Peter Saul: Let's talk about dying

Translator: Joseph Geni Reviewer: Morton Bast

Translator: Intan Andini Reviewer: Made Pramana

Dengar, saya sungguh berpikir kembali

tentang bisakah saya membicarakan ini

kepada kalian semua, yang sangat bersemangat dan hidup.

Lalu saya teringat kutipan dari Gloria Steinem,

Look, I had second thoughts, really,

yang berbunyi,

about whether I could talk about this

"Kebenaran akan membebaskanmu,

to such a vital and alive audience as you guys.

tapi sebelumnya ia membuatmu kesal dulu." (Tawa)

Then I remembered the quote from Gloria Steinem,

Jadi -- (Tawa)

which goes,

"The truth will set you free,

Dengan mengingat itu, saya akan mencoba

but first it will piss you off." (Laughter)

melakukan hal itu di sini,

dan membicarakan kematian di abad ke-21.

So -- (Laughter)

Hal pertama yang akan membuat Anda kesal

adalah fakta bahwa kita semua akan mati

So with that in mind, I'm going to set about

trying to do those things here,

di abad ke-21.

and talk about dying in the 21st century.

Takkan ada pengecualian untuk itu.

Now the first thing that will piss you off, undoubtedly,

Rupanya, ada satu dari delapan orang dari kalian

is that all of us are, in fact, going to die

yang mengira dirinya abadi, menurut survei, tapi --

in the 21st century.

(Tawa)

There will be no exceptions to that.

Sayangnya, itu tidak akan terjadi.

There are, apparently, about one in eight of you

who think you're immortal, on surveys, but --

Selama berbicara, 10 menit ke dapan,

(Laughter)

100 juta sel saya akan mati,

Unfortunately, that isn't going to happen.

dan sepanjang hari ini, 2.000 sel otak saya

akan mati dan tak pernah kembali,

While I give this talk, in the next 10 minutes,

a hundred million of my cells will die,

jadi bisa dikatakan proses sekarat

dimulai cukup awal.

and over the course of today, 2,000 of my brain cells

Hal kedua mengenai kematian

will die and never come back,

di abad ke-21, selain ia akan dialami semua orang,

so you could argue that the dying process

ialah ia sedikit mirip kecelakaan kereta api

starts pretty early in the piece.

bagi sebagian besar kita,

Anyway, the second thing I want to say about dying in the

kecuali kita mencoba dan merebut kembali proses ini

21st century, apart from it's going to happen to everybody,

is it's shaping up to be a bit of a train wreck

dari lintasan yang agak tak terhindarkan yang tengah berlangsung ini.

for most of us,

Jadi begitu. Itulah kebenarannya.

unless we do something to try and reclaim this process

Anda pasti kesal, tapi lihatlah

apa kami bisa membebaskan Anda. Saya tak menjanjikan apapun.

from the rather inexorable trajectory that it's currently on.

Saya bekerja di unit perawatan intensif,

So there you go. That's the truth.

dan saya pikir saya telah melewati masa kejayaan

No doubt that will piss you off, and now let's see

whether we can set you free. I don't promise anything.

perawatan intensif. Jalan berliku, kawan.

Pengalaman fantastis.

Now, as you heard in the intro, I work in intensive care,

Ada mesin berbunyi ping.

Ada banyak mesin itu di sana.

and I think I've kind of lived through the heyday

Kami punya beberapa teknologi penyihir yang menurut saya

of intensive care. It's been a ride, man.

telah bekerja dengan sangat baik, dan sepanjang masa

This has been fantastic.

We have machines that go ping.

kerja saya di UGD, angka kematian

There's many of them up there.

laki-laki di Australia telah berkurang separuh,

And we have some wizard technology which I think

dan ICU berhubungan dengan itu.

has worked really well, and over the course of the time

Tentu, banyak teknologi yang kami gunakan

juga berhubungan dengan itu.

I've worked in intensive care, the death rate

Kami mencapai kesuksesan luar biasa, dan kami agak

for males in Australia has halved,

and intensive care has had something to do with that.

terjebak dalam kesuksesan kami sendiri,

Certainly, a lot of the technologies that we use

sampai kami mulai menggunakan istilah "menyelamatkan nyawa".

have got something to do with that.

So we have had tremendous success, and we kind of

Sungguh, maafkan kami karena nyatanya

got caught up in our own success quite a bit,

kami tak melakukannya.

