Case No slippery Slope Benetar 11 (Curr Oncol. 2011 Oct; 18(5): 206–207. PMCID: PMC3185895 A legal right to die: responding to slippery slope and abuse arguments D. Benatar, PhD Correspondence to: David Benatar, Philosophy Department, University of Cape Town, Private Bag X3, Rondebosch 7701 South Africa. E-mail: c/o az.ca.tcu@yhposolihp- BRW) Slippery slope arguments, which are regularly invoked in a variety of practical ethics contexts, make the claim that if some specific kind of action (such as euthanasia) is permitted, then society will be inexorably led (“down the slippery slope”) to permitting other actions that are morally wrong. It is, of course, easier to assert the existence of a slippery slope than to prove that it exists. Opponents of a legal right to die thus point to the Netherlands, for example, and note how the law permitting euthanasia and doctor-assisted suicide in that country has become steadily more permissive. At first, euthanasia was permitted only for the terminally ill who requested it, but then it was permitted for the chronically ill, for those whose suffering was psychological, and for incompetent patients, including children. It is indisputable that the Dutch laws regarding euthanasia and doctor-assisted suicide have become more permissive, but those who invoke the slippery slope argument fail to realize that those changes are insufficient to demonstrate the existence of a (noxious) slippery slope. To understand why this is the case, imagine, for example, that you are an opponent of apartheid in South Africa in the 1950s. If you are seeking to bring about legal change, through legal channels, you might realize that you have little hope of convincing the white electorate of abandoning apartheid. Thus, you might decide to begin by chipping away at the edges of the apartheid structure. You might recommend, for example, abolishing separate entrances to the post office for blacks and whites. A defender of apartheid might resist that move by pointing to the possibility of a slippery slope: “If we abolish separate entrances,” that defender might say, “we shall soon find that people of different races are permitted to marry one another, and before we know it, there will be no more apartheid.” It should be readily apparent that, even if the defender of apartheid is correct that the stated trajectory is a likely consequence of abolishing the separate entrances, that consequence would not be a noxious slippery slope. With that scenario in mind, we can see the hidden assumption in the slippery slope argument against legalizing euthanasia: It is the assumption that the instances of euthanasia that the Netherlands now permits are morally wrong. But the problem is that very many defenders of a legal right to die would deny that those instances of euthanasia are wrong. Some of us think that the suffering that a person endures need not be the product of a terminal disease in order for it to be intolerable. We also recognize that some mental suffering is intractable and as unbearable as physical suffering. And we recognize that it is not only competent patients, but also incompetent ones who can suffer from conditions that make their lives not worth living. Accordingly, we would like to see euthanasia and assisted suicide permitted in such a wider range of cases. If, however, we cannot effect that legal change in one step, we recommend, in the first instance, a more limited liberalization of the law. Once that change has been made, people might realize that the next step and then the next are also acceptable, even if they cannot see it now. The second argument invoked by opponents of a legal right to die is the argument that such a right will be abused and that no legal safeguards can prevent that abuse. Thus, for example, it has been said that where written voluntary consent to euthanasia is a legal requirement, that consent has not always been obtained. Similarly, it has been said that euthanasia or assisted suicide are often not reported, even in jurisdictions in which reporting is obligatory. The problem with that argument is that citing many examples of abuse of a legal right is not sufficient to justify withholding that right. If the likelihood of abuse were thought to be grounds for withholding a right, then much more than euthanasia would have to be banned. Driving, for example, would have to be prohibited on the grounds that this right is abused and that none of the safeguards we have against such abuse are completely effective. People drive faster than they should. They drive through red traffic lights and weave through traffic, and they drive cars that are not roadworthy. Some even drive without a license or while under the influence of alcohol. Moreover, the abuse of a legal right to drive often has fatal consequences, and thus, it is not unlike euthanasia in the severity of the outcome of the abuse. (And unlike the case of euthanasia, fatalities from car accidents often involve people who were in excellent health, which makes abuse of driving worse than abuse of euthanasia.) Few opponents of a legal right to die are prepared to accept the implication that driving should be banned. Nor is it a conclusion that should be accepted. There is no reason to withhold from some people a legal right to reasonable activity merely because other people will abuse that right. The appropriate response is regulation, imperfect though that may be. The opponents of euthanasia and assisted suicide who cite the dangers of abuse in support of their view also fail to notice that abuse is possible even when euthanasia and assisted suicide are legally prohibited. It is naïve to think that covert forms of euthanasia and assisted suicide are not occurring in places where those practices are illegal. At least some of those instances would constitute abuse if a legal right to die existed. It is hard to say how much abuse occurs in such jurisdictions, but that is partly because where euthanasia and assisted suicide are prohibited, doctors will be even less likely to admit to participating in such practicesa. Banning alcohol consumption, prostitution, gambling, and so forth, does not result in the elimination of those practices, in either abusive or non-abusive forms. Similarly, the choice is not between euthanasia and no euthanasia, with abuse occurring only in the former. Instead the choice is between euthanasia with or without regulation. Abuse will occur in any event, and thus, on the assumption that there is nothing wrong with euthanasia in itself, we may as well legalize and regulate it. The slippery slope and the abuse argument are both compatible with the view that there is nothing intrinsically wrong with the practices at issue. Any person could hold the view that euthanasia and assisted suicide are morally permissible, but then deny that they should be made legal on account of the slippery slope and the danger of abuse. As it happens, however, many if not most of those who advance the slippery slope and dangers of abuse arguments do think that euthanasia is immoral. Those who think that euthanasia and assisted suicide are immoral often suggest that there are always alternatives to death for those whose lives have become intolerable. Thus, it is suggested that palliation is always a possibility, even if palliation requires sedating the patient to the point of minimal or no consciousness. What that suggestion fails to recognize, however, is that it is not always pain that renders a life not worth living. For some people, the prospect of continuing in a minimally conscious or unconscious state for the rest of their biological life is a fate worse than death. Opponents of a right to die sometimes reply that people with such views can be helped to realize that such a condition is not worse than death. However, this line of argument is dangerous precisely because it could as easily be argued that those who think that death is worse than sedation until natural death could be helped to realize that they are wrong and that they should therefore agree to euthanasia. It is not at all unreasonable to view as undesirable continued biological life with only minimal (if any) consciousness. Nor is depression in response to such a prospect in any way irrational. To suggest that people who manifest such depression should rather be provided with psychiatric help is to pathologize an entirely reasonable response to an appalling situation. The quality of life can fall to dismal levels. Not everyone agrees about just how bad life must be before it ceases to be worth living. However, the fact of that disagreement provides no more reason for prohibiting euthanasia than it does for requiring it. To force people to die when they think that their lives are still worth living would be an undue interference with people’s freedom. It is no less a violation of human freedom to force a continuation of life when people believe that their continued life is worse than death. Opponents of a legal right to die are fond of saying that freedom has its limits. However, just because freedom has its limits does not mean that a right to die falls beyond those limits. When a person deems that life is no longer worth living, then taking action to prevent that person from gaining assistance to die imposes a very serious harm. Although society may restrict a person’s freedom to prevent the infliction of harm on others, it is very difficult to justify restricting a person’s freedom when that restriction will result in an immense personal harm. Displacement of decisionmaking power means doctors don’t become coercive – status quo health regulations would have triggered the impact Brandt 14 (THE LOGICAL SLIPPERY SLOPE IS NEITHER SLIPPERY NOR LOGICAL February 19, 2014 · by impact ethics · in Death & Assisted Dying, Law & Policy http://impactethics.ca/2014/02/19/the-logical-slippery-slope-is-neither-slippery-nor-logical/ Reuven Brandt - phd candidate –BRW) In Canada, legitimate substitute decision-makers (and not physicians) are the ones who make medical decisions on behalf of non-competent patients; and, when they do so, they are bound to act in accordance with the patient’s prior competent wishes and values. Only when the patient’s prior wishes and values are unknown and unknowable is the substitute-decision-maker to act in the best interest of the patient. The legalization of physician-assisted suicide or voluntary euthanasia would not de facto change this legal and ethical requirement. To be precise on this point, legalizing physician-assisted suicide and voluntary euthanasia would not empower the physician to unilaterally euthanize noncompetent patients on the grounds of beneficence. If, for the sake of argument, however, we grant Keown’s emphasis on beneficence , there is still reason to reject his claim that physician-assisted suicide and voluntary euthanasia are a slippery slope to non-voluntary euthanasia. First, it can be argued that determining what is in the best interest of a patient requires careful consideration of the patient’s values insofar as a patient has an interest in having her values respected. It follows that for a physician to determine that euthanasia is in the best interest of a non-competent patient, the physician would have to take into consideration the patient’s prior values. Consider, for instance, the non-competent patient who while competent so valued life that she endured immense suffering in her efforts to postpone death. Non-voluntary euthanasia might not be in her best interest insofar as it fails to respect her values. Secondly, if we accept Keown’s position that the content of the duty of beneficence is independent of legal prohibitions, then it is unclear why permitting physicianassisted suicide would create new or stronger conceptual reasons for euthanizing noncompetent patients. For Keown, the law plays no role in determining whether non-voluntary euthanasia is beneficent for a particular patient. It therefore seems that legalizing physician-assisted suicide could have no conceptual impact on what beneficence requires for a particular patient. Keown’s worry might be something like, if physicians get used to providing assisted suicide, then they will be more likely to see non-voluntary euthanasia as a moral obligation for non-competent patients. This may be true, but this is at best an example of the psychological, not the logical, slippery slope. In closing, it is not evident that permitting physician-assisted suicide and voluntary euthanasia will provide new and pressing conceptual reasons for permitting non-voluntary euthanasia. No extinction from disease Gladwell 95 (Malcolm, writer for The New Yorker and best-selling author The New Republic, July, excerpted in Epidemics: Opposing Viewpoints, 1999, p. 31-32) Every infectious agent that has ever plagued humanity has had to adapt a specific strategy but every strategy carries a corresponding cost and this makes human counterattack possible. Malaria is vicious and deadly but it relies on mosquitoes to spread from one human to the next, which means that draining swamps and putting up mosquito netting can all hut halt endemic malaria. Smallpox