What are the pitfalls to letting someone with a terminal illness decode when to stop living?
Pros
1. Individual autonomy
2. Reduced health care (and social security) resources (good for society)
3. Reduced individual suffering.
4. People can plan their exit, allowing good byes.
5. People can keep their own money from going to hospitals and nursing homes, allowing them to pass it on to their children.
Cons
1. It's murky when dealing with mental illness
2. Religious people are offended because...
Basically, I truly can only think of the one Con. I'm willing to hear more.
Well the main 'con', it seems to me, is the difficulty in determining what is a completely free choice, sans any social or personal pressure.
To what degree is anybody completely free to make such a decision, without pressure, implicit or overt, from 'loved ones' who might have motivations of their own for wanting the person to make a choice one way or the other? (with varying-degrees of moral-soundness - i.e. ranging from "I can't bear to see you suffering like this" to "I want my inheritance, and I want it now!").
And then there are all the wider social issues that influence how much suffering someone who has a disabling, terminal illness might be facing. How far does society accomodate people in such situations, and when does it start to become expected that they should just make the choice to go, rather than impose such burdens on society (and the tax-payer)?
Just seems there's a danger of people being pushed, either by those immediately around them, or by a wider social attitudes, into 'not being a burden to others'. Comes down to the general issue of how far we have autonomy to make decisions, which seems a hard thing to decide in general to me. All these pressures can be internalized through socialization as well as explicitly created by others.
Also, it does seem _very_ murky when dealing with mental illness - at what point does mental illness begin, anyway? When would it be said to be due to 'depression'?
I don't even know how I'd feel about it in if I were in that position myself.
I'm a "don't know" on the topic. Historically people have been helped 'on their way', and then those who were involved faced a legal reckoning for it, and the judgement of juries often led to an acquittal.
Edit - I mean, you can argue there would be "safeguards" but there are "safeguards" for the use of the death penalty in the US criminal justice system, and in practice those don't seem to have been as infallible as advertised. Plus they would only really protect against the direct personal influence, not that of the wider social attitudes.
And there have been dodgy doctors and such like who have already shown how the unethical and sociopathic could take advantage of the possibilities legally-easily-accessible assisted suicide would create (e.g. Harold Shipman)