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'I want to die'
29/11/2006 11:20  - (SA)  

Want to know more?
Answerit can help.
Inmaculada Echevarria, who has muscular dystrophy, has been in a hospital bed for 20 years and wants to die. (Pepe Marin, AP)
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  • Granada - Inmaculada Echevarria has spent much of her life watching muscular dystrophy ruin her body.

    She's been in a hospital bed for 20 years, her movements are now reduced to wiggling her fingers and toes, and she wants to die.

    "For me, life stopped having meaning a long time ago. I want them to help me die because I have spent my whole life suffering," said 51-year-old Echevarria, whose case has triggered debate in Spain on the rights of people with incurable diseases to seek help in dying.

    Euthanasia is illegal in Spain and people who help someone else die can be punished with at least six months in prison. But Spain's Socialist government wants to legalise it as part of a wave of liberal reforms that have largely transformed this traditionally Roman Catholic country.

    Under Prime Minister Jose Luis Rodriguez Zapatero, Spain is one of only a half-dozen countries in the world that have legalised gay marriage. He has also made it easier for Spaniards to divorce, eased laws on stem cell research, stiffened laws on violence against women and ended direct government financing of the Catholic church.

    If Spain does legalise euthanasia, it would join the Netherlands and Belgium in allowing the practice, although Switzerland allows some cases of assisted suicide.

    Opposition conservatives are against the idea and have joined the church in denouncing most of the government's reform campaign as eating away at Spain's traditional family and religious values.

    The euthanasia initiative has yet to be debated in parliament, but some are hoping Echevarria's case may eventually change that. Her plight has drawn intense media interest, with television and radio talk shows giving the subject a lot of attention. Newspapers showed pictures of the bed-bound Ecehvarria on their front pages.

    Wants respirator turned off

    Echevarria, who fell sick at age 11, wants doctors to turn off the respirator that keeps her alive. It was long ago that she gave up on her dream of becoming a physician herself.

    There was a similar case in May of this year: a 53-year-old tetraplegic man in the northern city of Valladolid had a friend secretly disconnect his ventilator. No charges were brought in his death because of insufficient evidence as to who helped him. Echevarria's drama is different because she wants the assistance to be public and administered by doctors.

    Fernando Martin, a doctor and spokesperson for a pro-euthanasia association called Right to Die with Dignity, insists Echevarria's request is legal. What she wants, he said, is a machine to be unhooked, not an assertive act that would actually cause her death, such as a lethal injection.

    "She would just have to be sedated so she would not suffer," Martin said in an interview.

    Up to the courts

    Spanish health minister Elena Salgado said Echevarria's case was a delicate matter that was up to the courts.

    A patients rights law passed in 2002 says any sick person who is in control of their mental faculties can refuse treatment. And Echevarria fits the bill, said Rogelio Altisent, chief ethicist at a federation of Spanish medical associations.

    "The patient would be exercising her right to renounce treatment, such as assisted breathing," Altisent said.

    So far Echevarria's lawyers have had her sign a living will, spelling out that if she becomes mentally incapacitated she wants her life support switched off. But Martin says this is pointless because it will have no effect so long as she remains mentally competent.

    What the lawyers need to do is make a request in writing for the respirator to be turned off, and if this is rejected - as expected because the hospital where she is being treated is run by a Catholic order - try to move her to another hospital.

    Film about another euthanasia campaigner

    In the meantime Echevarria spends her days reading and watching television. She gave a hospital room press conference in late October but since then has clammed up, refusing visits and calls.

    She wants to die painlessly, and cringes at the memory of Ramon Sampredro, a Spanish paraplegic who campaigned for euthanasia, spent 30 years in bed and ultimately died by sipping water laced with cyanide in 1998.

    He did this after crafting a complex scheme to have friends prepare and deliver the poison in incremental steps so no single one of them could be charged criminally. The story was made into the movie El Mar Adentro (The Sea Inside), which won an Oscar for best foreign film in 2005.

    "I don't want to die with pain, like Ramon Sampredo. He felt all of what was happening to him and it was a cruel death," she said at the press conference.

    She has little family - a son, now in his 20s, whom she gave up in adoption as a baby because she could not care for him after the father died in a car accident. She also has a brother in the northern city of Logrono but has not heard from him in years.

    "The loneliness is worse than the physical pain," she said at the press conference. "People treat me well, with kind words, but in the end no one helps me."

    - AP



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      What can you say about this as mother ?
    29/11/2006 16:41
    I think she should live until God take her - Monty Malabela
     
      comment
    30/11/2006 11:28
    her wish should be granted - Dumisani Vinjwa
     
      have something to say.
    30/11/2006 11:50
    must wait patiently her time will come. - phatheka
     
      what would you guys out there want
    30/11/2006 15:37
    hi. if you guys are in this state what would you want to be done? for me i would want the machine to be switched off. she doesn't have anyone anymore and her brother, if he was one, would care. - shannon
     
      Hear her plea!
    30/11/2006 15:39
    Her words in the last paragraph speak volumes! "The loneliness is worse than the physical pain," Allow her the dignity of exercising her right to renounce treatment, such as assisted breathing, and let her go willingly to her maker. - CSB
     
      right to die
    30/11/2006 16:36
    Her right to wish to die must be respected, she has suffered enough if she want to pass on, that right must be given. The government of pain needs to allow this. To her life is meaningless and why subject her to that, why subject her to be pain and suffering for this long. Let her wish be respected. - Vusi Khumalo
     
      Help her
    30/11/2006 16:47
    And you think 20 years isn't enough of a wait? All very well to make such lofty decisions on behalf of someone you don't know, someone who is begging for help, so you can claim the moral high ground. She is suffering and has been suffering for 20 years. It's time she was given peace. If she was taken off the machines - God would take her. As it is, it is not God who is keeping her alive, but the machines. - Belle Starr
     
      SHE HAS A RIGHT!!
    01/12/2006 08:38
    This woman will never recover. She has the right to die, as nature intended in the first place! 100 Years ago, she would've died naturally a long time ago, now its technology that keeps her alive. WHAT FOR??!! - Jackie
     
      Not easy
    01/12/2006 09:28
    Its not an easy situation - I feel for the woman, but at the end of the day, its her choice. Id like to see the people refusing the action to take her place and live like that! - Sam
     
      rights
    01/12/2006 11:27
    Let the woman go in peace and not in pain. It should be her right to choose if she wants to live or die. - Marc
     
      BE HEARD!!
    01/12/2006 11:47
    This lady is not doing this for a PR stunt. She wants to be given that freedom from that damn bed she never left for 20 YEARS!!! He son, altho he might be upset she gave him up for adoption and her brother needs a wake up call!! MAN is keeping her alive, not GOD. Bless her. - Kevin
     
      If it was natures way
    01/12/2006 12:14
    She would have been dead if it was not for doctors. In nature the weakest die. A minor injury will be the end of a great cat. But our greatest saviour; medical treatement can sometimes be our worst enenmy. They can prolong suffering and why? If she is ready to die let her... why keep her alive if she has not will or anyone. - Lukas de Kock
     
         
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