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Physician assisted suicide, the right to choose
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Is the role of a medical professional to ensure the health and comfort of their patients, or to help them end their lives? Since Dr. Kevorkian assisted in the suicide of Janet Adkins in 1990, physician-assisted suicide (PAS) has been one of the most controversial issues in the medical field today. While some view it as an individual right, others view it as an unethical issue that goes against medical ethics and religious values. Mr. H. M. is an elderly man who is diagnosed with terminal lung cancer and no chance of improvement. After excruciating pain and suffering, he has decided to request physician-assisted death in his home state of Oregon. Oregon’s Death with Dignity Act (DDA) states that terminally ill patients are allowed to use lethal medications prescribed by the physician to terminate their lives.3 There is a renowned tradition in medicine that health-care professionals must do everything in their power to keep a patient alive, thus making PAS inconsistent with the responsibility of doctors as healers. Although physician-assisted suicide is proposed as a means toward a more gentle and humane way of dying, it threatens the foundation of the medical profession’s ethical integrity.
Assisted suicide is when the physician provides a competent patient with lethal drugs or some other medical means while aware the patient is contemplating suicide. Unlike euthanasia, it is the patient that ultimately determines the outcome of the medicine.6 Many confuse assisted suicide with palliative treatment that may accelerate a patient’s death, also known as the double effect. However, palliative treatment is used to strictly alleviate a patient’s pain and suffering, not to end the patient’s life. Death is only a possible side effect of ...
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Physician-assisted suicide will damage the fundamental values of our medical profession today. There are many aspects of PAS that validate it is an unethical and murderous act. Every one should determine the value of his or her life, but someone of greater power, not the doctor, should determine death. Physician-assisted suicide will always be a moral and ethical dilemma in the health care world, but death should be as natural as birth. All religions and cultures disagree with the practice of suicide. Legalizing it now would only contradict years of tradition and laws that the medical profession worked hard to maintain. With the advanced expertise in the medical profession today, along with comforting health-care professionals, spiritual counseling, and pain relief, there is no reason a patient should have to die before God has made that decision.
The discussion of physician-assisted suicide is frequently focused around the ethical implications. The confusion commonly surfaces from the simple question, what is physician-assisted suicide? Physician-assisted suicide can be defined as a circumstance in which a medical physician provides a lethal dose of medication to a patient with a fatal illness. In this case, the patient has given consent, as well as direction, to the physician to ethically aid in their death (Introduction to Physician-Assisted Suicide: At Issue,
Imagine a family member being extremely ill and suffering from day to day. When they decide they cannot take the pain any more, would you want them to pull through for you or would you fulfill their dying wish and let the doctor pull the plug? Could you even make a decision? Many people would not allow such an event to happen because with all the pain and confusion the patient is enduring may cause confusion and suicidal tendencies. However, there are people who believe otherwise. This is called physician-assisted suicide. Physician-assisted suicide (PAS) is a controversial topic that causes much debate. Though it is only legal in the three states Oregon, Washington and Montana, there are many people who are for it and think it can be necessary. Even with morals put aside, Physician-assisted suicide should be illegal because it will be a huge violation of the oath every doctor must abide by, there would be no real way to distinguish between people who are suffering and the people who are faking or depressed, and it causes a lot of confusion to people with new diseases or new strands of disease that does not have a clear cure.
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.
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....
In the medical field, there has always been the question raised, “What is ethical?” There is a growing conflict between two important principles: autonomy and death being considered a medical treatment. Physician assisted suicide is defined as help from a medical professional,
Throughout the course of history, advances in medical technology have prolonged the length of life and delayed death; however, terminal illnesses still exist and modern medicine is often unable to prevent death. Many people turn to a procedure known as Physician-Assisted suicide, a process by which a doctor aids in ending a terminally ill patient’s life. This procedure is painless and effective, allowing patients to control their death and alleviate unnecessary suffering. In spite of these benefits, Physician-Assisted suicide is illegal in many places both nationally and internationally. Despite the fact that Physician-Assisted suicide is opposed by many Americans and much of the world on ethical and moral grounds such as those based on religion and the morality of taking another life, it should still be legalized because it alleviates suffering of patients, allows patients to choose a dignified death, and allows patients to control their own fate instead of their disease controlling them.
Terminally ill patients should have the legal option of physician-assisted suicide. Terminally ill patients deserve the right to control their own death. Legalizing assisted suicide would relive families of the burdens of caring for a terminally ill relative. Doctors should not be prosecuted for assisting in the suicide of a terminally ill patient. We as a society must protect life, but we must also recognize the right to a humane death. When a person is near death, in unbearable pain, they have the right to ask a physician to assist in ending their lives.
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 legalization of assisted suicide has been a controversial topic that has created a divide within the medical community, as well as the general public, for many years. Assisted suicide occurs when a patient decides to take their own life, with help from their doctor. The doctor can end the patient’s life without causing any additional pain or suffering. While some believe that assisted suicide should be legal for patients who are suffering from a terminal and painful condition, others argue that it is unethical and going against the doctor’s oath to help and not harm their patients. As the average life expectancy age increases, people are living longer while also having to live with more serious illnesses. As a result, lives are ending with a great amount of suffering and pain, rather then dying peacefully. Since death is ultimately inevitable, I will therefore argue in favor of the proposition that assisted suicide should be legal for those capable of making a rationale end of life decision.
As one can see, physician-assisted suicide has a long and complicated history. Recent developments in the United States have brought the issues associated with end-of-life decisions under the microscope. The morality and ethics associated with voluntarily assisting someone while committing suicide have struck a chord with individuals, organizations, and in the political and medicinal sectors. The Hippocratic Oath and Pharmaceutical Oath have become subject to scrutiny with the gaining popularity and legalization of terminally ill patients seeking dignity in death. Increasingly, people are supporting the tough decisions made by patients.
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.
Assisted suicide brings up one of the biggest moral debates currently circulating in America. Physician assisted suicide allows a patient to be informed, including counseling about and prescribing lethal doses of drugs, and allowed to decide, with the help of a doctor, to commit suicide. There are so many questions about assisted suicide and no clear answers. Should assisted suicide be allowed only for the terminally ill, or for everyone? What does it actually mean to assist in a suicide? What will the consequences of legalizing assisted suicide be? What protection will there be to protect innocent people? Is it (morally) right or wrong? Those who are considered “pro-death”, believe that being able to choose how one dies is one’s own right.
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
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