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Bioethical and legal problems of euthanasia
Case of physician assisted suicide
Medical ethical appraisal of euthanasia
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Out of the fifty states in the United States, Physician Assisted Suicide (PAS) is only legal in five, while the practice of euthanasia remains illegal in all. Physician Assisted Suicide is when the physician provides the patient with lethal means that can be used by the patient at any time of the patient’s own choosing. On the other hand, the practice of euthanasia requires that the physician is the one who administers the lethal substances to the patient. Despite this technical difference, the two terms are often used interchangeably. Euthanasia and PAS provide relief to both those in mental and those in physical pain. As seen in countries around the world that have legalized euthanasia, with the proper restrictions, providing this procedure …show more content…
As medical procedures and techniques have become more advanced, doctors are able to do much more to try and save a patient's life (Warriach). In some cases, however, this process is only delaying the inevitable and causing the patient even more suffering. If euthanasia were legal, patients could willingly choose to end this long process of torment, specifically in terminal cases where both would lead to the same result: death. In a hospital, a patient's life gets dragged on despite the condition by medical tools and devices such as respirators (Warriach). The only way to cease the patient’s anguish is by ending all means of life support. If euthanasia were presented as an option, it would save the patient, along with their family, from immense pain and …show more content…
Many regard PAS as allowing doctors to kill and claim that it is corrupting the practice of medicine (Anderson). They argue that allowing euthanasia or physician assisted suicide is going against everything the practice of medicine stands for and that once a doctor assists one person's suicide, they will eventually be doing the same for any patient, including those with curable conditions (Walsh). Those with an aversion to euthanasia claim that the physicians in countries that allow the practice, such as Switzerland and Belgium, have no boundaries on who should or should not be given the options of PAS or euthanasia. Those against euthanasia conclude their arguments simply by saying that there must be a limit to the phrase “by every means necessary”, implying that euthanasia is taking it too far (Anderson). Thus, the entire argument against euthanasia and PAS is that once they are legalized, there will be no stopping the numerous physician assisted deaths. However, those that argue against euthanasia and PAS make the claim that legalizing euthanasia and PAS will lead to many physician assisted deaths without providing evidence and explanations as to how this chain of reactions will occur. Because they commit the logical fallacy of slippery slope, the argument against euthanasia can easily be debunked by using countries that allow euthanasia, such as Switzerland
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.
Euthanasia is divided into two separate classifications consisting of passive euthanasia and active euthanasia. Traditionally, “euthanasia is passive when a physician allows her patient to die, by withholding or withdrawing vital treatment from him…euthanasia is active when a patient's death results from his physician's killing the patient, typically by administering lethal medication” (Varelius, 2016). While active euthanasia and physician-assisted suicide share many of the same characteristics, they differ in the role for committing the final act, resulting in the death of the patient. A third party, consisting of either a family member or the physician, is responsible for “pulling-the-plug” in active euthanasia. On the other hand, in physician-assisted suicide, it is ultimately up to the patient to commit the final death-inducing act. Varelius suggests that the separation of passive and active euthanasia can be explained by the involvement that the physician partakes in their patients’ death
The word Euthanasia comes from the Greek and means “good death” (http://www.medicinenet.com/script/main/hp.asp) and in the range of this paper, it is called physician assisted suicide or “active” euthanasia. The definition of “active” euthanasia is ending one’s life yourself or with the aid of a doctor. It can be done in various different ways; however, the most common form is with a combination of drugs, usually given by a physician. ( http://www.medicinenet.com/script/main/hp.asp) The reason Physician Assisted Suicide (or PAS) is an important issue in this country and around the world is that there are many people out there suffering from debilitating, incurable and intensely painful diseases that would like to end their lives with dignity and without suffering.
As any individual can imagine, there is a lot of suffering and pain in most, if not all hospital settings. At times, no amount of medication or experimental treatment can change an individual’s mind on the quality of their life, such that the only way to end their suffering is to die, hence physician assisted suicide. Defined as a patient taking their own life with the help of a physician, this assisted suicide practice is highly controversial and illegal in most but California, Montana, Oregon, Washington and Vermont. Putting the law aside, the morality of the practice itself is still questioned.
