web
counter
 

How to Die in Oregon Review: It's the Sad One

By Guest Contributor Ian Moore | Posted Under Film Reviews | Comments (15)



HOW_TO_DIE_IN_OREGON.preview.jpg

The alternate title for this review might as well been “Dying: this shit gets real, yo”.

How To Die In Oregon is the second film from Oregon based documentarian Peter Richardson; it made its debut at the 2011 Sundance film festival. It is driven by a unique law in Oregon passed in 1994 that allows physicians to assist terminal patients in a “death with dignity” via a lethal dose of Seconal, a heavy barbiturate. I expected two hours of axe grinding and choir preachin’, a trap documentaries on controversial subjects are prone to falling into (see also: Michael Moore). This is not the case with Oregon. Richardson presents a sympathetic but essentially unslanted picture of several families in the Pacific Northwest struggling with planned bereavement, for lack of a better phrase. It’s like Logan’s Run without the sci-fi tropes or tube-cars, and more grief.

Briefly, we have Nancy Niedzielski, who campaigned tirelessly in 2008 for a death with dignity law in neighboring Washington after watching her 35-year-old husband Randy age succumb to brain cancer; Dr. Katherine Morris, a primary physician who provides the most compelling interpretation of the oft-cited Hippocratic Oath, “‘first do no harm’ doesn’t just mean physical harm”; Ray Carnay, a radio and TV luminary with a magic voice, who records his own eulogy in anticipation of having his larynx removed; Randy Stroup, the casualty of the Oregon law who was denied any treatment other than palliative care and/or physician assisted suicide due to the advanced nature of his cancer; and Cody Curtis, 54, mother of two, around which the other stories orbit.

Richardson chooses Cody Curtis as the standard bearer for his story — a wise choice. So often assisted suicide is presented in such a way that unless the viewer has very strong abstract objections to ending life, it’s very difficult to argue with the emotional logic. The typical picture painted is of elderly people who’ve been vegetative in a nursing home since the first Bush administration, or the younger individuals with no alpha wave activity after a skiing accident. People with no measurable quality of life. Cody defies these kind of archetypes. We are introduced to a bright, intelligent woman with movie star looks and a tube-car full of charisma. Adorable, loving husband. Endearingly dorky adult children. She doesn’t look sick; tired, maybe. As Richardson takes us through her struggle with biliary duct cancer and her looming decision, he sheds light on the other side of the death with dignity coin: What if the patient’s family isn’t willing to mark the calendar for losing a loved one? In skillfully edited montages, we see Cody and her family in the awkward process of making every moment count. It’s filmed subtly, so that there are only the barest hints of melancholic gazes shot at each other. But this is where the film tracks into uncharted territory. Terminal diagnoses are made every day, and every day humans defy them. There will be no defying a lethal dose of Seconal in Cody’s case, so the portrayal of Cody’s relief at the idea of permanent respite from her hellishly painful life is tempered by the nakedly honest, poorly concealed hopeless resignation of her family.

Richardson’s affection for his subjects is evident, and balanced nicely by his respect for them and his filmmaking process. In the Q&A with him after the screening, he was asked if he had any trouble controlling his emotional response to the story (there is no shortage of real grief, despair, and tears from his subjects). He related an anecdote about filming a scene where Cody has a wheels-off breakdown after a particularly touching tribute from her former employer. Richardson: “I didn’t know what to do. Every fiber of my being was screaming that I needed to set the camera down and go comfort this other person, this human being. But [Cody] would have told me to stop if it was too much, and she didn’t. So I just stayed with the shot.”

This tenderness is carried through in the tinkling, piano based score by Max Richter. At times the swells are reminiscent of a Friday night Lifetime movie, but for the most part it keeps the longer sections of interview from drying up. The shooting style is also so transparent that I had to keep reminding myself that there was an invisible extra actor in each scene, wrenching or not.

As much potential as this film has for being emotionally manipulative, it mostly avoids the almost expected gut-punches usually associated with “serious” documentaries. Pathos abounds, but it never feels manufactured; the people in the stories come off as whole, with as much humor as there is black despair and pain. Particularly sanguine is Ray Carnay, who takes an easy joke on the kids running the studio where he records his eulogy. The funny is just that much more biting considering the double layer kid gloves with which the studio engineers are handling this bizarre process, and that theme of the patients reminding their loved ones that they’re not gone yet is one than permeates all the large group interactions in the film.

As much as How To Die In Oregon could have been a political or philosophical diatribe, Richardson takes the harder route with minimal editorialization or sensationalism, and just lets these people be. And what they are is sad, real, and still questioning why death is never easy. It can only be eased.

How to Die in Oregon was screened at the 2011 SXSW Film Festival.









Each Time You Like, Share, Tweet or Stumble a Pajiba Post, An Angel Does the Paul Rudd Dance



Eloquent Eloquence Comment of the Day | The FP Review: Come Talkin' That Trash And We'll Pull Your Card









Comments

The woman in the header likes like Catherine Keener in a wig.

