Ethical question posed in UK Daily Telegraph

by besty 5 Replies latest watchtower medical

  • besty
    besty
    A child's right to life must be protected
    By George Pitcher
    Last Updated: 12:01am GMT 11/11/2008
    It is difficult, nay impossible, to know whether it is the fortitude that 13-year-old Hannah Jones and her family have shown since she was diagnosed with a rare form leukaemia at the age of five or the courage with which she faces her own mortality now that is the more moving. The family – Hannah has a younger brother and two younger sisters – is also inspirational. Who can fail to draw strength from their example of the truth that, however deep the pit of familial despair, the love of parents and siblings will prove deeper still. In this context, it is an understandable and tolerable response to rage at a local authority, in this Herefordshire Primary Care Trust, for intervening officiously in Hannah’s medical case, taking her parents to court to force a heart transplant on her. This surgery might save her life, but would as likely trigger a recurrence of her leukaemia.
    And rage against the authority is what her father, Andrew Jones, did: “It is outrageous that the people from the hospital could presume we didn’t have our daughter’s best interests at heart,” he said. “Hannah had been through enough already and to have the stress of a possible court hearing or being forcibly taken into hospital is disgraceful.” I hope he would not find it offensive to say that our hearts go out to him. And in some sort of solidarity we want to stand beside him and jeer at these hospital panjandrums who are playing God with a young girl’s precious life. But hang on a minute. There is no disrespect offered to the Jones family in examining some hypothetical circumstances, which don’t apply to the Joneses but which are important to understanding the ethical standards to which we would expect our local health authorities to aspire.
    Just suppose that a young teenager, like Hannah, was the daughter of devout Jehovah’s Witnesses who opposed blood transfusion on biblical grounds. Would we expect the local authority to step in on the child’s behalf, with a court order if necessary, to protect her chances of survival? I suspect we would. I certainly would. Our laws are constructed in a manner to protect children from the burden of making adult decisions, or indeed from decisions being made on their behalf that are harmful to them. It’s why minors can’t be charged with some criminal offences and, if convicted of others, do not face adult penalties. Now try another hypothesis. Suppose the child was the victim of negligent or cruel parents. Of course we would expect the local authority to act decisively and speedily in taking her into care; in too many instances we have rued the hour that authorities did not so act, with tragic consequences.
    Now stretch that narrative a little. Suppose the authorities suspected that the parents, while faultlessly loving and caring of their child, were so blinded by their grief at their prospective loss and so emotionally and mentally exhausted by the years of suffering that they were unable and unequipped to make the right decision for the child. Wouldn’t we expect cool, objective and professional intervention then? My fear is that the right-to-die, assisted-suicide lobby is in danger, intentionally or otherwise, of warping our judgement in these matters, by providing an all-purpose response. The desperately sad circumstances of Debbie Purdy, the MS sufferer who lost her court case to test the law on her husband’s participation in her death, and of paralysed young rugby player Dan James, who was taken by his parents to Switzerland to die, cannot be deployed as a universal justification for humans to be helped to take their own lives if they so wish.
    Especially if that person is 13 years old. There are doubtless ways that Hereford’s health officials could have handled Hannah Jones’s case more sensitively and it is right that they should be held to account. But, please, don’t anyone try to tell me that a child has a right to die before its rights to live have been thoroughly and satisfactorily explored and tested.

    http://www.telegraph.co.uk/opinion/main.jhtml?xml=/opinion/2008/11/11/do1107.xml

  • BluesBrother
    BluesBrother

    The comparison between this case and J W youth refusing a transfusion struck me ,of course when I heard the news on TV. I do think that the situation is very different however.

    A transfusion is usually an immediate need to sustain life . A heart transplant is elective surgery and a course of action that must be taken willingly with a commitment to future ongoing drugs and follow up procedure. I believe that the parents still [should] have the final say for a 13 year old, one cannot really commit to that kind of decision after 13 years of life spent mainly in hospital. she said, on the t v news that she had just had enough of it all and could not face the treatment.

    Refusing a certain type of treatment is not and should not be equated with suicide. I think the journalist quoted above was out of order to blur the issue and introduce those examples

    Would you like to live in a world where doctors could do whatever they liked to you, without you having the right to refuse? I would not.

    Incidentally the Health Authority denied planning to force it on her , saying that they just took legal advice .

    If this appears contradictory of itself, it is because I do not know the right answer either, But I just think there significant differences from this to the blood issue. No doubt the H L C's will wish to use this as a precedent, though..

  • Mickey mouse
    Mickey mouse

    Doctor Rosemary Leonard was on the BBC this morning making a similar point.

    Unfortunately most people would not comprehend the mind control aspect of a child's decision to refuse blood.

  • llbh
    llbh

    Some issues are being conflated here , and this is a deperately sad case

    First we must remember the age ot the person involved, she is13. This is a difficult age in terms of jurisprudence, as a 13 y old person is deemed to have quite a reaonable understanding of their own actions and the consequences thereof. Their opiinion; as was shown by the decision of the court in this instance really does matter, and from what little i know seems to have been pivotal in this case.

    Secondly we must consider the duties placed in law on the health and other authorities having concern with the welfare of this very sick person.The relevant bodies have a statutory duty placed upon them to consider the welfare of the child and act accordingly. My understaning here is that the relevant authorities considered that, it may well be in the best interests of Hannah to proceed with medical treatment, after taking legal and medical advice. This was taken before the Courts to be tested and examined. This is where the sensitiivity of the legal system shone through.

    Next consider the poor parents, they are having an extremely difficult time dealing with their very sick daughter, who, having heard her on the radio sounds immemsely brave. The courts are there to protect the rights of all parties and did so here

    I have seen this happen when my own brother, who was 36 and on a life support machine. No parent wants to see their child die, but at the same time when that child is suffering from a terminal condition they are put in the most awful of dilemnas. My parents never really got over it. That is why the authoroties are there to help and guide, plus also to protect future victims too..

    To then conflate this issue with assited suicide in this instance is otiose in my opinion, and unkind too.

    Sometimes in life there is no easy answer, as is the case here.

    Regards David

  • choosing life
    choosing life

    There is a huge difference in refusing a heart transplant after years of suffering and refusing a blood transfusion because it is what a child wants after years of suffering. It is not suicide to refuse an operation that incurs more suffering and lifelong treatment for rejection. Maybe the child has just plain had enough.

  • digderidoo
    digderidoo

    I have seen this case on the news tonight. The little girl is very brave and comes across in the interviews that she knows what she is doing.

    David i do not believe this has got to court as you have suggested. From what i heard the hospital sought legal advise and eventually decided to respect the patients wishes.

    Doctors interviewed on the piece i saw, were all of the opinion that the child's welfare, in terms of her wishes, should be taken into consideration. In this country 16 years old is the legal age, where a person can make their own mind up for medical treatment. That said, doctors will come to a decision based on what is in the best interests of the child, taking in the childs personal choices, if below the age of 16, but still having a view on their treatment.

    In this case, the child has been through a lot of treatment throughout her life, with leukemia. The need for a heart transplant is because of damage caused by the treatment. In having a heart transplant, the girl is not guaranteed that it would work, she will be taking a combination of drugs so that the body will not reject the new organ, which in itself can lead to more complications.

    In this case the child has been through a traumatic time with treatment her whole life and wants to have the option to live her time out in peace and dignity without treatment, she does not want to undergo more traumatic treatment, for something that can't be guaranteed. She has an old head on young shoulders. It would be difficult, if not impossible to find a doctor who would forcibly treat this child against her wishes.

    My prayers shall be with her tonight.

    Paul

Share this

Google+
Pinterest
Reddit