"The case of Terri Schiavo raises complex issues. Yet in instances like this one, where there are serious questions and substantial doubts, our society, our laws, and our courts should have a presumption in favor of life. Those who live at the mercy of others deserve our special care and concern. It should be our goal as a nation to build a culture of life, where all Americans are valued, welcomed, and protected and that culture of life must extend to individuals with disabilities." - White House Press Release, March 17, 2005.
Terri Schiavo and the question as to whether her feeding tube ought to be disconnected touches on so many issues of morality, law, and family, that is often difficult to sort out the conflicting issues so that they may be carefully and precisely weighed. The White House statement above is just a restatement of the common sense notion that on matters of life and death one ought to act with reasonable caution. As this is being written, Ms. Schiavo's feeding tube has been removed and unless it is restored, she will likely die of starvation and dehydration in two weeks. At the same time, both houses of Congress are scrambling to open up the possibility of a review by the Federal courts of the decision by state Judge George Greer to allow the removal of the feeding tube.
About 15 years ago, Terri Schiavo suffered a stroke that left her severely disabled. The degree of her mental impairment is at the center of this case. Presently, Ms. Schiavo's parents and siblings wish to care for her and maintain her life, while her husband, de jure if not de facto, insists the his wife would have wanted the feed tube removed. Ms. Schiavo has no living will stating her preferences for treatment. By both common law and state law, the discretion in this case is given to the husband.
Part of the popular confusion of the case derives from the fact that many of us have or will be faced with ostensibly similar situations with respect to ailing relatives. In the last week of her life, as my aunt was dying of pancreatic cancer, she asked not to be fed. As her body was shutting down, the addition of more food and water was her causing extreme discomfort. The lack of food was less uncomfortable than being fed. She insisted that she not be fed in the final days of her life. Her express wishes were honored.
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