The Grim Reapers of Virginia’s General Assembly

by Kerry Dougherty

When she was hospitalized in September 1998, my brother and I had a somber discussion with her physician. We asked how long our mother – who was clearly failing – would live.

“How long is a piece of string?” the doctor shrugged.

She died four days later.

I’ve been thinking about my mother, her suffering and her last years spent under a death sentence since I learned that Virginia Democrats are again pushing an assisted suicide law. Unlike earlier bills that died in committee, this one, introduced by Sen. Ghazala Hashmi, cleared the Senate’s health subcommittee, a first step toward becoming law.

This measure – SB280 – would allow doctors to prescribe lethal doses of medication to patients who are determined to be terminally ill with less than six months to live.

As if that’s an exact science.

To bolster their case, Democrats enlisted the help of Rep. Jennifer Wexton, who is suffering from a form of Parkinson’s Disease, to speak on behalf of the bill. The former state senator said she believes patients should be able to decide when to die.

Wexton’s situation is sad. Sadder still is watching her party exploit her condition to push this macabre measure.

Don’t be fooled. This is just the first step. The camel’s nose under the tent.

For a cautionary tale of what happens once a country embraces suicide instead of regarding it as a tragedy, look to our neighbors to the north.

In 2016, Canada passed the Medical Assistance In Dying Act (MAID), supposedly a compassionate measure that would allow terminally ill patients whose “natural death was foreseeable” to end their lives with the help of their doctors.

In the ensuing eight years the law has been modified and expanded a number of times. No longer does a doctor make the determination that a patient is eligible to kill him or herself; a nurse practitioner can do so. The requirement that natural death must be foreseeable has been struck, and shortly, mental illness will be added to the list of maladies that can end a life. (Suicide is so much less expensive than expanding mental health care.) There is no longer a waiting period. Anyone seeking assisted suicide can die almost immediately.

The Canadian government is considering a proposal to expand the right to suicide to “mature minors” without the consent of their parents. A new poll shows that 28% of Canadians think it is acceptable for someone to want to commit suicide because of homelessness and 20% believe any person for any reason should be able to legally kill themselves.

Doctor-assisted suicides now account for 4.1% of all deaths in Canada.

Even Canadians who once favored MAID are becoming squeamish. Take Katherine Brodsky, for instance, writing this month in Newsweek:

A confession: Initially, I welcomed the idea of assisted dying, believing it could be a humane choice for those at the late stages of irreversible illnesses to make choices on their own behalf. However, my growing concern lies in the application of MAID by the Canadian government.

I am now skeptical about the true autonomy of individuals opting for assisted death, especially in a country with socialized health care. The risk of medical practitioners recommending MAID as a cost-cutting measure to alleviate strain on the health care system is unsettling, as suggested by a 2020 analysis estimating potential annual savings of save $66 million annually in health care costs.

Indeed, far from being a humane tool rarely used, in Canada the right to die has swiftly moved from granting citizens a right to die to burdening them with a duty to die. There are numerous cases that have been documented of medical professionals urging patients to take their own lives.

Consider the numbers: in 2016, there were 1,000 assisted suicides; in 2020 there were 2,838. In 2022, 13,241 Canadians went to their deaths with the help of Canada’s medical community.

Make no mistake, this is coming to the U.S. unless Americans firmly reject every attempt to cheapen life.

Sadly, the Democrat party – from its abortion enthusiasts who want the right to abort viable babies to ghouls like former Gov. Ralph Northam who believe parents of babies born alive should decide if their offspring get to live or die – is becoming a death cult.

If this bill becomes law it is only a first step. Richmond’s grim reapers won’t stop with assisted suicide for patients facing imminent death; soon there will be a duty to die when any elderly or infirm person is deemed a burden on their family.

You’ve been warned.

Republished with permission from Kerry: Unemployed and Unedited.


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67 responses to “The Grim Reapers of Virginia’s General Assembly”

  1. Nancy Naive Avatar
    Nancy Naive

    “Choice” really is a dirty word to y’all.

    1. Stephen Haner Avatar
      Stephen Haner

      It happens in every hospital all the time. The law turns a blind eye if the family is accepting of the decision. That said, perhaps the tension created by a law that makes it technically illegal serves as a brake on the potential for excess.

