SPOILER ALERT! The plot will be discussed.
The question in the title of the film Whose Life Is It Anyway? (1981) revolves around the question of suicide. It is considered a sin in some religions and against the law in many places because it involves the taking of a life. But, the counter argument is that it should be the choice of the individual, if that person is deemed rational, and if performed so no one else is harmed. This movie presents the discussion of whether or not to keep an individual alive artificially if the quality of life under those circumstances is intolerable to the individual.
The story centers on the character of Ken Harrison (Richard Dreyfuss, giving an Oscar-worthy performance). His young life is made meaningful by his work as a creator of modern sculptures. The first shot is of him putting the finishing touches on a large piece situated on a building. He is joyful and playful as his girlfriend, Pat (Janet Eilber), says he produced a big pile of “sticks,” and he jokes as he says he used her as a model. That ecstatic feeling is demolished in a moment as he drives away and a truck runs a traffic light, causing his sports car to crash under the massive vehicle.
The ambulance evacuates Ken to a hospital
emergency room. He has multiple fractures, a collapsed lung, and injuries to
his spleen and kidneys. The attending physician, Dr. Michael Emerson (John
Cassavetes), immediately yells at the almost unconscious Ken that he has to
“Fight!” With that one exhortation the film establishes the conflict that will
develop between Ken and Emerson as to how to deal with these tragic
circumstances. As Emerson and the surgeon look over the x-rays, they conclude
that the most serious injury is a neck fracture, and the surgeon says that
realistically the best they can hope for is quadriplegia. Emerson’s primary
goal however is that he wants the man “alive,” despite the immense deprivations
involved.
Ken deals with his awful condition by using
humor, which is many times dark, because it allows him and the audience to
tolerate the situation. When the nurse asks if she can get him something, he
asks for a “martini,” and says he thought everyone in intensive care got “gin”
instead of water. He is brought into his room inverted and says he would
recognize Pat anywhere by her “shoes.” He tells Pat that they’ll have to tell
those holding a scheduled dinner-dance that the two of them will “be late.”
Even though this joking is a safety device, it keeps him from facing the dire
position he is in and does not allow him to confront his true feelings, at
least not until later.
The image of his recent sculpture is displayed
and its physical completion contrasts with Ken’s current bedridden state which
suggests that the piece of art will be the last work he will ever finish. Six
months have passed. Nurse Rodriguez (Alba Oms) introduces him to a new nurse,
Mary Jo Sadler (Kaki Hunter). He continues to make jokes, including ones that
are sexually suggestive, such as saying he used to dream about “being massaged
by two beautiful women.” He uses this humor to compensate for his current lack
of ability involving intimacy. But his sadness creeps in when Rodriguez says
they don't want him on the floor, and he says that being had on the floor would
be “incredible,” but more likely “improbable.” He says that he went
skateboarding with a lovely nurse the night before, but he was the skateboard.
He is rolled over and hints how lovely it is that Mary Jo is rubbing his ass,
but it’s really only his ankles. He kids about not wanting the fantasy
destroyed, but the sad thing is that he can’t feel anything, so the only
pleasure he can have is in his imagination. Pat visits, and we discover she
also uses her body for artistic purposes since she is a dancer. She tells him
she still loves him, but what joined them is no longer there.
John, the Jamaican orderly (Thomas Carter), is
compatible with Ken since John offers no sentimentality. While he trims Ken’s
beard he says he wants to see him tap dance. Ken voices that he wished he could
at least masturbate, let alone have encounters with women, which is what John
can do. It shows how much we take for granted until we are deprived of those
joys of everyday life. John has a band, and he mimics playing the xylophone,
pretending Ken’s body is the instrument (artistic imagination stressed again).
He says the patient’s knee needs some “tuning.” His playfulness is a welcome
diversion for Ken, who vicariously enjoys hearing about another artist's
pursuits.
