Id-dinja taghna avvanzat u tibqa
ghaddejja l-quddiem. Ix-xjenza medika partikolarment
qedha tmiss ma fruntieri godda li jitolbu attenzjoni u twegibiet. Dak li qabel
ma konniex nahsbu fih issa qed nmissu mieghu. Dak li kien jdum biex jasal
f’pajjizna minn ohrajn tul dawn l-ahhar snin qieghed jigi malajr. Jekk ma
nkunux preparati, jekk ma nahsbux sewwa dak li gej u dak li ghandna nilqghu
ghalih nispiccaw naghmlu dak li ma rridux.
Proprju
ghalhekk li f’kollox hemm l-bzonn tal-hsieb , tal-ghaqal u l-attenzjoni. Ftit
snin ilu ddibattitu kien marbut mal-ghoti altruista ta’ organi umani minn hutna
li jigu nieqsa. Dhalna u ghadna ghaddejjin fuq l-IVF. Issa qed nmissu mal-hekk
msejha Advanced Directives. Hemm kull darba l-ghazla bejn dawk principji etici
li jharsu jew jichdu id-dinjita umana, bejn dawk li jemmnu fil-valuri nsara u
dawk li jsibu ruhhom komdi f’dawk utilitaristi u materjalisti.
Fid-dinja
f’dawn is-snin gie sviluppat mekkanizmu legali sabiex wiehed jahseb minn qabel
min ghandu jiehu decizjonijiet dwar sahtu meta huwa jsibu ruhu fl-impossibilita
li jiehodhom huwa. Min ser jiddeciedi
ghalik meta qieghed f’koma wara incident tat-traffiku, jew wara incident
sportiv, jew ghax sviluppatlek komplikazzjoni medika immedjata li ma kontx qieghed
tipprevjeni li pero trid tigi operat malajr, msiefer ghall-iktar kura. Kif inghad
barra minn
xtutna “AD’s are made while patient is still competent; they specify the course
of medical treatment to be provided by caregivers and designate someone to act
as a proxy should the patient lose his or her capacity to make decisions.”
Fil-principju dan huwa tajjeb u
diversi ligijiet u sistemi medici jharsu lejn dan bhala parti mid-dinjita umana
ohrajn jiddikjarawh bhala parti mill-liberta umana “for patients right to
self-determination” maghmul “to ensure their values are respected at the end of
their lives”. Mhux biss imma jharsu lejh bhala “part of a more general plan for
end of life”.
Dahal ghalhekk il-kuncett li taghti
l-poter permanenti minn qabel lil haddiehor li tafda sija ghal dak li ma tarax gej
fuqek kif ukoll meta tkun qed tara marda gejja fuqek bicca bicca li jkun hemm
persuna responsabbli ghas-sahha tieghek li jrid jsegwi fuq dak li jissejjah “ a
carefully drafted durable power of attorney for health care that has been
designated to meet state requirements and to protect the person.”
F’dan hemm hafna x’jistgha jinghad.
Jistgha jekk ma jkunx hemm kontrolli sodi fil-ligi jservu bhala bieb miftuh
ghall-ewtanazija li ma naqblux maghha. Suggett li qieghed jara iktar parlamenti
fl-ewropa u fid-dinja jiddiskutuh sabiex b’xi mod jippermettu lix-xjenza medika
flok ssalva l-bniedem tnehhih. toqtlu taht l-iskuza li “the sufferings of sickness
or of the final agony are reduced .”
Proprju fuq din il-biza li numru ta’
sistemi legali gustament dahhlu li anki jekk taghti dan il-poter lil haddiehor
fuq hajtek ma ghandux jkunx hemm l-possiblita diretta jew indiretta li tnehhi
hajtek u ghalhekk ma jkun qatt permess li ma tigix mitmugh ikel jew ilma sabiex
tmut bil-guh jew li jigi permess li jintfew l-magni li qieghed tghix fuqhom jew
li jaghtuk xi injezzjoni biex tigi nieqes malajr.
Dawn huma
regoli legali bazati fuq principji etici nsara, tas-sewwa. Fuq principji li
jharsu d-dinjita tal-persuna umana anki fl-iktar mumenti difficili meta jekk
wiehed ma joqghodx attent jitkaxkar f’direzzjonijiet zbaljati , minghajr ma
jinduna. Jahseb li qieghed jhenn meta ma huwiex. Jahseb li ghandu dritt fuq
il-hajja ta haddiehor jew tieghu meta ma ghandux.
Il-bierah
fil-parlament gie ghad-diskussjoni abbozz ta’ ligi li qieghed jipprova
jintroduci l-kuncett tal-Advanced Directives. L-opposizzjoni ghalkemm taqbel
mal-principju generali qajmet numru ta’ punti marbuta mal-aspett mediku , etiku
, prattiku u legali tieghu proprju ghax thoss li hemm bzonn iktar,mekkanizmi
sodi, attenzjoni u diskussjoni fuq suggett daqshekk sensittiv. L-intenzjonijiet
ma humiex dubitati pero d-direzzjonijiet taghhom jridu jigu mmexxija tajjeb
nkella flok naghmlu pass l-quddiem ghall-pajjizna nkunu sejrin lura. Nittamaw
li dan jsehh fil-gimghat li gejjin.
No comments:
Post a Comment