      1. DJRippert Avatar

        Absolutely right. When a “palliative care specialist” comes into the hospital room of a very sick or elderly relative to suggest that morphine will make the patient more comfortable, your spider senses should start tingling.

        1. Cynthia  Phillips Avatar
          Cynthia Phillips

          in 1993 my mother was diagnosed with cervical stage 4 cancer in the preop of a radiation implant they found lung cancer. they did the implant after doing the lung. she had radiation for over a year on the lung. then she fell and doc said it had spread to her brain put her in the hospital on a fri then fri night they told me they had given her a morphine pack. said she asked for it. i said no way as she had refused it for a few months. when i went saturday morning they already had taken it away. she died by herself on monday morning because they told me she wasa just going for tests and i had to be out of town that morning. i was so upset and 30 years later i’m still upset about it.

        2. Matt Adams Avatar

          I have experience two fold with this. My mother was an in-home hospice Nurse for 30 years and I lost a grandfather to Parkinson’s in a nursing home.

          At the end of the day her job was to make sure her patients needs were taken care of. I can tell you first hand she had some that lived thankfully, but most were terminal and all those losses took its toll on her emotionally. She has always kept in contact with the families that wished for her to stay in contact with them.

          I never understood that sorrow until my grandfathers passing. He lived with Parkinson’s for 30 years, something the VA (only healthcare he sought form his WWII service) would never diagnose him with until the very end. He would come and go with the lucidity but ultimately it claimed him, the only comfort he received was the liquid morphine. It clamed the cheyne-stokes respirations he enduring so he could pass peacefully as we watched on.

      2. Nancy Naive Avatar
        Nancy Naive

        I’d have to see excesses first. ALS ain’t pretty. Having the feeding tube removed is slow and not painless. There comes a time…

        Different State, different circumstances, but Mom entered hospice on Saturday afternoon. On Sunday night they administered morphine. She was pronounced dead early Monday morning with her doctor and her priest in attendance. Sure, but at 97, prospects for Tuesday were probably bleak anyway.

      3. It happens in Hospice care too. Morphine eases the path out. Just gently and peacefully drift off to sleep and don’t wake up. Often beats the alternative.

      4. VaPragamtist Avatar
        VaPragamtist

        I’m reminded of two things: Virginia’s Crisis Standards of Care plan, which was drafted before the pandemic and then revised; and Memorial Medical Center during Hurricane Katrina when Dr. Anna Pou took it upon herself to euthanize patients.

        On one hand, the plan helps mitigate inequitable decision making during a crisis. But on the other, it doesn’t specifically prohibit euthanasia under the broad “specialized palliative care.”

        https://www.vdh.virginia.gov/content/uploads/sites/182/2020/12/Resource-Allocation-under-Crisis-Standards-of-Care-for-COVID-112420-AP-1.pdf

  2. DJRippert Avatar

    The difference between a fallacious and non-fallacious slippery slope argument is the likelihood that the initial event will lead to the result claimed. Argument scholars generally don’t consider “slippery slopes” to be inherently fallacious. Rather, they can be strong or weak, depending on the claims made and the evidence given.

    Kerry provides a slippery slope argument here. She effectively uses Canada as an example of how a once reasonable and well intentioned law has grown out of control. The concept slid down the slippery slope.

    So, how do we feel about Virginia’s politicians and their ability to avoid sliding down the slippery slope?

    1. Stephen Haner Avatar
      Stephen Haner

      What does the presence of slot machines in every 7-Eleven tell you about that….

      1. DJRippert Avatar

        I guess that I haven’t been in a 7-11 in many years. Are there really slot machines in those stores? In Virginia?

        1. the predator kind — which pounce on customers as they walk thru doors to get a slurpee… and the machines won’t let you leave until you put money in and pull the handle which opens the door….. according to the ads

  3. Not mentioned is the quality of life of her mother during those three additional years. Maybe she wanted to live as long as possible, no matter the pain. That’s her decision, and that’s the point. Just because a person outlives expectations doesn’t mean those months or years are good ones, and we shouldn’t force them to suffer to satisfy some twisted sense of moral superiority.