is extraordinarily durable remaining infectious in the environment for years, but its very durability its essential rigidity is what makes it one of the easiest microbes to create a vaccine against. AIDS is almost invariably lethal because it attacks the body at its point of great vulnerability, that is, the immune system, but the fact that it targets blood cells is what makes it so relatively uninfectious. Viruses are not superhuman. I could go on, but the point is obvious. Any microbe capable of wiping us all out would have to be everything at once: as contagious as flue, as durable as the cold, as lethal as Ebola, as stealthy as HIV and so doggedly resistant to mutation that it would stay deadly over the course of a long epidemic. But viruses are not, well, superhuman. They cannot do everything at once. It is one of the ironies of the analysis of alarmists such as Preston that they are all too willing to point out the limitations of human beings, but they neglect to point out the limitations of microscopic life forms. Racism is a power relation deciding who must live and who must die based on biology. Racism is the indispensible precondition of killing. Foucault, French historian and philosopher, 1976 (Michel, Society Must Be Defended, March 17, p. 254-256) What in fact is racism? It is primarily a way of introducing a break into the domain of life that is under power’s control: the break between what must live and what must die. The appearance within the biological continuum of the human race of races, the distinction among races, the hierarchy of races, the fact that certain races are described as good and that others, in contrast, are described as inferior: all this is a way of fragmenting the field of the biological that power controls. It is a way of separating out the groups that exist within a population. It is, in short, a way of establishing a biological-type caesura within a populatio n that appears to be a biological domain. This will allow power to treat that population as a mixture of races, or to be more accurate, to treat the species, to subdivide the species it controls, into the subspecies known, precisely, as races. That is the first function of racism: to fragment, to create caesureas within the biological continuum addressed by biopower. Racism also has a second function. Its role is, if you like, to allow the establishment of a positive relation of this type: “The more you kill, the more deaths you will cause” or “The very fact that you let more die will allow you to live more.” I would say that this relation (“If you want to live, you must take lives, you must be able to kill”) was not invented by either racism or the modern State. It is the relationship of war: “In order to live, you must destroy your enemies.” But racism does make the relationship of war – “If you want to live, the other must die”- function in way that is completely new and that is quite compatible with the exercise of biopower. On the one hand, racism makes it possible to establish a relationship between my life and death of the other that is not a military or warlike relationship of confrontation, but a biological-type relationship: “The more inferior species die out, the more abnormal individuals are eliminated, the fewer degenerates there will be in the species as a whole, and the more I – as species rather than individual- can live, the stronger I will be, the more vigorous I will be. I will be able to proliferate.” The fact that the other dies does not mean simply that I live in the sense that his death guarantees my safety; the death of the other, the death of the bad race, of the inferior race (or the degenerate, or the abnormal) is something that will make life in general healthier: healthier and pure. This is not, then, a military, warlike, or political relationship, but biological relationship. And the reason this mechanism can come into play is that the enemies who have to be done away with are not adversaries in the political sense of the term; they are threats, either external or internal, to the population and for the population. In the biopower system, in other words, killing or the imperative to kill is acceptable only if it results not in a victory over political adversaries, but in the elimination of the biological threat to and the improvement of the species or race. There is a direct connection between the two. In a normalizing society, race and racism is the precondition that makes killing acceptable. When you have a normalizing society, you have a power which is, at least superficially, in the first instance, or in the first line a biopower, and racism is the indispensible precondition that allows someone to be killed, that allows others to be killed. Once the State functions in the biopower mode, racism alone can justify the murderous function of the State. So you can understand the importance - I almost said the vital importance – of racism to the exercise of such a power: it is the pre-condition for exercising the right to kill. If the power of normalization wishes to exercise the old sovereign right to kill, it must become racist. And if, conversely, a power of sovereignty, or in other words, a power that has the right of life and death, wishes to work with the instruments, mechanisms, and technology of normalization, it too must become racist. When I say “killing”, I obviously do not mean simply murder as such, but also every form of indirect murder: the fact of exposing someone to death, increasing the risk of death for some people, or, quite simply, political death, expulsion, rejection, and so on. And, they’ll burn out anyway Lederberg 99(Joshua, professor of genetics at Stanford University School of Medicine, 1999, Epidemic: The World of Infectious Disease, p. 13) The toll of the fourteenth-century plague, the "Black Death," was closer to one third. If the bugs' potential to develop adaptations that could kill us off were the whole story, we would not be here. However, with very rare exceptions, our microbial adversaries have a shared interest in our survival. Almost any pathogen comes to a dead end when we die; it first has to communicate itself to another host in order to survive. So historically, the really severe host- pathogen interactions have resulted in a wipeout of both host and pathogen. We humans are still here because, so far, the pathogens that have attacked us have willy-nilly had an interest in our survival. This is a very delicate balance, and it is easily disturbed, often in the wake of large-scale ecological upsets. This juridified self exports the most dangerous form of biopower, global policing and intervention carries along the constant nuclear threat, which promises total destruction – this also leads to torture and violence to destroy individuals. Hardt and Negri in 2004 (Michael and Antonio, prof. @ duke, prof. @ universities of Padua and Paris, Multitude: War and Democracy in the Age of Empire. The Penguin Press. Pg. 18 - 19) 17 War really became absolute only with the technological development of weapons that made possible for the first time mass and even global destruction. Weapons of global destruction break the modern dialectic of war. War has always involved the destruction of life, but in the twentieth century this destructive power reached the limits of the pure production of death, represented symbolically by Auschwitz and Hiroshima. The capacity of genocide and nuclear destruction touches directly on the very structure of life, corrupting it, perverting it. The sovereign power that controls such means of destruction is a form of biopower in this most negative and horrible sense of the term, a power that rules directly over death— the death not simply of an individual or group but of humanity itself and perhaps indeed of all being. When genocide and atomic weapons put life itself on center stage, then war becomes properly ontological.28 War thus seems to be heading at once in two opposite directions: it is, on one hand, reduced to police action and, on the other, raised up to an absolute, ontological level by technologies of global destruction. These two movements, however, are not contradictory: the reduction of war to police action does not take away but actually confirms its ontological dimension. The thinning of the war function and the thickening of the police function maintain the ontological stigmata of absolute annihilation: the war police maintain the threat of genocide and nuclear destruction as their ultimate foundation . 29 Biopower wields not just the power of the mass destruction of life (such as that threatened by nuclear weapons) but also individualized violence. When individualized in its extreme form, biopower becomes torture. Such an individualized exercise of power is a central element in the society of control of George Orwell's 1984 . "'How does one man assert his power over another, Winston?' Winston thought. `By making him suffer,' he said. `Exactly. By making him suffer. Obedience is not enough.' "30 Torture is today becoming an ever more generalized technique of control, and at the same time it is becoming increasingly banalized. Methods for obtaining confessions and information through physical and psychological torments, techniques to disorient prisoners (such as sleep deprivation), and simple means of humiliation (such as strip searches) are all common weapons in the contemporary arsenal of torture. Torture is one central point of contact between police action and war; the torture techniques used in the name of police prevention take on all the characteristics of military action. This is another face of the state of exception and the tendency for political power to free itself from the rule of law. In fact, there are increasing numbers of cases in which the international conventions against torture and the domestic laws against cruel and unusual punishment have little effect .3' Both dictatorships and liberal democracies use torture, the one by vocation and the other by so-called necessity. According to the logic of the state of exception, torture is an essential, unavoidable, and justifiable technique of power. And, when the chips are down these civilized people will eat each other. Util sounds nice in theory but ignores the absurd nature of existence. We may seem like monsters but at least our moral code isn’t reliant on a lie that we choose to believe. Itzkowitz 99 (Kenneth. Associate professor of philosophy at Marietta College. College Literature. “To Witness Spectacles of Pain: The Hypermorality of Georges Bataille. Accessed: 7/18/12. Jstor)//CL It would be pointless to deny that most illegal violence is abhorrent or immoral. At the same time, however, given the violence of the life of our culture, we need to understand immoral violence more deeply than any blanket condemnation of it will allow. Beyond our condemnations, we need to recognize that the acts we most prohibit are paradoxically also the very ones we most celebrate. A foremost proponent of this need is the French philosopher and writer Georges Bataille. Relying on a notion of excess energy and the problem of its expenditure, Bataille argues that the transgression of law is what he calls an accursed yet ineluctable part of our lives. We make laws in the name of prohibiting acts of violence, yet the problem of the expenditure of an excess of energy requires behaviors that violate the very same rules we cherish and intend to uphold. The commentator Jean Piel took note of how Bataille managed “to view the world as if it were animated by a turmoil in accord with the one that never ceased to dominate his personal life” (1995, 99). Here, the fact of an individual-in-turmoil reflects the surplus of energy distributing life in general, rather than a moral deficiency for which an individual can be held accountable. For Bataille an individual’s wasteful behaviors are ultimately reflections of the problem of the surplus of solar energy. Piel but it this way: “The whole problem is to know how, at the heart of this general economy, the surplus is used” (1995, 103). How should the surplus of solar energy be used? Bataille contends that this surplus is never extinguished and that its expenditure always leads towards the commission of violence. The surplus of energy is accursed and finally cannot serve us productively. The accursed excess confronts us with the problem of how to expend energy when this results in usages that cannot made be useful. Thus the production of violence has a value for us as those condemned to the realm of nonproductive expenditures. We undoubtedly deny this value, as Bataille notes, when “Under present conditions, everything conspires to obscure the basic movement that tends to restore wealth to its function, to gift giving, to squandering without reciprocations” (1988, 38). Nonetheless, as Bataille puts it, “the impossibility of useful expenditure is ignored, then we fail to recognize ourselves on the deepest level as who we most fundamentally are. Against this failure and in the name of a kind of inverted Hegelian self-recognition, Bataille calls for the transgression of our prohibitionist moral values. We need an ethics of squandering goods, of squandering what is good, in recognition of an overabundance over and beyond all others i.e. an overabundance that can only, at best, be squandered. He writes, Life suffocates within limits that are too close; it aspires in manifold ways to an impossible growth; it releases a steady flow of excess resources, possibly involving large squanderings of energy. The limit of growth being reached, ... enters into ebullition. Without exploding, its extreme exuberance pours out into a movement always bordering on explosion. (Bataille 1988, 30) As living lives that must enter into ebullition, we find ourselves fundamentally committed no more to moral righteousness than to immoral outpourings of energy to sudden and violent outbursts exceeding all rational considerations. The protests of moralism are secondary and never responsive to Bataille’s questioning of morality: “Supposing there is no longer any growth possible, what is to be done with the seething energy that remains?” (1988, 31). We are told by reason and morality to do what is best, which is to prohibit behaviors that are nonproductive or harmful. Our morality identifies the right with the useful and productive with whatever makes us better. Bataille however, argues against this morality and for the requirement of useless, non-productive, violent outpourings of energy – a requirement for what he calls “a draining-away, a pure and simple loss, which occurs in any case” (1988, 31). These violent nonproductive outpourings according to Bataille, are required of us all as living beings regardless of whether or not we take the responsibility to manage and arrange their occurrence in our lives. At issue, for Bataille, is energy in excess, energy as an excess. As an excess, such energy must be discharged explosively in outpourings that, in the end, are inevitable. 