In the evening of 10th February, 2016, BBC broadcasted a documentary about euthanasia of Simon Binner, which was watched by millions of people. This documentary led to great concern and discussion about euthanasia from the British society and the world (Alwakeel, 2015). Simon was known as a British millionaire who graduated from Cambridge University, he was fluent in four languages and had his own nursing home. In his family's eyes, Simon was a very good and humorous person with strong leadership. However, the misfortune of his life took place in January 2014.
That day, Simon was diagnosed with motor neurone disease, which is a kind of disorder leading to weakness of people’s brain and muscle. Patients with this disease generally have only six months to two years of survival time. Simon was told that he would gradually lose the ability to speak, his bodily functions would decline every day and gradually lose the ability to take care of himself, when his breathing muscles were failed, he would go to the end of his life. For Simon who had a successful career and strong self-esteem, it became the nightmare that he was most reluctant to accept.
半年后，他的病情發展迅速，他口齒不清。所以在很多情況下，他不得不依靠打字機來“幫助”他說話。于是西蒙做出決定，他想在2015年11月2日在瑞士進行安樂死（安樂死在英國是非法的，2014年9月，英國議會投票否決了安樂死提議），那天是他的生日。他聯系了瑞士一家從事安樂死的診所，給醫生發了一封電子郵件，描述了他的情況。然而，他的家人和朋友真的不能接受這個事實。在一次與兩個朋友的聚會上，西蒙告訴他們他的計劃，他的妻子黛比覺得這是不可接受的。西蒙說他的身體正在下坡，他的手開始不由自主地顫抖，他感到非常虛弱。這次聚會結束了，西蒙仍然堅持要去瑞士看醫生。因為接受安樂死必須經過醫生的醫學面談，醫生需要與患者進行長時間的交談，以評估患者的精神狀態，從而確定這是他故意的選擇而不是沖動。在這次采訪中，他告訴醫生他已經考慮過了，他希望安樂死結束他的生命。最后，醫生說西蒙的情況符合他們的條件，他可以預約安樂死。這樣，西蒙和醫生有了最后的約會，他離開世界的最后一天定在11月2日，他的生日。在約定的日子里，在完成一系列手續后，醫生給了西蒙一個開關，他只需要按下開關，麻醉劑比平時高出30倍，就會注射到他的體內。他將在30秒內失去知覺，4分鐘內死亡。在打開開關之前，他拿出電話，讓其他人播放他事先為妻子錄制的錄音。他描述了他們之間的愛情，他無奈地選擇了安樂死，他作了最后的告別。最后，他按了一下開關，就過世了。After half a year, his disease progressed rapidly, he had slurred speech. So he had to rely on a typewriter to "help" him to talk in many cases. So Simon made a decision, he wants to carry out euthanasia in Switzerland on November 2nd, 2015 (Euthanasia is illegal in the UK, in September 2014, the British Parliament voted and rejected euthanasia proposal.), that day was his birthday. He contacted a clinic engaged in euthanasia in Switzerland, he sent an e-mail to a doctor and described his situation. However, his family and friends really could not accept the fact. In a gathering with two friends, Simon told them his plan, his wife Debbie felt that it was unacceptable. Simon said that his body was going downhill, and his hand began to tremble involuntarily, he felt very weak. This gathering broke up, Simon still insisted on going to meet the doctor of the clinic in Switzerland. Because accepting euthanasia must undergo a medical interview by the doctor, the doctor needed a long talk with the patient to assess the patient's mental state, so as to determine that it was his deliberate choice rather than impulse. In this interview, he told the doctor that he had thought it over, and he wanted euthanasia to end his life. Finally, the doctor said that the case of Simon met their conditions and he could make an appointment for euthanasia. In this way, Simon had a final appointment with the doctor, the last day for he to leave the world was scheduled for November 2nd, his birthday. On the appointed day, after completing a series of formalities, the doctor gave Simon a switch, he just needed to press the switch, anesthetic which was up to 30 times higher than the usual would be injected into his body. He would lose consciousness in 30 seconds and he would die within four minutes. Before turning on the switch, he took out the phone, letting others to play the recording that he had recorded in advance for his wife. He described the love between them, he was helpless and chose euthanasia, he made a last farewell. Finally he pressed the switch, passed away.
In Australia, there were about 1,200 people who died for skin cancer each year, and there were about 27 million patients who went to hospitals for diagnosis and treatment of skin cancer, there was a skin cancer among less than 100 people. Because of the ozone hole, as well as Australian culture of advocating daylight, the skin cancer rates in Australia is the highest in the world, which is 13 times over the global average. If skin cancer is detected and treated early and more appropriately, in general, the efficacy and the prognosis is good, but if there is lymph node metastasis, the prognosis is serious (Cancer Council Australia, 2015). For the latter, for skin cancer patients, there is enormous suffering, in the following contents, the situation of an advanced skin cancer patient will be shown through a video.
It can be seen that there are more ulcers in the skin of the advanced skin cancer patient, the ulcers are butterfly-shaped, deeply infiltrate obvious, they are devastating largely and involve the bones. Accompanied by purulent infection, stench, pain, the ulcers are stinking, there are more purulent secretions and they are easy to bleed; and there is occurrence of metastasis of cervical lymph node.
Doctors point out that, due to invasion and destruction of advanced cancer towards normal tissues, adjacent nerve roots are compressed and destructed, leading to local tissue necrosis and blood flow obstruction, bone and periosteum are infiltrated, these factors lead to the patient’s severe pain, such pain is severe pain and persistent pain, the pain can not be relieved without medication, the patient only relies on morphine large to ease the pain a little.
Because of taking a large number of anti-cancer drugs, violations of digestive or nervous system by cancer, as well as psychological anxiety, the patient suffers frequent vomiting, nausea, the patient said that the nausea and vomiting are more distressing than the cancer pain, he also can not eat normally, there is a serious shortage of nutritional intake, we can see that the patient has become very thin.
Meanwhile, as the cancer cells have transferred to the lungs, leading to dyspnea caused by bronchospasm and lung infections, the patient has to rely on life-support machine. In addition, due to skin damage and secondary bacterial infection, as well as strong growth of cancer cells, the advanced cancer patient has persistent fever, which is even up to 39 degrees, the persistent fever makes the patient look very apathetic, lethargic, he is unwilling to communicate with other people.
It can be seen from the video of the advanced skin cancer patient that, afflicted by the disease, the quality of his life has become extremely low, while considering from the current medical conditions, his chances of cure or remission is very slim. Thus the patient would rather give up the opportunity to accept continue treatment and choose euthanasia, but euthanasia is illegal in Australia. There are many such patients in Australia, how to deal with their demands deserves the care of the whole Australian society.
Ladies and gentlemen:女士們先生們：