On his rounds with third year medical students,
Emerson comes across a man of fifty-six years of age who just died. He
questions the intern to make sure everything was done to save him. Emerson is
an “extreme measures” sort of doctor. When one of the students yawns, Emerson
is outraged that he isn’t sick that they lost a man under seventy years of age.
He calls death the “enemy,” and that if they care more about patients than
money then they should feel ill when the enemy has won.
Nurse Mary Jo tries to give Ken a drink that he
clearly doesn’t want, as he says it looks like somebody “already drank it.” He
turns his head and knocks the liquid all over himself. He tries to kid about
how a person “who can’t move a muscle” can still make a mess. She is flustered
and embarrassed by her actions and moves him around quickly to end the
incident. He says something about being like Charlie McCarthy, the puppet in a
comedy routine, because that is how powerless he feels. He makes another dark
joke by asking, “How did the quadriplegic cross the road? He was stapled to a
chicken.” This gallows humor is the only way some can deal with the
unthinkable. She then pushes him to the side too far and he almost falls off
the bed. He keeps saying how it was not Mary Jo’s fault and it was “just an
accident.” He is there because of an “accident,” but it doesn’t make what
happens any easier to accept. Not only the patient but also those that care for
him feel defeated by what has happened.
Emerson shows up and the humiliated Ken doesn’t
want the student physicians to see him so compromised. Emerson examines Ken’s
neck movements and tells him “You’ll be fine.” Ken’s response is “Are you kidding?”
These two are definitely not on the same page. Emerson says that he is
approaching discharge, which Ken wants probably so he can have some autonomy,
but then he finds out he will be going to a rehabilitation facility. Ken is
sarcastic when he says, “You just grow the vegetables here. The vegetable store
is somewhere else.” When he asks directly for the first time if he will ever
regain the use of his limbs, Emerson says he will not. Despite the shock of
this reality, Ken thanks the doctor for his “honesty.” However, the doctor says
that people learn to accept things. But that generalization, like many, is not
always true.
Dr. Scott and Dr. Emerson prescribe an increase
in Ken’s sedatives, and when Scott brings the Valium, he says he doesn’t want
it. He wishes to hold onto his anger and freedom which includes being noisy if
he so desires. He tells her just because they can’t fix him that “does not mean
I’m the one that has to get tranquilized.” It's as if they want to cover up
their being uncomfortable with their lack of success by quieting him down. He
says point-blank that all he has left is his “consciousness” and he doesn’t
want “that paralyzed as well.” He is trying to hold onto what’s left of his
individuality.
At lunch, Scott is becoming Ken’s advocate and
tells Emerson that Valium isn’t emergency medicine, and she questions how it
will help Ken. Emerson, acting all-powerful here, says that Ken isn’t ready to
accept his predicament yet, and the sedatives are to calm him until he is
ready. He adds that it is their job to get him to accept his new life. Emerson,
although meaning well, does not take into account the feelings, ideas, or
wishes of the patient. He gets a syringe of Valium and prepares to inject it
into Ken. Ken says he no longer wants to live, and Emerson, unable to accept
that, says it is Ken’s depression talking. Ken specifically tells Emerson not
to inject him, but Emerson ignores his request under the reason that it is
medically necessary. Ken is outraged at this violation of his freedom. Emerson
says he is just like Ken when he is sculpting, because he, too, refuses to give
up on a project. But Ken rightly points out the difference between manipulating
an inanimate object and a person, accusing Emerson of treating him like a “lump
of clay.”
While he is sedated, Ken has memories of how he
sketched and sculpted renditions of Pat. These images show how their lives
intertwined and were full of movement, which just accentuates his current
anguish as he looks at his unresponsive hands. When Pat comes the next day he
refers to himself in the past tense, and says that he is no longer the person
she loved. He wants her to leave and not come back because he wants her to have
a real life with someone who can love her back. He says if their roles were
reversed he would leave her “flat.” Most likely he is being cruel to be kind.