2AC: Trust McDorman 05 (Communication and Critical/Cultural Studies Vol. 2, No. 3, September 2005, pp. 257/279 Controlling Death: Bio-Power and the Right-to-Die Controversy Todd F. McDorman Todd F. McDorman Professor and Senior Associate Dean of the College Department of Rhetoric Wabash College – BRW) Bio-Power and its Exercise In continuing the critical rhetoric of bio-power, this section examines its extension through two important tools*/medicine and the vegetative subject. The goal is to lay bare techniques of bio-power that have advanced domination and to suggest the need for and possibility of resistance (a basis for a critique of freedom). The effort to shape medical practice and create legal obstacles reflects HerrleFanning’s explanation that bio-power ‘‘produces ‘truths’ about the body, which , when internalized, have a ‘normalizing’ and ‘regulatory’ function.’’40 First, medicine often has served to restrict the body, both through the treatment available and the stigma it places on death. Second, the judicial construction of the vegetative subject and distinctions between passive and active death have been used to limit the decision-making power of competent individuals. Confining the Subject: Hospitalization as ‘‘Cure’’ There is no question that in most circumstances, for most individuals, life is preferred to death. We are fortunate to live in an age where medical knowledge and technology have provided the means for longer, healthier living and for the effective treatment of illness and disease. However, regardless of such advancements and no matter how unsavory a result, death is still the ultimate undeniable conclusion of physical existence. This part of the analysis is concerned with the extent to which ‘‘life’’ and ‘‘death’’ are decontextualized without regard to meaning or implication. An analysis of fragments from the medical community reveals the normalization of extensive supervision and regulation of the body often in the service of uncritically extending ‘‘life’’ and combating ‘‘death.’’ Power is located in the physician and hospital with, as Foucault explains bio-power, ‘‘the taking charge of life.’’ The result is an authoritative discourse that at once can force the extension of life to its absolute limit while also stigmatizing death as that which must be avoided at any price. While medicine has been effective in realizing these goals, unpacking the underlying philosophy reveals both unfortunate and ironic results. First, stigmatizing and vilifying death only succeeds in making it more invisible and feared. Second, the very mechanisms intended to extend life may cause some to take more drastic measures to end it. Doctors, not unlike any other professional, remain committed to overcoming their ‘‘adversary,’’ which is not only disease, but death itself. As Foucault explains, ‘‘behind the doctor’s back, death remained the great dark threat in which his knowledge and skill were abolished.’’41 In continuing to attempt to defeat this threat*/to extend physician knowledge*/the viewpoint might be simplified to the mantra ‘‘death is the enemy.’’ In using this as the ultimate truth, doctors can, perhaps unintentionally, use the hospital as a structure to maintain the body. The potential result, as Herrle- Bio-Power and the Right-to-Die Controversy 265 Fanning explains in a different context, is that ‘‘if both patient and practitioner have accepted an anatomical understanding of the body, simply ‘submitting to fate’’’*/in the present case allowing for death to occur*/’’is an almost unthinkable option.’’42 Consequently, life-prolonging medical technologies, such as life support systems, feeding tubes, and respirators*/hallmarks of contemporary ‘‘bio-power’’*/are normalized and can be read as ‘‘techniques for achieving the subjugation of bodies.’’43 When preserving life is identified as the ultimate goal by the state*/buttressed by their self-proclaimed (and judicially legitimated) claim of an unqualified interest in life*/the physician can be utilized as an instrument for transmitting the ideology. The result may be that in confrontations with death, the patient risks becoming a captive object, a site of struggle between physician and nature, rather than an active subject who is treated as a person. Unable to cope with death, with ‘‘failure,’’ doctors may impose their own form of subjugation upon the body. As physician Sherwin Nuland explains, ‘‘in the personalities of many doctors’’ there may be a ‘‘fear of failure’’ that creates an abnormally high ‘‘need to control. . . . In an attempt to maintain control, a doctor, usually without being aware of it, convinces himself that he knows better than the patient what course is proper.’’ It is also possible that the physician, even when death is inevitable, ‘‘may maintain a bit of authority by exerting . . . influence over the dying process . . . by controlling its duration and determining the moment at which’’ life will be allowed to ‘‘end.’’44 Notably, Nuland’s description of the ‘‘control’’ and ‘‘authority’’ exerted over life is nearly a mirror image of the sort of supervision that accompanied the advent of bio-power as explained by Foucault.45 Beyond the actions of doctors, the hospital can appear to be a prison-like structure for the near-dead, a place to be contained, controlled, and, not least importantly, hidden. While the historic foundations and purposes of the hospital expounded upon by Foucault seem questionable today*/and there can be no denying that the hospital and modern medicine have greatly improved life and its quality*/there are similarities. In Madness and Civilization , Foucault argues Paris’s Hoˆ pital Ge´ne´ral served more of an administrative function than as a medical center. That is, the hospital primarily provided ‘‘an instance of order,’’ confining the unemployed and impoverished in times of economic recession.46 Hoeffler and Kamoie extend this conclusion in arguing similarly that during the 1800s, American hospitals ‘‘typically provided only food, shelter, and nursing care to dislocated indigents. Very little in the way of clinically sound treatments were available there.’’47 Today, the hospital continues to serve an administrative function through confinement of a slightly different nature. This is, as Phillipe Arie´s argues in his history of Western attitudes toward death, that in addition to its ‘‘curative function,’’ the hospital also has become ‘‘the designated spot for dying.’’48 This development furthers the regulation of death, the stigma it acquires and, at least superficially, aids in the normalization of life. When the RTD is implicated, the hospital serves to maintain vital signs rather than to heal, confining the body according to a mangled web of medical protocols. Life support, like Foucault’s picture of the asylum, might be seen as aiding the ‘‘conversion of medicine into justice, of therapeutics into repression.’’49 The 266 T. F. McDorman procedures contribute to the creation of what Nuland terms a ‘‘method of modern dying.’’50 The sterility, isolation, and intrusiveness of this method have stigmatized death, have made dying more unbearable, and likely have contributed to the appeal of euthanasia. Nuland argues that for many of the dying, intensive care, with its isolation among strangers, extinguishes their hope of not being abandoned in the last hours. In fact, they are abandoned, to the good intentions of highly skilled professional personnel who barely know them.51 While Arie´s explains that death was once a ceremony involving close personal friends and family rather than overseeing doctors and nurses, our reliance on the hospital has eliminated such ritual ceremony and transformed death into ‘‘a technical phenomenon.’’ 52 It is a point David Thomasma reinforces, commenting that hospitals provide ‘‘little possibility of maintaining the personal and social ritual of dying.’’53 By segregating death, by excluding it from ordinary view, the idea that death is an ‘‘abnormality’’ is reinforced. This is consistent with and advances the state’s promotion of bio-power, but it also ultimately makes death more difficult to face and accept. Hoeffler and Kamoie explain that the transformation of death into a ‘‘process’’ has made it ‘‘very much an extraordinary and disconcerting experience, and, understandably, Americans find themselves struggling to adjust.’’54 It also has contributed to a tendency in American culture to ‘‘feel out of place in the foreign, intimidating, antiseptic surroundings of a hospital or nursing home,’’ as visitors ‘‘struggle to find the right words during brief irregular visits. Seeing death in this light, it is no wonder that they have come to fear and deny it.’’55 James F. Bresnahan adds that ‘‘we must ask ourselves whether, as a society, we have become simply incapacitated from being sensible about when to stop treatments originally designed to help the survivable survive. We continue to use them to afflict the dying. . . . This is just another way of not facing our problem.’’56 Banished to the hospital, dying is almost too painful to watch*/and often we do not. Ultimately, this inability to face and accept death damages the doctor/patient relationship, decreases trust, forces patients to look for answers elsewhere, and, counter to its design, has increased the appeal of euthanasia.57 In his personal observations of the dying, Dr. Lonny Shavelson says that he encountered people who allowed their fear of ‘‘how they would die’’ to persuade them to act too quickly because no physician said they would help if the pain became unbearable.58 These actions demand that physicians and the conditions of medical care be at the forefront of examinations of the RTD. Medical ethicist Ronald E. Cranford argues that ‘‘any discussion of active euthanasia’’ must start with inspection of the care offered by the medical profession. He suggests that it is ‘‘by doing such a miserable job of caring for the dying’’ that physicians ‘‘are driving people toward the more extreme measures of suicide and euthanasia.’’59 While the social, moral, and legal debate over the RTD continues, the medical profession finds itself playing a pivotal role. And it is, as Michael Hyde notes, ‘‘in a rather difficult situation. For what is at stake here is medicine’s ‘very moral center,’ placing a premium on ‘‘life’’ through the vilification of death and the containing structure of the hospital, the medical establishment is an important, if perhaps somewhat unaware, technique of bio-power. The mechanisms of medicine bring regulation and order to the body while furthering the normalization of life*/but appear to do so at a cost. The stigma of death reinforces life, but it may do so by reducing its quality and our ability to cope with death. Similarly, the emphasis placed on life*/on repelling death*/has the ironic consequence of encouraging some of the dying*/who are unwilling to wait its Bio-Power and the Right-to-Die Controversy 267 Hippocratic tradition.’’60 In for medicine to resolve its dilemma*/to resort to more drastic and reactionary actions in exercising choice in dying.61 Their discursive construction of health and disease is mediated by colonialist understandings of the “foreign” and “dangerous” other—epidemiological discourses reproduce power relations that make disease a threat