
An elderly friend is nearing the end of life—he has lived long and well, but his body is slowly shutting down. His mind is still razor sharp and he is able to joke and converse easily, but the oxygen tank that he has carried with him everywhere for the last four years is a constant reminder that he is on borrowed time.
His body is shutting down.
It has been 3 months in hospital now—lying on his back and unable to do much more than hobble to the toilet on a good day — while bad days he is confined to bed and feeling miserable.
We have gone to see him, knowing that he has chosen to ‘call it’ later this week. He elected for the voluntary assisted dying (VAD) path a few weeks ago. but changed his mind at the last minute—this time he says he is certain. It’s a big call, and one that is contested by so many in the theological world I inhabit. I can see his reasons for checking out and I imagine I may even do the same in his situation.
The hospital can keep him alive indefinitely, but for what purpose? If daily hospital care was removed he would die very quickly. Perhaps nature ought to be allowed to take its course—or in this case allowed to move more quickly to ease his suffering.
When does intervention actually become interfering?
When does preserving life become harmful to the person it is seeking to serve?
These are questions we must grapple with and I sense the issue is less black and white and more a shade of grey. Rather then simple dismissing VAD as anti-Christian we have to consider how we are now able to manipulate the key elements that give life so as to extend a person’s days well beyond what would have been possible in days gone by. When my brother had his heart attack he was ‘kept alive’ ie. his heart was pumping blood and he was breathing – artificially for 7 days. He was never ‘coming back’, but it was seven days of being sustained by machines before the end was acknowledged. Our friend can see the finish line, but needs a mercy rule to be enacted to help end his pain now rather than later.
We enter his room and he is sleeping. Our presence seems to wake him and he recognises us. His handshake is still vicelike—firmer than many a younger man. It’s hard to believe he is at this point. I am not naturally at ease in these spaces, although continued exposure seems to have helped me be present with minimal awkwardness.
Going with Danelle makes it easier. She reads the room well and knows the tone to take—the conversation that is appropriate. We discuss family and friends, before coming to the point of our visit—the stark reality that we won’t meet again in this life.
This is goodbye.
Our friend talks of death matter of factly. He is not afraid and sees that he has simply come to the end of the road. Nine decades of life has slowly wound down. It’s not that he gets to ‘go out on his terms’, but rather that he is able to end the daily misery. In early 21st C Australia we have mastered the art of eking every last drop of life out of people—drops that maybe don’t need to be eked out.
I know that theoretically I am supposed to be against interfering with the work of God to ‘give life and take it away’, (does he actually take it away?… I’m not so sure…) but when those words were written could anyone envisage the life extending measures we have today?
Our friend is a person of faith—a different shape to ours—but he holds to the hope that when he dies he will be with a God who loves him and welcomes him. I can’t help but wonder if he has met Jesus personally, or if his life of church attendance and community service is his hope. Somehow this isn’t the time to ask those questions—to crunch out our perceived theological differences.
Is he ‘saved’?
I have grown up with and lived around communities that have quite specific criteria for salvation. It’s true that most of it is drawn from scripture and I would likely affirm all that is spoken of. But when I find myself face to face with someone who wouldn’t have grown up around sinners’ prayers and phrases like surrendering all to Jesus, I can’t help but feel that the faith they do have will be enough—a mustard seed?… Surely the understanding that formed them and shaped them will see them welcomed by a God who is far more gracious than many theological experts seem to be.
He speaks of seeing his wife again, of his longing for his family to find their way to church and faith. We tell him if he sees Sam to give him a hug from us as well as a smack around the head. There is laughter and tears, a recognition of the reality he is facing—both wonderful and devastating.
As the time comes to leave I ask him if he’d like us to pray for him. He says ‘oh yes please’ and reaches out to take each of our hands. As my eyes well with tears, I nudge Danelle and tell her to take this one. He holds my hand tight and she prays for all the things we have discussed—and for peace in his heart as he makes the final crossing.
Then its time to leave and we are reminded again of the privilege it is to sit with someone at the end and bless them and offer them hope.
(I wrote this around a month ago and our friend went thru with the VAD that week)











