An Autopsy Won’t End It
Just when it seemed that every liberal commentator on the Terri Schiavo case was starting to sound like Barney Frank, the great Joan Didion published a long and remarkable article on the case in the quite far left New York Review of Books of June 9. Frank, of course, took the occasion of last week’s Schiavo autopsy results as yet another opportunity to denounce Republicans as “this fanatical party willing to impose its own views on people.” For those of you still somehow unaware, “imposing their views” is a semiofficial Democratic meme or code phrase meaning “religious people who vote their moral views and disagree with us.” Didion, on the other hand, cut through all the rhetoric about imposing views and said the struggle to spare Schiavo’s life was “essentially a civil rights intervention.” This is a phrase of great clarity, particularly since Democrats have a long track record of protecting civil rights and Republicans don’t. Behind the grotesque media circus, the two parties were essentially switching roles. In the first round of public opinion–the polls–the GOP took a beating. But in the long run, the American people tend to rally behind civil rights, and the party that fights to uphold them is likely to prevail.
On the “rational” or “secular” side of the dispute, Didion wrote, there was “very little acknowledgment that there could be large numbers of people, not all of whom could be categorized as ‘fundamentalists’ or ‘evangelicals,’ who were genuinely troubled by the ramifications of viewing a life as inadequate and so deciding to end it.” Amen. There was also little admission that this was a “merciful euthanasia” controversy posing as a “right to die” case. Many of us understood, as the autopsy has now shown, that Schiavo was severely damaged, but a national psychodrama built around the alleged need to end a life without clear consent is likely to induce anxieties in all but the most dedicated right-to-die adherents.
“The ethical argument ” Didion did not conclude that ending Schiavo’s life was a wrongful act, but she seemed to be leaning that way. She wrote: “What might have seemed a central argument in this case–the ethical argument, the argument about whether, when it comes to life and death, any of us can justifiably claim the ability or the right to judge the value of any other being’s life–remained largely unexpressed, mentioned, when at all, only to be dismissed.”
That issue was slurred and muffled by the media and by shrewd, though completely misleading, right-to-die arguments that distracted us from the core issue of consent. George Felos, the attorney of Terri Schiavo’s husband, Michael, told Larry King, “Quality of life is one of those tricky things because it’s a very personal and individual decision. I don’t think any of us have the right to make a judgment about quality of life for another.” Here Felos piously got away with adopting a deadly argument against his own position by presenting it as somehow bolstering his case. This can happen only when the media are totally incurious or already committed to your side. Michael Schiavo made a somewhat similar eye-popping argument to King: “I think that every person in this country should be scared. The government is going to trample all over your private and personal matters. It’s outrageous that these people that we elect are not letting you have your civil liberties to choose what you want when you die.” Americans were indeed scared that they might one day be in Terri Schiavo’s predicament. But Michael was speaking as though Terri Schiavo’s wishes in the matter were clear and Republicans were determined to trample them anyway. Yet her wishes, as Didion says, were “essentially unconfirmable” and based on bits of hearsay reported by people whose interests were not obviously her own–Michael Schiavo and two of his relatives.
One hearsay comment–”no tubes for me” –came while Terri Schiavo was watching television. “Imagine it,” Didion wrote. “You are in your early 20s. You are watching a movie, say on Lifetime, in which someone has a feeding tube. You pick up the empty chip bowl. ‘No tubes for me,’ you say as you get up to fill it. What are the chances you have given this even a passing thought?” According to studies cited last year in the Hastings Center Report, Didion reminds us, almost a third of written directives, after periods as short as two years, no longer reflect the wishes of those who made them. And here nothing was written down at all.
The autopsy confirms the extraordinary damage to Schiavo and discredits those who tried to depict the husband as a wife-beater. But the autopsy has nothing to say about the core moral issue: Do people with profound disabilities no longer have a right to live? That issue is still on the table.