Posted by: Lucas at March 20, 2011 3:00 PM

Looks like. Fuck.

Posted by: Lucas at March 20, 2011 3:01 PM

I've always been for assisted suicides. If someone wants to die why force them to stick around?

Posted by: DeistBrawler at March 20, 2011 3:27 PM

That came out sounding way harsher than I intended.

Posted by: DeistBrawler at March 20, 2011 3:28 PM

DeistBrawler, I understand what you mean. There was actually just a story today in the Register-Guard (an Oregon newspaper) that I felt was slanted against the right-to-die act, which I find infuriating. My own mother has a number of incurable conditions that have gradually lead to her suffering through severe constant pain and fatigue. Eventually, she will take this path (as long as the out-of-state conservative groups aren't able to ban it) and I would never, ever begrudge her or anyone their choice to die with dignity. I hope that I may be so lucky, one distant day.

It is hard sometimes. We get along incredibly well, and sometimes I look at her and it really hits me that one day (probably sooner than I think) she'll be gone. I'll miss her terribly. Still, I also see her in horrible, paralyzing pain, and gradually becoming weaker. Why should I, or anyone, force her to live untold years in that condition? How does that honor her life?

Posted by: Jenne Frisby at March 20, 2011 5:57 PM

Please excuse the double post; I forgot to say that I enjoyed this review and the movie looks really compelling. It's not really going to bring in the crowds, but I'll look out for it in case it makes it to the Bijou. Thanks for bringing it to my attention, Ian Moore.

Posted by: Jenne Frisby at March 20, 2011 7:29 PM

This looks great, and like something I could never actually watch.

Posted by: SaBrina at March 20, 2011 8:10 PM

Sounds like a well made film about a tremendously emotive subject.
Well done with the review, Ian.

Posted by: frank_247 at March 20, 2011 8:54 PM

Barring some surprise like a car accident, fall, etc. I think I prefer to determine my own destiny thank you.

Posted by: clancys_daddy at March 20, 2011 10:16 PM

Thank you for such a well-written, respectful review, Ian. My mum was given an overdose of morphine and died after struggling for two years with metastasised cancer. I was 9. I clearly remember thinking at the time how critical it was that people in that much pain be allowed to die at the time of their own choosing and with a semblance of dignity. Having said that, there's no way I'll make it to the end of this film without a little smuggled alkeyhole.

Posted by: Xiufetish at March 21, 2011 5:21 AM

"If someone wants to die why force them to stick around?"

I'm sure you didn't mean that to be as simplistic as it is. It's important to draw a distinction between people who have logically weighed all the options and made the decision versus those whose opinions may be clouded. A terminal cancer patient facing nothing but pain (and mounting bills) who has assessed all the options is in a different position to a person who has just received a devastating diagnosis and may be terribly depressed (depression clouds ones judgment). Similarly, a person with advanced Alzheimer's simply doesn't have the mental capacity to make the decision so if the decision wasn't made before the mental faculties were lost, should it be honored?
I am in favor of assisted suicide, but the decisions has to be clearly the patient's decision made in the right state of mind.

Posted by: PaddyDog at March 21, 2011 9:41 AM

I seem to recall seeing stats that indicate very few people in Oregon have chosen to take advantage of the law. As I heard it, just knowing they have dignified death as an option seems to give some terminally ill people the strength to hold out for a natural end. Can someone confirm?

Otherwise, all I have to say is: If you put a suffering animal to sleep, that's called being humane. If you put a suffering human to sleep, for some reason that's called being an animal.

Posted by: , at March 21, 2011 10:53 AM

Very interesting review and I am looking forward (with some trepidation) to seeing this film.
My mother took her own life after struggling with Parkinson's for many years, something I wrote about in my book, Imperfect Endings (Simon & Schuster), so this is a subject close to my heart.
Although she was older than the mother in the film, and perhaps in more discomfort, she also made the decision in a very conscious and deliberate way; she planned her "death date," and seemed enormously relieved by the idea that she had predetermined her "way out."
And like this woman's family, my family struggled mightily with her choice.
I believe everyone should have the legal right to end their life, but as I'm sure audiences for this film will agree, it is never simple or easy -- either for the person choosing death or for those who are left behind..

Posted by: Zoe FitzGerald Carter at March 21, 2011 11:00 AM

This is such a hard situation. On the one hand, we don't want people to suffer; on the other hand, those who are suffering so much are often not lucid.

Posted by: samantha t at March 21, 2011 11:29 AM

It's a fine film and won Sundance for good reason. But if an even less predictable tale on this subject in literary form might be your cup of tea, please check out my new novel What You Wish For via this link: http://www.amazon.com/-/e/B004G7VO8K. It's a family saga set in the Napa Valley of current-day California, where we don't yet have a law as civilized as Oregon's and the law of unintended consequences applies instead.

Posted by: Bill Pieper at March 21, 2011 4:56 PM