Better Off Dead

Better Off Dead

By The Wheeler Centre

Andrew Denton investigates the stories, moral arguments and individuals woven into discussions about why good people are dying bad deaths in Australia.... more

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  1. Number 1: #12 A Cry For Help

    Whether it is through the words of the pope, his representatives the bishops and archbishops, or its surrogates in the medical profession, the Catholic Church remains the most determined force against voluntary assisted dying in Australia. In 2020, The Vatican released its latest encyclical on assisted dying and euthanasia. They called it Samaritanus Bonus – the Good Samaritan – and this is what it had to say about people who seek assistance to die. “Experience confirms that the pleas of gravely ill people who sometimes ask for death are not to be understood as implying a true desire for euthanasia; in fact, it is almost always a case of an anguished plea for help and love.” Requests for assistance to die are ‘not to be understood as a true desire for euthanasia.’ In other words, the people making them are somehow misguided. According to this narrative, people making such requests are likely to be demoralised; lonely; abandoned, feeling like a burden; or struggling to find meaning in – or even giving up on - their lives. And that, with the right kind of love and care, these things can be addressed. In this episode, we hear from some of the most senior figures in Australian palliative care. We also hear from others who have a different understanding of such requests, and who believe that the people who make them can be both considered and rational. Professor Michael Ashby Photo: Supplied Palliative care clinician Molly Carlile AM: “It has to be about why are we doing this. Who is it for? If it's about us, we have to ask: how does our view on a whole lot of things influence our practice?” photo: Supplied “It is not the role of any healthcare team to suggest that its ministrations can give meaning, purpose and dignity to a dying person’s remaining life if that person feels that these are irretrievably lost... Palliative care is a model of care, not a moral crusade.” Professor Michael Ashby Know more Visit: Go Gentle Australia gogentleaustralia.org.au Video: Assad, Assisted Dying and Satire – ABC TV Q&A, 10 April 2017 Video: Q&A with the Archbishop - How do I explain the Catholic Church's teaching on euthanasia? – The Catholic Leader YouTube, 14 July 2014 Video: Experienced Victorian doctors warn Tasmania on dangerous bill – Australian Care Alliance, 9 September 2020 Video: Prof David Kissane: Euthanasia is terrible for medicine & society – Life, Marriage and Family Office 23 June, 2017 Article: Defending the indefensible? Psychiatry, assisted suicide and human freedom – Profesor Malcolm Parker, International Journal of Law and Psychiatry, Volume 36, issues 5-6 2013 In this episode (in order of appearance) Ron Fellows, Margaret Somerville, Patricia Fellows, Megan Best, Mark Coleridge, Jean Caliste, Jacqui Hicks, Nicole Robertson, Deb M, Katie Harley, Kristin Cornell, Peter Jones, Ron Poole, Fiona McClure, Phillip Parente, Peter Lange, Betty King, Michael Dooley, Anthony Fisher, Stephen Parnis, Michael Ashby, Natasha Michael, David Kissane, Malcolm Parker, Roger Hunt, Molly Carlile, Greg Mewett, Shayne Higson, Alex Broom, Kit Denton, Peter Abetz, Credits Better Off Dead season two is produced by the Wheeler Centre and Go Gentle Australia Writer, Co-Producer and Host: Andrew Denton (Go Gentle Australia) Series Co-Producer and Script Editor: Bethany Atkinson-Quinton (The Wheeler Centre) Associate Producers: Kiki Paul and Steve Offner (Go Gentle Australia) Audio Editor and Engineer: Martin Peralta, with assistance from Adam Rothwell Production Assistant: Alex Gow (The Wheeler Centre) Marketing: Emily Harms (The Wheeler Centre), Steve Offner and Frankie Bennett (Go Gentle Australia) Publicity: Debbie McInnes (DMCPR Media) Episode Pages: Mia McAuslan (The Wheeler Centre) Episode Artwork: Megan Herbert Transcript: Alice Boyle Commissioning Editors: Kiki Paul (Go Gentle Australia) and Caro Llewellyn (The Wheeler Centre) Theme music: ‘Loydie’s Angel’, written and performed by Jordan Laser Music: Simon Kindt, Aaron Gleeson, and Joe Lodge Special thanks to our interviewees Michael Ashby, Roger Hunt, Malcolm Parker and Molly Carlile for their time for this episode. Footage supplied courtesy of Seven Network. All rights reserved. © Listen to Better Off Dead season one here, and subscribe in iTunes, or follow via your favourite podcast app. #BetterOffDeadpod Your stories If you're suffering, or someone you love has died badly – in a hospital, in palliative care, in a nursing home, or at home – or if you’ve had an experience with voluntary assisted dying, we would love to hear from you. Tell your story here. Transcript Download a transcript of this episode in PDF format. See omnystudio.com/listener for privacy information.

