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When self determination runs amok essay
Cases on medical negligence
Assisted suicide, medical ethical principles
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The case of Dax Cowart is about a 25 years old man, Dax Cowart, who was a severe burn victim. His father was burnt to death in the fire. Cowart suffered severe and disabling burns over most of his body. He loss of both his hands, right eye, and ears, and his left eyelid sewn shut. Also, he was dipped in a chlorinated bath to fight infection and having the bandages covering his body regularly stripped and replaced during the medical treatments. Cowart insist that he wanted to die in the hospital. However, his doctors refused. Cowart was forcibly treated for 10 months although he kept begged his doctors to terminate his life and end treatment. Cowart was left to his own devices to handle pain because the effects of painkillers were not entirely …show more content…
understood. Also, he was refusing medical treatment because he felt he would not be able to regain his former level of activity and living as a dead man. He tried to commit suicide by taking mass amount of sleeping pills several times and it was prevented each time. He asked a nurse and doctor to either give him medication that will kill him or do something that will help him end his own life. Additionally, he was deprived of his right to communicate in which may he let seek legal assistance at ending the treatments. The doctors used his mother's consent to override his wishes and declined his daily requests to abandon treatment. During Cowart’s rehabilitation process, he wished to die and continue to ask others to kill him. Cowart finally healed from the injuries and released from the hospital. But, he has never changed his mind that the doctor should let him die. Patients have the right to autonomy and to decide for themselves what is best for their own lives and self-determination allowing a patient to decide his fate. Also, they deserve the right to control what happens to their bodies and have right to control over their treatment. In Right to Die, Ruth Chadwick states, “To be free to choose to die, when life has ceased to hold any attraction or meaning, might be supported on the basis of a respect for autonomy” (Chadwick, 627). Death can bring patients' the end of pain and suffering when there is no hope for relief, and they have a right to die. Death can prevent that patient keep harming himself by keep on living. Suicide is the only option, stop the feeling of dying. For instance, some patients like Cowart may think that doctors may offer and what patients' want. According to the Case of Dax Cowart, Cowart wants to end his own life is a judgment on his value of life. However, he is forcing doctors and nurses to make their talents and skills available to achieve his own private vision of the good life is wrong. In When Self-Determination Runs Amok, Daniel Callahan states, "Medicine should try to relieve human suffering, but only that suffering which is brought on by illness and dying as biological phenomena, not that suffering which comes from anguish or despair at the human condition." (Callahan,385). Medicine is used for cure disease, and it is not for satisfy patient’s personal desires or eliminate mental anguish. Medicine is also used to treat disease, prevent us from the disease and it is not used to make our life better. Due to the duty of non-maleficence, doctors should use treatment to help the sick patient according to their ability and judgment, and doctors should never use it to injure the patient. As Jack Kevorkian states in Years of Minutes: The Best of Rooney from 60 Minutes, “As a medical doctor, it is my duty to evaluate the situation with as much data as I can gather and as much expertise as I have and as much experience as I have to determine whether or not the wish of the patient is medically justified” (Kevorkian, 329). Doctors must protect their patient from unnecessary injury or harm and avoid careless or unreasonable treatment. Also, doctors should never give a lethal drug to anyone if they were asked, nor they advise such a plan. Therefore, they should commit to saving the life of their patient. Besides, the doctors just simply continued to do what they had been taught to do their job and their job is to cure diseases but can’t alter fate and satisfy patient’s desire. It was not the doctors' decision to have Cowart in the hospital. Because they may consider the extent of his injuries, then they consider whether or not to keep him in the hospital. Additionally, when treating competent Patient like Cowart, the Doctors can find out that whether Cowart believe his life to be worth living, but Cowart could not use the claim of rights to demand that the doctors should end his life. Patients should not let the doctor make the decision about terminate someone’s or their own life, and killing an innocent person is always wrong. Cowart should not give the total power of his life to the doctor and nurse. As John Finnis stated in Abortion and Health Care Ethics, “Every attempt to harm an innocent human person violates the principles of non-maleficence and justice, and is always wrong” (Finnis, 20). Killing or harming an innocent person that doing no harm to anyone is wrong because it may destroy their potential human life. In fact, Cowart is living his life means that the doctors are not entitled to end it in the interests of him. Killing or harming an innocent person causes unnecessary deaths event and stops the eventual emotional injury that would be given to families of the innocent person. It is the duty of any person or society that where a person commits suicide, we should try to save that person lives as possible. This idea can prevent an even worse tragedy happen under the situation like Cowart is not really want to die, he just wants to raise attention and asking for help from others. Or, Cowart may suffer from mental problem that may have hindered his judgment. He may think that death can be thought of as if it were sleep or rest, and it can be emotionally engaging, especially as an escape from weariness and suffering. As a result, Cowart cannot tell doctors what he really wants, then the doctor ought to presume that they would be reasonable to be death and want what is good for them. At this point, if the doctors thought that Cowart thinks he has a meaningless life, then the doctors do him a favor by terminating it. A healthy person like Cowart would die from such decisions. In another circumstance, Cowart's request has been fulfilled, and he has been allowed to leave the hospital, then he would die shortly and quickly.