He argues that when she visits every day it hurts him because it is a reminder
of “what I will never do again.” Her presence is “torture” to him, despite her
loving intentions. So, instead of providing him with positive feelings, her
visits have the opposite effect. Ken will not even allow her to kiss him
goodbye. She is upset and when she grabs her things to leave, she knocks over
the vase of flowers she always brings and it crashes on the floor. It is a
symbol of how their love has been dashed to pieces.
Emerson scheduled Ken to see Mrs. Boyle (Kathryn
Grody) and again Ken has no choice in the matter. He jokes that if he doesn’t
see her, Emerson will “dissolve” the woman and “inject” her into him, as he
makes a reference to how the doctor gave him the sedative without Ken’s
consent. He tells Boyle he “used to be” Ken Harrison, as he now feels he is
only a ghost of his prior self. She tries to counter his decision to not have
any more treatment by noting how other artists who were nearly blind or
crippled still did not give up. Boyle says he will be able to read and write
with machines and express his artistic vision through teaching and creating
poetry. He says you can’t just switch artistic abilities. He says his
imagination “spoke” to him through his “fingers,” which cannot happen anymore.
He is sarcastic and says he wants the first book he reads to deal with how to
sculpt without hands, and be “Self-Taught.” She is ready to leave saying he
isn’t ready for the present discussion, and he says she should treat him like a
human being who wasn’t paralyzed and get angry at him for his rudeness instead
of hiding behind professionalism. It is a form of condescension that makes him
want to end his life even more.
Ken becomes so exasperated that he has a
breathing spasm and John whisks him away to get some help. Ironically, he can’t
die without the help of others, whose own impulses are to save him. John gets
Ken to laugh at a joke, which allows Ken to enjoy living, if only for a moment.
Scott shows up and Ken notes she has “amazing breasts.” She is a bit
embarrassed, and he is funny when he says it isn’t the usual thing to say when
only one of the persons is in the bed. He makes an interesting point about how
relaxed a woman can be when there isn’t “a man around.” The implication is that
he is not a sexual threat or someone to desire, so she is free to not be
self-conscious. However, it just reinforces the loss of his own sexuality. He
sees the sadness in his overcompensating with suggestive banter because of his
body’s inability to perform sexually. He says the only reason her moral view of
not letting him die bests his view is that “you’re more powerful than me. I am
in your power.” It has nothing to do with the merits of the situation from his
perspective.
Ken requested the automobile insurance company’s
lawyer, Carter Hill (Bob Balaban), to talk with him. He wants Hill to get him
discharged from the hospital so that he can die by ending medical assistance.
He can’t feed himself or drink without help, and it was noted earlier that he
requires kidney dialysis. Hill is reluctant to accept the request, but Ken says
that if lawyers represent those they know are guilty, then he should have the
same rights of representation as “an axe murderer.” (It is interesting that Dreyfuss
plays a lawyer representing Barbra Streisand’s character who is trying to prove
she is mentally sound in the film Nuts).
The unsure Hill tells Ken that he wants to meet
with Emerson first before representing Ken. But Emerson’s one-sided way of looking
at things moves Hill toward arguing for Ken’s hospital discharge. Emerson says
his duty is to preserve life which he feels outweighs Ken’s individual wishes.
He says that Ken is in a state of depression and is incapable of making
decisions about his life and death, and he shows hostility toward Hill’s
participation in the matter. Hill says he will bring in his own psychiatrist to
get an objective opinion as to Ken’s state of mind. Hill tells Ken that if
Emerson can get two psychiatrists to agree that Ken is mentally unbalanced then
Ken's hospitalization becomes an involuntary commitment. Others always seem to
be deciding Ken’s fate.