Yang kami lakukan ialah memperpanjang hidup seseorang,

and we started using expressions like "lifesaving."

dan menunda kematian,

I really apologize to everybody for doing that,

dan mengalihkan kematian, tapi kami tak bisa, tegasnya,

because obviously, we don't.

menyelamatkan nyawa secara permanen.

What we do is prolong people's lives,

and delay death,

Apa yang terjadi selama periode waktu

and redirect death, but we can't, strictly speaking,

saya bekerja di unit perawatan intensif ialah

orang-orang yang hidupnya mulai kami selamatkan di tahun 70-an,

save lives on any sort of permanent basis.

And what's really happened over the period of time

'80-an, dan '90-an, kini akan mati di abad ke-21

that I've been working in intensive care is that

the people whose lives we started saving back in the '70s,

oleh penyakit yang kita tak lagi punya jawabannya

'80s, and '90s, are now coming to die in the 21st century

seperti waktu dulu.

Saat ini ada perubahan besar

dalam cara seseorang mati,

of diseases that we no longer have the answers to

dan penyebab kematiannya kini sering tak sejalan

in quite the way we did then.

dengan apa yang bisa kami lakukan seperti dulu

So what's happening now is there's been a big shift

saat saya bekerja di tahun 80-an dan 90-an.

in the way that people die,

and most of what they're dying of now isn't as amenable

Jadi kami agak terjebak dengannya,

to what we can do as what it used to be like

dan kami belum benar-benar jujur dengan kalian tentang

when I was doing this in the '80s and '90s.

apa yang sungguh terjadi kini, dan sudah saatnya kami melakukannya.

So we kind of got a bit caught up with this,

and we haven't really squared with you guys about

Saya agak terbangun di bagian ini di akhir tahun 90-an

what's really happening now, and it's about time we did.

ketika saya bertemu pria ini.

Pria ini bernama Jim, Jim Smith, dan dia terlihat seperti ini.

I kind of woke up to this bit in the late '90s

Saya dipanggil ke bangsal untuk menemuinya.

when I met this guy.

Dia yang tangannya kecil.

This guy is called Jim, Jim Smith, and he looked like this.

Saya diminta menemui Jim

oleh dokter respirologi.

Dokter berkata, “Ada seorang pria di sini.

I was called down to the ward to see him.

Dia sakit radang paru-paru,

His is the little hand.

dan sepertinya dia butuh perawatan intensif.

I was called down to the ward to see him

Putrinya di sini dan dia ingin segalanya

by a respiratory physician.

He said, "Look, there's a guy down here.

bisa dilakukan.”

He's got pneumonia,

Ungkapan yang akrab di telinga kami.

and he looks like he needs intensive care.

Saya pergi ke bangsal menemui Jim,

His daughter's here and she wants everything possible

kulitnya tembus cahaya seperti ini.

to be done."

Anda bisa melihat tulangnya melalui kulit.

Which is a familiar phrase to us.

Dia kurus sekali,

dan dia jelas sakit radang paru-paru.

So I go down to the ward and see Jim,

and his skin his translucent like this.

Dia terlalu sakit untuk bicara,

You can see his bones through the skin.

jadi saya bicara dengan putrinya Kathleen, dan saya katakan padanya,

He's very, very thin,

and he is, indeed, very sick with pneumonia,

“Apakah kamu dan Jim pernah berbicara

and he's too sick to talk to me,

so I talk to his daughter Kathleen, and I say to her,

tentang apa yang ingin kamu lakukan

jika dia berakhir di situasi seperti ini?"

Dan Kathleen menatap saya dan berkata, "Tidak, tentu saja tidak!"

"Did you and Jim ever talk about

Saya berpikir, "Baiklah. Pelan-pelan."

what you would want done

if he ended up in this kind of situation?"

And she looked at me and said, "No, of course not!"

Saya berbicara dengannya, dan tak lama, dia berkata,

"Anda tahu, kami selalu berpikir waktunya akan tiba."

I thought, "Okay. Take this steady."

Jim berusia 94 tahun. (Tawa)

And I got talking to her, and after a while, she said to me,

Dan saya sadar bahwa sesuatu tidak terjadi di sini.

"You know, we always thought there'd be time."

Tak ada dialog yang terjadi

Jim was 94. (Laughter)

seperti yang saya bayangkan tengah terjadi.

Jadi sekelompok dari kami mulai melakukan survei,

And I realized that something wasn't happening here.

dan kami meneliti di 4.500 panti jompo

There wasn't this dialogue going on

yang ada di Newcastle, di daerah Newcastle,

that I imagined was happening.