Under this assumption, doctors still assisted suicide. However, Cowart's right of self-determination was rejected, and he survived. Moreover, life of a certain sort is better than nothing and not being desperately suffering can have even more value. At this point, doctors may think that they may saw treatment options and saving life is their job, even his injury is terrible, but not the end; therefore, they removed any chance that terminate his life. Cowart may think about is how hopeless his life is, how he can't go on living like this. the mentally felt that the pain is too great and no one understands the burdens he carries or the emotional turmoil he is experiencing. As Callahan states in When Self-Determination Runs Amok, “There is no objective way of measuring of judging the claims of patient that their suffering is unbearable” (Callahan, 382). No quality of life measures that accurately determined Cowart feel that life is not worth living and life is meaningless. And there is no way to measure that pain he is experiencing. By determining whether a life is worth living is vary for each one due to the possible disparity between the doctors' assessment and patient's own valuations of life. Thus, no one can really and deeply understand how he really
feel. Further, doctors cannot allow to end that patient's life in the interests of the patients, but doctors can permit to deny patient the means to the death he might prefer given his evaluation of the quality of his life. The doctors may sympathize with him about his injury, but they did not provide any form of assisted suicide because that was a form of murder. In The Morality of Killing: A Traditional View, Germain Grisez and Joseph M. Boyle, Jr. state, “If one commits oneself to killing a person, one constitutes oneself a murderer”, “Thus every act which is an act of killing in the strict sense is immoral” (Germain Grisez and Joseph M. Boyle, Jr., 283). People who seeking the way to be killed by committing someone to killing themselves that is asking someone to be a murder. In addition, any form of killing to always wrong. To kill someone is to not respect the good of life because every act of killing in the strict sense is immoral. In fact, doctors should not have to make and agree with the decision that the patient makes since the patient loses his rights such as self-determination and well-being to how he conduct his own life when others are involved.
A year went by and in January 1983 Joshua was admitted into the local hospital by his father's girlfriend and former sister-in-law, Marie Deshaney. Joshua was treated for significant bruises and abrasions all over his body, In the medical report Marie Deshaney stated that Joshua had been hit in the head by another toddler with a metal toy truck. The examining physician suspected child abuse when he examined Joshua’s wounds and immediately notified the DSS.... ... middle of paper ...
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?
In the words of Jack Kevorkian “In quixotically trying to conquer death doctors all too frequently do no good for their patients’ “ease” but at the same time they do harm instead by prolonging and even magnifying patients’ dis-ease.”. His excellent quote shows one that mercy killing can help a person stop suffering with a prolonged death.In Stienbecks novella Of Mice And Men Lennie falls victim to his impulses and makes himself suffer and George suffer the concequences. George reveals how mercy killing is necessary in some cases because it stops suffering, prevents worse from happening, and may help society continue working.
There are many convincing and compelling arguments for and against Physician Assisted Suicide. There are numerous different aspects of this issue, including religious, legal and ethical issues. However, for the purpose of this paper, I will examine the ethical concerns of both sides. There are strong pro and con arguments regarding this, and I will make a case for both. It is definitely an issue that has been debated for years and will continue to be debated in years to come.
...ow point drives him to consider death as an alternative to suffering. This chapter helps to highlight some present day themes about the ethical issues of euthanasia such as the difference between active and passive euthanasia. Also whether or not a medical professional should assist in the process and under what circumstances. Discussion about euthanasia will probably continue in the future. This character brings some of the issues to light.
