Medical science, beginning in the last half of the twentieth century, began to achieve the remarkable ability to prolong life. In most cases, this is beneficial; however, in regards to prolonging the dying process, sometimes indefinitely, this is frequently viewed by patients and their families as cruel, rather than life-giving, and they petition the courts for the right to die. Despite the legitimacy of this position, a variety of forces have repeatedly endeavored to limit the rights of individuals in shaping the dying process for themselves and their loved ones. This is a particularly problematic area for health professionals and the following examination of the issues that this entails demonstrates that the most ethical position for society is to respect the autonomy and decisions of individuals.
To die of cancer is frequently a drawn-out process. Terminal patients are frequently in tremendous pain despite the use of opiates. It seems perfectly logical to many people that individuals who wish to forego such torture, when they know that this inevitable, should be allowed to painlessly end their lives rather than suffer a slow, painful death. Yet, there are those who disagree. Stein (2004) reports that before stepping down as the country's Attorney General, John Ashcroft asked the US Supreme Court to overrule the nation's only assisted-suicide law. A previously held lower court ruling held that the federal government did not have the power to punish Oregon doctors who legally prescribed lethal doses of federally approved drugs (Stein, 2004). Oregon's Death With Dignity Act allows patients who have been diagnosed with less than six months to live to request such a lethal dose if their diagnosis has been confirmed by two do...
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...out, this objection can be overcome through the institution of strict guidelines, such as were instituted in Oregon in accordance with their physician-assisted euthanasia law.
Works Cited
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Harris, J. "Consent and End of Life Decisions." Journal of Medical Ethics 29.1 (2003): 10. Web. .
Singer, P. "Freedom and the Right to Die." Free Inquiry 22.2 (2002). Web. .
Stein, L. “ Right to Die”. U.S. News & World Report 18.137 (2004, November 22) Print.
Sunstein, Cass R. "The Right to Die." Yale Law Review (1997): 1123-163. Web. .
As a result, life-sustaining procedures such as ventilators, feeding tubes, and treatments for infectious and terminal diseases are developing. While these life-sustaining methods have positively influenced modern medicine, they also inadvertently cause terminal patients extensive pain and suffering. Previous to the development of life-sustaining procedures, many people died in the care of their own home, however, today the majority of Americans take their last breath lying in a hospital bed. As the advancement of modern medicine continues, physicians and patients are going to encounter life-altering trials and tribulations. Arguably, the most controversial debate in modern medicine is the discussion of the ethical choice for physician-assisted suicide.
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.
However, the framework in practice is very complex, and has various inconsistencies, such as the legality of refusing treatment, the sovereignty of a living will and the issue of prosecuting those who assist someone to end their lives. There is evidence that shows doctors using palliative sedation as a means to facilitate death in patients that are in extreme pain and the use of limiting or even stopping treatment at the patient’s request is not uncommon. The difficulties of putting the law into practice make it extremely difficult for courts, legislators and doctors to reach clear decisions on individual cases. Therefore, the inconsistencies in the legal framework need to be addressed, as with these present the argument against legalising the right to die is weakened. Legalising assisted dying would simplify the framework and ensure that set barriers and safeguards could be created in order to protect the patient and his/her
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.
Markoff, Steven. “State by-State Guide to Physician Assisted Suicide” ProCon.org. 13 December 2013, 30 March 2014.
Only people who have witnessed or experienced a terminal illness know how much it impacts a person’s life and their families. According to the Cancer Facts and Figures, in 2015, there was an estimate of 1,658,370 people who were diagnosed with cancer and 589,430 of those diagnosed with cancer had died (American Cancer Society). Medication evolves every day, yet there is little to do for cancer patients. They can go through various treatments, such as chemotherapy and radiation therapy, however some patients these treatments are unbearable. In four states, physician assisted suicide is legal, many other states are debating on the issue at hand. States that have not legalized assisted suicide is due to it being considered murder and can result in imprisonment and doctor license revoked. There has been recent debates involving whether or not physician assisted suicide should be legalized because it is considered murder. Legalizing assisted suicide does not only provide an option to terminally ill patients, but gives others an option. Although some argue that physician assisted suicide should not be legalized, proponents argue that physician assisted suicide should allow options for the patients that are not suffering.
"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
Critics to the idea of providing dying patients with lethal doses, fear that people will use this type those and kill others, “lack of supervision over the use of lethal drugs…risk that the drugs might be used for some other purpose”(Young 45). Young explains that another debate that has been going on within this issue is the distinction between killings patients and allowing them die. What people don’t understand is that it is not considered killing a patient if it’s the option they wished for. “If a dying patient requests help with dying because… he is … in intolerable burden, he should be benefited by a physician assisting him to die”(Young 119). Patients who are suffering from diseases that have no cure should be given the option to decide the timing and manner of their own death. Young explains that patients who are unlikely to benefit from the discovery of a cure, or with incurable medical conditions are individuals who should have access to either euthanasia or assisted suicide. Advocates agreeing to this method do understand that choosing death is a very serious matter, which is why it should not be settled in a moment. Therefore, if a patient and physician agree that a life must end and it has been discussed, and agreed, young concludes, “ if a patient asks his physician to end his life, that constitutes a request for
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
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 ethical debate regarding euthanasia dates back to ancient Greece and Rome. It was the Hippocratic School (c. 400B.C.) that eliminated the practice of euthanasia and assisted suicide from medical practice. Euthanasia in itself raises many ethical dilemmas – such as, is it ethical for a doctor to assist a terminally ill patient in ending his life? Under what circumstances, if any, is euthanasia considered ethically appropriate for a doctor? More so, euthanasia raises the argument of the different ideas that people have about the value of the human experience.
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.
Urofsky, Melvin I. Lethal Judgments: Assisted Suicide and American Law. Lawrence: University Press of Kansas, 2000. Print.
Throughout the course of history, death and suffering have been a prominent topic of discussion among people everywhere. Scientists are constantly looking for ways to alleviate and/or cure the pain that comes with the process of dying. Treatments typically focus on pain management and quality of life, and include medication and various types of therapy. When traditional treatments are not able to eliminate pain and suffering or the promise of healing, patients will often consider euthanasia or assisted suicide. Assisted suicide occurs when a person is terminally ill and believes that their life is not worth living anymore. As a result of these thoughts and feelings, a physician or other person is enlisted to “assist” the patient in committing suicide. Typically this is done by administering a lethal overdose of a narcotic, antidepressant or sedative, or by combining drugs to create an adverse reaction and hasten the death of the sick patient. Though many people believe that assisted suicide is a quick and honorable way to end the sufferings of a person with a severe illness, it is, in fact, morally wrong. Assisted suicide is unethical because it takes away the value of a human life, it is murder, and it opens the door for coercion of the elderly and terminally ill to seek an untimely and premature death. Despite the common people’s beliefs, assisted suicide is wrong and shouldn’t be legalized.