A new survey published in the April 23 New England Journal of Medicine finds that few doctors have ever assisted a patient's suicide -- but that over a third would do so if the practice were legalized.
"This is really not happening very often," says survey co-author Dr. Diane Meier of New York's Mount Sinai School of Medicine. "That's the most important finding. It's a rare event" [Associated Press, 4/23/98].
The survey was based on a questionnaire sent in 1996 to 3,102 physicians under the age of 65; 1,902 doctors responded anonymously. In all, 11% of respondents said they had ever received a request for a lethal injection (euthanasia) and 18% said they had been asked for a prescription for an overdose of pills to end life (assisted suicide). Five percent said they had ever given such an injection, while 3 % had written a lethal prescription; since some doctors had done both, the cumulative total of doctors who had ever helped deliberately end a patient's life was 6%. While most of those who engaged in such behavior had done so only once or twice, one doctor claimed to have written 25 prescriptions and given 150 lethal injections.
While responses were confidential and untraceable, the authors note that the survey may underreport these practices. On the other hand, the surveys were deliberately sent to doctors in ten specialties identified in previous surveys as "those in which physicians are likely to receive requests from patients for assistance in hastening death" [New England J. of Medicine, 4/23/98, p. 1193]. Thus the survey may overestimate the percentage of all U.S. physicians who have assisted suicides or performed euthanasia. The survey found that these practices are most common on the West coast, where one state, Oregon, voted to legalize assisted suicide in 1994 [p. 4].
Earlier surveys, usually confined to a particular state or region, had produced higher estimates for the frequency of assisted suicide or euthanasia [e.g., "1 in 5 Doctors Say They Assisted a Patient's Death, Survey Finds," Boston Globe, 2/28/92]. The new survey differed from these in having its questions tested beforehand with focus groups of physicians, to minimize confusion between these practices and medical actions which may indirectly or unintentionally hasten death.
Noting that 36% of doctors in the survey said they might assist suicides if the practice were legal, the Hemlock Society declared that the results support its position favoring legalization.
In short, euthanasia asks questions that cannot be answered from the perspective of medicine alone. The inappropriateness between assisting voluntary death and the professional ethos of physicians may mean that physicians should not assist death, except it does not necessarily settle the argument of whether anyone ever should. Acceptance for palliative care seems to be growing, but support of assisted suicide is growing also, because end of life issues are kept in the public eye. Additional empirical analysis of this situation is important. Furthermore, this debate could continue to yield insights into the issues around suffering at the end of life.
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
The purpose of this article was to inform readers of the thoughts and feelings of patients, families, and physicians. This article informs others of what is really in the thoughts of people going through physician assisted suicide. The audience can be anyone from other physicians to patients and families or anyone who wants to read about this topic. This article can help explain why physician assisted suicide has more positive than negatives. It helps to explain the thought process and feelings of someone who had to really consider this as an option.
no voice of his own, but all accounts affirm to the reader that he is
Let's mention a known name in the euthanasia field, Dr. Jack Kevorkian. If this name sounds unfamiliar, then you have been one of the lucky few people to have been living in a cave for the last nine years. Dr. Kevorkian is considered to some as a patriarch, here to serve mankind. Yet others consider him to be an evil villain, a devil's advocate so to speak. Physician assisted suicide has not mentioned in the news recently. But just as you are reading this paper and I'm typing, it's happening. This hyperlink will take you to a web page that depicts in depth how many people Dr. Kevorkian has assisted in taking their lives.
The ongoing controversy about Physician assisted suicides is an ongoing battle among physicians, patients and court systems. The question of whether or not individuals have the “right” to choose death over suffering in their final days or hours of life continues to be contested. On one side you have the physicians and the Hippocratic Oath they took to save lives; on the other you have the patients’ right to make life choices, even if that means to choose death to end suffering. The ultimate question “is it ethical for a physician to agree to assisted suicides and is it ethical for a patient to request assisted suicide?
