structures.
Also not reflected in the law is a major shift in attitude on the subject of
mercy killing. In a Gallup Poll the change of opinion since 1950 is remarkable.
The question asked both in 1950 and in 1973 was: "When a person has a disease
that cannot be cured, do you think doctors should be allowed by law to end the
patient's life by some painless means if the patient and his family request
it?" In 1950, only 36 percent said yes to this question. In 1973, 53 percent
replied in the affirmative. The breakdown of statistics also is striking. Among
adults under thirty years of age, the approval figure is 67 percent. It is
noteworthy too that only 46 percent of the Catholics interviewed said they
disapproved. Forty-eight percent approved and 6 percent were unsure, meaning
that not even a majority of Catholics voiced disapprobation of mercy killing.
It is worth saying too that the poll was not taken without a context. Two
stories were being highly publicized at this time, that of Dr. Montemarano who
was charged with giving a fatal injection to a patient and that of Lester
Zygmaniak who shot his brother, who had been paralyzed in a motorcycle accident
and had pleaded for death.
Thus there are shifts occurring in the general moral outlook on killing.
Inasmuch as those shifts reflect a recognition that we have overestimated our
moral right to kill in a military setting and underestimated it in some medical
and private situations, I believe the shifts are in the right ethical
direction. A look at the four classes of legal killing will bear out my
contention that the law is lagging behind the times.
The moral discussion of abortion is plagued by the wrong questions. Though the
wrong questions might accidentally lead to some right answers, they are more
likely to befoul discussion. This has happened in the abortion debate. The
first potentially bad question is, "Is the fetus a person?" The question is
pernicious if it implies that if the fetus is not a person, it has no claims to
reverence. Not only fetuses are threatened by the presupposition of this
question; infants are too. For if personhood and the distinctive, affective
imaginative, and intellectual activities thereof are the foundation of respect
for fetal and infant life, fetuses and infants are in trouble.
Joseph Fletcher has written a somewhat unfortunate article entitled "Indicators
of Humanhood: A Tentative Profile of Man." I say "somewhat" unfortunate because
the attempt to delineate personal human qualities is at least a gainful ethical
endeavor. I say "unfortunate" because there are threatening implications in the
air when Fletcher says that "mere biological life...is without personal
status." That is potentially dangerous language because it implies too strongly
that fetuses and comatose persons, lacking humanhood in Fletcher's sense of the
term, lack a claim to life or are reduced to merely animal or object status.
Fletcher equates "humanhood" and personhood. He lists the qualities that are
the marks of persona, being. They are: minimal intelligence (anyone below the
IQ mark of 40 is probably not a person), self-awareness, self-control, a sense
of time, of futurity, and of the past: concern for others, ability to
communicate with others, control of existence, curiosity, changeability and
creativity, a balance of rationality and feeling, distinctiveness, and
neocortical functioning.
Applying these criteria of personhood to the fetus, it is clear that the fetus
is not a person. But what conclusion would be drawn from that? Is it mere
tissue or a negligible maternal growth? Could it be plucked like a flower for
little or no reason? Is the question of personhood, in other words, ethically
decisive? The question "Is the fetus a person?" sometimes implies this. It is
then a bad question.
By way of correction, I would say that the fetus is not a person, but that does
not answer the question about whether it is moral to abort it. The conceptus
from the very beginning is a human reality. From the first moment of its
existence it is in a process toward personhood. In a situation of conflict
about values, there may be proportionate reason to terminate fetal life, but
not because this fetal life is valueless or worthless. Rather, it is valuable
but not so absolutely valuable that no other value--principally, the life of
the mother-- could ever outweigh it in the unavoidable and sometimes tragic
calculus of ethics.
The ethical consideration of abortion must be prejudiced in favor of the fetus.
It is mute, and the other competing claimants of value are loud and articulate.
They also might, at times, have a better claim, but the fetus' case must be
pleaded forcefully in each contest of values with the recognition that its case
grows stronger each day it matures in the womb.
Capital punishment is, in a way, a species of killing the incurable. A judgment
is made that the person who has committed certain kinds of crimes is, morally,
a terminal case and so he is killed. Of course, no supporter of capital
punishment explains it in this way. A variety of other explanations are
offered--self-defense on the part of society, deterrence of crime, redressing
injustice, and so on--but none of these is more than a rationale. Capital
punishment, of course, has needed little defense. Throughout the years, it has
enjoyed enthusiastic popular support or, at the least, an imperturbable
tolerance. It has also been spared acute and persistent moral criticism. The
question of why capital punishment has been so widely tolerated is an
intriguing one. Yet the fact remains that only war has won greater
popularity.