in the first place. Lewis 7 (Bradley Professor at New York University—Department of Psychiatry and the Department of Social and Cultural Analysis, 2007, “The New Global Health Movement: Rx for the World,” New Literary History, Vol. 38 No. 3, pp. 459-477) Of course, Rx was made for popular audiences in the U.S. and so in its populist format, some may argue, it is more likely to reproduce these kinds of stereotypes than other more professional or expert discourses. This does not mean, however, that other medical discourses are devoid of these problematic "othering" stereotypes. All discourses deployed by the global health movement—whether they are political statements or funding agendas or the finite descriptions of disease behaviors in scientific papers—are mediated by the culture, society, and politics in which they are produced. Intentionally or not, they reproduce and relocate cultural, societal, and political ideas and constructions, including problematic constructions of the contagious foreign "other." The association of "foreignness" with contagion has long been established in scientific discourses. As Cindy Patton observes, the conflation of foreigners and "immigrants" with germs has been apparent since the emergence of "germ theory" in the late 1800s: a theory which was compounded by the emergence of immunology and virology in the twentieth century.36 This theory, and its more modern incarnations, represents germs—or, more belatedly, viruses—as "foreign," "dangerous," "contagious," and a threat to the "pristine, clean, uninvaded, untouched" body; a body which itself is commonly figured as "the 'virgin' land of the new world."37 Scientific discourses associated with HIV/AIDS—such as immunology and epidemiology—offer recent examples of the way these constructions continue to be reproduced. Immunologic discourses frequently deploy a language of "foreignness and invasion" in their accounts of HIV infection.38 Emily Martin cites one popular textbook that describes the process of "foreign antigen recognition" as the "human body's police force" being "programmed to distinguish between bona fide residents and illegal aliens."39 Epidemiological discourses on HIV/AIDS have similarly reinvigorated these stereotypes when they have designated entire populations— such as Haitians or sub-Saharan Africans—as "risk groups." The near consensus among AIDS immunologists and epidemiologists that Africa is the primary site of HIV also powerfully reinstalls the link between foreignness and contagion. Whether latent or manifest, such exclusionary "othering" and racist stereotypes keep being reinstated, even by the world health advocates (such as the makers of Rx) and scientists who are concerned with saving the globe against disease and ill health. If the global health movement does not take this into account it may well, in McFadden's words, reproduce the very relations of exploitation, supremacy, and servitude underlying the social and survival crises that currently face our world. Lack of international physician trust triggers the internal link NYT 14 (AFRICA Fear of Ebola Breeds a Terror of Physicians By ADAM NOSSITERJULY 27, 2014 http://www.nytimes.com/2014/07/28/world/africa/ebola-epidemic-west-africa-guinea.html-BRW) Why Ebola Patients Are Rejecting Care Amid the deadliest Ebola virus outbreak in history, doctors are fighting the disease and also local populations’ fear of medical treatment. Video by Carrie Halperin on Publish Date July 27, 2014. Photo by Samuel Aranda for The New York Times. Workers and officials, blamed by panicked populations for spreading the virus, have been threatened with knives, stones and machetes, their vehicles sometimes surrounded by hostile mobs. Log barriers across narrow dirt roads block medical teams from reaching villages where the virus is suspected. Sick and dead villagers, cut off from help, are infecting others. “This is very unusual, that we are not trusted,” said Marc Poncin, the emergency coordinator in Guinea for Doctors Without Borders, the main group fighting the disease here. “We’re not stopping the epidemic.” Efforts to monitor it are grinding to a halt because of “intimidation,” he said. People appear to have more confidence in witch doctors. Health officials say the epidemic is out of control, moving back and forth across the porous borders of Guinea and neighboring Sierra Leone and Liberia — often on the backs of the cheap motorcycles that ply the roads of this region of green hills and dense forest — infiltrating the lively open-air markets, overwhelming weak health facilities and decimating villages. It was in this rural area, 400 miles over bad roads from Guinea’s capital, Conakry, where the outbreak was first spotted, and where it has hit hardest. More than 80 percent of those infected have died in this region, and Guinea has recorded more than twice as many deaths as the other countries. In Koundony, more than one-eighth of the population, including the headman, are dead; many others have fled. There is no known cure for the virus, which causes raging fever, vomiting, diarrhea and uncontrolled bleeding in about half the cases and up to 90 percent of the time, rapid death. Merely touching an infected person, or the body of a victim, is dangerous; coming into contact with blood, vomit or feces can be deadly. Now the principally from fear of aid workers, Doctors Without Borders and the Red Cross, is helping to spread the disease, health officials say, creating a secondary crisis. Villagers flee at the sight of a Red Cross truck. When a Westerner passes, villagers cry out, “Ebola, Ebola!” and run away. This month, Doctors Without Borders classified 12 villages in Guinea as “red,” meaning they might harbor Ebola but were inaccessible for safety reasons. As recently as April, the epidemic seemed to be under control. But in the past two weeks, its center appeared to have shifted across the border to Sierra Leone, where most of the new dead were being recorded. The sick are being hidden and the dead buried, without any protection. Last week, the Sierra Leone Health Ministry reported that its lead doctor fighting Ebola had contracted the disease, and the virus had spread to a fourth country, with a confirmed fatality in Nigeria. Over the weekend, an aid organization working in Liberia, Samaritan’s Purse, said that two Americans, a doctor who was treating Ebola patients and an aid worker on a case management team, had tested positive for the virus. And the Liberian government said Sunday that one of its most high-profile doctors had died of Ebola, according to The Associated Press. Back in Guinea, in the village of Wabengou, residents placed a tree in the road to block outsiders. They also attacked an official delegation from Conakry, rushing its cars, banging on the vehicles and brandishing machetes, according to Doctors Without Borders. “We don’t want them in there at all,” said Wabengou’s chief, Marcel Dambadounou. “We don’t accept their presence at all. They are the transporters of the virus in these communities.” Continue reading the main story GRAPHIC How Many Ebola Patients Have Been Treated Outside of Africa? Questions and answers on the scale of the outbreak and the science of the Ebola virus. OPEN GRAPHIC He was surrounded by grim-looking men from Wabengou, standing at a crossroads on the way to his village; none of them demurred. “We are absolutely afraid, and that’s why we are avoiding contact with everybody,” he said, “the whole world.” Doctors Without Borders has set up an emergency treatment center in the regional capital, Guéckédou, but a nurse there said the center had diminishing appeal. “Here, if the people come in, they don’t leave alive,” said the nurse, Fadima Diawara. It may not help win confidence that the medical teams wear top-to-toe suits and masks, burning much of the outfit after helping a patient. The wariness against outside intervention has deep roots. This part of Guinea, known as the Forest Region, where more than 200 people have already died of the disease, is known for its strong belief in traditional religion. The dictator who ruled Guinea with an iron fist for decades, Ahmed Sékou Touré, was only partly successful in a 1960s campaign to stamp out these beliefs, despite mass burnings of fetishes. Addressing villagers this month in Bawa, where a woman had just died, the regional prefect from Guéckédou, Mohammed Cinq Keita, warned: “There is no root, no leaf, no animal that can cure you. Don’t be fooled.” Near the border with Sierra Leone this month, Doctors Without Borders discovered an Ebola patient who had been privately “treated” in the village of Teldou and then returned to his relatives in another village, possibly infecting untold others. “Extremely, extremely concerning,” said Sylvie Jonckheere, the charity’s doctor on the scene. A colleague in full gear lectured the villagers of Teldou as the rain started, but was met with indifference or hostile stares; some turned their backs on him. As the aid workers drove off, the private nurse who administered a shot to the Ebola patient defended his treatment. “I couldn’t say that he had the illness,” said the nurse, Eduard Leno. “His body was hot, that’s all.” Asked why the patient had not been sent to the clinic in Guéckédou, he said angrily: “We are in the bush here. You can’t just send someone away. How will society view you?” Local officials have begun a campaign to open the closed villages — there have even been some recent arrests in Kolo Bengou — but in tiny Koundony, fear is palpable. On a recent day, a Red Cross truck drove up to the cemetery to deliver the body of Marie Condé, 14, wrapped in plastic sheeting. As the body was carried off the truck, a high-pitched wail pierced the country stillness. “There is no cure!” a woman cried. “There is no cure!” The gravedigger, Marie’s half brother Famhan Condé, 26, was sweating as he heaved shovels of dirt. The grave, he said, would be the 26th he had dug since the epidemic began. “We’re all scared here,” he said. “There’s no solution. We can do nothing. Only God can save us.” Doctors can opt out of PAS – proves the people that trigger the internal link just choose different docters Marcia Angell 97 , MD, Senior Lecturer at Harvard Medical School, wrote in her Jan. 2, 1997 Editorial "The Supreme Court and Physician-Assisted Suicide--The Ultimate Right," that appeared in the New England Journal of Medicine:-BRW) "Doctors who are opposed in principle [to physician-assisted suicide] need not assist, but they should make their patients aware of their position early in the relationship so that a patient who chooses to select another doctor can do so. The greatest harm we can do is to consign a desperate patient to unbearable suffering -- or force the patient to seek out a stranger like Dr. Kevorkian. Contrary to the frequent assertion that permitting physician-assisted suicide would lead patients to distrust their doctors, I believe distrust is more likely to arise from uncertainty about whether a doctor will honor a patient's wishes." Loss of trust not sufficient to trigger refusal to go to doctors – your evidence doesn’t assume US data Mark Hall 05 , JD, Fred D. & Elizabeth L. Turnage Professor of Law at Wake Forest University, stated in a Dec. 24, 2005 article titled "Euthanasia; Research Suggests Doctor-Assisted Suicide Wouldn't Undermine Patient Trust," published in Obesity, Fitness & Wellness Week:-BRW) "Overall, three times as many people disagree as agree that legalizing physician-assisted death would cause them to trust their personal doctors less... Despite the widespread concern that legalizing physician-assisted death would seriously threaten or undermine trust in physicians, the weight of the evidence in the United States is to the contrary... Our study shows that only about 20% of people believe they would trust their physician less if euthanasia were legalized... The empirical support is weak for those who confidently assert that legalizing physician-assisted death would undermine trust in physicians for most people in the United States." Only a risk of a link turn – patients fear doctors not granting autonomy in decision more than the potential for the choice to exist Peter Rogatz 01 , MD, MPH, founding board member of Compassion in Dying of New York, wrote in his Nov.-Dec. 2001 article, "The Positive Virtues of Physician-Assisted Suicide: Physician-Assisted Suicide is Among the Most Hotly Debated Bioethical Issues of Our Time," that appeared in The Humanist -BRW) "... It is argued that permitting physician-assisted suicide would undermine the sense of trust that patients have in their doctors. This is curious reasoning; patients are not lying in bed wondering if their physicians are going to kill them--and permitting assisted suicide shouldn't create such fears, since the act of administering a fatal dose would be solely within the control of the patient. Rather than undermining a patient's trust, I would expect the legalization of physicianassisted suicide to enhance that trust. I have spoken with a great many people who feel that they would like to be able to trust their physicians to provide such help in the event of unrelieved suffering--and making that possible would give such patients a greater sense of security." Studies prove Legalization doesn’t kill trust Scand J Public Health. 