    52min
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  2. Number 2: #11 The End of Life Lottery

    The assisted dying debate in Australia has revealed two parallel universes. The conservative Christian universe, which believes our lives belong to God; that whatever happens at the end of life is part of His plan. And the other universe – embracing 75% of Australians (including a majority of Christians) – with a shared belief we should have some control over how we die. Two different, but both entirely sincere, belief systems. What happens when these parallel universes intersect? What can it mean to die in a system where you are disempowered, and whose values you don’t share? Dame Cicely Saunders Photo: Wikimedia Commons Shayne Higson (second left), pictured with her sisters and their mother Jan (farthest right) who died of brain cancer: 'I thought that [with] terminal sedation … there would be no suffering, but that's not right' — Photo: supplied “What people don't realise is that they're entering an environment with particular values, and a history about what is okay, or not okay, and the nature of suffering. And by entering into that the patient and the family is almost embarking on an unwritten contract – that death will be not on my terms, but on the terms of the institution” Professor Alex Broom Know more Visit Go Gentle Australia gogentleaustralia.org.au Article: We do not like to talk about death -- but that doesn’t make euthanasia the answer -- Richard Chye, The Sydney Morning Herald, 14 November, 2017 Article: Assisted dying: My mother had the best palliative care -- and even that was not enough -- Shayne Higson, The Sydney Morning Herald, 15 November, 2017 Audio: Fearfully and Wonderfully Made (part 1) -- Megan Best, The Centre for Public Christianity, 24 June, 2013 Film: ‘The Broken Hearted’ Go Gentle Australia, August 2019 Jan K: 'You might think you're going to have great palliative care, but it is an absolute lottery. You can scream the place down if you want but, if they think that you're comfortable, that's it.' Photo: Joshua Raymond In this episode In order of appearance: Katie Harley, Megan Best, Alex Broom, Richard Chye, Shayne Higson, Roger Hunt, Jan K. Credits Better Off Dead season two is produced by the Wheeler Centre and Go Gentle Australia Writer, Co-Producer and Host: Andrew Denton (Go Gentle Australia) Series Co-Producer and Script Editor: Bethany Atkinson-Quinton (The Wheeler Centre) Associate Producers: Kiki Paul and Steve Offner (Go Gentle Australia) Audio Editor and Engineer: Martin Peralta Production Assistant: Alex Gow (The Wheeler Centre) Marketing: Emily Harms (The Wheeler Centre), Steve Offner and Frankie Bennett (Go Gentle Australia) Publicity: Debbie McInnes (DMCPR Media) Episode Pages: Mia McAuslan (The Wheeler Centre) Commissioning Editors: Kiki Paul (Go Gentle Australia) and Caro Llewellyn (The Wheeler Centre) Episode Artwork: Megan Herbert Transcript: Alice Boyle Theme music: ‘Loydie’s Angel’, written and performed by Jordan Laser Music: Aaron Gleeson Special thanks to our interviewees Shayne Higson, Alex Broom, Roger Hunt and Jan K for their time for this episode. Footage supplied courtesy of Seven Network. All rights reserved. © Listen to Better Off Dead season one here, and subscribe in iTunes, or follow via your favourite podcast app. #BetterOffDeadpod Your stories If you're suffering, or someone you love has died badly – in a hospital, in palliative care, in a nursing home, or at home – or if you’ve had an experience with Voluntary Assisted Dying, we would love to hear from you. Tell your story here. Transcript Download a transcript of this episode in PDF format. See omnystudio.com/listener for privacy information.

