Forum: Timely to discuss if people should have greater autonomy over end-of-life choices

I agree with Goh Ee Kiat that end-of-life decisions are personal and should ultimately rest with the individual, provided he is mentally capable of making an informed choice (A person’s worth can be decided only by the individual, June 18).

Singapore’s social landscape has changed significantly over the years. More people remain single, have no children or have only one child. Family sizes are shrinking and the traditional support network that many older generations relied upon may no longer be available.

As a result, more Singaporeans may eventually face old age with limited family support. Some may also experience severe cognitive decline, debilitating illnesses or a loss of independence that profoundly affects their quality of life.

While advances in healthcare have enabled people to live longer, longevity alone should not be the sole measure of a successful life. For some individuals, preserving dignity, autonomy and the ability to make decisions about their own lives may be equally important.

I believe there should be room for a national conversation on whether Singapore should consider allowing voluntary euthanasia under strict legal and medical safeguards.

Such safeguards could include assessments of mental capacity, independent medical reviews and waiting periods to ensure that decisions are made voluntarily and without coercion.

This issue involves complex ethical, religious and societal considerations, and reasonable people will hold different views.

Nevertheless, as our population ages and family structures evolve, it is timely to discuss whether individuals should have greater autonomy over their end-of-life choices.

Christina Lee