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Part 2: The Interview: Dr. Donald Low on Dying with Dignity
After spending years of his life researching, teaching future medical students as Professor at the University of Toronto in the Department of Laboratory Medicine and Pathobiology, and being recognized as an international authority in microbiology and infectious diseases, Dr. Donald Low was about to face the biggest challenge of his life. On February 7th, 2010, he was diagnosed as having a brain stem tumor. As an intern he knew that his prognosis was not good, and although he could accept the idea of his own death, his most difficult task after diagnosis was telling his family.
He is not afraid of dying, but his greatest fear was how he was going to die and what that end would look like. He already knew how debilitating the effects of the cancer would be, and that it would ultimately render him unable to care for himself, and riddles with pain that would be eased by Palliative care. In his search for help and alternatives options for death he discovered that in Canada there is no support for dying with dignity. It was legalized in other countries and he was envious of those who had access to this kind of help. Here in Canada, it is illegal and there is much opposition to the idea of assisted suicide. That is why Dr. Low would record his heart-felt video and plea about the issue dying with dignity in Canada.
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I believe that everyone should have the right to appropriate medical care in Canada. Whether it is pain and symptom management or access to dying with dignity, it should be our right as citizens to decide for ourselves what we feel is our best option for care. Patients need to be given all the information about their condition and they should be given the opportunity to be involved in their own
Summary of the Case On August 1987, Donald Butler opened a store in Winnipeg, Manitoba, called the “Avenue Boutique”. In this store, Butler sold and rented pornographic publications that were considered “hard core” and sexual paraphernalia. A couple weeks later, the City of Winnipeg Police searched and seized Butler’s sexually explicit materials lawfully. From this, Butler was charged with 173 counts under s. 163 of the Criminal Code. These charges included s. 163(1)(a) which criminalizes the distribution and the possession for distribution of obscene materials, as wells s. 163(2)(a) for selling and exposing obscene material to the public.
Terminally ill patients no longer wish to have their lives artificially prolonged by expensive, painful, or debilitating treatments and would rather die quietly. The patients do not wish to prolong their life and they may not wish to commit suicide themselves or worse, are physically incapable of doing so. People have the right to their own destiny and living in the U.S we have acquired freedom. The patients Right to Self Determination Act gives the patient the power to decide how, when and why they choose to die. In "Editorial Exchange: Death with Dignity: Reopen Assisted-Suicide Debate." The Canadian Press Sep 27 2013 ProQuest. 7 June 2015” Doctor Donald Low and his terminally ill friends plea to physician assisted suicide in an online video. He states that it is their rights as cancer patients to make the decision to pass, but he is denied. Where is the equality? Patients who are on dialysis or hooked up to respirators have the choice to end their lives by ending treatment. However, patients who are not dependent on life support cannot choose when they can pass. Many patients feel that because of their illness that life is not worth living for and that life has already been taken from them due to lack of activities they can perform. Most of the terminally ill patients are bedridden with outrageous amounts of medication and they don’t want family members having to care for them
situation he is in. He would rather be dead than live with the thought of his
Terminally ill patients deserve the right to have a dignified death. These patients should not be forced to suffer and be in agony their lasting days. The terminally ill should have this choice, because it is the only way to end their excruciating pain. These patients don’t have
There is great debate in this country and worldwide over whether or not terminally ill patients who are experiencing great suffering should have the right to choose death. A deep divide amongst the American public exists on the issue. It is extremely important to reach an ethical decision on whether or not terminally ill patients have this right to choose death, since many may be needlessly suffering, if an ethical solution exists.
Canada’s Health Care system is gradually growing to be a major concern in today’s society with providing Canadians with the standard of care they deserve. Health care has become an issue because of the shortage of doctors in Canada; many of them are either going to the U.S.A. or going to other countries to practice in hospitals and clinics. The earning cap imposed by the government has forced doctors to work fewer hours than are necessary to serve the public. Many Canadians are without a doctor to help them with their needs and emergency rooms are filled to capacity with no available beds for those who have to be admitted to the hospital. Waiting time for specialist and specialty tests have become so long that someone diagnosed with a major illness may die before they can be properly treated. Nurses and others in the medical field are overworked and understaffed because the government has made cut-backs to the Health Care System. We live in a country where our health care is a privilege to have, but getting ill is becoming a problem if there is not adequate facilities and professionals to care for the sick. Today’s society is aging longer than ever and will need health care longer than before; patients recovering from hospital stays are being sent home more quickly than ever before, and terminal patients are being sent home for their last days.