2009 May;37(3):260-4. doi: 10.1177/1403494808098918. Epub 2009 Jan 30. Lindblad A1, Löfmark R, Lynöe N. Author information – BRW) Would physicianassisted suicide jeopardize trust in the medical services? An empirical study of attitudes among the general public in Sweden.-BRW) AIM: To investigate the attitudes among the Swedish population towards physician-assisted suicide, with special regard to the possible effects on trust in the medical services of physician-assisted suicide being allowed. DESIGN: A postal questionnaire about physician-assisted suicide under certain conditions and its possible influence on trust in the medical services was distributed to 1206 randomly selected individuals living in the county of Stockholm. Two reminders were distributed, followed by a short version of the questionnaire containing only the question about the attitude towards physician-assisted suicide. RESULTS: The total response rate was 51%, a short-version reminder adding another 7%. Of all participants, 73% were in favour of physician-assisted suicide, 12% were against, and 15% were undecided. They believed that their trust in the medical services would increase (38%) or not be influenced at all (45%) if physician-assisted suicide were to be allowed. However, 75% of those who were against physician-assisted suicide believed that their trust would decrease. As compared to those reporting high trust in medical services (n = 492), those with low trust (n = 97) stated that their trust would increase, 36% (confidence interval (CI) = 3537%) vs. 49% (95% CI = 39-59%). Thirty-three per cent (95% CI = 28-38%) of the younger respondents (<50 years), and 43% (95% CI = 37-49%) of the older respondents believed that their trust would increase. CONCLUSIONS: We found no evidence for the assumption that trust in the medical services would be unambiguously jeopardized if physician-assisted suicide were to be legalized. 2AC: Framework Our interpretation is the judge is an ethical actor deciding between the ethics of the status quo and an ethics of the right to die ethics cannot be universalized by standard of legal expression, it is not enough to pretend to “legalize” physician assisted suicide and be done with it however, in the interest of ground within the debate we will defend links to desirability of physician assisted suicide for purposes of clash within the debate round a. solves offense – aff still engages in core of the topic debate over key stasis points in the physician assisted suicide debate b. aff creativity – legalization as mechanism forcloses on the possibility of affirming the ethical implications of the provision of freedoms resulting from the crimes legalized – understanding the liberalist order that undergirds the right to life facilitates a better engagement with core of the topic literature c. switch side debate doesn’t solve The Swiss model of legalization proves that you are able to get sufficient ground Ziegler 09 (Copyright (c) 2009 American Society of Law, Medicine & Ethics Journal of Law, Medicine & Ethics Summer, 2009 Journal of Law, Medicine and Ethics 37 J.L. Med. & Ethics 318 LENGTH: 7684 words INDEPENDENT ARTICLE: Collaborated Death: An Exploration of the Swiss Model of Assisted Suicide for Its Potential to Enhance Oversight and Demedicalize the Dying Process NAME: Stephen J. Ziegler BIO: Stephen J. Ziegler, Ph.D., J.D., is an Associate professor in the Division Public & Environmental Affairs at Indiana University-Purdue University Fort Wayne and aformer Mayday Pain Scholar. His research and publications focus on the regulation of physician-hastened death, opioid risk management, and pain policy.-BRW) While the Oregon model shares several similarities with the way assisted suicide is performed in Switzerland, the Swiss model of assisted death differs in three significant ways. First, unlike Oregon, the Swiss do not have a PAS statute; the authority for assisting another in suicide stems from an omission in penal law as well as Swiss tradition. Secondly, assistance in suicide is not limited to physicians; right to die organizations and their volunteer staff play a significant role in facilitating assisted death (since the penal law does not make any distinctions between physicians and non-physicians in terms of assistance, team-assisted suicide may more accurately describe the Swiss model of assisted suicide). Finally, although most members who seek assistance are terminally ill, the law does not limit assistance to those who are dying. n60 a. Actors become disengaged from the foundational merits of their argument – switch side creates a simulation of beliefs that reduces political actors to passive participants Antonio ’95, Nietzsche’s antisociology: Subjectified Culture and the End of History”; American Journal of Sociology; Volume 101, No. 1; July 1995 According to Nietzsche, the "subject" is Socratic culture's most central, durable foundation. This prototypic expression of ressentiment, master reification, and ultimate justification for slave morality and mass disci- pline "separates strength from expressions of strength, as if there were a neutral substratum . . . free to express strength or not to do so. But there is no such substratum; there is no 'being' behind the doing, effecting, becoming; 'the doer' is merely a fiction added to the deed" (Nietzsche 1969b, pp. 45-46). Leveling of Socratic culture's "objective" foundations makes its "subjective" features all the more important. For example, the subject is a central focus of the new human sciences, ap- pearing prominently in its emphases on neutral standpoints, motives as causes, and selves as entities, objects of inquiry, problems, and targets of care(Nietzsche 1966, pp. 19-21; 1968a, pp. 4754). Arguing that subjectified culture weakens the personality, Nietzsche spoke of a "re- markable antithesis between an interior which fails to correspond to any exterior and an exterior which fails to correspond to any interior" (Nietzsche 1983, pp. 7879, 83). The "problem of the actor," Nietzsche said, "troubled me for the longest time."'12 He considered "roles" as "external," "surface," or "foreground" phenomena and viewed close personal identification with them as symptomatic of estrangement. While modern theorists saw dif- ferentiated roles and professions as a matrix of autonomy and reflexivity, Nietzsche held that persons (especially male professionals) in specialized occupations overidentify with their positions and engage in gross fabrica- tions to obtain advancement. They look hesitantly to the opinion of oth- ers, asking themselves, "How ought I feel about this?" They are so thoroughly absorbed in simulating effective role players that they have trouble being anything but actors-"The role has actually become the character." This highly subjectified social self or simulator suffers devas- tating inauthenticity. The powerful authority given the social greatly amplifies Socratic culture's already selfindulgent "inwardness." Integ- rity, decisiveness, spontaneity, and pleasure are undone by paralyzing overconcern about possible causes, meanings, and consequences of acts and unending internal dialogue about what others might think, expect, say, or do (Nietzsche 1983, pp. 83-86; 1986, pp. 39-40; 1974, pp. 302-4, 316-17). Nervous rotation of socially appropriate "masks" reduces persons to hypostatized "shadows," "abstracts," or simulacra. One adopts "many roles," playing them "badly and superficially" in the fashion of a stiff "puppet play." Nietzsche asked, "Are you genuine? Or only an actor? A representative or that which is represented? . . . [Or] no more than an imitation of an actor?"Simulation is so pervasive that it is hard to tell the copy from the genuine article; social selves "prefer the copies to the originals" (Nietzsche 1983, pp. 84-86; 1986, p. 136; 1974, pp. 232- 33, 259; 1969b, pp. 268, 300, 302; 1968a, pp. 26-27). Their inwardness and aleatory scripts foreclose genuine attachment to others. This type of actor cannot plan for the long term or participate in enduring net- works of interdependence; such a person is neither willing nor able to be a "stone" in the societal "edifice" (Nietzsche 1974, pp. 302-4; 1986a, pp. 93-94). Superficiality rules in the arid subjectivized landscape.Neitzsche (1974, p. 259) stated, "One thinks with a watch in one's hand, even as one eats one's midday meal while reading the latest news of the stock market; one lives as if one always 'might miss out on something. ''Rather do anything than nothing': this principle, too, is merely a string to throttle all culture. . . . Living in a constant chase after gain compels people to expend their spirit to the point of exhaustion in continual pretense and overreaching and anticipating others." Pervasive leveling, improvising, and faking foster an inflated sense of ability and an oblivious attitude about the fortuitous circumstances that contribute to role attainment (e.g., class or ethnicity). The most medio- cre people believe they can fill any position, even cultural leadership. Nietzsche respected the self-mastery of genuine ascetic priests, like Socra- tes, and praised their ability to redirect ressentiment creatively and to render the "sick" harmless. But he deeply feared the new simulated versions. Lacking the "born physician's" capacities, these impostors am- plify the worst inclinations of the herd; they are "violent, envious, ex- ploitative, scheming, fawning, cringing, arrogant, all according to cir- cumstances. " Social selves are fodder for the "great man of the masses." Nietzsche held that "the less one knows how to command, the more ur- gently one covets someone who commands, who commands severely- a god, prince, class, physician, father confessor, dogma, or party conscience. The deadly combination of desperate conforming and overreaching and untrammeled ressentiment paves the way for a new type of tyrant Resolved means we should remain open to the resolution and different ways of debating it Pezze 6 (Barbara, PhD Philosophy at Honk Kong U, “Heidegger on Gelassenheit”, Minerva, vol .10, http://www.ul.ie/~philos/vol10/Heidegger.html) Let us pause for a moment to consider a possible misunderstanding. It could appear, from what we have been saying, that Gelassenheit “floats in the realm of unreality and so in nothingness, and, lacking all power of action, is a will-less letting in of everything and, basically, the denial of the will to live!” (1966a, p. 80). But It is a “resolve” not as an act of will that makes a decision and finds a solution to a problem or a situation. This “resolve,” as Heidegger himself suggests, must be thought as the one that is spoken of in Being and Time, that is, it is a “letting this is not the case, for in the Gelassenheit we find something that recalls the “power of action,” but which is not a will. [Entschlossenheit] (ibid., p. 81), but oneself be called forth” (1996, p. 283) to one’s ownmost possibility of being. “Resoluteness” — as Entschlossenheit is translated in Being and Time — is “authentic being a self” (1996, p. 274). It is quite difficult to think a resolve that is not a matter of will that moves to an action; we tend, in fact, to consider resoluteness as a strong determination to attain is not an intention to act; it is not a ‘gathering of energy’ to be released into action. Resolve is the beginning, the inceptual beginning of any action moved . Here acting is not be taken as an action undertaken by Dasein in being resolute. Rather, acting refers to the existential and fundamental mode of being of Dasein, which is to be “care,” and which something. As we read in Heidegger’s Introduction To Metaphysics (2000), the essence of the resolve, as he intends it, is the “primordial” being of Dasein. Resoluteness, in its essence, is the remaining open of Dasein for be-ing. In the context of the Conversation, this resolve should thus be understood as “the opening of man particularly undertaken by him for openness…” [als das eigens übernommene Sichöffnen des Daseins für das Offene…] (Heidegger 1966a, p. 81). It is a resolve to remain open to be-ing, and therefore to what is ownmost to man’s nature, which is disclosed in relation to be-ing. This resolve is what Heidegger, in the Conversation, indicates as “releasement to that-which-regions,” the resolve to release oneself to that-which-regions, to remain open towards the openness itself. Now, there is another element that pertains to Gelassenheit: there is, in fact, not only a resolve, but also a “steadfastness” [Ausdauer] (Heidegger 1966a, p.81) proper Thinking, becoming more and more aware of its nature, and experiencing more clarity about it, remains firm and resolute . Thinking “stands within” and “rests” in this “composed steadfastness” (ibid., p. 81]). The “steadfastness” proper to Gelassenheit to Gelassenheit. would be behavior which did not become a swaggering comportment, but which collected itself into and remained always the composure of releasement [Verhaltenheit