    Just because implementation in Canada is (supposedly) flawed, doesn’t mean the whole idea needs to be thrown out. There should be a process to ensure there is no coercion or pressure, and that the person is mentally fit enough to make the decision.

    1. Nancy Naive Avatar
      Nancy Naive

      Perfect is the enemy of the good.

    2. Cynthia Phillips Avatar
      Cynthia Phillips

      a friend’s husband went into at home hospice had alzheimers truly didnl[t expect more than 6 months. 3years later he died. my friend was grateful for the extra years even tho he required more help. fortuneately she had thought ahead and she had long term care for him

      1. LarrytheG Avatar

        3.3% of people actually have long term care insurance while over 70% end up needing long-term care and expect the govt to pay for it.

        Even those who have long-term care insurance seldom have the kind that pays 100% of costs. Only the rich.

        Many talk about the govt, the deficit, the “rules”, etc… but in the end, unless they are rich, spends their time trying to figure out how to get the govt to pay as much of the costs as possible

        The vast majority do not save to pay for their needs, even as we hammer the govt…. over their role.

  4. f/k/a_tmtfairfax Avatar
    f/k/a_tmtfairfax

    What could be a reasonable option for terminal patients will soon become a marketed, money-making service for the medical profession. Few in America have any ethical standards when there is a pot of other people’s money for the taking.

  5. James Wyatt Whitehead Avatar
    James Wyatt Whitehead

    I expect Planned Parenthood to turn SB 280 into a spinoff franchise.

  6. William O'Keefe Avatar
    William O’Keefe

    Virginia is not Canada and as the famous physicist Niels Bohr said, “Prediction is very difficult, especially about the future.”
    Dougherty uses the slippery slope argument and an extreme prediction to object to the proposed legislation on assisted suicide.

    But the future is what we make it. There are protections that can avoid the worse case scenario. End of life situations are extremely difficult for the individual and his/her family. Quality of life slowly vanishes and medical expenses accelerate. An often quoted statistic is that 25% of medicare expenses are used by 5% of patients in their last year of life. Who benefits? Not the patient.

    There can be guardrails put in place to protect Virginia from emulating Canada–6 month to live with no hope of recovery and certification by the patient’s doctor and one other.

    A dying individual should have some say in how long they suffer and when to mercifully bring life to an end.

    1. Cynthia  Phillips Avatar
      Cynthia Phillips

      and what happens when that 6 months turn into 3 years and it was only the last3-6 months that was really bad. my friend was grateful she had more itme with him. it was less than a year that he finally had to stay hoe. she couldn’t take hm places

    2. James C. Sherlock Avatar
      James C. Sherlock

      If you think some government agency can regulate and control this, consider how well they regulate nursing homes.

      1. LarrytheG Avatar

        What is the role of govt in terms of who pays for extending life?

      2. William O'Keefe Avatar
        William O’Keefe

        I recognize the risk of bureaucrats and their incentives but I also am more persuaded by providing a way for those who have no realistic hope of surviving a way to say enough is enough.

  7. DJRippert Avatar

    It’s those unintended consequences that you have to watch for.

    One of the offshoots of Obamacare was the Hospital Readmission Reduction Program (HRRP). Under that program, if a Medicare patient is admitted and discharged but gets readmitted within 30 days the hospital is financially penalized.

    There are two ways that hospitals can avoid the penalties:

    1. Don’t readmit patients within the 30 day window.
    2. Don’t discharge the patient.

    The first option has caused a thousands of deaths as patients who should have been re-admitted were not re-admitted. Sometimes, the patients were placed in observation units – which don’t count as a re-admission.

    The second option is rare because keeping the patient in the hospital is expensive and killing them through assisted suicide is illegal. But, once you legalize assisted suicide …. who knows?

    Dead men tell no tales, nor do they get readmitted to hospitals.

    https://www.statnews.com/2019/05/21/ignoring-evidence-medicare-dangerous-hospital-readmissions-penalty/

    1. LarrytheG Avatar

      re: ” The first option has caused a thousands of deaths as patients who should have been re-admitted were not re-admitted. Sometimes, the patients were placed in observation units – which don’t count as a re-admission.”