In recent years, the zest for capital punishment had receded. Executions are no
longer festive public events. This development, however, is shockingly recent.
For example, it was not until 1868 that executions ceased being public in
England. A. Alvarez, the author of The Savage God, feels that capital
punishment, on the European scene, was a surrogate for the gladiatorial
games.
"In Christian Europe, executions replaced the Roman circuses. Criminals were
beheaded publicly: they were hanged, their intestines drawn out and their
bodies quartered: they were guillotined and elaborately tortured in front of
festive crowds: their severed heads were exposed on pikes, their bodies hung in
chains from gibbets....The execution was like a fun fair, and for the more
spectacular occasions even apprentices got the day off."
No strained arguments about deterrence will account for the long and wide
acceptance of penal killing. The roots are deeper than logic and are traceable
to our primitive past.
Capital punishment can, I submit, be easily shown to be incompatible with
minimal respect for life and consequently immoral. In support of that
contention, I would offer these arguments:
(I) Capital punishment is suspect in its origins. Nicholas Berdyaev, the
Russian philosopher, writes: "Capital punishment is rooted in the ancient
instinct of blood vengeance and human sacrifice, though it has assumed a
civilized and legal form." He sees it as blood vengeance transferred to the
state, and he suggests that "vengeance is the chief moral emotion of ancient
humanity." Primitive tribes often believed that only by the shedding of blood
could the debt incurred by certain crimes be satisfied. This was the meaning of
the Jewish Goel, an avenging kinsman. The rule was simply this: "The blood of a
kinsman must be avenged by the death of the one who shed it, or, failing him,
by the blood of one of his family." "An eye for an eye and a tooth for a tooth"
was a lived-out maxim for a good number of our barbaric ancestors. In some
societies this notion was heavy with superstitious content, so that the spirit
of a dead man who died violently would roam tortured and discontented until the
blood of his assailant was shed. This primitive notion was purely vindictive
punishment which had no interest in correcting or redeeming the malefactor. He
was, rather, to be obliterated.
The history of warfare also shows some of these barbaric elements of pure
vindictiveness. The Roman assault on Carthage was one example of this, as was
the practice of herem of the ancient Hebrews. The application of herem is
described in the Book of Deuteronomy:
"...you must kill all the inhabitants of that town...without giving any
quarter; you must lay it under ban, the town and all it contains. You must
gather all the wealth of it in the public square and set fire to the town and
all its goods, offering it all to Yahweh your God. It shall be a ruin for all
time, never to be built again."
This kind of genocidal war was mitigated by the thinking that eventually became
enshrined in the "just war" theory. It became recognized that war should
redress wrongs without going to the extent of annihilation. This represented a
limitation of force and a move away from the barbaric thirst for the complete
obliteration of the enemy.
Capital punishment represents a perdurance of the primitive lust for
liquidating the malfeasant or enemy. It is untainted with the more civilized
notions of constraining the criminal or even converting him. On this count
alone it is worthy of moral reprobation. But there are other arguments against
it.
(2) Capital punishment does not work. As one study of the effectiveness of the
death penalty puts it: "Whether the death penalty is used or not, and whether
executions are frequent or not, both death penalty states and abolition states
show rates which suggest that these rates are conditioned by other factors than
the death penalty."
Murder is often the result of fright or other passion. It is not usually
accompanied by a cool estimate of the possible consequences. Also, it is done
by those who have no intention of being caught and having to put up with the
legal consequences. Small wonder that Justices Brennan and Marshall pointed out
on the occasion of Furman v. Georgia that capital punishment is unnecessary for
the protection of the public.
(3) Capital punishment is not a form of self-defense. It is sometimes alleged
that the death penalty is society's way of defending itself from aggressors.
What the death penalty should be compared with, however, is not self-defense,
but the shooting of prisoners. The condemned man was presumably an aggressor
against some part of society. At the moment of his execution he is an unarmed
prisoner. Killing unarmed and unresisting prisoners is immoral. Even killing in
self-defense is immoral if there are alternative modes of defense available.
(4) Capital punishment is unevenly used. In recent years in the United States,
only about one out of ten men convicted of capital murder was sentenced to die,
leading Justice Stewart to conclude that the death penalty is "wantonly" and
"freakishly imposed."