So a group of us started doing survey work,

dan menemukan bahwa hanya satu dari 100 pasien yang merencanakan

and we looked at four and a half thousand nursing home

apa yang harus dilakukan saat jantung mereka berhenti berdetak.

residents in Newcastle, in the Newcastle area,

Satu dari seratus.

Dan hanya satu dari 500 pasien

and discovered that only one in a hundred of them

yang merencanakan apa yang harus dilakukan

had a plan about what to do when their hearts stopped beating.

jika mereka sakit parah.

One in a hundred.

Dan saya sadar, tentu saja, dialog ini

And only one in 500 of them had plan about what to do

pasti tidak terjadi di masyarakat luas.

if they became seriously ill.

Kini saya bekerja di perawatan akut.

And I realized, of course, this dialogue

Ini Rumah Sakit John Hunter.

Dan saya pikir, tentunya, kami melakukan lebih baik dari itu.

is definitely not occurring in the public at large.

Jadi, kolega saya dari keperawatan bernama Lisa Shaw dan saya

Now, I work in acute care.

This is John Hunter Hospital.

membaca ratusan set catatan

And I thought, surely, we do better than that.

di departemen rekam medis

melihat apakah ada tanda sama sekali

So a colleague of mine from nursing called Lisa Shaw and I

bahwa seseorang pernah membicarakan tentang apa yang

went through hundreds and hundreds of sets of notes

bisa terjadi pada mereka jika perawatan

in the medical records department

yang mereka terima tak berhasil hingga mereka akan mati.

looking at whether there was any sign at all

Dan kami tak menemukan satu pun catatan preferensi tentang

that anybody had had any conversation about

what might happen to them if the treatment they were

tujuan, perawatan, atau hasil dari

receiving was unsuccessful to the point that they would die.

kumpulan catatan mana pun yang diprakarsai oleh dokter atau pasien.

And we didn't find a single record of any preference

about goals, treatments or outcomes from any

Jadi kami mulai sadar

bahwa kami memiliki masalah,

of the sets of notes initiated by a doctor or by a patient.

dan masalahnya lebih serius karena hal ini.

So we started to realize

Yang kita tahu ialah kita semua jelas akan mati,

that we had a problem,

and the problem is more serious because of this.

tapi bagaimana kita mati sebenarnya sangat penting,

jelas bukan hanya bagi kita, tapi juga bagi bagaimana

What we know is that obviously we are all going to die,

kematian itu memengaruhi mereka yang hidup sesudah kita.

but how we die is actually really important,

Cara kita meninggal hidup di benak semua orang

obviously not just to us, but also to how that

yang kita tinggalkan, dan

features in the lives of all the people who live on afterwards.

stres yang diciptakan di keluarga karena kematian sangat besar.

How we die lives on in the minds of everybody

Faktanya stress Anda 7 kali lebih banyak karena kematian

who survives us, and

di ICU dibanding meninggal di tempat lain,

the stress created in families by dying is enormous,

jadi meninggal di ICU bukanlah pilihan utama Anda

and in fact you get seven times as much stress by dying

jika Anda punya pilihan.

in intensive care as by dying just about anywhere else,

Dan, jika itu tak cukup buruk, tentu saja,

so dying in intensive care is not your top option

semua ini berkembang pesat menuju fakta bahwa

faktanya, sekitar 1 dari 10 orang saat ini,

if you've got a choice.

akan meninggal di UGD.

And, if that wasn't bad enough, of course,

Di AS, angkanya 1 dari 5.

Di Miami, 3 dari 5 orang meninggal di ICU.

all of this is rapidly progressing towards the fact that

many of you, in fact, about one in 10 of you at this point,

Jadi inilah momentum

will die in intensive care.

yang kita miliki saat ini.

In the U.S., it's one in five.

In Miami, it's three out of five people die in intensive care.

Alasan mengapa ini semua terjadi adalah karena ini,

dan saya akan menerangkan.

Ada empat cara untuk meninggal.

So this is the sort of momentum

Jadi salah satu darinya akan terjadi pada kita semua.

that we've got at the moment.

The reason why this is all happening is due to this,

Yang mungkin paling Anda ketahui ialah

and I do have to take you through what this is about.

yang semakin menarik minat sejarah:

These are the four ways to go.

So one of these will happen to all of us.

kematian mendadak.

Di acara sebesar ini

mati mendadak takkan terjadi pada siapa pun di sini.

