Assisted dying

A really difficult issue this, touching on the deepest aspects of what it is to be human.  I certainly don't want to go out screaming or panicking, but I'm not at all sure that's where we are right now in most cases.  Let me explain.

I have been present at the deaths of all four of mine and Mrs D's parents.  One of them (at 88) was completely out of it already.  Of the others, all in their 90s, two positively wanted to go and the third was taciturn on the subject, but didn't seem overly fretful.  All were quite ill.

Here's the thing.  At the end, they all went "peacefully" with a legful of morphine (in case you don't know, UK "palliative care" includes having a morphine-cocktail[1] pump strapped to your thigh) - administered by a senior nursing Sister and, (since the pump is authorised by a doctor) evidently approved a few days earlier by a doctor. 

These four were in three different establishments: two hospitals and a nursing home (private, but which is qualified to administer end-of-life treatment in house[2]).  It was, quite obviously, the standard procedure, or "pathway" as everything in the NHS is termed these days.  I don't know if it's universal across the whole service.

This seems to me to be humane, and pretty satisfactory for very many circumstances.  I might even say: that's how I want to go.  It almost seems like the old system of legend, where at some point a doctor would "take a view" and quietly do whatever he did.

What would happen, though, if it all becomes formalised - two doctors, a panel, lawyers or whatever?  You might argue that formality is necessary for cases where people are not already on their deathbeds, but are Definitely Doomed under whatever are the definitions of an assisted dying law (MND and other ghastly cases); and declare that Now is the Time.  But what about the poor old person who at present can be eased out humanely at the end by Sister, as in my family's experiences, and for whom a big loop through paperwork and multiple sign-offs is not going to be remotely possible?  Will the duty doctor be obliged to refuse the morphine because it's just not allowed any more?   

I haven't listened to the Parliamentary proceedings: but does anyone in debate dare to mention the rather satisfactory (IMHO) status quo?  None of us fancy MND - but which of us wants to be deprived of the morphine at the end?

All very difficult.  What do we realistic grown-ups think?

ND 

UPDATE  I forgot to add: the morphine pump is an 'and/or' with that other traditional expedient - allowing pneumonia to set in ("the old man's friend"), which is well-nigh inevitable when the antibiotics are withheld from a very sick / old person.  I am never clear whether this badly distorts reported health statistics, if some vast proportion of deaths are attributed to pneumonia.  Do they in practice just always read past the first line of the list of 'causes' on the certificate, and focus the top one of the co-morbidities listed below?

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[1] There's more than just morphine involved: there is tranquiliser, plus choking and vomiting suppressants.

[2] Which is why one of my Aged Ps chose that particular home, having had their fill of NHS corridors.

Borthwick in ... France, this time

There's only one way for England to play in Paris this weekend - like the Barbarians.  A few beers the night before, and lots afterwards.

ND

Trump screws up as bigly as Putin

From the outset of Putin's crassly conceived invasion of Ukraine, this blog has consistently criticised the sheer military and strategic incompetence of it.  We can hardly forbear to do the same for Trump.

The Donald's theory of victory appears to be this:

• prolonged, well-telegraphed buildup of forces
• decapitate[1] the leadership
• tell Iran to install new leader acceptable to Trump
• new leader to hand over lots of oil via some splendid "deal"
• walk away after a couple of weeks, handsomely in profit
• not crow too openly about having tweaked Xi's nose
• approach the mid-term elections as the Man Who Brought The Mullahs To Heel

In short, the 'Venezuela' gambit, attempted on a country that only a complete moron would mistake for Venezuela[2].  Another lightning "deal": it's the only trick he knows.  Not a breath of strategy worthy of the name.  Not a braincell in evidence.  Tariffs all over again, with actual explosions.

We needn't dwell on how the reality is best described as Netanyahu coopting[3] the military might of the USA to make real Bibi's longstanding wet dream: it's how the whole world openly discusses it including, belatedly, 99% of the American public, which until now had been either (a) hoping Trump might somehow work out for the best (Maga Republicans) or (b) not daring to oppose Trump openly, for fear of some vaguely defined domestic retribution (Democrats plus liberal elites of all colours[4]).

If you want to lose sleep seriously this weekend, have a read of this.  Small-boat crossings on the increase?  We haven't seen a tenth of it.

ND

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[1] Well, tag along with Netanyahu's decapitation plan & pretend to be in control - read this, too.

