Diane: A Case of Physician Assisted Suicide
Diane was a patient of Dr. Timothy Quill, who was diagnosed with acute myelomonocytic leukemia. Diane overcame alcoholism and had vaginal cancer in her youth. She had been under his care for a period of 8 years, during which an intimate doctor-patient bond had been established. It was Dr. Quill’s observation that “she was an incredibly clear, at times brutally honest, thinker and communicator.” This observation became especially cogent after Diane heard of her diagnosis. Dr. Quill informed her of the diagnosis, and of the possible treatments. This series of treatments entailed multiple chemotherapy sessions, followed by a bone marrow transplant, accompanied by an array of ancillary treatments. At the end of this series of treatments, the survival rate was 25%, and it was further complicated in Diane’s case by the absence of a closely matched bone-marrow donor. Diane chose not to receive treatment, desiring to spend whatever time she had left outside of the hospital. Dr. Quill met with her several times to ensure that she didn’t change her mind, and he had Diane meet with a psychologist with whom she had met before. Then Diane complicated the case by informing Dr. Quill that she be able to control the time of her death, avoiding the loss of dignity and discomfort which would precede her death. Dr. Quinn informed her of the Hemlock Society, and shortly afterwards, Diane called Dr. Quinn with a request for barbiturates, complaining of insomnia. Dr. Quinn gave her the prescription and informed her how to use them to sleep, and the amount necessary to commit suicide. Diane called all of her friends to say goodbye, including Dr. Quinn, and took her life two days after they met.
This is a fascinating case because it presents the distinction between a patient’s right to refuse treatment and a physician’s assistance with suicide. Legally, Diane possessed the right to refuse treatment, but she would have faced a debilitating, painful death, so the issue of treatment would be a moot point. It would be moot in the sense that Diane seemed to refuse treatment because the odds were low, even if she survived she would spend significant periods of time in the hospital and in pain, and if she didn’t survive she would spend her last days in the hospital. If Diane were to merely refuse treatment and nothing else (as the law prescribes) than she would not have been able to avoid the death which she so dearly wanted to avoid.
The history of physician-assisted suicide began to emerge since the ancient time. Historians and ancient philosophers especially had been debating over this issue. Thus, this issue is no longer new to us. However, it seems little vague because it has not yet been fully told. The historical story consists of patterns of thought, advocacy, and interpretation on whether to legalize assisted death. "Only until June, 1999, the United States Supreme Court issued decisions in two cases that claimed constitutional protection for physician-assisted suicide, Washington v. Glucksberg and Vacoo v. Quill, by a single 9-0 vote covering the case (Bartin, Rhodes, Silver, 1). They also say that this decision mark the beginning of long period debate, which will not be fully resolved (1). Hence, the debate began by professionals from different aspects, especially the physicians themselves.
The case had a many important questions to it. In one question: is physician-assisted suicide morally, ethically, legally correct, and/or fair to anyone?
The discussion of physician-assisted suicide is frequently focused around the ethical implications. The confusion commonly surfaces from the simple question, what is physician-assisted suicide? Physician-assisted suicide can be defined as a circumstance in which a medical physician provides a lethal dose of medication to a patient with a fatal illness. In this case, the patient has given consent, as well as direction, to the physician to ethically aid in their death (Introduction to Physician-Assisted Suicide: At Issue,
In March of 1998, a woman suffering with cancer became the first person known to die under the law on physician-assisted suicide in the state of Oregon when she took a lethal dose of drugs. This law does not include people who have been on a life support system, nor does it include those who have not voluntarily asked physicians to help them commit suicide. Many people worry that legalizing doctor-assisted suicide is irrational and violates the life-saving tradition of medicine, and it has been argued that the reason why some terminally ill patients yearn to commit suicide is nothing more than depression. Physician Assisted Suicide would lessen the human life or end the suffering and pain of those on the verge of dying; Physician Assisted Suicide needs to be figured out for those in dire need of it or for those fighting against it. The main purpose of this paper is to bring light on the advantages and disadvantages of physician-assisted suicide and to show what principled and moral reasoning there is behind each point.