    51min
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  3. Number 3: #10 We Who Walk Towards Death

    At the heart of the political debate around voluntary assisted dying lies palliative care. On one side sits the argument that it can effectively deal with all pain and suffering, and that it should be made available to everyone before Assisted Dying is made legal. On the other, a recognition that – for all its benefits – palliative care cannot help everyone, and that those beyond its help should not be left to suffer, or – as some do – take their own lives. But beyond the political debate, within palliative care lies a much deeper argument. One about values. Palliative care’s background is as a provider of Christian care; more than half of Australia’s palliative care is supplied by The Catholic Church. According to The Vatican, assisting someone to die is ‘intrinsically evil.’ By papal decree, any request by a person for help to end their life is not to be taken as genuine, but is to be understood instead as ‘an anguished plea for help and love.’ But some palliative care clinicians have a different set of values. They see that their primary purpose is to act in response to what their patient wants and needs. It’s called person-centred care, a way of practising medicine that has been thrown into the sharpest focus imaginable by a law allowing doctors to help their patients to die. Palliative care clinician, and death and dying expert Molly Carlile AM. Photo: supplied ‘The bottom line for me is, you can choose whether you want to stop having chemo or anything else that you consider as futile treatment. And we are the defenders of those people. So how can we say, in the same breath, “Yes, you can make your choices, so long as it's not voluntary assisted dying?”’ Palliative care clinician, Molly Carlile AM For more Visit Go Gentle Australia gogentleaustralia.org.au Video: Clive Deverall talk Freedom of Choice WA Launch – YouTube, 5 February 2017 Article: Everyone Has the Right to Die Well – Molly Carlile, November 10, 2015 Brochure: To Love to the End – Life, Marriage and Family Office, The Catholic Archdiocese of Melbourne, 2011 Dr Greg Mewett. ‘It's not for me to say how much someone's suffering and whether we can do more. It should be up to the individual.’ Photo: Juliet Lamont In this episode In order of appearance Jaala Pulford, Molly Carlile, Greg Mewett, Michael Ashby, Roger Hunt, Andrew Sloane, Anthony Fisher, Megan Best, John Flader, Tim Harris, Natasha Michael, Stephen Parnis, Jane Morris, Clive Deverall, Lisa Hogg, Alex Broom, Jan Kelly Credits Better Off Dead season two is produced by the Wheeler Centre and Go Gentle Australia Writer, Co-Producer and Host: Andrew Denton (Go Gentle Australia) Series Co-Producer and Script Editor: Bethany Atkinson-Quinton (The Wheeler Centre) Associate Producers: Kiki Paul and Steve Offner (Go Gentle Australia) Audio Editor and Engineer: Martin Peralta, with assistance from Adam Rothwell Production Assistant: Alex Gow (The Wheeler Centre) Marketing: Emily Harms (The Wheeler Centre), Steve Offner and Frankie Bennett (Go Gentle Australia) Publicity: Debbie McInnes (DMCPR Media) Episode Pages: Mia McAuslan (The Wheeler Centre) Episode Artwork: Megan Herbert Transcript: Alice Boyle Commissioning Editors: Kiki Paul (Go Gentle Australia) and Caro Llewellyn (The Wheeler Centre) Theme music: ‘Loydie’s Angel’, written and performed by Jordan Laser Music: Jon Murphy, Brendan John Warner, Simon Kindt, Aaron Gleeson Special thanks to our interviewees Molly Carlile, Greg Mewett, Michael Ashby and Roger Hunt for their time for this episode. Footage supplied courtesy of Seven Network. All rights reserved. © Your stories If you're suffering, or someone you love has died badly – in a hospital, in palliative care, in a nursing home, or at home – or if you’ve had an experience with Voluntary Assisted Dying, we would love to hear from you. Tell your story here. Subscribe via iTunes or your favourite podcast app. #betteroffdeadpod Transcript Download a transcript of this episode in PDF format. See omnystudio.com/listener for privacy information.