der Gelassenheit]. (Heidegger 1966a, p. 81) Their claims about portable skills, predictable limits, rational decision making, community norms, policy training, problem solving, critical thinking, activating agency, etc., all rely on and enforce an understanding of education which frames subjects as units of rationality to be bettered through civilizing practices. This form of dispassionate subject construction eliminates care and dooms millions to suffering and death. - blue Mourad 2001 (Roger Jr., Director of Institutional Research at Washtenaw College and teaches at the University of Michigan. His academic credentials include a Ph.D. in Higher Education, M.A. in Philosophy of Education, and J.D. in Law, all from the University of Michigan. He is the author of Postmodern Philosophical Critique and the Pursuit of Knowledge in Higher Education ~Westport: Greenwood, 1997! and several recent journal publications on epistemological, ethical, and legal issues pertaining to the nature and structure of institutionally organized education and its relation to the social good, “Education After Foucault: The Question of Civility” Teachers College Record Volume 103, Number 5, October 2001, pp. 739–759) EDUCATION FOR IMPROVEMENT, OR “KICKING THE DOG” Too many lost names too many rules to the game Better find a focus or you’re out of the picture.48 The idea that the fundamental issue of the just civil state is to find the right balance between preserving individual freedom and constraining individual threat has served as a tacit foundation within which belief and debate about educational philosophy, policy, and practice develop. This statement is not intended to suggest that there is some direct and specific historical connection that can be unequivocally demonstrated to exist between foundational political theory and mainstream educational theories and practices. However, I want to propose that there is a compatibility between them that has important consequences for a new critique of organized formal education. In the remainder of this paper, my aim is to argue that the tenor of the theories that I have summarized is endemic in the ordinary ways that we think about and engage in organized education. How is the idea of the basic human being that is posed as the fundamental social, political, and pedagogic problem for modern civilization, this human being that must be managed in order to keep it from harming itself and others, played out in The tacit, unchallenged belief is that through education, the human being must be made into something better than it was or would be absent a formal education. There are all kinds of versions of this subject and of what it should become: potential achiever, qualified professional, good citizen, “leader,” independent actor, critical thinker, change agent, knowledgeable person. In all cases, the subject before education is viewed to be, like the subject before civilization, something in need of being made competent—and safe—in the mind of the educator. From this vantage point, the pedagogic relationship educational presuppositions? between teacher and student, between competent adult and incompetent child ~or adult!, contains within it a possibility that it seeks to overcome, namely, a rejection of the socialization program of the former by the latter. There is an implicit conflict between individuals as soon as the student walks into the school or college classroom door from outside the civility that the teacher would have that student become. It must be resolved, or contained in some way; and this is done immediately by rendering the student a rule follower – a follower of the social order, both in and out of the classroom. Or the student must be rendered a challenger of the social order, in favor of an order that overcomes oppression—to become a competent comrade. The individual must be taught how to be an individual in accordance with this balance. Being an individual means being “free”—it means being “self-determined,” it means competing, and it means obeying the law. This is the case, even if the teaching is done with kindness and sensitivity. The responsibility for dealing with suffering and limitation lies almost solely with this individual, not the state. In fact, if suffering is viewed at all, it tends to be viewed as something that is good for the individual to endure or to fight in order to overcome it. Limitation is not acknowledged, unless the individual is deemed disadvantaged in some way, and with an opportunity to become competent. the remedy tends to be to provide the person Is it any wonder that parents of children with disabilities, aided by many educators, often must fight for educational and other services? This situation simply reflects that the basic logic of education and, more generally, the state, is not predicated upon a recognition that the human being is susceptible to suffering or that the state’s reason for being should be to care for people. If caring for its inhabitants were the basic purpose of the civil state, then there would be no need to fight for this organized formal recognition. Is it any wonder that the education of the ordinary child is mainly training for a far-off, abstract future that is destined We talk about equipping children and adults to “solve problems.” Yet, problems do not fall from the sky; they do not exist as such until a human being gives them a name. In contrast, the concept of contention suggests that the practical role of reason should be used to understand the human being as subject to suffering and to act accordingly as moral agents. That is very different from an educational philosophy, policy, and practice that views reason as an instrument by which to overcome obstacles and to conform to the social order. It may be argued that modern education is about reason, about how to think and live reasonably and, therefore, how to live well and to care for oneself and for others. Yet it is commonly expressed that we live in a “complex world” and that children and adults must “learn how to learn,” in order to “succeed in a world of rapid change.” The question that needs to be asked is: Why should a person have to be better than life at present? Why must school be about overcoming anything? to? In effect, education expects the human being to have an unlimited ability to think and act with reason sufficient to cope with increasingly complex situations that require individual intellect to adequately recognize, evaluate, and prioritize alternative courses of action, consider their consequences, and make good decisions. For the most part, the increasing complexity of civil society and the multiplicity of factors that intellect is expected to deal with in different situations are not questioned in education. Is this what education is rightly about? Education is as much about the use of intelligence to avoid suffering and feelings of limitation and about fending off feelings of fear as it is about learning. It is about acting upon other people and upon the civil order to deal with perceived threats. One must be an “active learner” or else. Why? The individual must be acted upon and rendered into an entity that engages reality in the ways that are deemed just by many educators, lawmakers, and others with a stake in the perpetuation of the given social order. Thus, the individual is exhorted to “do your best,” “make an effort,” “earn a grade,” “be motivated,” “work hard,” “overcome obstacles,” “achieve.” Why should education be about any of these things? Unfortunately, the culture of scholarship is thoroughly consistent with these precepts. When we question them, we challenge the ends that they serve but not the ideas themselves. We believe that education is rightly about improvement. This philosophy of improvement is not necessarily consistent with enhancement of living. It often has the opposite effect. How is this result justified? Certainly, it can feel good to accomplish something or to overcome obstacles. Does that mean that adversity should be a positive value of the civil state? The modern idea, beginning with Descartes and established through Lockean empiricism that anyone can be rational leads quickly to the idea that everyone is responsible for being wholly rational, as that word is understood according to the social order. The perpetuation of the given social order in education as elsewhere is about gaining advantage and retaining power. It is about cultural politics and about marginalization of various groups and about class and about socializing children to believe in capitalism as if it is a natural law. Yet under the analysis that I have made here, these major problems are symptoms of something more basic. The more basic problem that I have emphasized here is inextricable from the problem of the just civil state. It is about the intense pressures on people to think and act in ways that serve broader interests that are not at all concerned with their well-being in a variety of contexts including psychological, social, economic, political, and cultural. It is no answer to ground pedagogy in the notion of “building community.” The idea that something must be built implies that something must be made better in order for it to be tolerated. Moreover, “community” carries with it the prerequisite that one be made competent to be a member— again, the presumption that something must be done to the person to make it better in some way. I do not mean to say that educators have bad intent. I do mean that this ethos of betterment through competency will inevitably fail to fulfill the dreams of reformers and revolutionaries. It does not consider the human being as an entity to care for but rather as something to be equipped with skills and knowledge in order to improve itself. This failure is not only because there are millions of children and adults that live in poverty in the wealthiest countries in human history. It is because the state of mind that can tolerate such suffering is the same state that advances and maintains the ethos of civility as betterment, rather than civility as caring for people because they are subject to suffering. The alternative that I have only introduced in a very abbreviated way under the rubric that I called “contention” is intended to ~and made pedagogic by Rousseau’s Emile!, be pragmatic in the ways that Foucault and Richard Rorty are pragmatic in their respective approaches to the subject of the state.49 It is intended to address an unacceptable state of contemporary Western civilization, namely, its repetitive and even escalating incidence of disregard for suffering and harm in many forms, despite intellectual, social, medical, legal, educational, scientific, and technological “progress.” We have had two hundred years of modern educational principles, and two hundred years of profound suffering along with them. The problem of the individual calls for a new formulation and for a proper response—one that cares for the individual rather than makes it competent. The “modern project” of betterment through competency and opportunity must be challenged and replaced by an emotionally intelligent ethos that expressly and fundamentally acknowledges suffering and limitation in philosophy, policy, and practice. Pre-concieved limits to advocacy preclude real world engagement – breaking the rules makes the change Foss and Griffen 1995 (Sonja, associate professor of Communication Studies at Ohio State, Cindy, assistant professor of Speech Communication at Colorado State, “Beyond Persuasion: A Proposal for Invitational Rhetoric, Communication Monographs, March)Professor of Speech Communication, University of Denver, HC) The introduction of invitational rhetoric to the array of rhetorical forms available also serves a greater heuristic, inventive function than rhetoric previously has allowed. Traditional theories of rhetoric occur within preimposed or preconceived frameworks that are reflexive and reinforce the vocabularies and tenets of those frameworks. In rhetoric in which the rhetor seeks to impose change on others, an idea is adapted to the audience or is presented in ways that will be most persuasive to the audience; as a result, the idea stays lodged within the confines of the rhetorical system in which it was framed. Other may challenge the idea but only within the confines of the framework of the dispute already established. The inventive potential of rhetoric is restricted as the interaction converts the idea to the experience required by the framework. Invitational rhetoric, on the other hand, aims at converting experience “to one of the many views which are indeterminately possible” (Holmberg, 1977, p. 237). As a result, much is open in invitational rhetoric that is not in traditional rhetorics—the potential of the audiences to contribute to the generation of ideas is enhanced, the means used to present ideas are not those that limit the ideas to what is most persuasive for the audience, the view of the kind of environment that can be created in the interaction is expanded, and the ideas that can be considered multiply. The privileging of inventions in invitational rhetoric allows for