There are many legal and ethical issues when discussing the topic of physician-assisted suicide (PAS). The legal issues are those regarding numerous court cases over the past few decades, the debate over how the 14th Amendment of the United States Constitution comes into play, and the legalization vs. illegalization of this practice. The 14th Amendment states, “nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws” (U.S. Const. amend. XIV, §1). PAS in the past has been upheld as illegal due to the Equal Protection Clause of the 14th amendment of the constitution, but in recent years this same 14th amendment is also part of the reasoning for legalizing PAS, “nor shall any State deprive any person of…liberty” (U.S. Const. amend. XIV, §1). The ethical issues surrounding this topic include a patient’s autonomy and dignity and if PAS should be legalized everywhere. This paper is an analysis of the PAS debate and explores these different issues using a specific case that went to the supreme courts called Washington et al. v. Glucksberg et al.
gotten to the point where they feel as if there is no point in living.
Imagine, if you will, that you have just found out you have a terminal medical condition. Doesn’t matter which one, it’s terminal. Over the 6 months you have to live you experience unmeasurable amounts of pain, and when your free of your pain the medication you’re under renders you in an impaired sense of consciousness. Towards the 4th month, you begin to believe all this suffering is pointless, you are to die anyways, why not with a little dignity. You begin to consider Physician-Assisted Suicide (PAS). In this essay I will explain the ethical decisions and dilemmas one may face when deciding to accept the idea of Physician-Assisted Suicide. I will also provide factual information pertaining to the subject of PAS and testimony from some that advocate for legalization of PAS. PAS is not to be taken lightly. It is the decision to end one’s life with the aid of a medical physician. Merriam-Webster’s Dictionary states that PAS is “Suicide by a patient facilitated by means (as a drug prescription) or by information (as an indication of a lethal dosage) provided by a physician aware of the patient’s intent.” PAS is considered, by our textbook – Doing Ethics by Lewis Vaughn, an active voluntary form of euthanasia. There are other forms of euthanasia such as non-voluntary, involuntary, and passive. This essay is focusing on PAS, an active voluntary form of euthanasia. PAS is commonly known as “Dying/Death with Dignity.” The most recent publicized case of PAS is the case of Brittany Maynard. She was diagnosed with terminal brain cancer in California, where she lived. At the time California didn’t have Legislative right to allow Brittany the right to commit PAS so she was transported to Oregon where PAS is legal....
Physician assisted suicide (PAS) is a very important issue. It is also important tounderstand the terms and distinction between the varying degrees to which a person can be involved in hastening the death of a terminally ill individual. Euthanasia, a word that is often associated with physician assisted suicide, means the act or practice of killing for reasons of mercy. Assisted suicide takes place when a dying person who wishes to precipitate death, requests help in carrying out the act. In euthanasia, the dying patients may or may not be aware of what is happening to them and may or may not have requested to die. In an assisted suicide, the terminally ill person wants to die and has specifically asked for help. Physician-assisted suicide occurs when the individual assisting in the suicide is a doctor rather than a friend or family member. Because doctors are the people most familiar with their patients’ medical condition and have knowledge of and access to the necessary means to cause certain death, terminally ill patients who have made
In current society, legalizing physician assisted suicide is a prevalent argument. In 1997, the Supreme Court recognized no federal constitutional right to physician assisted suicide (Harned 1) , which defines suicide as one receiving help from a physician by means of a lethal dosage (Pearson 1), leaving it up to state legislatures to legalize such practice if desired. Only Oregon and Washington have since legalized physician assisted suicide. People seeking assisted suicide often experience slanted judgments and are generally not mentally healthy. Legalization of this practice would enable people to fall victim to coercion by friends and family to commit suicide. Also, asking for death is unfair to a doctor’s personal dogma. Some argue that society should honor the freedom of one’s choice to take his own life with the assistance of a physician; however, given the reasoning provided, it is in society’s best interest that physician assisted suicide remain illegal. Physician assisted suicide should not be legalized because suicidal people experience distorted judgments resulting in not being mentally equipped to make such a decision, people who feel they are a burden to their family may choose death as a result, and physicians should not have to go against their personal doctrines and promises.
