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Recommended: Assisted death
Introduction The Canadian government passed legislation approving medical assistance in dying for those who are eligible in June 2016; this change has sparked much debate about the topic (The Government of Canada, 2018). One may ask: what is medical assistance in dying? In Canada this means that a physician or nurse practitioner, either directly or indirectly, through the use of drug administration aids a person to die (Government of Canada, 2018). This option is for those who are in a state of declining illness that cannot be treated successfully (Government of Canada, 2018). While there are many rules and regulations outlining medical assistance in dying, one eligibility criteria is of particular interest. Informed consent must be provided …show more content…
In the example provided, a patient may not have the option of being involved in the decision making process, however, in the case of medically assisted death, in the initial stages at least, a patient would be in charge of their own destiny after careful consideration that this act would not be unreasonable in their situation (McKormick & Min, …show more content…
This criteria also applies to the ‘proportionality between good and bad’ subsection of the principle of double effect (McKormick & Min, 2013). Is assisted death more morally wrong than intense suffering? Does the good outcome outweigh the negative outcome? Some Canadians are saying no and opting for medically assisted death; notably, a condition must be irreversible and in declination to be considered grievous (Government of Canada, 2018). If an individual was deemed eligible prior to their mental health declining and they had specific instructions in place in an advanced care plan, in theory, it would likely not be evil or morally unreasonable to carry out their wishes since there is only a possibility of further decline; ultimately this would meet the condition of the agent’s intention in that they want only good for the patient (McKormick & Min,
Braddock, Clarence, and Mark Tonelli. "Physician Aid-in-Dying: Ethical Topic in Medicine." Ethics in Medicine. University of Washington, 2009. Web. 3 March 2015.
Physician-assisted suicide (PAS) is a topic, which proponents often support by the affirmation of patient free will or as the exercise of patient autonomy. The purpose of this paper is to examine this argument further from an inter-disciplinary approach, regarding PAS from medical, ethical and legal standpoints and to examine the concept of free will from the philosophical discipline. Are these concepts compatible in a meaningful context and can a sound argument be constructed to support PAS on the basis of patient free will?
"This is a very special day for me. It's the day of my release, the
...for an aid-in-dying drug, shall submit two oral requests, a minimum of 15 days apart, and a written request to his or her attending physician. The attending physician shall directly, and not through a designee, receive all three requests required pursuant to this section. Some people will struggle with conflicting ethical theories such as the Divine Command Theory which states that the morally right action is the one that God commands. Or others may struggle with their view of Natural Law which states the morally right action is the one that follows the dictates of nature. These are all valid and acceptable ethical standpoints, however, no one knows what they would do being faced with a short determined future of pain and decline. Ethical Egoism is the one theory a true decision would come down to, what’s the best action that provides one with the best self-interest.
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
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.
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
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.
While navigating the abundant and sometimes confusing legal language of advance directives can be time consuming, it would benefit every person to consider their end of life wishes and have some form of written statement available for their doctor and family to understand those wishes. Doing this in advance can prevent emotional anguish, suffering and expensive litigation. In the end, clearly and when possible, written, documentation of a medical directive, a living will, or a chosen health care power of attorney will lessen the burden for the medical professionals and family of a dying or incapacitated person.
One of the many concerns is allowing incompetent individuals making this irreversible decision, which is why, “all have agreed that this end-of-life option should apply on to competent individual’s”(113). In addition, people opposed to this method argue that patients demanding this process are suffering from depression and not able to make decisions; yet, Rosenfled explains that practitioners most ensure that patients who consent to this medical intervention do it voluntarily, knowingly and
Another reason a patient may opt to euthanasia is to die with dignity. The patient, fully aware of the state he or she is in, should be able choose to die in all their senses as opposed to through natural course. A patient with an enlarged brain tumor can choose to die respectively, instead of attempting a risky surgery that could leave the patient in a worse condition then before the operation, possibly brain-dead. Or a patient with early signs of Dementia or Alzheimer’s disease may wish to be granted euthanization before their disease progresses and causes detrimental loss of sentimental memories. Ultimately it should be the patient’s choice to undergo a risky surgery or bite the bullet, and laws prohibiting euthanasia should not limit the patient’s options.
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
As patients come closer to the end of their lives, certain organs stop performing as well as they use to. People are unable to do simple tasks like putting on clothes, going to the restroom without assistance, eat on our own, and sometimes even breathe without the help of a machine. Needing to depend on someone for everything suddenly brings feelings of helplessness much like an infant feels. It is easy to see why some patients with terminal illnesses would seek any type of relief from this hardship, even if that relief is suicide. Euthanasia or assisted suicide is where a physician would give a patient an aid in dying. “Assisted suicide is a controversial medical and ethical issue based on the question of whether, in certain situations, Medical practioners should be allowed to help patients actively determine the time and circumstances of their death” (Lee). “Arguments for and against assisted suicide (sometimes called the “right to die” debate) are complicated by the fact that they come from very many different points of view: medical issues, ethical issues, legal issues, religious issues, and social issues all play a part in shaping people’s opinions on the subject” (Lee). Euthanasia should not be legalized because it is considered murder, it goes against physicians’ Hippocratic Oath, violates the Controlled
... Association. 1998. “Euthanasia and Assisted Suicide.” Canadian Medical Association Board of Directors. Retrieved from http://www.cma.ca/index.php/ci_id/3214/la_id/1.htm on October 16th, 2010.
Should a patient have the right to ask for a physician’s help to end his or her life? This question has raised great controversy for many years. The legalization of physician assisted suicide or active euthanasia is a complex issue and both sides have strong arguments. Supporters of active euthanasia often argue that active euthanasia is a good death, painless, quick, and ultimately is the patient’s choice. While it is understandable, though heart-rending, why a patient that is in severe pain and suffering that is incurable would choose euthanasia, it still does not outweigh the potential negative effects that the legalization of euthanasia may have. Active euthanasia should not be legalized because