Envision your loved one having so much pain that they no longer want to be alive, but they have no other option than to endure the pain they are going through. Imagine yourself feeling useless and incompetent,serving no purpose in the world where everybody is mobile, feeling like a burden to those around you. Well some people did not have to envision it, which is what happened with Mac in Barbara Huttman’s essay. Mac wanted the right to die, begging to be let go until his death. He had to suffer due to the fact that he had no choice but to do so. Huttman, his hospice nurse, who had to resuscitate him 52 times, no longer wanted to see him in agony and took it upon herself to help him end his life (815-817). With the legalization of physician
Braddock and Tonelli. “Physician-Assisted Suicide.” Ethics in Medicine University of Washington Medical School. 2008. .
One position within the debate for physician assisted suicide is that it should not be legalized. Many defenders cite the issue of pain for this stance. They believe that the amount of suffering that a terminally ill patient is going through is deluding their minds. They also linked this distress towards clinical depression, the root that they say are causing them to want to ...
In “How Doctors Die,” Dr. Ken Murray explains some different real stories about people having terminal diseases, and how their doctors and physicians treat them. Moreover, the author mentions about difficult decisions that not only the doctors but patients and the patients’ family also have to choose. When the patients’ diseases become critical, the doctors have to do whatever they can to help the patients, such as surgical treatment, chemotherapy, or radiation, but they cannot help the patients in some cases. In additions, doctors still die by critical diseases, too. Although they are doctors, they are just normal people and cannot resist all of the diseases. Like other patients, the doctors having critical diseases want to live instead of
Cotton, Paul. "Medicine's Position Is Both Pivotal And Precarious In Assisted Suicide Debate." The Journal of the American Association 1 Feb. 1995: 363-64.
The patient might just be waiting for the disease they have caught to kill them, but it does not always go so quickly . ¨Ending a patient's life by injection, with the added solace that it will be quick and painless, is much easier than this constant physical and emotional care¨ (Ezekiel Emanuel, 1997, p. 75). If a patient is terminally ill and will not get better, it allows them to end the suffering. If the physician has to keep a constant eye on the patient and they need constant care and the patient is not getting better, the option is there if they want to end all of it they can. Sometimes dealing with all of the physical care like medications and not being able to live completely normal with a disease is hard. It can get extremely hard and stressful that all the patients can think about doing is ending it, this alternative gives the patient a painless option. According to Somerville (2009), ¨… respect for people's rights to autonomy and self determination means everyone has a right to die at a time of their choosing¨ ( p.4). The patient deserves to choose whether they want to keep fighting or if they cannot go any farther. The patient should not have to push through a fight they have been fighting and know they cannot win. According to Kevorkian ¨the patient decides when it's best to go.¨ Nobody tells the patient when they have to end their lives, they understand their body and know
The approach of physician-assisted suicide respects an individual’s need for personal dignity. It does not force the terminally ill patient to linger hopelessly, and helplessly, often at great cost to their psyche. It drive’s people mad knowing they are going to die in a short period of time, suffering while they wait in a hospital bed.
In recent years the media has shifted more focus on the hot topic of physician assisted suicide. This expanded coverage has caused an ever widening gap on both sides of the debate because of the ethical concerns that come along with this act. Due in part to the advancements in modern medicine, assisted suicide should be viewed as a morally correct decision for individuals to make for themselves when there is no overcoming a life impairing mental or physical ailment. This form of medicine should only be used when the individuals have exhausted all possible procedures and options and the have a bleak chance on being healthy once again. The results of assisted suicide can be viewed as morally correct in regards to consequentialism, social contract theory, as well as deontological ethics. The act of assisted suicide can be viewed as selfless if one does not ultimately want to be a physical or monetary burden on other individuals. A patient can also help to save others in regards of organ donations. We as a country need to learn to observe the choices of the terminally ill patients and understand when they want to concede in their battle. If a person chooses to end their life, it should not be viewed as a sign of weakness, but rather as a statement that this individual does not want to suffer anymore.
The first reason to allow the legalization of assisted suicide is the autonomy of people. According to Ronald Dworkin (cited in Safranek 1998) right to autonomy is "a right to make important decisions defining their own lives for themselves." Therefore, right-to-die is associated with the right of people to make decisions about their own life. The controversy about this right is that might the patient is not in the right mental state to make choices properly. However, allowing doctors to assist a suicide provides necessary supervision of the process and to guarantee that the patient is in the right psychological state to make such decisions and also doctor can ensure that patient is aware of all the consequences that this implies. Price, A, McCormack, R, Wise...
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.