[2] Funnily enough, the Venezuela gambit was working quite well, and Cuba was being lined up for a "quick deal" too, which could have played very nicely for the mid-terms[5].  Not any more.

[3] Did I say "coopting"?  How about "hijacking and expending"?  All Hesgeth's blather about "effectively unlimited magazine depth" was always, even a week ago, absolute nonsense.  Stocks are already being drawn down from US forces in S.Korea.  Taiwan looks increasingly like a lost cause, and S.Korea will presumably be readying its own nuclear programme.  Indeed, probably the only reason L'il Kim doesn't chance his arm right now is the recognition that DJT is capable of anything. 

[4] It was really noticeable how The US Establishment (media, judiciary, academia, NGOs, think tanks, institutes etc - even those that are essentially on the right) - initially went completely silent after November '24, and withheld much-needed criticism all through last year.  Presumably they all feared for their funding (or worse) - and rightly so in many cases.  That winter of silence has been thawing of late.

[5] The Dems had better not be complacent in their approach to the mid-terms: conventional wisdom of the "don't worry, it'll all be over soon" kind has been the downfall of many a lazy politician.  The whole of the British left thought that about Thatcher in 1981.  And we must be very cautious before assuming the US military will "refuse to obey illegal orders", as some spineless Dems have been urging.

Steve Borthwick in Italy

He won't thank me for recalling this, but Steve Borthwick's past dealings in Italy do not encourage optimism for this afternoon.  In his (brief) period as England captain many years ago, his team performed miserably in Rome, ekeing out a slender win against an Italian side a lot less impressive than today's.  But in a deeply unconvincing post-match interview he lavished praise on England's "great performance".

He was shown the door shortly after, by Martin Johnson (IIRC), a man who knew what a great performance was.

I've never been convinced by Borthwick, his "technical knowledge" and that winning season at Leicester notwithstanding.   This afternoon looks ominously like Italy's great chance to register their first ever Victory against England.

ND

Iran, and two men's revealing speeches

First, the utterly unspeakable Hesgeth, who should by rights be languishing in a gaol somewhere for his outrageous breach of security in running that insecure and actually compromised Signal chat last summer.  There he is, mouthing off in ways scarcely befitting an unrestrained junior under-boss of a New York crime family, just before the capo decided he's heard enough ill-judged, unseemly braggadocio.  (The Mafia idiom comes readily to mind in so many of Team Trump's doings.)   And the empty boasting about the "effectively unlimited" magazine depth of US forces - it's clearly untrue, and who thinks it's clever?  Xi will be at risk of splitting his sides. 

Then, there's Starmer's performance when announcing that Trump may use UK bases "for strictly defensive strikes".  Just look at the body language, from a man who, like a real political pro, can normally hold it together quite well when he's delivering absolute, calculating lies.  His voice was shaky; he looked ill with worry; he wouldn't take questions.  A shockingly unconvincing performance, in logic and delivery.  

The sequence of events for this hollow man is obvious:

1. Lose by-election due to Moslem vote going Green
2. Half a dozen Cabinet ministers see their futures dwindling 
3. Hasty strategy meeting (i): must start heavy-duty pandering to 'the community'
4. Trump off on another rogue mission of Netanyahu's devising, wants to rope in the UK: no!  Channel Harold Wilson / Vietnam!  Make it clear we're on the side of (peaceful) Moslems!
5. Trump lets it be known bigly that this is the Wrong Answer: reminds Starmer the RAF is already heavily engaged in the region; and that he'll do whatever he pleases anyway; but that "disloyal optics" are not permitted
6. Hasty strategy meeting (ii): "jolly helpful" that an itty bitty Shahed has landed somewhere in the Akrotiri region, and that RAF is been providing top-cover for Jordan (& Turkey?) anyway. Defensive defensive defensive!  New statement.  Grip podium.  Square circle.  Pander to both sides - & try to be convincing.  Come on man, you can do it!

Then, hasty strategy meeting (iii).  Ramp up on those other pandering-plans.  Where are we with the new Blasphemy law?  Hurry that up.  And are we doing enough "blend and extend" to ensure the Grooming Gangs inquiry focuses on London, and child abuse in general?  We need to do more: get Khan on the phone again, and those Anti Social Media campaigners.

Gah.  It's so transparent.  But, I tell you - he intends to tough it all out.

ND