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Legalization of assisted suicide
Initial Thoughts about Physician Assisted Suicide
Physician assisted suicide around the world
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Drew Magary, in his imaginative and terrify book, The Postmortal, imagined a time in the near future where aging had been eradicated. No longer did people have to deal with the rampant, medical problem of death. Over the course of the plot, countries collapse, society breaks down and chaos ensues. It is this grim prediction that drives home the point of the author, but also the undeniable fact that society knows must be true. Everyone will and should die. As a result it becomes imperative that we discover ways, both personal and societal, to deal with our eventual demise. In Indian culture, there is a phase where the elder removes themselves from social practices in an attempt to transcend earthly desires and pass on with relative ease, knowing …show more content…
In a country that has an increasing number of elderly, some with dementia and others with life threating illness, instead we die with a host of others; doctors, lawyers, priests and for the fortunate, with our families. We die attached to an inescapable number of institutional and societal requirements. As a result, death in the United States is complicated by a host of other parties including regulations, doctors, medical institutions but most importantly, our own kin. Thus, in America the process of dying for the individual does not occur in an autonomous vacuum. Though the medical world highly values patient autonomy, many times it is the family of the dying that creates more complicated of death in the modern world, as can be seen in the process of dying associated with physician-assisted suicide (PAS), dementia and how these processes may be related to cross-cultural familial relationships nearing …show more content…
Physician assisted suicide (PAS) has been legalized in three states, Oregon (1998), Washington, and Vermont while Do-Not-Resuscitate (DNR) orders and the ability to refuse live saving treatments are established legal practices. These practices all fall under the heading of advanced directives and are contained within a living will, dictating how one is to die if one cannot speak for themselves. In many ways, these legal rights can be considered the ultimate expression of patient autonomy and choice in when and how they die, providing greater certainty in the process. Proponents of the legalization of PAS have stated that it allows a “dignified” death for those who use it and prevents unnecessary pain and suffering caused by extensive life prolonging methods (ProCon.org). However, PAS is only an option for those who have been diagnosed with an illness that gives them no more than six months to live while clinical depression is an “exclusion criterion” for those whishing to end their lives (Toll et al. Oregoneans). Thus this separates those who desire a way out of due to physically unbearable pain and suffering and those who perhaps in addition have alternative psychological reasons for wanting
The controversial act known as the physician aid-in-dying (PAD) challenges us to question our ethical, religious, and cultural values or beliefs. Although it is tragic and perceived as morally inappropriate, suicide is sometimes the only answer. In certain cases this act is a way to end excruciating pain and suffering. The state of Oregon passed a law known as the Death with Dignity Act in 1994. PAD is defined as “a practice in which a physician provides a competent, terminally ill patient with a prescription for a lethal dose of medication, upon the patient's request, which the patient intends to use to end his or their own life” (Braddock, and Tonelli). PAD also raises the question, is it a constitutionally guaranteed right for people to have the power and the medicine to take their own life? PAD, if operating under careful supervision, is an alternative to patients who may have to endure physical, mental, and financial struggles. Doctor Peter Goodwin, a physician from Portland, Oregon campaigned for the Death with Dignity Act, which he called his greatest legacy. Goodwin became a terminally ill patient towards the end of his life. Doctor Goodwin was 83 years old when he took the very medicine that he campaigned so long for. Goodwin was diagnosed with a rare brain disorder, which he had been battling for 6 years prior to PAD.
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.
When considering “the four primary dimensions of care for those who are comping with dying,” both similarities and differences can be found between African-American cultural beliefs and what have been considered traditional American cultural beliefs when making end of life decisions. Although both cultures share a physical need to have their bodily needs met, they differ on how physical distress is viewed. American culture often wants to minimize the distress and discomfort felt as a way of coping. However, some cultures may ignore the natural desire to minimize discomfort (Corr, 2009). The African-American culture is one such culture. African-Americans who are making end of life decisions of...
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.
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
End-of-life care in the United States is often fraught with difficult decisions and borne with great expense. Americans are often uncomfortable discussing death and
the decision to end their lives often turn to their physicians for advice. However, studies indicate that many physicians are unwilling to provide their assistance in suicide because it conflicts with their ethical beliefs and because it is illegal. The legalization of PAS is a sensitive, yet complicated, topic which is becoming more and more popular with America’s aging population and the terminally ill patients. PAS is a social issue which is here to stay. The legalization of PAS is continually being debated all over the United States and offers a potential for abuse. In 1994, PAS laws of Washington and New York were challenged in federal court and declared unconstitutional. Physician assisted suicide should not be legalized in any state.
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 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.
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.
Oftentimes when one hears the term Physician Assisted Suicide (hereafter PAS) the words cruel and unethical come to mind. On October 27, 1997 Oregon passed the Death with Dignity Act, this act would allow terminally ill Oregon residents to end their lives through a voluntary self-administered dose of lethal medications that are prescribed by a physician (Death with Dignity Act) . This has become a vital, medical and social movement. Having a choice should mean that a terminally ill patient is entitled to the choice to pursue PAS. If people have the right to refuse lifesaving treatments, such as chemo and palliative care, then the choice of ending life with PAS should be a choice that is allowed.
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...
The concept of human mortality and how it is dealt with is dependent upon one’s society or culture. For it is the society that has great impact on the individual’s beliefs. Hence, it is also possible for other cultures to influence the people of a different culture on such comprehensions. The primary and traditional way men and women have made dying a less depressing and disturbing idea is though religion. Various religions offer the comforting conception of death as a begining for another life or perhaps a continuation for the former.