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....
Imagine being diagnosed with a disease that is going to kill you, but then you learn that you cannot do anything to avoid the pain it will cause you. The palliative care you will receive will only be able to provide slight comfort. You look at the options and consult with your physician, and decide physician-assisted suicide, or PAS, is what you want. Within the last two decades, the argument regarding physician-assisted suicide has grown. While some believe that death should be "natural", physician-assisted suicide helps the terminally ill maintain their dignity while dying. Physician assisted suicide should be a viable option for those diagnosed with a terminal illness. It provides a permanent relief to the pain and suffering that is involved
With the growing debate on the legality of physician assisted suicide happening in the United States,it is important for everyone to know the position that are being advocated. Having a full sense of knowledge on the conversation taking place gives people who are interested on this topic the necessary tool to draw their own conclusion on how they should feel on this particular issue. Even if someone is not interested in this topic on a cultural level, they should in a personal sense because it might affect their family or themselves one day. In a way this issue and debate affects everyone because there might be a possibility that we acquire a terminal illness, and when this happen we are either denied the option of PAS or granted that option, depending the status of it.
As the years go by our society advances in all fields. As a result, we as a society have come to question many elements in our lives by comparing them to longstanding morals and traditions. The medical fields has always, and probably will always, raise many controversial issues. The latest concerns whether euthanasia or physician assisted suicide should be universally legalized in the U.S. Those opposed see that there are other alternatives other than taking a person’s own life, with the help of a doctor. Not only are they essential to incorporate into the options for people experiencing terminal illnesses, legalization would allow an overall upgrade in combating abuse with this treatment, at the same time, people are thoroughly against the
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
One of the greatest dangers facing chronic and terminally ill patients is the grey area regarding PAS. In the Netherlands, there are strict criteria for the practice of PAS. Despite such stringencies, the Council on Ethical and Judicial Affairs (1992) found 28% of the PAS cases in the Netherlands did not meet the criteria. The evidence suggests some of the patient’s lives may have ended prematurely or involuntarily. This problem can be addressed via advance directives. These directives would be written by competent individuals explaining their decision to be aided in dying when they are no longer capable of making medical decisions. These interpretations are largely defined by ones morals, understanding of ethics, individual attitudes, religious and cultural values.
The National Cancer Institute recorded an estimated 595,690 deaths that occurred from cancer alone in the United States during 2016. Options of care for a multitude of patients who suffer as their body slowly shut down has not increased. Patients have the right to choose the treatment they believe will be the best option for them when their life is about to come to an end. Patients also have the medical right to choose to continue to suffer through their illness for as long as their bodies will allow them. Yet, they should have the choice to end their life if they so desire because they know in the end they are going to pass away in just a few short months. Even with all the various treatments they may be offered. Physician-assisted suicide is an option patients need legalized to end their suffering when they approach their last days of life on Earth.
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.
If physician-assisted suicide is legally permitted yet restricted to the terminally ill adult with full decision-making capacity, it will certainly raise legal concerns about discrimination. PAS will probably broaden to include incompetent, non-consenting, and non–terminally ill persons. The final extreme of the slippery slope argument is that PAS will be abused, run amok and ultimately become involuntary euthanasia. Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death.
Julie and her husband got in a car accident and were rushed to the hospital. Julie’s husband is fine and only has a few scratches, but says that he is concerned because his wife fell asleep behind the wheel. Their doctors run a few tests on her to see what is wrong and find a brain tumor that cannot be removed. They also found out that she didn’t fall asleep behind the wheel, instead she had a seizure. They give her only weeks to live. In the weeks to come, Julie will lose all function in her arms and legs, lose control of her bowel and bladder, have more seizures, start drooling because of the pain medication, lose the ability to talk and feed herself, loose her memories and personality, and the person Julie’s husband loves and