VSED is part of the assisted death agenda.

Gordon Friesen

By Gordon Friesen
President, Euthanasia Prevention Coalition

One of our great friends and allies, Wesley J. Smith, has recently written about the British Medical Association's newly minted policy and other bioethics articles which require doctors to collaborate with patients who are attempting to kill themselves through hunger and thirst.

This practice is commonly euphemized as ‘voluntarily stopping eating and drinking’, which ungainly expression is then replaced with the more slick-sounding acronym ‘VSED’. However we must unfortunately note (as usual) that the most important facts of this matter are absent from that deceptive formulation: first, the primary fact of suicide does not appear at all; and second, a misleading confusion is suggested between this specific method, of suicide, and traditionally familiar practices of fasting.

To be clear on this score, our subject has nothing to do with fasting (even to the point of death). For our bodies are well adapted to suffer the naturally frequent periods of famine to which we have been exposed throughout our evolution.

That is what makes fasting so comparatively easy (as long as fluid intake is properly maintained). For after a brief period of normal hunger (familiar to all occasional fasters), our bodies literally hunker down to wait out the interruption of nourishment.

Indeed, dying of hunger takes approximately one day for every pound of fat on our bodies, followed by another day for every three pounds of muscle. Hence, suicide by fasting is relatively painless, but takes a very long time, which generally provides plenty of opportunity for second thoughts.

Deprivation of fluids, on the other hand, is an entirely different matter. In this case, death follows in a few days only. And for that practical reason, our bodies are not adapted to quietly suffer thirst. Indeed, thirst is a biological emergency, and our bodies ring the alarm on this emergency through the communication of insufferable discomfort.

It is this unbearable discomfort, in turn, which death-friendly doctors happily propose to alleviate, through the provision of various medications (which also heavily impair critical thought). In other words: because suicide by dehydration is virtually impossible to endure, it is only the assistance of doctors which make such deaths possible, by numbing both the body and the brain.

For that reason, so-called ‘VSED’ is clearly an instance of assisted suicide, not mere comfort care. And because doctors are professionally responsible for their acts in a way that ordinary people are not, it is also a form of medical homicide.

In truth, while so-called ‘VSED’ might appear very similar to terminal sedation, it is also much more problematic. For palliative sedation is only to be used in the most difficult of medical cases. But suicide by dehydration may be chosen, by any person, for any reason. It thus represents a truly radical departure from accepted norms, by providing suicidal persons with a voluntary entry point to the practical equivalent of palliative sedation, but without the need of medical justification. 

In reporting on the decision of the British Medical Association (to force the collaboration of doctors with this practice) the headline message has quite properly been centered upon the serious attack, thus produced, upon individual and institutional rights of conscience. For dissenting doctors, and institutions, are thus robbed of that crucial medical status, of independent moral agent, upon which all patients rely for proper care.

It is also worthwhile, however, to recall the importance of medically assisted suicide by dehydration, even in those jurisdictions where no such compulsion has yet been contemplated.

In the simplest of terms: so-called ‘VSED’ is definitely a form of medically assisted death, and yet its practice is legal in all States. Which means that even if you live in a State where assisted suicide is illegal, medically assisted death is still being practiced, in your State.

Furthermore, all of the terrible harms of medical homicide are enabled through this practice. For if there is nothing illegal about informing patients of the dehydration suicide option (and there is not) then there is similarly no check on any death-practitioner's ability to energetically market their product, and thus to professionally deliver as many people from the pains of human existence, as they possibly can.

In fact, unlike any other form of medical homicide (in the US or even in Canada) medically assisted dying by dehydration is already available for dementia patients, through professionally solicited advance requests (similarly legal in all States).

Such, then, is the portrait of that formidable Trojan Horse, medically assisted death by dehydration (aka ‘VSED’).

Becoming aware of this practice, as yet another finger on the hand of medical homicide (and by no means the least of these) is a powerful first step in pushing back.

And while we may understand the zealous actions of fully devoted death-cult physicians, it is less easy to understand why our leaders, as in this latest British example, are so keenly committed to the promotion, and facilitation, of that extreme death agenda.