    52min
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  4. Number 4: #9 The Light Under the Bushel

    In September 2020, as Tasmania’s Upper House prepared to debate an Assisted Dying bill, an article appeared on the online publication Mercatornet. Above a picture showing a graph of a flatlining heartbeat superimposed over an elderly hand was a headline in big, bold letters: ‘Grandma took her life yesterday. Her doctors helped her.’ The article described a lonely, elderly woman, seemingly abandoned by her family in a Melbourne nursing home during COVID, encouraged by her doctors to end her life using Victoria’s Assisted Dying law. Photo: the image used by Mercatornet Within days, it was being promoted by religious groups and The Australian Family Association as a warning to MPs about why they should vote down the Tasmanian bill. In this episode, we reveal the truth behind that story. Who was Grandma? Had her family really abandoned her? Was her decision to die her own, or was she encouraged? And what was it that connected the crusading author and the website that gave her story a global platform? ‘Just to get out of bed, you could tell she was in pain... she was really struggling. My brother said, ‘God, if Mum could have that medicine tomorrow, she would take it.’ Everybody was understanding because we all knew what she'd been through and didn't want her to go through that again. ‘Ruth’s’ daughter ‘Jane’ For more Visit Go Gentle Australia gogentleaustralia.org.au Audio: Neil Mitchell clashes with former Catholic priest over protest outside Peter Mac Cancer Centre – 3AW Newstalk, 11 April 2019 Video: Fatal Fraud: A case study of tactics employed against evidence-based public policy initiatives – Go Gentle Australia, August 2019 Article: Code of Ethical Standards for Catholic Health and Aged Care Service in Australia – Catholic Health Australia, June 2001 Medical and Biblical Response to Euthanasia -- Dr Megan Best and Dr Andrew Sloane – Christian Medical and Dental fellowship of Australia, 2019 In this episode In order of appearance: Neil Mitchell, Eugene Ahern, ‘Bronwyn’, ‘Jane’, Tom Kenyon, Helen Lord, Leon Compton, Megan Best, Andrew Sloane, Tom Keneally, Stephen Parnis, Roger Hunt, Greg Mewett, Molly Carlile Credits Better Off Dead season two is produced by the Wheeler Centre and Go Gentle Australia Writer, Co-Producer and Host: Andrew Denton (Go Gentle Australia) Series Co-Producer and Script Editor: Bethany Atkinson-Quinton (The Wheeler Centre) Associate Producers: Kiki Paul and Steve Offner (Go Gentle Australia) Audio Editor and Engineer: Martin Peralta, with assistance from Adam Rothwell Production Assistant: Alex Gow (The Wheeler Centre) Marketing: Emily Harms (The Wheeler Centre), Steve Offner and Frankie Bennett (Go Gentle Australia) Publicity: Debbie McInnes (DMCPR Media) Episode Pages: Mia McAuslan (The Wheeler Centre) Episode Artwork: Megan Herbert Transcript: Alice Boyle Commissioning Editors: Kiki Paul (Go Gentle Australia) and Caro Llewellyn (The Wheeler Centre) Theme music: ‘Loydie’s Angel’ written and performed by Jordan Laser Music: Brendan John Warner, James Domeyko, Simon Kindt, Michael Cusack Special thanks to interviewees ‘Jane’ and her family and Thomas Keneally for their time for this episode. Footage supplied courtesy of Seven Network. All rights reserved. © Listen to Better Off Dead season one here, subscribe in iTunes, or via your favourite podcast app. #BetterOffDeadpod Your Stories If you're suffering, or someone you love has died badly – in a hospital, in palliative care, in a nursing home, or at home – or if you’ve had an experience with Voluntary Assisted Dying, we would love to hear from you. Tell your story here. Transcript Download a transcript of this episode in PDF format. See omnystudio.com/listener for privacy information.

