Doctor: Cancer is the Best Way to Die. Stop Wasting Billions Trying to Cure It.

Is it better to die suddenly or slowly?

Being a doctor and a former editor of the British Medical Journal, Dr. Richard Smith is quite familiar with disease and death. And he has reached the conclusion that the best way to die is from cancer - and that's why society should "stop wasting billions trying to cure cancer."

In a controversial blog post over at the BMJ, Dr. Smith explained that, besides suicide, assisted or otherwise, there are four types of death: sudden death; the long and slow death of dementia; death from organ failure, and death from cancer.

When he asked people how they wanted to die, most chose sudden death. "That may be OK for you," Dr. Smith said, "but it may be very tough on those around you, particularly if you leave an important relationship wounded and unhealed. If you want to die suddenly, live every day as your last, making sure that all important relationships are in good shape, your affairs are in order, and instructions for your funeral neatly typed and in a top draw - or perhaps better on Facebook."

The worse type of death, according to Dr. Smith, is the long and slow death from dementia. "You are slowly erased," but with the upside of "when death comes, it may be just a light kiss."

Death from organ failure, such as from respiratory, cardiac, or kidney failure, usually means that you spend far too much of the last moments in your life in a hospital and in the hands of doctors, who may be tempted to "go on treating too long."

So that leaves death from cancer, which according to Dr. Smith allows you to "say goodbye, reflect on your life, leave last messages, perhaps visit special places for a last time, listen to favourite pieces of music, read love poems, and prepare, according to your beliefs, to meet your maker or enjoy eternal oblivion." It's a romantic view of death, Dr. Smith acknowledges, but it's one that is achievable with "love, morphine, and whisky."

Not every doctor, however, shares Dr. Smith's views. "Of course we are all going to die, but cancer takes far too many people far too young," said Cancer Research UK's chief clinician Peter Johnson said to The Telegraph.

What do you think? What is the best way to die?





You also have to take into account the many people who have lived much longer lives, thanks to treatments that stop their cancer at one time, even if we can't cure it all. My mother has survived cancer twice, thanks to early detection and treatment. That extra twenty or thirty years means a lot to her, and to her family.
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As a two-time cancer survivor, I can say with some authority that this man has no idea what he's talking about. Most cancers have pain associated with them, and if I'd allowed mine to continue unabated it would've been a long, drawn out, miserable end in a drug-induced haze for me, not to mention a terrible thing for my family to watch. I don't enjoy the effects of morphine or whisky -- morphine doesn't take the pain away, just makes you not care, and whisky just makes you stupid -- and want nothing to do with them now or in my last days.
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That is a very tough question for me to answer. Mostly I just want to know it's going to happen at least a few minutes or seconds beforehand. I have this strange fear of dying and not knowing it happened and being stuck somewhere like a ghost.
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I think control over cancer is an important technological goal. However, I can certainly see where he is coming from, and I can't really say he's wrong. It's mostly a matter of perspective, and if people adopt that feeling, treatment isn't forced on people.

But at the end of the day, "curing cancer" isn't really about curing cancer. It's about the science and possible technology and treatments which solving that problem could create.

And to top off the round table of ideas, fighting cancer to live is one of the most strengthening things a person can do if they manage to succeed, and it should generally be encouraged, but ultimately those decisions and their implications rest on the shoulders of the individual.
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Both my parents had sudden deaths from heart attacks. At the time, I thought it was awful, but in retrospect, I think it was best for all of us. I certainly want to go quickly. I have left specific instructions with my doctor and my daughters that I do not want any heroic measures, etc. I want to die with dignity, and, I hope, very quickly the way my parents did.
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