The ones you may know most about are the ones

that are becoming increasingly of historical interest:

Kematian mendadak kini langka.

Kematian Little Nell dan Cordelia dan semacamnya

sudden death.

sudah tidak terjadi lagi.

It's quite likely in an audience this size

this won't happen to anybody here.

Proses kematian mereka yang sakit parah

yang kita lihat

Sudden death has become very rare.

terjadi pada orang lebih muda.

The death of Little Nell and Cordelia and all that sort of stuff

Di usia 80 tahun, jarang hal ini terjadi pada Anda.

just doesn't happen anymore.

The dying process of those with terminal illness

Hanya 1 dari 10 orang usia 80 ke atas yang akan meninggal karena kanker.

that we've just seen

occurs to younger people.

Industri pertumbuhan besarnya adalah ini.

By the time you've reached 80, this is unlikely to happen to you.

Only one in 10 people who are over 80 will die of cancer.

Alasan kematian Anda ialah meningkatnya kegagalan organ,

dengan pernapasan, jantung, ginjal,

The big growth industry are these.

organ apapun. Setiap mereka

akan memasuki perawatan akut rumah sakit,

What you die of is increasing organ failure,

yang akhirnya, atau di titik tertentu,

with your respiratory, cardiac, renal,

seseorang berkata, cukup sudah, kita hentikan.

whatever organs packing up. Each of these

Inilah industri dengan pertumbuhan terbesar,

would be an admission to an acute care hospital,

dan setidaknya 6 dari 10 orang di ruangan ini

at the end of which, or at some point during which,

akan mati dalam bentuk ini,

somebody says, enough is enough, and we stop.

yaitu berkurangnya kapasitas secara perlahan,

And this one's the biggest growth industry of all,

and at least six out of 10 of the people in this room

dengan meningkatnya kelemahan,

will die in this form, which is

dan kelemahan tak terelakkan dari penuaan,

the dwindling of capacity

dan meningkatnya kelemahan adalah penyebab utama kini

seseorang meninggal.

with increasing frailty,

Satu atau beberapa tahun terakhir hidup Anda

and frailty's an inevitable part of aging,

dihabiskan dengan banyak kekurangan jasmani, sayangnya.

and increasing frailty is in fact the main thing

Menikmatinya sejauh ini? (Tertawa)

that people die of now,

and the last few years, or the last year of your life

(Tawa)

is spent with a great deal of disability, unfortunately.

Maaf, saya hanya merasa, saya merasa seperti Cassandra di sini.

Enjoying it so far? (Laughs)

(Tawa)

(Laughter)

Sorry, I just feel such a, I feel such a Cassandra here.

Apa sisi positifnya?

Sisi positifnya ini terjadi di usia sangat tua.

(Laughter)

Kita semua, kebanyakan, hidup untuk mencapai titik ini.

Secara historis, kita tak mencapainya.

Inilah yang terjadi pada Anda

What can I say that's positive? What's positive is

that this is happening at very great age, now.

ketika umur Anda panjang sekali,

We are all, most of us, living to reach this point.

sayangnya, berumur lebih panjang berarti

lebih banyak usia tua, bukan lebih muda.

You know, historically, we didn't do that.

Maaf saya mengatakannya. (Tawa)

This is what happens to you

when you live to be a great age,

and unfortunately, increasing longevity does mean

Yang kami lakukan,

more old age, not more youth.

kami tak terapkan hanya di

I'm sorry to say that. (Laughter)

Rumah Sakit John Hunter.

Kami memulai serangkaian proyek

demi mencoba melihat apakah kami sungguh bisa melibatkan

What we did, anyway, look, what we did,

we didn't just take this lying down

orang-orang terkait hal-hal yang terjadi pada diri mereka.

at John Hunter Hospital and elsewhere.

We've started a whole series of projects

Tapi kami berurusan

dengan masalah budaya,

to try and look about whether we could, in fact, involve

dan ini, saya suka lukisan Klimt ini,

people much more in the way that things happen to them.

makin dilihat, makin banyak Anda mengerti

seluruh masalah yang terjadi di sini,

But we realized, of course, that we are dealing

with cultural issues,

yang jelas menjadi pemisahan kematian dari yang hidup,

and this is, I love this Klimt painting,

dan rasa takut — Jika cermat dilihat,

because the more you look at it, the more you kind of get

ada satu wanita di sana

the whole issue that's going on here,

yang matanya terbuka.

which is clearly the separation of death from the living,

Dialah yang ditatap kematian,

dan wanita itu yang kematian cari. Bisakah Anda melihatnya?

and the fear — Like, if you actually look,

Dia terlihat ketakutan.

there's one woman there

who has her eyes open.