(5) Capital punishment presumes the infallibility of juries and judges. It
leaves no room for correction of a miscarriage of justice. The fallibility of
judges and juries, however, is a screaming fact of history. Juries, at best,
provide a cross section of the wisdom, foibles, myths, and prejudices of a
society. No matter how sequestered, they are impressed with public
expectations. They can be duped and befuddled by the double-talk of the law.
They can be overly generous or blindly cruel. And if they err, the error, in
the case of execution, is incorrigible.
(6) Capital punishment bespeaks an absolute and demonic conception of the
state. If the state undertakes to kill persons in its custody when those
persons have ceased to be a threat to society, the state is acting as if it had
an absolute dominion over life. It is presuming that it could sacrifice one
man's life to influence the behavior of other men. In essence, this action is
arbitrary, despotic, and replete with pretension to a false sovereignty.
War is an enterprise which seeks to resolve conflict of interest by violence.
It is a form of death by choice by which states decide to kill those who do not
wish to be killed. It is generally accepted that war can at times be justified.
There are few absolute pacifists. The problem is that we are so habituated to
wars and rumors of wars that we have justified war too facilely. We have, in
fact, tragically overestimated our moral right to wage war.
Violence is addictive; it affects the people who rely on it with the ecstasy of
the "quick fix." Violence also tends to be escalatory. At the beginning of
World War II Hitler's bombing of population centers provoked expressions of
shock from England and the United States. As the momentum of the war increased,
however, shock gave way to imitation. The Western Allies soon swallowed their
moral indignation and determined that civilian morale and private property were
legitimate targets of war. The British Foreign Secretary, Anthony Eden, wrote
to the British Air Chiefs in the spring of 1942:
"I wish to recommend therefore that in the selection of targets in Germany the
claims of smaller towns of under 150 thousand inhabitants which are not too
heavily defended should be considered, even though those towns contain only
targets of secondary importance."
A Member of Parliament voiced his approval with enthusiasm. He declared himself
to be "all for the bombing of working-class areas in German cities. I am
Cromwellian--I believe in "slaying in the name of the Lord.'" These were not
mere words. On the night raid on Hamburg of July 27-28, 1943, phosphorus
incendiaries and the techniques of the "bomber stream" produced within thirty
minutes a fire storm several miles wide which burned or asphyxiated from 42,000
to 100,000 people. Fire-bombing and attacks on civilians also became American
policy against Japan. In the March 9-10, 1945, raid on Tokyo, 83,800 persons
are reported to have died. Then, of course, followed Hiroshima and Nagasaki and
American consciences had grown so at ease with slaughter of populations that
these unjustifiable attacks were borne with complacency.
The violence of war represents a reversion to the primitive notion of
collective responsibility. The term "collective responsibility" can mean
something quite realistic and something that is ever in need of fuller
appreciation. Peoples are responsible for misdeeds and culpable non-deeds of
their nations, at least because of their mute apathy which allows the ruling
powers to sally forth into moral crimes on the international scene.
The term "collective responsibility" here is used to describe the primitive
notion that if one member of a tribe offends you. The whole tribe of the
offender is guilty. Anthropologist Robert Lowie gives examples of this:
"The sibless Hupa were content to kill any member of a murderer's family in
order to punish the crime among the Crow if a Fox had disgraced himself and his
society by taking back an abducted wife, the rival Lumpwoods had the right to
cut up the blankets of all the Foxes; and in the same tribe the grief of the
parents mourning the death of a son slain by the Dakota was at once assuaged
when vengeance had been wreaked on any member of the hostile people."
It is Lowie's judgment that this primitive conception is still operative in
modern societies. "Though this is an archaic notion," he writes, "it persists
to the present day in the warfare of civilized nations, which summarily shelves
the practice of determining individual guilt or innocence." Lowie is both right
and wrong here. The primitive myth persists in modern war, but the
determination of guilt is not a question that is dismissed "summarily" as Lowie
says. Efforts have been made traditionally in the just war theory to apply the
principle of discrimination. Originally, when war was simpler, this principle
was translatable as the principle of noncombatant immunity. Kill-power had to
be focused on other potential killers only. In modern war a complicated lip
service is still paid to the principle of discrimination. In theory, an effort
is made in "conventional" wars to be discriminating in the infliction of war
deaths. In practice, there is Lidice and Dresden and Hamburg and My Lai. In
theory, firepower is to be directed only at military strategic targets. In
practice, many civilians are killed or maimed or dislocated. The theory
accounts for civilian deaths with such clinical terms as "indirect killing" and
"collateral damage." If in going after a legitimate target some civilians are
indirectly killed, this is justified if there is proportionate reason to allow
the "collateral damage." This rule paints with a broad brush. It does not turn
out to be very discriminating in application. In practice, Lowie is right.