      That’s bogus.

      They get rated also on mortality.

      https://blog.medisolv.com/articles/2023-star-ratings-calculation

      1. DJRippert Avatar

        Read the article I posted – written by two doctors. That article has multiple links to other articles that support their premise.

        The “article” you posted is a semi-advertisement for a medical software company that describes a process at a high level while drawing absolutely no conclusions as to the effectiveness of the process.

        The article I posted doesn’t just describe a process, it describes the results of the process.

    2. So would one want to be lying in an ICU for weeks when one is 80 y/o or more? The longer a person is in the hospital, the greater the chance of developing complications.

      1. DJRippert Avatar

        I suppose that I’d be willing to lie in an ICU for weeks at age 80+ if I believed I’d be able to walk out of the hospital eventually.

        Everybody wants to go to heaven but nobody wants to go right now.

        1. but what percentage of a chance of walking out is one willing to hold out for. If one watched extremis, family members kept their mother on a ventilator for weeks while holding out for a miracle that never came. In the long run, all they did was torture their mother.

      2. Cynthia Phillips Avatar
        Cynthia Phillips

        I’m 8o now with no health problems except arthritis and allegies. yes if there was any chance of me getting I would definitely want to be kept alive if i had all my mental faculties like i do now.

        1. Once again, anecdotes do not mean anything and should never be the basis of policy.

        2. LarrytheG Avatar

          and if you don’t? Stroke is what takes out many folks who were fine mentally until the stroke.

  8. energyNOW_Fan Avatar
    energyNOW_Fan

    Tax it out the wazu, as we losing the tax base, and God knows retirees (that have more income than SS) are on the Va. tax “hit list”, not a favored demographic here. Do we have inheritance tax?

  9. Matt Adams Avatar

    Assisted suicide is certain situations is acceptable, as the same with abortion. It’s between you and whatever deity you follow. However, the same as with abortion, the taxpayers shouldn’t be subsidizing it.

    I won’t even go into how Canada has ruined the law by ever expanding, the mature minors w/o parental is especially disgusting, but that tracks with what has been pushed with schools in this state and not informing them of their children.

  10. Everyone should review the short documentary Extremis on Netflix about end of life care.
    There is no reason to keep people plugged into ventilators or languishing in an ICU because children/relatives can deal with death. https://www.netflix.com/title/80106307

  11. Nancy Naive Avatar
    Nancy Naive

    Bob Good? Is that somebody we know?
    https://www.youtube.com/watch?v=YrNA_Jwm5iE

  12. StarboardLift Avatar
    StarboardLift

    The GA can please stay off this topic and mind its knitting. Each case is unique, decisions should vary by individual and family and medical guidance and philosophy, and should be made individually.

    Good grief, when will the GOP uphold staying out of my liberties? Clowns to the left, clowns to the right, no refuge.

    1. DJRippert Avatar

      What does the GOP have to do with this issue? The bill in question is being pushed by Democrats. If you want the GA to “mind its knitting” I assume that you would want the Democrats to stop pushing bills like these. No?

      1. StarboardLift Avatar
        StarboardLift

        I’d prefer that my own life plans not be drawn around legislators’ agendas, but when Democrats come with a bill like this one, conservatives should rally behind it for its’ granting of individual liberty. Instead of assisted suicide, let’s call it euthanasia, a merciful exit we give animals. The state allows advance medical directives which may exclude calling 911 or getting CPR leaving me in control of my destiny in an emergency, but if I have Lewy Body Disease, I want an exit strategy before I get warehoused.

        1. DJRippert Avatar

          Thank you for the explanation.

          My only issue with the proposed bill is the same as Kerry’s – will it become a slippery slope for a lot of very bad ideas?

          And I have exactly zero faith in politicians keeping their word – about anything.

          The tolls on the Dulles Toll Road were promised to be lifted as soon as the initial road construction was paid off.

          That happened long ago and the tolls are still there.

          1. StarboardLift Avatar
            StarboardLift

            Government proves over and over its ineptitude, which is precisely why it need not busy itself with matters like this. Stay out of my bedroom and my patient exam room; take care of infrastructure, defense, and preservation of civil liberties. There is little of this limited government philosophy left in the GOP.