Ini gambar yang menakjubkan.

Jadi, kita punya masalah budaya yang besar.

She's the one he's looking at,

and [she's] the one he's coming for. Can you see that?

Orang tak ingin kami membicarakan kematian,

atau, kami pikir begitu.

She looks terrified.

Dengan dana dari Pemerintah Federal serta

It's an amazing picture.

Layanan Kesehatan setempat,

Anyway, we had a major cultural issue.

di John Hunter dikenalkan program Menghormati Pilihan Pasien.

Clearly, people didn't want us to talk about death,

Kami melatih ratusan orang untuk pergi ke bangsal

or, we thought that.

So with loads of funding from the Federal Government

dan mendiskusikan kematian pada pasien yang akan mendekatinya,

and the local Health Service, we introduced a thing

at John Hunter called Respecting Patient Choices.

serta keinginan mereka dalam keadaan seperti itu.

We trained hundreds of people to go to the wards

Mereka menyukainya. Keluarga dan pasien, mereka menyukainya.

and talk to people about the fact that they would die,

98% orang sungguh berpikir

and what would they prefer under those circumstances.

seharusnya ini praktik normal,

dan begitu cara kerjanya.

They loved it. The families and the patients, they loved it.

Dan saat mereka mengungkapkan keinginan,

semua keinginan itu seolah jadi kenyataan.

Ninety-eight percent of people really thought

Kami mampu mewujudkannya untuk mereka.

this just should have been normal practice,

and that this is how things should work.

Tapi kemudian, ketika dana habis,

And when they expressed wishes,

kami kembali menengok 6 bulan kemudian,

all of those wishes came true, as it were.

dan semua orang berhenti lagi,

We were able to make that happen for them.

dan tak ada yang melakukan percakapan ini lagi.

But then, when the funding ran out,

Jadi itu sungguh memilukan bagi kami,

we went back to look six months later,

karena kami pikir ini akan benar-benar ditinggalkan.

and everybody had stopped again,

and nobody was having these conversations anymore.

Masalah budaya telah menegaskan dirinya kembali.

So that was really kind of heartbreaking for us,

Jadi inilah puncaknya:

saya pikir penting bagi kita untuk tidak langsung masuk

because we thought this was going to really take off.

The cultural issue had reasserted itself.

ke ICU tanpa berpikir keras tentang iya atau tidak

So here's the pitch:

di sana kita mau berakhir,

I think it's important that we don't just get on this freeway

terutama saat kita jadi semakin tua dan lemah

dan makin sedikit yang bisa ICU tawarkan pada kita.

to ICU without thinking hard about whether or not

Harus ada jalan samping kecil

that's where we all want to end up,

di luar sana bagi seseorang yang tak ingin pergi ke jalur itu.

particularly as we become older and increasingly frail

and ICU has less and less and less to offer us.

Dan saya punya satu ide kecil,

There has to be a little side road

dan satu ide besar tentang apa yang bisa terjadi.

off there for people who don't want to go on that track.

Dan ini ide kecilnya.

And I have one small idea,

Ide kecilnya adalah, mari kita semua

and one big idea about what could happen.

terlibat lebih banyak dengan cara yang telah diilustrasikan oleh Jason.

Mengapa kita tak bisa membicarakan ini

And this is the small idea.

The small idea is, let's all of us

dengan orang tua sendiri

dan orang-orang yang mungkin mendekati kematian?

engage more with this in the way that Jason has illustrated.

Ada beberapa yang bisa Anda lakukan.

Why can't we have these kinds of conversations

Salah satunya adalah, Anda bisa,

with our own elders

mengajukan pertanyaan sederhana yang tak pernah gagal ini.

and people who might be approaching this?

"Jika Anda menjadi terlalu sakit untuk berbicara sendiri,

There are a couple of things you can do.

One of them is, you can,

siapa yang Anda ingin bisa mewakili Anda?"

just ask this simple question. This question never fails.

Pertanyaan itu penting untuk ditanyakan,

"In the event that you became too sick to speak for yourself,

sebab memberi mereka kendali siapa orangnya

memberikan hasil yang luar biasa.

who would you like to speak for you?"