the development of interpretations, perspectives, courses of actions, and solutions to problems different from those allowed in traditional models of rhetoric. Rather than the discovery of how to make a case, invitational rhetoric employs invention to discover more cases, a process Daly (1984) describes as one of creating “an atmosphere in which further creativity may flourish … [w]e become breathers/creators of free space. We are windy, stirring the stagnant spaces with life” (p. 18). The inclusion of an invitational rhetoric in the array of rhetorics available suggests the need to revise and expand rhetorical constructs of various kinds to take into account the nature and function of this form. Invitational rhetoric suggests, for example, that the traditional view of the audience as an opponent ought to be questioned. It challenges the traditional conception of the notion of rhetorical strategies as means to particular ends in that in invitational rhetoric, the means constitute the ends. It suggests the need for a new schema of ethics to fit interactional goals other than inducement of others to adherence to the rhetor’s own beliefs. Finally, invitational rhetoric provides a mode of communication for women and other marginalized groups to use in their efforts to transform systems of domination and oppression. At first glance, invitational rhetoric may seem to be incapable of resisting and transforming oppressive systems such as patriarchy because the most it seems able to do is to create a space in which representatives of an oppressive system understand a different—in this case, a feminist—perspective but do not adopt it. Although invitational rhetoric is not designed to create a specific change, such as the transformation of systems of oppression into ones that value and nurture individuals, it may produce such an outcome. Invitational rhetoric may resist an oppressive system simply because it models an alternative to the system by being “itself an Other way of thinking/speaking” (Daly, 1978, p. xiii)—it presents an alternative feminist vision rooted in affirmation and respect and thus shows how an alternative looks and works. Invitational rhetoric thus may transform an oppressive system precisely because it does not engage that system on its own terms, using arguments developed from the system’s framework or orientation. Such arguments usually are co-opted by the dominant system (Ferguson, 1984) and provide the impetus “to strengthen, refine, and embellish the original edifice,” entrenching the system further (Johnson, 1989, pp. 16-17). Invitational rhetoric, in contrast, enables rhetors to disengage from the dominance and mastery so common to a system of oppression and to create a reality of equality and mutuality in its place, allowing for options and possibilities not available within the familiar, dominant framework. You don’t solve – targeted policy research never leads to implementation – to think the plantext is what sticks is nihilism Norman, 11 (Johan, 2011, “Political Utilisation of Scholarly Ideas: The ‘Clash of Civilisations’ vs. ‘Soft Power’ in US Foreign Policy,” Review of International Studies, Ph.D candidate Department of Government, Uppsala University) IR scholars concerned with the ‘gap’ between the ‘two worlds’ complain about the allegedly limited impact their research has on the practice of foreign policy.14 They express a noteworthy dissatisfaction, on the one hand with the apparent lack of interest for ‘policy-relevant’ research in their own discipline, and on the other with a lack of concern for relevant research among practitioners of foreign policy.15 Although they are not concerned with IR, the available empirical studies of how other social sciences have been politically utilised confirm that research only very rarely leads to direct implementation of policy recommendations.16 For two reasons, however, the prevailing dissatisfaction with the lack of discernable policy effects of research is misguided. Firstly, it expresses a traditional ‘engineering’ perspective, based on unrealistic assumptions of rationality in social science and public policy.17 Secondly, as public policy theorist Tim Booth has argued, it is far too limiting to conceive of ‘policy relevance’ in terms of effects that ‘will be concrete [. . .] and open to direct and objective appraisal’.18 Expectations of a strictly ‘rational’ or ‘undiluted’ usage of scholarly ideas will only lead to disillusionment.19 In contrast, a perspective focusing on political utilisation takes into account a much wider array of possible connections between research and policy, which includes instrumental as well as conceptual and symbolic usage . Their pedagogical method reproduces neoliberal calculability through laws – the ideals of civic responsibility re-create macro-level violence Goodrich 13 (Nietzsche and Legal Theory: Half-Written Laws: Half-Written Laws (Google eBook) Front Cover Peter Goodrich, Mariana Valverde Routledge, Peter Goodrich is a Professor of Law and Director of Law and Humanities at the Benjamin N. Cardozo School of Law Aug 21, 2013 - Law - 224 pages http://books.google.com/books?id=VVeBAAAAQBAJ&dq=legalization+state+nietzsche&source =gbs_navlinks_s – BRW) Responsibility — which many analysts have argued is the fundamental feature of the liberal and especially the neoliberal subject16 — does not easily and smoothly grow from the social interactions of informal private contract, however. There is a long and contingent chain of events and juxtapositions by which responsibility becomes effective, politically as well as ethically, by being tethered to Christian (or liberal) guilt. Let us reconstruct these steps. Aside from the determinate and fragile form of memory that is “the will’s memory," what else is required for humans to be able to make promises, to acquire the right to make promises from the social contract to the marriage contract? What is required is nothing less than the reshaping of concrete human capacities, through the action of the contract and its particular interpellation of human subjects, into a set of homogenous, comparable, even quantifiable bits. Now, why do humans have to be turned into disciplined individuals, into chunks of abstract labor, into interchangeable or at least comparable units? What is it about the contract and its promise of performance that facilitates or affects17 this rather astounding feat of human evolution? The answer is that “in order to dispose of the future in advance in this way, how much man must first have learnt to distinguish necessity from accident! To think in terms of causality. ... To be able above all to reckon and calculate!1*18 Making calculations about future outcomes requires flattening out specificities and separating out what contract law would call “unforeseeable" events. We need to posit causality as a general ontological machinery because we need to be able to count on a future that will remain essentially the same even if certain particularities are different. After all. if we make a promise to hand our house over to a buyer by signing a contract, we are predicting that the experience of living in houses will remain much as it has been — and that the banking system will keep its rules, that the dollar will not suddenly collapse, that there will not be a communist revolution that declares the abolition of private property, and so on. Engaging in contractual relations both facilitates and requires, then, a full- fledged ontology and a generalized historical narrative, both centered on the presumption of continuity, even sameness. And — a key step — the calculating subject of liberal political thought is itself produced (as an entity that can be counted and counted upon by others) by the same process that constructs the world of interpersonal obligation as predictable and measurable: "it was by means of the morality of custom and the social straitjacket that man was really made calculable.” So, the individuals assumed by liberal theory to exist, calculating minds already installed and functioning, in the state of nature, are in fact produced through the very activity of calculating. Radical freedom has to be the starting point Kelly 9 (Mark G. E. Kelly, The Political Philosophy of Michel Foucault, Ch. 7 Ethics, published 2009 by Routledge Taylor & Francis Group) PC Ethics is for Foucault a logical outcome of his political thought; indeed, he actually claims it serves as the referent of his analysis:¶ Although the theory of political power as an institution usually refers to a juridical conception of the subject of right, it seems to me that the analysis of governmentality—that is to say, of power as a set of revers- ible relationships—must refer to an ethics of the subject defined by the relationship of self to self. Quite simply, this means that in the type of analysis I have been trying to advance for some time you can see that power relations, governmentality, the government of the self and of others, and the relationship of self to self constitute a chain, a thread, I think it is around these relations that we should be able to connect together the question of politics and the question of ethics. (HS 252)¶ Here, Foucault refers to precisely the “chain” of links that we have drawn between power and the subject earlier in the book, the linkage of micro and macro. Still, even though Foucault seems to think that ethics is the natural corollary of his political analyses, he nevertheless, in almost the same breath, asserts that it may not be possible to constitute the necessary ethics today:¶ We may have to suspect that we find it impossible today to constitute an ethic of the self, even though it may be an urgent, fundamental, and politically indispensable task, if it is true after all that there is no first or final point of resistance to political power other than in the relationship one has to oneself. (HS 252)¶ Both elements of this paradox, the necessity and the impossibility of the formation of an ethics of the self today are clear. It is necessary, in a sense, precisely because it is impossible: we need ethics to escape our tutelage. For Foucault, freedom is both a necessary precondition for, and only possible given, the practice of ethics: “freedom is the ontological condition of ethics,” ethics being “the reflexive form that freedom takes.”5 For Foucault there was a problem in contemporary liberation movements, that they did not understand this dimension to freedom:¶ Recent liberation movements suffer from the fact that they cannot find any principle on which to base the elaboration of a new ethics. They need an ethics, but they cannot find any other ethics than an ethics founded on so-called scientific knowledge of what the self is, what desire is, what the unconscious is, and so on. (EW1 255–56)¶ Foucault, it seems to me, is referring here to psychoanalysis and Marxism, which both famously make contentious claims to scientificity. Psychoanalysis and Marxism, Foucault suggested in 1982, are in fact in the order of what he calls an answer to “the problem of what is at stake in the subject’s being (of what the subject’s being must be for the subject to have access to the truth) and, in return, the question of what aspects of the subject may be transformed by virtue of his access to the truth” (HS 29). However, says Foucault, neither of these two movements has been capable of understanding this aspect of itself; they both understand themselves not as pseudo-spiritualities, but as sciences. As such, they do not understand the necessities of constructing a new subjectivity. Instead, they unreflectively and unwittingly build a new subjectivity in the midst of a reality they criticise and desire to change.¶ “spiritualities” (HS 29), which is not to say religious movements (see HS 19), but rather movements that offer There are, on the other hand, lifestylist movements, such as the hippie movement or lifestyle anarchism, which seem to be interested in building a new subjectivity, but while anarchism does appear in Foucault’s above-quoted¶ list of attempts to reconstitute an aesthetics of the self, this is an aesthetics of total liberation in the personal sphere, and as such is still universalist and utopian. These movements lack the asceticism necessary to the constitution of an ethics.¶ “Free for what?” asks Nietzsche (Z I “Of the is a fundamental question which is not answered by any of these move- ments, by negative philosophies of liberation, by sciences that oppose capitalism or neurosis, but do not provide positive content. They are interested in negative freedom in Isaiah Berlin’s (1969) sense, freedom from; by itself this is nihilistic. Rather, there is a need to have something to strive for, positive freedom in Berlin’s sense.6 This is not utopianism, but rather a striving for something different, but which is in itself no final end, nor a dangerously-fixed plan.