The Twilight of the Idols · Friedrich Wilhelm Nietzsche
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_A moral for doctors._—The sick man is a parasite of society. In certain cases it is indecent to go on living. To continue to vegetate in a state of cowardly dependence upon doctors and special treatments, once the meaning of life, the right to life, has been lost, ought to be regarded with the greatest contempt by society. The doctors, for their part, should be the agents for imparting this contempt,—they should no longer prepare prescriptions, but should every day administer a fresh dose of _disgust_ to their patients. A new responsibility should be created, that of the doctor—the responsibility of ruthlessly suppressing and eliminating _degenerate_ life, in all cases in which the highest interests of life itself, of ascending life, demand such a course—for instance in favour of the right of procreation, in favour of the right of being born, in favour of the right to live. One should die proudly when it is no longer possible to live proudly. Death should be chosen freely,—death at the right time, faced clearly and joyfully and embraced while one is surrounded by one’s children and other witnesses.
It should be affected in such a way that a proper farewell is still possible, that he who is about to take leave of us is still _himself,_ and really capable not only of valuing what he has achieved and willed in life, but also of _summing-up_ the value of life itself. Everything precisely the opposite of the ghastly comedy which Christianity has made of the hour of death. We should never forgive Christianity for having so abused the weakness of the dying man as to do violence to his conscience, or for having used his manner of dying as a means of valuing both man and his past—In spite of all cowardly prejudices, it is our duty, in this respect, above all to reinstate the proper—that is to say, the physiological, aspect of so-called _natural_ death, which after all is perfectly “unnatural” and nothing else than suicide. One never perishes through anybody’s fault but one’s own. The only thing is that the death which takes place in the most contemptible circumstances, the death that is not free, the death which occurs at the wrong time, is the death of a coward.
Out of the very love one bears to life, one should wish death to be different from this—that is to say, free, deliberate, and neither a matter of chance nor of surprise. Finally let me whisper a word of advice to our friends the pessimists and all other decadents. We have not the power to prevent ourselves from being born: but this error—for sometimes it is an error—can be rectified if we choose. The man who does away with himself, performs the most estimable of deeds: he almost deserves to live for having done so. Society—nay, life itself, derives more profit from such a deed than from any sort of life spent in renunciation, anæmia and other virtues,—at least the suicide frees others from the sight of him, at least he removes one objection against life. Pessimism _pur et vert,_ can _be proved only_ by the self-refutation of the pessimists themselves: one should go a step further in one’s consistency; one should not merely deny life with “The World as Will and Idea,” as Schopenhauer did; one should in the first place _deny Schopenhauer._ ... Incidentally, Pessimism, however infectious it may be, does not increase the morbidness of an age or of a whole species; it is rather the expression of that morbidness. One falls a victim to it in the same way as one falls a victim to cholera; one must already be predisposed to the disease. Pessimism in itself does not increase the number of the world’s _decadents_ by a single unit. Let me remind you of the statistical fact that in those years in which cholera rages, the total number of deaths does not exceed that of other years.
Text from Project Gutenberg, public domain in the United States.