The Death with Dignity Act (hereafter DWDA) allows terminally ill patients who are Oregon residents to obtain and use the prescription from their physician to self-administer lethal medications. Under the Act, ending one’s life is in accordance with the law and does not constitute as suicide. The Death with Dign...
Susan Wolf spent years questioning the ethical and legal aspect of physician-assisted suicide. “As I have before, I oppose the legitimation of physician-assisted suicide and euthanasia.” However, life provided practical experience when her father became terminally ill with cancer and pneumonia. He became weak and dependent. He was left with three choices. He could stay in the ICU, go to the pulmonary care unit, or turn off the feeding tubes and IV hydration. Turning off the tubes was the most difficult choice, but it was the best choice he had. There was no point in prolonging his suffering because death was inevitable.
Christina Robbins awakens screaming as she clinches the railing of her hospital bed while excruciating pain radiates through her weakened body. Christina’s husband and two teenage daughters sit on the couch in the corner of her dimmed hospital room. In just three months, Christina went from a completely healthy lawyer to lying in her deathbed needing 24 hour care. The cancer has now spread from her lungs throughout her body and within days would reach her brain. The doctors have tried to keep Christina’s pain under control, but with all the medicine the slightest touch feels like razor blades scraping her skin. Being a terminal patient is rather difficult to come to terms with, leaving unpaid bills behind, losing bodily control, and having family watch them die a slow painful death. Incidentally Christiana does not live in one of the four states that offer Physician Assisted Suicide. Physician Assisted Suicide should be legalized in all states because it is a freedom of choice, ceases one’s pain and suffering and decreases traditional suicide rates.
In June 1990, there was a large spark of this issue of mercy killing and assisted suicide when Dr. Jack Kevorkian assisted Janet Adkins a patient in suicide. This debate later on sky rocketed in March 1991 when a doctor, Timothy Quill also came clean to his assistance in the professional suicide of Diane Trumbull. From here, a large number of public events followed regarding physici...
The right to assisted suicide is a significant topic that concerns people all over the United States. The debates go back and forth about whether a dying patient has the right to die with the assistance of a physician. Some are against it because of religious and moral reasons. Others are for it because of their compassion and respect for the dying. Physicians are also divided on the issue. They differ where they place the line that separates relief from dying--and killing. For many the main concern with assisted suicide lies with the competence of the terminally ill. Many terminally ill patients who are in the final stages of their lives have requested doctors to aid them in exercising active euthanasia. It is sad to realize that these people are in great agony and that to them the only hope of bringing that agony to a halt is through assisted suicide.When people see the word euthanasia, they see the meaning of the word in two different lights. Euthanasia for some carries a negative connotation; it is the same as murder. For others, however, euthanasia is the act of putting someone to death painlessly, or allowing a person suffering from an incurable and painful disease or condition to die by withholding extreme medical measures. But after studying both sides of the issue, a compassionate individual must conclude that competent terminal patients should be given the right to assisted suicide in order to end their suffering, reduce the damaging financial effects of hospital care on their families, and preserve the individual right of people to determine their own fate.
Should a patient have the right to ask for a physician’s help to end his or her life? This question has raised great controversy for many years. The legalization of physician assisted suicide or active euthanasia is a complex issue and both sides have strong arguments. Supporters of active euthanasia often argue that active euthanasia is a good death, painless, quick, and ultimately is the patient’s choice. While it is understandable, though heart-rending, why a patient that is in severe pain and suffering that is incurable would choose euthanasia, it still does not outweigh the potential negative effects that the legalization of euthanasia may have. Active euthanasia should not be legalized because