According to a doctor in the documentary, people are coming to the ICU’s to die. (Lyman et al, 2011) Due to the fact that technology to sustain life is available the decision to end life has become much more complicated yet more people die in hospitals then anywhere else. (Lyman et al, 2011) The story of Marthe the 86 year old dementia patient stood out to me upon viewing the documentary because I recently just had my great grandmother go through the same situation. (Lyman et al, 2011) Marthe entered the ICU and was intubated for two weeks while her family members decided whether to perform a tracheotomy or take her off life support. (Lyman et al, 2011) The family was having a tough time deciding due to the fact that the doctors could sustain Marthe’s life if they requested it. Marthe ended up being taken off the ventilator and to everyone’s surprise was able to breathe but, a day later she could no longer do so and now she has been on life support for a year. (Lyman et al, 2011) Another patient that I took particular interest in was John Moloney a 53 year old multiple myeloma patient who has tried every form of treatment with no success. (Lyman et al, 2011) Despite trying everything he still wanted treatment so he could live and go home with his family but ended up in
The Canadian Charter of Rights and Freedoms is one of the guiding moral documents of Canada, which states, “Everyone has the right to life, liberty and security of the person and the right not to be deprived thereof except in accordance with the principles of fundamental justice.” (Canadian Charter of Rights and Freedoms, 1982) In the opinion of the Supreme Court, current law infringes upon section 7 and this means that the ban on assisted suicide unjustly and immorally denies the human right to life and liberty and therefore, it is immoral to ban physician-assisted suicide outright. Law and ethics are closely related and often what is legal is ethical and what is illegal is unethical. (American Medical Association, 1994) Denying a mentally competent and terminally ill patient the right to a quick, painless and dignified death would be blatantly disregarding the foundational medical principal of autonomy. This would also make sense from a libertarian standpoint, as the person would be able to live their life the way that they want to with almost no harm to others. Research shows that doctors often agree with physician-assisted suicide and believe it is the moral choice especially in cases where the patient is terminally ill and has no treatment options
In 2005, the supreme court of Canada ruled that the Québec health insurance act and the hospital insurance act prohibiting private medical insurance in instances when long wait times are a reality, violated the Québec charter of human rights and freedoms. The vote was 4 to 3. This ruling is only binding in the province of Québec but does set a president should the argument come up in other provinces or territories. Leading this fight was a 73-year-old man, George Zeliotis, who was a patient on...
Death alone is a scary thought to most individuals. People who live their life in fear of death don’t really get the most out of life. Someone who is terminally ill would be in a similar situation. There are two ways to live life after being diagnosed terminally ill. One way would be to get the most out of what remains of the person’s life. This would be considered the positive outcome. In the story “Letter from a Sick Person” the narrator recently has been informed he is terminal. Instead of panicking or being upset he embraces it. He accepts that his death is unavoidable and it gives him a brand new meaning in his life. He states, “In journeys, the greatest grief is hidden”. This life explains while he is not exactly happy he has discovered a way to cope with his illness. He feels as if it was his time stating, “I tell you I wanted death to come like a captain and carry me off”. Even in his death he knew that it wasn’t him who would be forced to overcome his death but the people left
Should terminally ill patients have the right to choose how they would like to die? There ar...
As we have clearly seen, medicine for profit is not solving the problems of the healthcare system and many people are going bankrupt, dying, and choosing suicide over costly bills. Maybe we should learn from all of these situations and numbers and see that, like the UK did, we should be looking at ways to expand our basic human rights to include healthcare. The question at hand was is healthcare a right or a privilege, reviewing all facts, and data given you will see that Health Care in the United States is a privilege. It seems very vile to have resources, and services to deny a person who has a curable illness or disease, because they don’t have proper health care. However, this is the society we live in where liberty and justice for all comes before healthcare for all.
Today, medical interventions have made it possible to save or prolong lives, but should the process of dying be left to nature? (Brogden, 2001). Phrases such as, “killing is always considered murder,” and “while life is present, so is hope” are not enough to contract with the present medical knowledge in the Canadian health care system, which is proficient of giving injured patients a chance to live, which in the past would not have been possible (Brogden, 2001). According to Brogden, a number of economic and ethical questions arise concerning the increasing elderly population. This is the reason why the Canadian society ought to endeavor to come to a decision on what is right and ethical when it comes to facing death. Uhlmann (1998) mentions that individuals’ attitudes towards euthanasia differ. From a utilitarianism point of view – holding that an action is judged as good or bad in relation to the consequence, outcome, or end result that is derived from it, and people choosing actions that will, in a given circumstance, increase the overall good (Lum, 2010) - euthanasia could become a means of health care cost containment, and also, with specific safeguards and in certain circumstances the taking of a human life is merciful and that all of us are entitled to end our lives when we see fit.
In America , life is highly valued and praised. In America, health is one of the most important fields, new medicine and treatments are constantly being invented. However; when talking about life and how important it is, we must not forget about the different components to a complete life. Life consists of physical, physiological and spiritual wellness. Keeping someone alive against their own will is like denying them the right to peace and forcing them to suffer a long period of unnecessary misery. One issue faced when deciding whether euthanasia should be legalized or not is the quality of palliative care and the patient end of life suffering. Another issue is the validity of the Hippocratic Oath; can a doctor be trusted anymore? Is the Hippocratic Oath really there to provide patients with the best care they can get from their physicians? Lastly is the right to die, the debate on whether a patient has the right to decide to death. So, should someone who has been condemned to death have to continue to live and suffer until the end of their days arrives? The fact that euthanasia is illegal and kept illegal supports that idea. Euthanasia should be legalized; it would eliminate the pain and suffering of many people who suffer from terminal diseases.
We simply have to learn how to die and learn to live well despite the fear. In Medical training is not very helpful for understanding the personal, as opposed to the medical, nature of dying.” (Ira, 35) I found Dr.Ira’s words to be wise and realistic. I know fear will always be around, but ultimately it is your beliefs that can help you endure a peaceful state of mind or a painful mind full of fear. If we have a purpose for life than either of those things won’t have any burden on. Sometimes I’m scared of death, but after hearing that from Dr.Ira I realized that fearing death holds me back because I have other things to fear such a busy work life or not living a good life, and providing for my family. After all, you may be forgotten when you die, but the true fear is mostly what you leave behind before your