Pertanyaan kedua,

That's a really important question to ask people,

"Sudahkah Anda bicara padanya

tentang hal-hal yang penting bagi Anda

because giving people the control over who that is

supaya kami lebih paham mengenai apa yang bisa kami lakukan?"

produces an amazing outcome.

The second thing you can say is,

"Have you spoken to that person

Jadi itulah ide kecilnya.

about the things that are important to you

Gagasan besarnya lebih politis.

so that we've got a better idea of what it is we can do?"

Saya pikir kita harus membahas ini.

Saya sarankan kita menduduki kematian.

So that's the little idea.

(Tawa)

The big idea, I think, is more political.

Istri saya berkata, "Ya, benar, duduk di kamar mayat.

I think we have to get onto this.

I suggested we should have Occupy Death.

Ya, ya. Tentu." (Tawa)

Rasanya tak masuk akal,

(Laughter)

tapi saya terkejut karenanya.

My wife said, "Yeah, right, sit-ins in the mortuary.

Kini, saya hippie yang menua.

Yeah, yeah. Sure." (Laughter)

Entahlah, rasanya saya tak terlihat begitu lagi, tapi

ada 2 anak saya yang lahir di rumah di tahun 80-an

So that one didn't really run,

but I was very struck by this.

masa itu melahirkan di rumah adalah hal besar, dan kami baby boomer

Now, I'm an aging hippie.

I don't know, I don't think I look like that anymore, but

terbiasa mengambil alih situasi,

I had, two of my kids were born at home in the '80s

jadi jika Anda hanya mengganti semua kata kelahiran ini,

when home birth was a big thing, and we baby boomers

Saya suka "Damai, Cinta, Kematian Alami" sebagai pilihan.

are used to taking charge of the situation,

Saya pikir kita harus berpolitik

so if you just replace all these words of birth,

dan mulai merebut kembali proses ini dari

model medis di mana pun itu terjadi.

I like "Peace, Love, Natural Death" as an option.

Kedengarannya seperti memilih eutanasia.

Saya ingin mempertegas pada Anda semua,

I do think we have to get political

and start to reclaim this process from

saya benci eutanasia. Saya pikir ia pengalihan isu.

the medicalized model in which it's going.

Saya tidak merasa eutanasia penting.

Now, listen, that sounds like a pitch for euthanasia.

Sesungguhnya saya pikir,

I want to make it absolutely crystal clear to you all,

di tempat-tempat seperti Oregon,

I hate euthanasia. I think it's a sideshow.

di mana Anda bisa melakukan bunuh diri dengan bantuan dokter,

I don't think euthanasia matters.

I actually think that,

Anda mengambil dosis racun,

in places like Oregon,

hanya 0,5% orang yang pernah melakukan.

Saya lebih tertarik dengan apa yang terjadi pada 99,5%

where you can have physician-assisted suicide,

orang-orang yang tak mau melakukannya.

you take a poisonous dose of stuff,

Saya pikir kebanyakan orang tak ingin mati,

only half a percent of people ever do that.

tapi saya pikir mereka ingin punya kendali

I'm more interested in what happens to the 99.5 percent

atas bagaimana proses kematian mereka berlangsung.

of people who don't want to do that.

Saya menentang eutanasia,

I think most people don't want to be dead,

tapi saya kira kita harus berikan orang-orang kendali.

but I do think most people want to have some control

Kendali mencabut euthanasia dari pasokan oksigennya.

over how their dying process proceeds.

Kita harus hentikan keinginan

So I'm an opponent of euthanasia,

untuk eutanasia,

but I do think we have to give people back some control.

bukan untuk membuatnya ilegal atau legal atau mencemaskannya sama sekali.

It deprives euthanasia of its oxygen supply.

Ini kutipan dari Dame Cicely Saunders, saya menemuinya saat

I think we should be looking at stopping

the want for euthanasia,

saya mahasiswa kedokteran.

not for making it illegal or legal or worrying about it at all.

Dia mendirikan gerakan hospis.

This is a quote from Dame Cicely Saunders,

Dia berkata, “Anda penting karena Anda penting,

dan Anda penting sampai saat terakhir hidup Anda."

whom I met when I was a medical student.

Dengan kuat saya meyakini

She founded the hospice movement.

itulah pesan yang harus kita teruskan.

And she said, "You matter because you are,

and you matter to the last moment of your life."

Terima kasih. (Tepuk tangan)

And I firmly believe that

that's the message that we have to carry forward.

Thank you. (Applause)