          2. Matt Adams Avatar

            Merely because the Uniparty has taken over for all.

          3. LarrytheG Avatar

            I don’t know that it is as much inept as it is really difficult to write law and regulation on issues like this that do involved different moral values.

          4. Nancy Naive Avatar
            Nancy Naive

            Bathroom too? OB-GYN’s office, IVF facilities, etc., etc.,

            Bordellos too, but I’m less firm on that one. Like restaurants, health inspections might be in order.

          5. LarrytheG Avatar

            Not sure what “slippery slope” means when we’re talking about the govt deciding things like what we want to do at the end of our lives.

            Which is truly odd coming from folks who talk about “freedom” and govt overreach and all that stuff.

  13. There are numerous cases that have been documented of medical professionals urging patients to take their own lives.

    If true, the medical professionals involved should have their licenses to practice permanently revoked, and they should never be permitted to work in the medical field again in any capacity.

    Assisting people who want to die is one thing. Pressuring people to kill themselves is positively ghoulish.

    1. f/k/a_tmtfairfax Avatar
      f/k/a_tmtfairfax

      That’s what is going on in Canada.

  14. VaPragamtist Avatar
    VaPragamtist

    My grandmother was diagnosed wit Parkinson’s. Several years ago she and my grandfather (both in their 80’s), with help from their children, were exploring home healthcare options. They were very comfortable in their retirement, but the costs were still a little pricey. Then, one of their neighbors in their 55+ community–a doctor–mentioned that a diagnosis of Parkinson’s makes you eligible for hospice care, covered by insurance.

    I tried to explain to my family members to look into it more. . .for me, hospice means end of life. No hope for experimental treatments or otherwise fighting the disease. But they didn’t listen.

    My grandmother then spent a couple of years (including COVID) bed ridden, on hospice, with home healthcare. There were a couple of scares, but overall she was mentally with it (if not depressed). At one point one aunt told another that my grandmother had asked if she was going to die. They didn’t give her an answer.

    Then one day I got a call. Something had happened the night before and she was going to be taken off of all of her medications, including those for CHF. They gave her about a week off medication. But just as abruptly, the plan changed. I was able to see her a couple more times.

    Months later, she had another incident. My grandfather said they should take her to the hospital, but family members overrode him, saying that doing so would make her ineligible for hospice (and the insurance coverage). Instead she was brought to a hospice facility, taken off her medications, and put on other drugs to induce a catatonic-like state for most of the time. At one point she was lucid enough to say she wanted to live long enough to see her first great grandchild (due about 6 weeks later). But hospice kept her off her medication, drugged so there was no opportunity for her to change her mind, and occasionally moistened her mouth, careful not to give her too much liquid.

    After several days her organs were still working well, despite the expectations of the healthcare workers. But days later she did succumb to the lack of liquid and nutrients and died.

    I remember the facility director saying something like “we’ve been waiting for her for awhile” as if they’d been impatient as my grandmother continued to live for years on hospice care.

    To me it seems that my grandmother wanted to live but lost any agency in her decision. Even off medications (but with food and water), she could have lived at least long enough to see my niece born.

    Bottom line: I’m coming around to assisted suicide if there is absolute agency on the part of the dying. We already provide opportunities for legalized killing by denying food and water, while keeping the individual “comfortable” through drugs that also inhibit mental capacity.

    1. LarrytheG Avatar

      You do make some pretty compelling points.

      We all go this way.

      And yes, dollars become part of the equation.

      The best some of us could hope for (and I fully acknowledge not everyone wants this), is to end before it gets to the stage that VaPragamtist relates where dollars and agency compete.

    2. Nancy Naive Avatar
      Nancy Naive

      There’s more money in life than death, and there are those who’ll take the pennies from your eyes.

      But so long as one Party can raise money on the Quinlans and Schiavos, this will continue.

    3. DJRippert Avatar

      I have a relative who is soon to be 84. She had a heart attack from a reaction to a blood treatment which she had successfully undergone many times in the past . Her heart stopped. Miraculously, the people in the clinic where she had the heart attack got her heart started again. Equally lucky, the clinic was part of a hospital campus. She was put into a medically induced coma and her body temperature was intentionally lowered using something called an Arctic Sun machine. While her heart was working it was not fully functional – she had congestive heart failure. This caused the start of a chain reaction of organ failure.