Risks are taken with the lives of civilians that would not be taken if they
were not implicitly caught in the net of collective responsibility. Police
would not go after a gang of criminals in New York City the way that we have
gone after "the enemy" in Vietnam, Cambodia, and Laos.
Whatever else it is, suicide is a common fact of life. About a thousand persons
a day abandon life on this planet by way of suicide. In the United States alone
the estimate is from eighty to one hundred suicides a day. And all estimates
are probably low since many suicides are disguised as or mistaken for
accidents. Whether pro or con, persons react strongly to suicide, and many
theories have been advanced to explain this unique tragedy. Forbes Winslow, a
surgeon, wrote in 1840, with confidence, that the increase of suicide in that
day was due to the appearance of "socialism." There was, he noted, a sudden
increase in suicides following upon the publication of Tom Paine's The Age of
Reason. Not unaware of the complexity of the phenomenon, however, he went on to
cite other causative factors such as "atmospherical moisture" and
"masturbation." (He saw masturbation as "a certain secret vice which, we are
afraid, is practiced to an enormous extent in our public schools.")
Cold showers and laxatives were seen as cures for the suicidal urge. It was
popular to believe that suicide was primarily the act of young lovers, although
the facts are that young lovers are not the most successful of would-be
suicides. Others see it as a national habit that overtakes some peoples like a
plague, and President Eisenhower opined that the high Swedish rate of suicide
was an example of what too much social welfare can do.
Spinoza said quite simply that "all persons who kill themselves are impotent in
mind." And Aristotle, in his Ethics, described suicide as a failure in courage.
"To run away from trouble is a form of cowardice and, while it is true that the
suicide braves death, he does it not for some noble object but to escape some
ill."
Harvard Professor Edwin S. Schneidman sees suicidal purpose involved not only
in some deaths but in most deaths: "The most important death category--the one
that I believe may be characteristic of a majority of deaths--is the
subintentioned death, in which the decedent plays some covert or unconscious
role in hastening his own demise." As evidence of this Schneidman sees a
variety of behavioral patterns such as poor judgment, excessive risk-taking,
neglect of self, disregard of medical regimen, and the abuse of alcohol and
other drugs. He notes too that "there is a notion that the speed at which some
malignancies grow may be related to deep inner psychological variables."
Suicide of a sort may also take place in large numbers through what some
psychologists call "victim-precipitated homicide," that is, homicide where
persons have acted in such a way as to make their own death almost certain. In
the same vein, Robert Lowell once remarked that if there were some little
switch in the arm which one could press in order to die immediately and without
pain then everyone would sooner or later undertake suicide. If some or all of
this is true, then self-killing is statistically normal. Our question is, may
it be moral?
With Anthony Flew, I do not say "commit" suicide. That would imply guilt. As
Flew puts it:
"...If you believe as I do, that suicide is not always and as such wrong, it is
inappropriate to speak of "committing suicide"; just as correspondingly if you
believe, as I do not, that (private) profit is wrong, it becomes apt to talk of
those who 'commit a profit.'"
A. Alvarez, who himself attempted suicide speaks of "that total loneliness
which is the precondition of all suicidal depression." He says too that the
suicide is "overwhelmed by his obscure and obscuring sense of inner chaos and
worthlessness."
The professors Lester, in their book Suicide: The Gamble with Death, write:
"Suicide is far less likely for a person who has lasting, satisfactory,
unambivalent relationships with other people than it is for the social isolate
or for the person whose closest relationships are permeated with resentment.
Loss of close relationships, whether by accident or by deliberate withdrawal,
may serve as a signal to a person's friends that the danger of suicide is
increasing. Suicidal behavior does not occur without warning, and one of the
most accurate warnings is found in the social relations of the potential
suicide."
The very loneliness of the suicide constitutes a moral objection to his
suicide. We are social beings intrinsically and essentially. That does not just
mean that we are together; it means that we are by being together. Our selves
are the counterparts of other selves and action to be human must reflect that
firm fact of our nature. The decision of the suicide is lonely. It does not
reflect man's communitarian nature. On that count alone, it is likely to be a
bad decision. The decision is, of course, related to people. Thus the suicide
note and thus the finding of studies that suicide is almost always signaled in
advance to someone. But the decision does not proceed from the interpersonal
context which is the natural humus from which personal decisions, especially
serious ones, should come forth. The good work that is being done by suicide
prevention centers is trying to meet this need. Even telephone contact with a
center counselor helps people to overcome the crisis and opt for life.
