Dying on your own terms: the high-tech ‘Sarco pod' changing end-of-life choices

IOL News

14-05-2025

Sarco capsule, designed by former physician Philip Nitschke.
Image: Philip Nitschke./Instagram
The topic of euthanasia is one of the most delicate and polarising issues in today's healthcare and mental health discourse. For some, it represents a compassionate option for those enduring unbearable suffering.
For others, it raises moral, ethical, and societal concerns.
My first encounter with the subject came through the heart-wrenching movie "Me Before You", starring Emilia Clarke ("Game of Thrones").
It explored the story of a young man with quadriplegia who ultimately chose assisted death, sparking tears, debates, and soul-searching among viewers. But fiction aside, euthanasia is no longer just a cinematic or philosophical debate; it's a real, evolving choice impacting lives around the globe.
The Sarco capsule
In a groundbreaking move, Switzerland has approved a new method of assisted dying: the Sarco capsule, designed by former physician Philip Nitschke.
This 3d-printed, coffin-like pod offers individuals facing severe illness a peaceful, medication-free way to control their death.
The Sarco capsule is unique because it places unparalleled autonomy in the hands of the individual. After answering a series of questions to confirm their intent, the person inside presses a button that floods the capsule with nitrogen, lowering oxygen to less than 1% within seconds.
The individual experiences a brief euphoric sensation before losing consciousness and passing away from hypoxia (lack of oxygen).
According to Nitschke, death occurs within 5 -10 minutes, free from pain, panic, or choking. The pod can be placed anywhere, whether in nature, a hospital, or the premises of an assisted suicide organisation, allowing people to choose the setting for their final moments.
While the Sarco capsule has sparked global attention for its innovation, it also stirs deep questions: Does this represent progress in the fight for dignity in death? Or does it tread dangerously close to dystopia?
Switzerland is no stranger to assisted suicide, which has been legal there for decades. However, the Sarco capsule challenges traditional norms, shifting the focus to technology-driven, patient-controlled methods.
Elsewhere, countries like New Zealand have also embraced euthanasia. Since implementing the End of Life Choice Act in November 2021, nearly 2,500 New Zealanders have applied for physician-assisted death.
By September 2024, 970 individuals had chosen this path, with 344 deaths occurring between April 2023 and March 2024 alone, according to the Ministry of Health.
These figures highlight the growing demand for end-of-life options, particularly among individuals with terminal illnesses or unbearable pain. While proponents argue this offers dignity and relief, critics worry about the societal implications, particularly for mental health.
Mental health and euthanasia
The connection between euthanasia and mental health is both significant and sensitive. Studies show that feelings of hopelessness, isolation, and depression often play a role in people's decisions to seek assisted death.
The question then becomes: Are we doing enough to address the root causes of these emotions? Take the story of Joseph Awuah-Darko, a 29-year-old who has been open about his request for euthanasia.
While awaiting the outcome of his application, he launched the 'Last Supper Project,' a global tour chronicling his final moments and sparking conversations about life and death.
On Instagram, he posted a poll about Switzerland's approval of the Sarco pod, polling his audience about what they thought of the pod. 'Is everyone OKAY ?'
Within 15 minutes, responses ranged from acceptance to unease: 'Yes, as long as it's humane and peaceful. 80%'
'Woah, this is incredibly dystopian, 20%'. Out of 547 responses
This highlights how euthanasia taps into deeply personal fears, beliefs, and emotions. For some, it's a symbol of control over one's destiny. For others, it's a troubling reminder of society's failure to fully support vulnerable individuals.
At the heart of the euthanasia discussion lies one critical question: How do we balance individual autonomy with societal responsibility?
Supporters argue that euthanasia embodies compassion and respect for personal choice, especially for those suffering from terminal illnesses. The Sarco pod, in particular, empowers individuals to make decisions about their own lives in a way that feels peaceful and controlled.
However, critics raise valid concerns: Could euthanasia become a slippery slope, where vulnerable people feel pressured to choose death over being a 'burden'?
Does the growing acceptance of assisted death normalise despair rather than encouraging solutions like palliative care and mental health support?
Euthanasia forces us to confront uncomfortable truths about life, death, and the human condition. While innovation like the Sarco pod reflects technological and ethical advancements, it also urges us to ask deeper questions about how we support those in pain, physically, emotionally, and mentally.
The rise of euthanasia, whether through traditional methods or groundbreaking innovations like the Sarco capsule, signals a cultural shift toward prioritising autonomy and dignity in end-of-life care.
However, this shift must be accompanied by a broader conversation about mental health, compassion, and the ethics of choice.