Seneca's freedom

Another, equally respectable, civilization is possible — one that dates back to even older times, whose convictions are based on self-mastery rather than obedience to external injunctions: the Stoic ideal. For Epictetus, the former slave, and for Seneca, the wealthy patrician, voluntary death is the ultimate expression of human freedom.

If we must control what depends on us, and remain indifferent to the rest, then bidding farewell to the world represents the Stoic exercise par excellence: we cannot choose not to die, but we can choose to die well, consciously, rather than dissolve into the fog of "deep and continuous sedation," which is the only option allowed under the law today.

In his "Letters to Lucilius," Seneca writes, "To die earlier or later is indifferent; to die well or ill is not. To die well is to escape the danger of living badly." His disciple Michel de Montaigne found a more vivid expression: voluntary death gives us "the key to the fields" — to open the door to freedom. Armed with this key, we become invincible. The freedom to die also allows us to live a more free life.

Stoicism is the art of "self-care."

Why, then, not figure it out on our own? Why ask medical personnel to break the Hippocratic Oath? First, because they are not instructed to give death, but rather to end life in the name of the care owed to patients. Second, for very practical reasons: Seneca had tried to slit his own veins, but as the blood flowed poorly and his agony continued, he had to resort to the help of his friend and physician, Statius Annaeus, to administer a final poison.

Today, the trafficking of Nembutal, a lethal barbiturate supposed to guarantee a peaceful death, leads to the worst legal entanglements. Can we not simply be accompanied in these final moments like responsible citizens, rather than having to hide like criminals?

A form of sovereignty 

In addition to this choice of civilization, there are more utilitarian arguments. First, like any prohibition, the current status quo generates hypocrisies, injustices and suffering, to the point of imposing exile as a means in order for one to die in a country where it is made possible. Charles Biétry, a journalist who suffered from Charcot's disease, recently said that he had made arrangements to end his life in Switzerland.

Secondly, like any legalization, active assistance in dying would allow for finer regulation that deals with the eligibility of patients (adults with serious and incurable illnesses, for example), the collection of consent (interviews, advance directives) and the question of self-administration of the product, which marks the boundary between euthanasia and assisted suicide — always preferable to exercise one's free choice.

Foucault wrote that Stoicism is the art of "self-care." Through the practice of sobriety, the discipline of emotions and the mastery of one's destiny, one gains a form of sovereignty over oneself, and becomes able to participate in political society. It's a philosophy of freedom, in life as in death, which corresponds well to a secularized society in search of moral direction.