    49min
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  5. Number 5: #8 The Good Samaritan

    The key word in Victoria’s voluntary assisted dying law is the first one: ‘voluntary’. By law, any doctor, nurse, or other health professional who conscientiously objects can choose not to participate in a person’s request for voluntary assisted dying. But how does an institution balance its employees legal right to conscientiously object with its obligation to care for its patients? Colin M, champion swimmer. “They were just playing in the waves. And he got dumped in one of those freak accidents and he knew straight away that he'd had a catastrophic injury.” -- Photo: Supplied In this episode, we meet Colin, a former champion swimmer and professor of philosophy who is dying and who has applied for the legal right to end his own life. Colin lives by the ancient Roman philosophy of Stoicism. This is what the Stoic Marcus Aurelius had to say about death: ‘Accept death in a cheerful spirit, as nothing but the dissolution of the elements from which each living thing is composed’. For a Stoic, it is good to “choose to die well while you can”. Colin is living in a Catholic nursing home. They have a very different philosophy about death and dying. To a staunch Catholic, choosing to end your life early is to “to take the place of God in deciding the moment of death”. What happens when these two ancient philosophies meet in one Melbourne nursing home? And when does ‘conscientious objection’ become ‘conscientious obstruction’? Sister Debra, niece Gabrielle, and nephew Elliot with Colin. “One of the most honourable people I think I've ever met.”-- Photo: Supplied “I don't understand how people can think that that's a good or an ethical thing to do to someone, like physically and emotionally to put people through that suffering” Colin’s sister, Debra Stoic Roman Emperor Marcus Aurelius: ““Waste no more time arguing what a good man should be. Be one” -- Photo: Shutterstock For more Visit Go Gentle Australia gogentleaustralia.org.au Letter to Mercy Health, Go Gentle Australia, 15 January 2021 Response from Mercy Health, 7 February 2021 Article: ‘George Pell, Our Man in Rome’, – The Good Weekend Magazine, 26 February 2019 Article: ‘Stoicism in a time of pandemic: how Marcus Aurelius can help’ – The Guardian 25 April 2020 In this episode (in order of appearance): Deb M, Andrea Bendrups, Elliot D, John Stanton, Mark Coleridge, Peter Lange Credits Better Off Dead is produced by the Wheeler Centre and Go Gentle Australia. Writer, Co-Producer and Host: Andrew Denton (Go Gentle Australia) Series Co-Producer and Script Editor: Bethany Atkinson-Quinton (The Wheeler Centre) Associate Producers: Kiki Paul and Steve Offner (Go Gentle Australia) Audio Editor and Engineer: Martin Peralta, with assistance from Adam Rothwell Production Assistant: Alex Gow (The Wheeler Centre) Marketing: Emily Harms (The Wheeler Centre), Steve Offner and Frankie Bennett (Go Gentle Australia) Publicity: Debbie McInnes (DMCPR Media) Episode Pages: Mia McAuslan (The Wheeler Centre) Episode Artwork: Megan Herbert Commissioning Editors: Kiki Paul (Go Gentle Australia) and Caro Llewellyn (The Wheeler Centre) Theme music: ‘Loydie’s Angel’, written and performed by Jordan Laser Music: James Domeyko, Aaron Gleeson Special thanks to the family and medical carers of Colin M for their time for this episode. Your stories If you're suffering, or someone you love has died badly – in a hospital, in palliative care, in a nursing home, or at home – or if you’ve had an experience with Voluntary Assisted Dying, we would love to hear from you. Tell your story here. Subscribe in iTunes, or your favourite podcast app. #betteroffdeadpod Transcript Download a transcript of this episode in PDF format. See omnystudio.com/listener for privacy information.

    45min
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