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Euthanasia and assisted suicide topic
Ethical principles in physician assisted suicide
Ethical dilemma in assisted suicide
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Life is essentially a constant victory over death. Although this feat seems ideal, there is a category of society that wishes to lose. Some of these people turn to assisted suicide in order to fulfill their ultimate desires. Oregon, Washington, and Vermont are currently the only states that allow this act to be carried out. Commonly assumed to be synonymous to euthanasia, the most palpable difference between to two is who performs the task. In euthanasia, a physician will administer a lethal dosage of medicine, while assisted suicide is characterized by the patient administering it to him or herself. As the issue of legalization gains more momentum, a general argument has formed for the most popular opinions. Supporters believe in “death with dignity,” while the opposing side views assisted suicide as the gateway to physicians killing their patients. Being the first state to legalize assisted suicide, what views did Oregon consider when making the decision? The beginning of physician-assisted death is attributed to Dr. Jack Kevorkian. He practiced euthanasia, which eventually led to assisted suicide. The idea that terminally ill patients in pain could choose when to end their life was appealing to many, especially those whose friends or family suffered from debilitating illnesses. Over time, more countries and states have legalized assisted suicide and are continually refining the qualifications a person must meet for eligibility. The Death with Dignity Act in Oregon was passed by the slimmest of margins- 51% to 49%- in 1994; however, a measure that would have repealed the law was defeated by a vote of 60% to 40% in 1997 (Norman-Eady). The OLR Research Report outlines two sets of requirements patients must meet in order to reques... ... middle of paper ... ... Affairs and “Physicians’ Experiences with the Oregon Death with Dignity Act” are more valid than How to Die in Oregon for two primary reasons. The authors are credible in the sense that the council and researchers are well educated and know the medical field. Also, the lack of emotional appeal indicates there is less bias in their reports. With How to Die in Oregon, Peter Richardson’s techniques were effective, but rely heavily on the audience having an emotional response to the film. In the future, more research on Washington and Vermont’s experience with assisted suicide will be available, so the effects of its legalization will be easier to detect. Vermont’s location to Oregon relative to Washington’s will also show any regional differences, should there be any. The procedure is carried out using barbiturates, but perhaps more effective methods could be looked i
In 1994, Oregon passed the Death with Dignity Act. This law states that Oregon residents, who have been diagnosed with a life ending disease and have less than six months to live, may obtain a lethal medicine prescribed by a physician, which would end their life when and where they chose to do so. This law or act requires the collection of data from patients and physicians and publishes it in an annual r...
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.
America is a champion of the freedom of choice. Citizens have the right to choose their religion, their political affiliation, and make personal decisions about nearly every facet of their daily lives. Despite all of these opportunities, one choice society commonly ignores is that of deciding how one’s life will end. Death seems like a highly unpredictable, uncontrollable occurrence, but for the past 17 years, citizens of Oregon have had one additional option not offered to most Americans in the deciding of their end-of-life treatment. Oregon’s Death With Dignity Act (DWDA), passed in 1994, allows qualified, terminally-ill Oregon patients to end their lives through the use of a doctor-prescribed, self-administered, lethal prescription (Office of Disease Prevention and Epidemiology, n.d.). The nationally controversial act has faced injunctions, an opposing measure, and has traveled to the Supreme Court, however it still remains in effect today.
gotten to the point where they feel as if there is no point in living.
Oregon is currently the only state that gives the terminally ill the right to decide how and when they want to die. This is known as “Oregon’s Death with Dignity Act” which lets ill, competent patients, who have less than six months to live, choose their preferred lethal dose of medication after they confer with two doctors. Since this right is present in only one state, it causes controversy. David Sarasohn in “No Last Rights” discusses Attorney General John Ashcroft’s challenge to the 1997 Supreme Court decision, which gave doctors in Oregon the right to prescribe federally controlled substances intended to euthanize. Ken MacQueen in “Choosing Suicide” reflects on various cases of euthanasia, differences in lawmaking on euthanasia between Canada and Oregon, and illegal acts of euthanasia.
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....
1. What is the difference between a. and a. The slippery slope argument for assisted suicide is a straightforward one to see and prove. In essence, it says that if assisted suicide is allowed without any principled lines or divisions, then we must allow for assisted suicide in cases like that of “a sixteen-year-old suffering from a severe case of unrequited love.” First we must acknowledge the assumption that the Supreme Court has made, which is, there are no principled lines they can draw between the different cases of assisted suicide.
There are only three states that allow physician-assisted suicide: Washington, Oregon, and Montana. Oregon became the first by enacting the Death with Dignity Act which allows terminally-ill patients to end their lives through the voluntary self-administration of lethal medications, expressly prescribed by a physician for that purpose. (Oregon.gov) In November of 2008 Washington became the second and in December of the same year Montana agreed and became the third. A poll was given to Oregon physicians in 1999, nurses, and social workers in 2001. The majority of physicians 51% supported the death with dignity act, 48% of nurses were in favor, and 72% of social workers were in support. (Miller) These polls clearly show that the majority of voters are in support of Physician assisted suicide.
In conclusion, all should firmly believe that physician assisted suicide should not be legalized in any state. Although it is legalized in Oregon it is not wise for any other state to follow that example. By now, all should strongly believe the growing public support for PAS still remains a very dangerous trend. The role of our physician is that of a healer, not a killer. It must be understood that in some cases the only way to relieve someone from their pain is to let them go. On the contrary, each human life has an
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.
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.
However, “The United States Supreme Court found that liberty as defined in the 14th Amendment does not include the right to assistance in dying” (Vacco v. Quill). It was later decided that the responsibility for determining whether assisted death should be legalized should belong to individual states. According to a report by CNN, in 1994 Oregon became the first state to legalize assisted suicide for terminally ill, mentally able adults. Today there are five states in which physician assisted suicide is legal. In Oregon, Vermont, Washington and California the option is given by each states individual laws. In Montana the patient must have a court decision. Oregon was the first state to pass the death with dignity act.
According to West’s Encyclopedia of American Law, between 1990 and 1999, a well-known advocate for physician assisted suicide, Jack Kevorkian helped 130 patients end their lives. He began the debate on assisted suicide by assisting a man with committing suicide on national television. According to Dr. Kevorkian, “The voluntary self-elimination of individual and mortally diseased or crippled lives taken collectively can only enhance the preservation of public health and welfare” (Kevorkian). In other words, Kevor...
"Legalized Physician-Assisted Suicide in Oregon ñ The Second Year." Amy D. Sullivan, Katrina Hedberg, David W. Fleming. The New England Journal of Medicine. February 24, 2000. v.342, n.8
Assisted suicide brings up one of the biggest moral debates currently circulating in America. Physician assisted suicide allows a patient to be informed, including counseling about and prescribing lethal doses of drugs, and allowed to decide, with the help of a doctor, to commit suicide. There are so many questions about assisted suicide and no clear answers. Should assisted suicide be allowed only for the terminally ill, or for everyone? What does it actually mean to assist in a suicide? What will the consequences of legalizing assisted suicide be? What protection will there be to protect innocent people? Is it (morally) right or wrong? Those who are considered “pro-death”, believe that being able to choose how one dies is one’s own right.