Emerson meets with psychiatrist Sandy Jacobs
(George Wyner) about Ken’s case as Scott walks in. Emerson’s old-fashioned belief
is that wanting to commit suicide automatically means that a person is of
unsound mind. Scott is outraged and she says, “Aren’t we talking about his
life here.” Emerson says Ken’s decision violates medical responsibility. Thus,
we have the basis for the title of the movie. Scott argues that Ken has lost
his “privacy” and his “dignity,” and she wonders if she would want to go on
living if she was in his position. So, she says just because Emerson disagrees
with Ken it doesn’t make the patient mentally incompetent. She says that
Emerson is not just acting like a doctor but also like a “judge.” The film does
show how the legal and the medical worlds are sometimes at odds with each
other. Seeing that Scott is partial to Ken’s thinking, Emerson threatens Scott
with an autopsy if Ken dies and Emerson suspects there was an assisted suicide.
In the dialysis unit, Ken jokes with a young
girl named Lissa (Abigail Hepner), saying he will be playing for the Boston Red
Sox at the shortstop position. He then says actually he will just be wearing
red socks. He is thrilled to hear that her treatments are being cut back and he
probably sees a full life ahead for her. The short scene contrasts how medical
treatment for some is hopeful and for others, hopeless.
Jacobs meets with Ken, who is very clever as he
points out that medical knowledge about his condition helps him make a
decision, but it’s still his decision. He likens doctors telling him what to do
with a sculptor trying to determine what a client should buy. Jacobs says that
Ken’s intelligence works against him because it shows he has more reasons to
keep living. Ken points out the Catch-22 aspect of Jacobs’s argument, noting it
states because he is intelligent enough to make decisions it shows he is too
smart to warrant death. While they talk, Jacobs tidies up and folds a towel,
and Ken points out the man’s obsessive-compulsive tendencies. It is funny, as
the layman Ken becomes the diagnostician.
Ken then has an interview with Hill’s
psychiatrist, Dr. Barrows (Mel Stewart), and he continues to demonstrate his
wit (as to tests, Ken assures him he is “rotten” at running the hundred-yard
dash) and anger (mad about how conspiring doctors stick together while
requiring him to prove he is sane, a difficult task for anyone). Barrows, like
the other “professionals,” retreats when Ken responds in a perfectly normal
emotional way instead of dealing with him on a basic human level.
Scott goes to see Pat and observes the works of
art Ken has created, which most likely makes her understand what he no longer
can accomplish. Statues are immobile, but they can capture a moment of movement
which Ken has done concerning Pat’s dancing talent. Pat holds up a piece of a
hand. In a way it symbolizes his situation. Ken’s body is now like one of his
works, frozen in time. Scott says that she is there to talk about a way to help
Ken. But Pat has taken Ken’s words to heart. She talks about him as the “late
Ken Harrison.” She is wrapping up his business affairs concerning selling and
storing his work, as if it is part of an estate of someone who has passed away.
She is also getting ready for a date, so she has accepted his demand that she
move on. To Scott, Pat seems cold at first, but Pat says the real Ken is in his
art, not in what remains in the hospital. She respects Ken and that is why she
honored his wishes. She says if Scott respects the man, “Then just let him do
what he wants to do.”
Scott visits Ken after hours and she tells him
that she went to his studio and admired his sculptures. She was going to place
one of the works in his room but he says that instead she can have any one of
the pieces she wants. She just so happens to really like the hand and she
brought it with her. Ken says it is the best one, but not his. It is a representation
of Michelangelo’s painting in the Sistine Chapel of God creating life. While
they laugh because Scott is embarrassed about not recognizing the piece, the
incident points to how the creation of something out of imagination is how an
artist is god-like. She points out that he seems to be enjoying himself and he
admits feeling human for the first time in a while, but he is sure he wants to
end things. The film implies that there may be moments of enjoyment, but in the
long run, such an extremely limiting life would be intolerable to someone who
experienced existence so completely.
To provide him with one of those fun instances, Orderly John and Nurse Mary Jo sneak Ken into the basement where John’s Jamaican band, The Rebel Rockers, perform for him and he smokes some marijuana with them. When a security guard hears them and the band runs out, the stoned Ken asks the guard, “Isn’t this dialysis?” It is an example of how well the script makes the heavy moments palatable with some comic relief.
