“Good and ill have not changed since yesteryear,” says Aragorn in Lord of the Rings, but to me the goalposts must have shifted somewhere along the way. In my lifetime, mainstream opinions about euthanasia, and abortion (to name two important examples) have changed drastically.
The article linked above describes the extreme measures that parents of a Ashley, a girl with serious brain damage, have taken to change their daughter’s life. They have had her sterilised, so that she can’t become pregnant if raped; removed her breast buds, so that she won’t have the added discomfort of breasts; and given her growth hormones so that she will remain smaller and thus easier to transfer and care for.
They argue on their blog that they have done this to make her more comfortable and not for their own benefit; certainly they seem to be trying to provide her with the best environment possible. And of course, within reason, making things easier for oneself as a parent does make things better for the child.
In the Time article, the doctors looking after Ashley discuss their approach to this unusual case as doctors. Here’s a quote that I think goes to the heart of the matter:
“I felt we were doing the right thing for this little girl—but that didn’t keep me from feeling a bit of unease,” admits Diekema. “And that’s as it should be. Humility is important in a case like this.”
There’s no rule book for situations like this. And sometimes there just isn’t a right answer. All you can do is weigh it up and make what seems to be the best decision. I don’t know if Ashley’s doctors did the right thing or not. Even they don’t really know. In a sense, that’s what medical ethics is about.