"Oddly enough, the program does not include one of the first and most famous euthanasia films, the tear-jerker Ich Klage An – perhaps because it was made by Nazis during World War II to promote voluntary euthanasia as a cover-up for the involuntary sort."
Experts using brain scans have discovered for the first time that the victims, who show no outward signs of awareness, can not only comprehend what people are saying to them but also answer simple questions.
They were able to give yes or no responses to simple biographical questions.
The unlocking of this “inner voice” has astounded doctors and has dramatic implications for thousands of life and death decisions over patients trapped in what is known as a persistent vegetative state (PVS).
It means around one in five PVS patients may be able to communicate.
It will raise questions about when doctors should switch off life support machines. It is likely to add to the debate on assisted suicide as the patient could potentially decide and communicate if they wish to carry on living. It comes just weeks after Kay Gilderdale was acquitted of assisting the suicide of her daughter Lynn who the jury accepted had lived a “twilight life” for more than 17 years.
Up to a thousand PVS patients in Britain are kept alive by doctors in the hope they may one day regain consciousness.
But in some cases, like Hillsborough victim Tony Bland, relatives have won the right to withdraw treatment to allow them to die.
Dr Adrian Owen, co-author at the Brain Sciences Unit in Cambridge who carried out the latest research on one patient, said the findings have enormous philosophical and ethical implications.
He said: “We were astonished when we saw the results of the patient’s scan and that he was able to correctly answer the questions that were asked by simply changing his thoughts.
“Not only did these scans tell us that the patient was not in a vegetative state but, more importantly, for the first time in five years it provided the patient with a way of communicating his thoughts to the outside world.
“We can be pretty confident that he is entirely conscious. He has to understand the instructions, comprehend speech, and then make a decision.”
He added: “Obviously this fits into the issue of when patients should be allowed to die.”
















