Daniel Kahneman opted for assisted suicide in Switzerland
Autonomy and Right to Die
- Many support choosing one’s death to avoid prolonged suffering or cognitive decline, seeing it as personal agency (“my body, my choice”).
- Several argue it’s rational to “leave a little early” because waiting until life is “obviously not worth living” can forfeit capacity to consent.
Dementia, Consent, and Timing
- Strong focus on Alzheimer’s/dementia: identity erosion, disorientation, aggression, and 24/7 supervision needs.
- Timing dilemma: advance wishes vs the later self who cannot consent or may “want” to live; debate over whether present-you can bind future-you.
- Some propose advance directives with periodic reaffirmation; skeptics note late-stage contradictions and legal barriers.
Family Burden vs Compassion/Legacy
- Caregivers describe years of emotional, financial, and physical strain; some would prefer assisted death to spare loved ones.
- Others stress duty, love, and societal responsibility to care, warning against framing elders as “liabilities.”
- Debate over whether “how you’re remembered” should matter versus tangible harm to loved ones during decline.
Slippery Slope, Coercion, and Safeguards
- Fears: subtle pressure on elders, inheritance incentives, insurance or state cost-cutting, and ableist/eugenic drift.
- Canada cited as controversial (MAID discussions, coverage dilemmas); Quebec’s stricter two-clinician, repeated-consent model praised.
- Counterpoint: societies regularly draw lines around life/death; robust safeguards and independent review can mitigate risk.
Legal, Cultural, and Medical Context
- Switzerland: assisted dying via nonprofits; claims of police review and ban on profit; report of self-activated sodium pentobarbital infusion.
- Netherlands: “unbearable suffering” standard; US states require self-administration, sound mind, often terminal prognosis—excluding most dementia.
- Hospice as comfort-focused care; parallels to Jain sallekhana; concern over abusive practices like Thalaikoothal.
Ethics of Suffering
- Split between viewing suffering as intrinsically meaningful/formative vs unnecessary cruelty when no improvement is possible.
- Religious and secular frames clash; some insist community stakes exist, others reject external vetoes over one’s body.
Kahneman’s Decision and Work
- Some see alignment with insights like the peak–end rule (ending on one’s terms); others feel the choice was premature.
- Mixed views on his books: influential vs replication concerns; not central to judging his end-of-life choice.
Practical Takeaways
- Strong recommendations for living wills, DNRs, and clear advance directives; recognizing these don’t solve all dementia cases.
- Broad call for better end-of-life care, clearer laws, and options that respect autonomy while preventing coercion.