Did you know, about 57% of physicians today have received a request for physician assisted suicide due to suffering from a terminally ill patient. Suffering has always been a part of human existence, and these requests have been occurring since medicine has been around. Moreover, there are two principles that all organized medicine agree upon. The first one is physicians have a responsibility to relieve pain and suffering of dying patients in their care. The second one is physicians must respect patients’ competent decisions to decline life-sustaining treatment. Basically, these principles state the patients over the age of 18 that are mentally stable have the right to choose to end their life if they are suffering from pain. As of right now, Oregon, Washington, and Vermont have legalized physician assisted suicide through legislation. Montana has legalized it via court ruling. The first Death with Dignity Act (DWDA) became effective in Oregon in 1997. Washington and Vermont later passed this act in 2009, and Montana passed the Rights of the Terminally Ill Act in 2008. One concern with physician assisted suicide is confusion of the patient’s wishes. To get rid of any confusion and provide evidence in case someone becomes terminally ill, people should make an advanced care plan. The two main lethal drugs that are used during physician assisted suicide are secobarbital and pentobarbital. Appropriate reporting is necessary when distributing these drugs and performing the suicide in order to publish an analysis. Studies found a large number of people accepted this procedure under certain circumstances; therefore, physician assisted suicide should be legal in the United States because terminally ill patients over the age of 18 that are...
The idea of Physician-Assisted suicide is one that carries many misconceptions and comes with much opposition. Of these opponents, many are doctors and nurses. This opposition is deeply rooted in the belief that the practice of medicine is one that has the sole purpose to increase the quality of life for people and to prolong life. These beliefs are rooted in the Hippocratic Oath, an Oath that all doctors promise to uphold. The Hippocratic Oath proclaims that “I will give no deadly medicine to anyone if asked, nor suggest any such counsel” ("The End of Life: Ethical Considerations"). This Oath is a major reason for many nurses and doctors opposing the practice; however, it is not the only source for opposition. In addition to the Hippocratic...
There are only three states that allow physician-assisted suicide: Washington, Oregon, and Montana. Oregon became the first by enacting the Death with Dignity Act which allows terminally-ill patients to end their lives through the voluntary self-administration of lethal medications, expressly prescribed by a physician for that purpose. (Oregon.gov) In November of 2008 Washington became the second and in December of the same year Montana agreed and became the third. A poll was given to Oregon physicians in 1999, nurses, and social workers in 2001. The majority of physicians 51% supported the death with dignity act, 48% of nurses were in favor, and 72% of social workers were in support. (Miller) These polls clearly show that the majority of voters are in support of Physician assisted suicide.
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.
Death remains as one of the greatest mysteries today. Even though dying is a natural part of existence, American culture is unique in the extent to which death is viewed as a taboo topic. Rather than having open discussions, we tend to view death as a feared enemy that can and should be defeated by modern medicine and machines. Many people fear their end of life care, dying, and what will come after death. Society has become institutionalized, therefore most people die in a place with many health professionals. One main controversy over the last few decades are whether or not people should be able to choose when they die with assistance from a physician. Physician assisted suicide is the voluntary termination of one's own life by administration of a lethal substance with the direct or indirect assistance of a physician. Physician-assisted suicide is the practice of providing a competent patient with a prescription for medication for the patient to use with the primary intention of ending his or her own life. There are some people that are strong advocates and others that do not agree at all.
Although widely condoned around the world, only one nation, the Netherlands has made physician assisted suicide legal. Five states tried Washington in 1991, California in 1992, Michigan in 1998,and main in 2000, Oregon in 1994 approved the “Death with Dignity Act” it won 51 percent to 49 percent. 91 people committed suicide with the aid of a physician in the first four years the law was in effect.
"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
Euthanasia and assisted suicide is a rising controversial problem in the world. Many people are against the idea of helping someone 'kill themselves'. This is a problem because many people who have had fatal incidents and are left with chronic conditions live everyday in pain, mental suffering, and emotional suffering. Euthanasia and assited sucide is to help someone who no longer wants to live, pass on. A poll taken by CBS News asked respondents if they thought "a doctor should be allowed to assist the person in taking their own life" who "has a disease that will ultimately destroy their mind or body and they want to take their own life." About 56 percent of Americans said yes and 37 percent said no. This close tie of public opinion has been continuous throughout many years, but euthanasia and assisted sucide has not been legalized in the United States.