Hill tells Ken the next day that he will
represent him, and he says that instead of a competency hearing he wants to
apply for a writ of habeas corpus. As Hill says, “It is against the law to
deprive anyone of his liberty without due process.” So, if due process has not
been provided, the person, or “body,” must be relinquished. Ken voices his
variation on Shakespeare’s play title by saying, “All’s well that ends,”
leaving off the final “well” to stress that his “end” will make things “all
well” for him.
As he is wheeled into a room at the hospital for his hearing, John and Rodriguez will not wish him luck because they don’t want him to die, while others, such as Mary Jo, do. Even his own lawyer, Hill, said it was a case he wouldn’t mind losing. The disparity in opinions mirrors the population in general as to the split feelings about suicide due to incurable medical reasons. Judge Wyler (Kenneth McMillan) presides over the informal meeting. Emerson testifies that it is impossible to suffer such extensive injuries without mental trauma, and he concludes, although he is not a psychiatrist, that Ken is clinically depressed. Hill stresses that despite Emerson’s experience, he is not officially trained to justify his impression of Ken. The psychiatrist Barrows states that Ken is reacting in a normal manner to his circumstances, and is not clinically depressed. The attorney representing the hospital, Mr. Eden (Ward Costello), asks if Barrows thinks Ken is making the right decision to end his life. Even though the psychiatrist does not have to answer that question, he volunteers that he believes Ken is wrong in what he is trying to do. That, however, is a subjective impression, and does not contradict Barrow’s earlier statement that Ken is acting in a rational manner. Again, the question is who gets to choose concerning Ken’s life or death path?
Wyler says he would like to ask Ken some
“noninflammatory” questions. Ken’s sharp comment is that he would prefer “a
hanging judge.” Wyler sees himself in that role no matter which way he rules,
since Ken is in a no-win situation. It’s just a matter of which way to lose is
worse. The physicians who side with Emerson’s opinion say that Ken is “not
capable of making an informed, intelligent decision.” Ken refutes that
decision, basically saying it has been used to support the doctors' desire to
keep patients alive. Ken says he is already dead and wants that recognition.
Ken argues against Wyler’s assertion that Ken is legally alive because life
must “include the idea that it be self-supporting.” He states that he isn’t
asking anyone to end his life, only to leave the hospital so he can die
naturally. He emphasizes that his freedom of choice is being denied. But the
decision to end his life comes so unnaturally to many people that they can only
conclude that it is not a coherent decision, and they want no part in playing a
role in what will lead to the end of a person’s existence, especially one that
shows so much intelligence and wit.
For Ken, staying in the hospital just to
maintain his mind without any ability for him to control his life is an act of
“cruelty.” He argues that is especially true for him because his work as an
artist was the most important part of his life and only having his mind intact
without being able to utilize his imagination has turned his consciousness into
his “enemy,” which “tortures” him. He loved experiencing women and now he can’t
tolerate their presence because it is so punishing not to be able to respond to
them in any fulfilling way. He states he is in a state of “outrage” that they
can decide to continue this hell just “because you cannot see the pain,” as it
is in the mind and not the body. He says that he would like the same mercy one
would show a mutilated animal on the road while at the same time not asking
anyone to resort to an act of violence. Otherwise, in about five years Ken
implies that they will see how they have damaged him irreparably.
Wyler needs time to deliberate and when he
returns he cites cases that would allow for choosing one’s own destiny. He also
states that if Ken is clinically depressed then he would not be able to make a
rational decision. Wyler concludes that Ken is a brave and thoughtful man and
is capable of making an informed choice. He rules that Ken should be allowed to
end his hospital care. Ken is grateful while those who have become close to him
have mixed reactions. Emerson says Ken can stay at the hospital without
treatment so he can be around familiar surroundings and people until he passes
away, which Ken agrees would be easier for him. But Emerson admits that he
hopes Ken might change his mind.
The next film is The
Stunt Man.