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- <text id=89TT2411>
- <title>
- Sep. 18, 1989: Death Wish
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1989
- Sep. 18, 1989 Torching The Amazon
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- ETHICS, Page 67
- Death Wish
- </hdr><body>
- <p>A Georgia quadriplegic wins the right to end his life
- </p>
- <p> Larry McAfee was an avid outdoorsman. Growing up in south
- Georgia, he loved to fish, hunt and play baseball. But all that
- ended in 1985, when a motorcycle accident left him paralyzed
- from the neck down. Since then he has lost his zest for living.
- McAfee, 33, thus petitioned a Georgia court for permission to
- turn off the ventilator that has been keeping him alive. As the
- former civil engineer testified in an emotional bedside hearing
- last month, he woke up every morning "fearful of each new day.
- There is nothing I have found or can think of that I really
- enjoy or that has helped my situation."
- </p>
- <p> Last week McAfee got his wish. Superior Court Judge Edward
- Johnson of Fulton County, Ga., ruled that McAfee's right to
- refuse life-sustaining treatment outweighed the state's interest
- in preserving life. "The ventilator to which he is attached is
- not prolonging his life; it is prolonging his death," said
- Johnson. With the court's authorization, McAfee plans to move
- from a nursing home to a friend's apartment and end his life by
- using a mouth-activated timer to shut off the ventilator after
- medical personnel have sedated him.
- </p>
- <p> McAfee's situation has revived a smoldering controversy
- over whether health-care providers should help the disabled
- commit suicide. In July a paraplegic in Michigan successfully
- petitioned a court to have his respirator turned off. Some
- officials denounced that action, saying it set a dangerous
- example for the handicapped by encouraging them to end their
- lives rather than strive for a meaningful existence. In McAfee's
- case, Judge Johnson has exonerated anyone who helps the patient
- carry out his plan. John Banja, a professor of medical ethics
- at Emory University, notes that hospitals have no clear mandate
- for "treatment discontinuance," and the role of doctors and
- nurses in these affairs remains murky. However, adds Banja,
- "this is a clear-cut case of a rational adult. The decision lets
- McAfee decide if his life is meaningful or not."
- </p>
- <p> The McAfee case comes at a time when the right-to-die issue
- is taking on new urgency in the U.S. Most such cases, unlike
- McAfee's, involve comatose patients whose families are seeking
- to withdraw life-support systems. This fall the U.S. Supreme
- Court will rule on such a situation for the first time when it
- considers the case of Nancy Cruzan, 32, a Missouri factory
- worker who has been in an irreversible vegetative state for six
- years. The court has been asked to decide whether there is a
- constitutional right of privacy broad enough to allow Cruzan's
- family to disconnect the feeding tubes that nourish her, and
- thereby to let her die. An alliance of disability-rights
- activists and antiabortion groups has already begun to clash
- with patients' advocates and civil libertarians in what promises
- to be a bitter battle.
- </p>
-
- </body></article>
- </text>
-
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