The person inclined to suicide suffers from vision dimmed by pain. When we are
in pain, our perception of other realities is minimal. We notice little of what
is going on around us. Partial vision leads to bad moral decisions. The
fruitful lives of many persons who gave life another chance or who attempted
suicide and failed and later rejoiced in their failure indicate that the
suicidal decision is, by its nature, not bathed in clear light.
Many are the motives of those who die by their own hand. But in assessing the
potential moral meaning of suicide it is well to note that there is some
evidence that suicide is often an act of aggression against others. Suicide
notes give evidence of this. These notes, in ways that vary from bluntness to
subtlety, sometimes show that the death is being used to inflict pain and guilt
on the survivors. "Mary, I hope you're satisfied. Bill." This is a short
example of a not uncommon theme. It would seem calculated to vitiate the
morality of the act in several ways. First, it totally subordinates one's life
to an irrational need for spite. Also, it is, to say the least, cruel and
unusual punishment.
Suicide also can be wrong at the level of foreseeable effects. First, there are
the effects on the bereaved. Studies are now showing that bereavement can be a
fatal disease. One must have extraordinary reason, therefore, to inflict it on
others. Dr. Dewi Rees and Sylvia Lutkins did a study of bereaved persons in
Llanidloes, Wales, over a six-year period. During the first year of
bereavement, they found that nearly 5 percent of the bereaved die, whereas the
figure in a comparable group of non-bereaved persons was less than 1 percent.
The death rate among widowers and widows during the first year after
bereavement was 12 percent, as compared to 1.2 percent of their nonbereaved
counterparts. If a spouse or child died suddenly outside the home or hospital,
the death rate of the bereaved went up by a factor of five, due undoubtedly to
the suddenness of the shock.
Dr. Arthur Schmale considered a number of women who were suspected of having
cancer of the cervix. While they were in the hospital for a biopsy, Schmale and
his colleagues interviewed these women looking for two factors: had they
suffered a serious break in significant social relationships, and if so had
they reacted to it with feelings of hopelessness and depression? If both of
these were present, Schmale predicted that the woman would have cancer. He was
correct in 75 percent of his predictions, both positive and negative. About one
hundred women were interviewed.
Other studies have shown that such symptoms as insomnia, trembling, and a
variety of physical and psychiatric disorders may come upon the bereaved. Again
the more sudden the death, the more likely it is that these disorders will
occur.
These are factors to be weighed by one contemplating suicide. Good moral
decisions are ones where the values outweigh the disvalues. Death may seem an
important relief for persons in great distress, but the question is, does the
relief of death compensate for the problems that death will cause?
Also, in the area of effects, any suicide may have an exemplary effect. That
is, it may encourage other suffering persons to do likewise even though they
could have overcome their problem with more time and support. All actions are
imitable, especially dramatic ones like suicide. Each suicide may be an
inducement to others to end their lives prematurely with much possibility
unspent.
Finally, suicide is arguably a wrong decision because of the presence of
alternatives. The human spirit can create and transform and because of this, it
should be slow, very slow, to admit despair. Man is a self-transcending animal
and he has a native ability to transcend even the forces that move him toward
suicide. The suicidal mood, of course, does not give ready entrance to
alternatives and that brings us back to our first point. The suicidal decision
should not be made alone. Only the hardness of other persons can drive persons
to the brink of suicide; only compassion and company can bring them back.
Having said all this, however, I must concede, "in a mournful mood" to use
Augustine's phrase, that suicide may at times be moral. Even then, like war, it
will be tragic; but it can, like war, be moral. Generally, I judge, persons
perform suicide because they have been stripped of the essential ingredients of
human life--hope and love. It would be naive to think that human perfidy is not
capable of depriving some of its members of these ingredients so that they can
do no more and must depart. There may indeed be cases where all of the
disvalues of suicide can be outweighed by ineffable pain and aloneness. In
those cases, it is the survivors who are to be morally indicted, not the victim
who seizes the only remaining relief.
Life is the good thing and the precondition of all good things. Any decision to
end it in any context, for self or for another, must be slow, deliberate, and
reverential. But the life that is good also bears the mark of the tragic. These
are times when the ending of life is the best that life offers. Moral man will
see this, and then, more than ever, he will know the full price of freedom.
Copyright © 1974 by Daniel C. Maguire. All rights reserved.