      By the grace of God, she stabilized and (although very weak) was ready to be discharged to rehab. However, she was clearly not “out of the woods”.

      One of the doctors recommended hospice care.

      Fortunately, my sister-in-law is a doctor. She saw the recommendation for hospice care as being financially motivated by the hospital. An effort to avoid readmission within 30 days of discharge. The decision to go to hospice care was nixed when my sister-in-law intervened.

      My relative was readmitted within 30 days. The hospital did get a black mark. But … my relative recovered, went to an inpatient rehab unit, then went back to the independent living retirement community where she had been living. That’s where she is now.

      I strongly suspect that my relative would not be alive today if not for having a sister-in-law who was a doctor and willing to intervene.

  15. Chip Gibson Avatar
    Chip Gibson

    Well put. And, “…ghouls like former Gov. Ralph Northam.” Yep.

  16. James Kiser Avatar
    James Kiser

    Try the Netherlands style which is the doctor and only the doctor decides or Britain where it who you are or what your worth depends on whether you live or die even if another country says they will take you under their wing.

  17. Nancy Naive Avatar
    Nancy Naive

    Cato? They’re really, really liberal, right?

    https://www.cato.org/blog/5-years-later-united-states-still-paying-tpp-blunder

    And he’s talking tariffs again…

  18. Nancy Naive Avatar
    Nancy Naive

    Cato? They’re really, really liberal, right?

    https://www.cato.org/blog/5-years-later-united-states-still-paying-tpp-blunder

    And he’s talking tariffs again…

    1. DJRippert Avatar

      I’m not sure what this has to do with the issue of assisted suicide, but …

      “A study by the U.S. International Trade Commission calculated a real U.S. GDP increase of $42.7 billion through 2032 as a result of TPP membership while a Peterson Institute for International Economics (PIIE) working paper foresaw gains to U.S. real incomes of $131 billion through 2030.”

      Given that these two estimates are wildly different, it makes me wonder if either estimate is accurate or even believable.

      Regarding the wisdom of economists, in 1998 Economist Paul Krugman wrote that by 2005, it would become clear that the Internet’s effect on the economy would be no greater than the fax machine’s.

      1. Nancy Naive Avatar
        Nancy Naive

        Same sign, which ain’t bad for an economist. A vote for Trump is mass suicide.

        1. DJRippert Avatar

          And a vote for Biden is a vote for a person who is already clinically brain dead.

          But that’s our choice.

          A megalomaniac vs Weekend at Bernie’s II.

          What a shame Manchin decided not to run.

          RFK, Jr looks pretty good right now.

          1. Matt Adams Avatar

            RFK is only for Civil Liberties he agrees with. He doesn’t think you should have access to firearms, just him and his security crew.

          2. LarrytheG Avatar

            Even if Biden is, we KNOW that the folks in his administration are rational and responsible and can be trusted to do what the country needs.

            The other “choices” are bizarre and irrational.

          3. Nancy Naive Avatar
            Nancy Naive

            Yeah, let’s make a pact. You vote for RFKjr.

          4. Cynthia Phillips Avatar
            Cynthia Phillips

            WE aren’t voting for President. in either case we are voting for Vice President who we hope can take over when necessary.

          5. LarrytheG Avatar

            Even if that were true, I’d take whoever the backup is , any day over the guy who wants to run the country by himself and everyone else does what he says or gets fired/replaced.

            NO contest.

          6. RFK Jr. is as crazy as an [outhouse] rat.

  19. Eric the half a troll Avatar
    Eric the half a troll

    Establishing a place in the wedding bed is not enough for Conservatives…. make room for them in your death bed as well….

    1. LarrytheG Avatar

      conservatives are curious critters sometimes when it comes to issues involving the govt and “values”.

  20. LarrytheG Avatar

    So, if you cannot afford to pay to extend the life of yourself or others, are you ENTITLED to the govt paying the costs necessary
    to extend your life?

    What say folks?

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