¶ “He who cannot obey himself will be commanded,” says Nietzsche (Z II “Of Self-Overcoming”). And, on the other hand, as Foucault (EW1 288) puts it, “It is the power over oneself that thus regulates one’s power over others.” The Greeks knew that to exercise power over others, as a free man was required to do, over women, children, slaves, he needed to exercise control over himself. This means that ethics and resistance are essentially related, too, however, since if we cannot control ourselves, our capacity for resistance is diminished.¶ One of the attractions of Greek ethics for Foucault is very clearly the kind of relation which is posited in Greek thought between the ethical and the political. Foucault unites the two under the rubrics of “government” and “conduct,” which quasi-Hellenistic concepts cover both the way we conduct/govern ourselves and the Way of the Creator”). This way in which one may conduct/govern others. While a fundamental relation with the political of course also exists in modern Western “ethics,” from Kant’s Kingdom of Ends to utilitarian- ism, here the relation is one in which individual action is held to concat- enate uncomplicatedly into collective action, such that what is appropriate for individuals to do is also what is appropriate for many to do—“What if everybody acted like that?” Greek ethics, on the other hand, was of course not universal. Not only did it not prescribe the same values to everyone, but rather general guidelines, it did not even address itself to everyone, but rather to the small, free, male elite, which is to say, in Athens at any rate, which is archetypically where we are talking about, the political class.¶ The deliberate practice of ethical self-formation, modernised and democratised so that it becomes an ethics of resistance to domination, rather than an ethics of patriarchal domination over hoi polloi, appears as the solution to the problem of subjection, in which subjectivation is identified with subjugation by power, offering an alternative mode of subjectivation:¶ The subject constitutes itself through practices of subjection [assujet- tissement], or, in a more autonomous way, through practices of liberation, of freedom, as, in Antiquity, starting, of course, from a certain¶ number of rules, styles and conventions, which are found in the cultural milieu. (DE2 1552; cf. FL 452)¶ The alternatives are clear: subjection or freedom. This is not a choice we can simply make, however, so much as something to strive for blindly in the dark. It is the Nietzschean far shore, the Übermensch, what is beyond modernity and the era of man, but for Foucault this transition is not even outlined to the extent that Nietzsche outlines it. Rather we are left only with the patient labour of the local struggle and attentiveness to the present, since this ethics is not a ready-formed template which can be imposed on reality to produce the desired effect. Critical rhetoric as a means of resisting the biopolitical state is the catalyst in creating ruptures in the systems of death control that create a necropolitics of violence and agency deprivation McDorman 05 (Communication and Critical/Cultural Studies Vol. 2, No. 3, September 2005, pp. 257/279 Controlling Death: Bio-Power and the Right-to-Die Controversy Todd F. McDorman Todd F. McDorman Professor and Senior Associate Dean of the College Department of Rhetoric Wabash College – BRW) Critical Rhetoric, Bio-Power, and the Right-to-Die Appropriating Foucault, Raymie McKerrow explains critical rhetoric as an effort that ‘‘seeks to unmask or demystify the discourse of power’’ in order to overcome society’s domination at the hands of the power structure. The approach stresses practicality and encourages critique through pro-active performance-based analysis. By critiquing discourse ‘‘which creates and sustains practices which control the dominated,’’ this essay hopes to problematize state control over life and death decision making.3 A critical rhetoric, McKerrow explains, operates by assembling ‘‘disparate scraps of discourse which, when constructed as an argument, serve to illuminate otherwise 258 T. F. McDorman hidden or taken for granted social practices.’’4 In this instance, it involves examining the history of laws controlling death, the rise of the modern hospital and medical procedures, and legal principles used to determine the criteria for acceptable death. The discursive fragments are considered according to the operation of two principles*/the critique of domination, which concentrates on how oppression is carried out, and the critique of freedom, which is analysis of the dominating discourse undertaken in the hope of, at least temporarily, realigning power relations in a way that offers protection for the marginalized.5 Here, for example, the critique of domination concerns ways discourses concerning death have attempted to place control over life primarily in the hands of the state. As a critical rhetoric, this placement is, first, exposed and, second, challenged through a reading of the means of domination and their potential implications. Specifically deliberation over end of life issues is important because it functions as a de-traditionalized contestation of values within society Brussel 12 (The discursive construction of the dying subject: mapping the complexity of an end-of-life care context Leen Van Brussel Centre for Media Sociology (Cemeso) :: Free University of Brussels :: Brussels Pleinlaan 2 ::1050 Brussels :: Belgium : Journal of Language and Politics 11:4. 2012. iii, 158 pp. (pp. 479–499)-BRW) The ‘good death’ as a crucial aspect of quality of life can be regarded as an aspect of this new individualism. Closely linked to individualism is a thorough going process of de-traditionalization. Traditional discourses on life stages or trajectories and social relations – incorporating transitions through family, school, occupation, sexuality,marriage, parenting, retirement and dying – are indeed undermined as the foundations of personal and social life (Heaphy, 2007: 85). The late modern de-traditionalized discourses on sexuality, marriage and parentingetc. are (partly) the result of (feminist) hegemonic practices most importantly borne by women’smovements that have brought to the fore new antagonisms regarding life-political issues such as marriageand abortion. In a similar way, social movements such as the ‘right to die’ movement support de-traditionalized discourses which circulate in a context of the end-of-life (care). Whether dealing with sexuality, marriage and abortion or end-of-life care, these de-tradtionalized discourses are mainly organized around nodal points such as individualism, freedom (of choice) and autonomy. Social (network) structures such as family, friendship groups and work are both socially constituted and constitutive. They are not only affected by these de-traditionalized discourses, but also bring them into circulation, confirm and enforce them. Again, institutional structures within the field operate as discursive machineries. An important discourse on the end-of-life these discursive machineries (re)produce, is thediscourse on ‘the good death’ as an ‘aware and controlled death’. One contemporary way of translating this discourse into a concrete end-of-life care decision is the practice of active euthanasia (that, at several points,opposes the traditional conceptions of the dying process). The political practices of supporters of the ‘rightto die’ discourse have been very important to the development of the euthanasia laws in the Benelux. In aBelgian context, the activities of the ‘VZW Recht op waardig sterven’ (‘right to die with dignity’) 4 aimed at mobilizing subjects with reference to the empty signifier – a concept referring to the structural impossibly of signification as such (Laclau, 1996: 37) - ‘dying with dignity’. This mobilization resulted in fiercediscussions on the permissibility of human intervention in dying and eventually, in the acceptance of thelaw on euthanasia, which remains embedded within a constant sphere of struggle and conflict. The presence of struggle and conflict illustrates that a de-traditionalized and individualized discursive order within the social (network) field, and especially within the sphere of the dying process, is not absolute anduniversal. Alternative discourses building on traditional conceptions can be regarded as counter-hegemonic projects. This is the case in spheres of sexuality, marriage and parenting in which counter-hegemonic discourses (often religious discourses) stress the social value of marriage, monogamy and the traditionalfamily. But more importantly, this is the case in the sphere of end-of-life care in which palliative care practices have become sedimented, but in which other end-of-life decisions such as active euthanasia and assisted suicide maintain their political character since they remain embedded within a sphere of pubic contestation. In a Belgian context, for example, religious actors such as the congregation Broeders vanliefde 5 (‘Brothers of charity’) can be regarded as a discursive machinery bringing into circulation counter-hegemonic discourses on the end-of-life by taking position explicitly and publicly against active euthanasia. Our advocacy is one of antagonism – that is uniquely good for producing social change Brussel 12 (The discursive construction of the dying subject: mapping the complexity of an end-of-life care context Leen Van Brussel Centre for Media Sociology (Cemeso) :: Free University of Brussels :: Brussels Pleinlaan 2 ::1050 Brussels :: Belgium : Journal of Language and Politics 11:4. 2012. iii, 158 pp. (pp. 479–499)-BRW) realm. Different political actions and practices have resulted in the ‘politization’ of issues that were considered a private matter for a long time. Laws against domestic violence and marital rape, for example,have been developing under the influence of women movements during the last decades. The way the modern environmental movement challenges the dominant logic of industrialization in contemporary societies by pressing for new public policies and principles, offers a more recent example of the tendency towards politization (Griggs & Howarth, 2004). The challenges that de-traditionalized and reflexive relationships bring to the fore thus prompt new ‘life-political’ questions about how relationships should be organised and how moral questions should be handled (Heaphy, 2007: 90). Giddens (1991: 214) asserts: ‘Life politics concerns political issues which flow from processes of self-actualization in post-traditional contexts, where globalizing tendencies intrude deeply into the reflexive project of the self, and converselywhere processes of self-realization influence global strategies.’ Life-political issues include questions about how we should and should not live and provide the moral foundation on which should be decided (Heaphy, 2007: 90). Life politics includes for instance ecological questions and the changing nature of the family (Mouffe, 2007: 43). Yet, life-political issues are also intrinsically related to the existential questions that illness and death raise. Under the influence of changesin the medical field (relative patient-autonomy), the social field (relative de-traditionalization) and thereligious field (relative secularization), institutionalized politics started to engage in issues on illness, death and dying. But the (life-)political is not restricted to institutionalized politics. Following Mouffe’s broad definition, the activities of different groups (including new social movements) which interact, negotiate and conflict are aslo considered political. In a context of end-of-life issues, the protest of lay persons (patientsand/or their relatives), doctors and nurses advocating particular end-of-life decisions and the claims of (representatives of) the palliative care movement and the right to die movement are also political. One important example here are the political practices of the right to die movement (e.g., the VZW Recht opWaardig Sterven in Belgium) that called for the politization and legalization of euthanasia with reference to the (floating) nodal point ‘dying with dignity’. When a particular societal theme is considered a public and political issue, particular laws, acts and regulations on that issue are likely to develop. With regard to end-of-life issues, legal-political frameworks such as the Patient Self-Determination Act in the United States, the Oregon Death with Dignity Act, theEuthanasia laws in The Netherlands, Belgium and Luxemburg and the laws on patient’s rights have beendeveloping during the last decennia (Cohen, 2007: 5). More and more, these laws and regulations define a‘good death’ in terms of a democratic human right. Legal institutions (courts and tribunals), their representatives (judges, panel of judges, lawyers etc.) and their judgments, then, can be regarded as discursive machineries that not only bring the discourses of a ‘good death’ as a democratic human right further into circulation, but also confirm and enforce them. These discourses of ‘good death’ mainly buildupon the (sometimes conflicting) discourses of the ‘right to die’ movement and the palliative caremovement. Very often, then, these laws struggle with questions about the permissibility of human controlover the timing and manner of death. Unsurprisingly, they are often difficult to interpret.