Death With Dignity Act Case Study

Within the past few years physician assisted suicide has been a major topic of debate. Assisted suicide is termed as suicide committed with aid from another individual, including a doctor. With the suicide term raising much concern, many people interchangeably use other terms. A few terms are death with dignity, physician assisted death or compassionate dying. Physician assisted death is implemented for those that are terminally ill and mentally capable adults that would prefer to shorten their dying process. The option of being able to get medical aid in dying only apply to certain states, and must pass through an election for that specific state. The first state to vote on the subject was Oregon and eventually passed in 1994 as the Death with Dignity Act (Jackson, 2008). There are now six states in the United States that has passed this act. The states that are allowing physician assisted death are District of Columbia, Oregon, Washington, Vermont, California and recently Colorado.

left alone by their doctors when the suffering becomes unbearable and use of the law is requested. “The most significant impact of the death with dignity law in Oregon has been to improve the care for all dying patients, by increasing awareness among doctors, allowing an open and honest conversation, improving pain management and palliative care, and providing patients with a sense of control and peace of mind.” Doctors are being aware of the causes and the good tis law really is, it is highly improving so many things dealing with life and health. A patient who is suffering intolerably needs the assistance from someone who will be there to help them in their end of life decision.

One famous case involving death with dignity was the death of Brittany Maynard. Brittany Maynard was a 29-year-old woman who was married and everything seemed to be going good until she was diagnosed with terminal brain cancer. She was diagnosed with grade 2 Astrocytoma, a brain cancer. She was hoping to have a chance to overcome this illness, but the cancer returned, only much worse than before. The diagnosis was grade 4 astrocytoma. Only given a few months to live, she and her family decided that death with dignity was the best option. Living in California, assisted suicide was not an option. So she moved to Oregon because death with dignity is legal there. She ended her life on November 1, 2014, next to family. This case was famous because

Brittany Maynard was one of the people to use the Death with Dignity Act in Organ and once said,“To have control of my own mind…to go with dignity is less terrifying. When I look at both options I have to die, I feel this is far more humane” (Sandeen, 2014). No matter what, we will all eventually die, but we should have the right to die as humanely as possible. The Death with Dignity Act is an end-of-life choice possibility for terminally ill patients to be given the freedom to decide for themselves what it means to die with dignity. This act allows them to die with dignity by providing them with lethal medications prescribed by a physician (The Oregon Department of Human Services, 2006). The Death with Dignity Act started to allow people with six months or less to live, the right to die in a manner and at the time of their own choosing. Also, even though modern medicine has benefited humanity greatly, it cannot completely resolve the suffering and distress that comes with the dying process, so Death with Dignity can provide a painless end-of-life choice for suffering individuals (Humphry, 2009). Although Death with Dignity is a controversial topic I feel it can be very beneficial especially since people go through a long process just to try to get the medication and the ones that get it really need it. I chose this topic because death always has been interesting to me and I one day hope to have a career

Support for the participation of physicians in the suicides of terminally ill patients is increasing. Much of the controversy surrounding physician-assisted suicide however focuses on the debate over whether the practice should be legalized. A woman suffering from cancer became the first person known to die under the law of physician-assisted suicide in March of 1998. In 1994, voters in Oregon approved a referendum called the Death with Dignity Act, which was enacted in 1997. This law allows patients who have been given six months or less to live that wish to hasten their deaths to obtain lethal doses of medication prescribed by two doctors. Between 1998 and 2000, ninety-six lethal prescriptions were written, and seventy patients took the

In the United States today, only several states legally recognize physician-assisted suicide as an option for families and terminally ill patients hoping to embrace a death with dignity. Although there is a growing movement to promote access to physician-assisted suicide, the topic is still widely regarded as taboo. As of 2016, the states of Washington, Oregon, Vermont, Colorado, New Jersey, and California are the only states to allow full and legal access to physician-assisted suicide. Alongside those states are Montana and New Mexico, which legally offer “aid in dying,” meaning the state allows for physicians to assist in alleviating the longevity of the dying process.

A woman suffering from 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 in March, 1998. The Oregon Death with Dignity Act passed a referendum in November, 1997, and it has been the United States ' only law legalizing assisted suicide since then. According to the New England Journal of Medicine, more than 4,000 doctors have approved of the assisted suicide law (cited in "The Anguish of Doctors,” 1996). The law allows terminally ill patients who have been given six months or less to live and wish to hasten their deaths to obtain medication prescribed by two doctors. The most important thing to notice is that this law does not include those who have been on a life support system nor does it include those who have not voluntarily asked physicians to help them commit suicide. The issue of doctor-assisted suicide has been the subject of the heated dispute in recent years. Many people worry that legalizing doctor assisted suicide is irrational and violates the life-saving tradition of medicine. However, physician-assisted suicide should be legalized because it offers terminally ill people an opportunity for a peaceful death and recognized the inadequacy of current medical practice to deal with death.

The Oregon Death with Dignity Act was put into effect on October 27, 1997. This act allowed physicians to prescribe to terminally ill patients a lethal dose of medication in order to hasten their death, even though euthanasia is prohibited in the United States. According to Katrina Hedberg, this act has been revised by Oregon legislature, but has still been brought to attention of the United States Supreme Court on raised questions of legality. In order to receive a prescription for the Death with Dignity Act, the patient must reside in Oregon, be a terminally ill adult, and should be expected to die within a six-month time frame. Along with these requirements, patients must be able to make their own healthcare decisions. Katrina Hedberg found that over the course of ten years, physicians had written 546 prescriptions and a total of 341 Oregon residents passed away after the lethal dose under this act. The medications that were prescribed during this time were secobarbital and pentobarbital, and most patients would pass away within an hour of taking pentobarbital. Many physicians have reported that patients who requested these prescriptions often had a loss of autonomy and a decrease in their ability to engage in activities that they enjoyed. The results showed that these factors had increased over the course of ten years. According to physicians, patient’s concerns of pain had also increased during this time. This is still very controversial, but findings have shown that

In 1997 Oregon arranged to enact the Death with Dignity Act. This act allows people who are residents of Oregon to end their own life through the voluntary self-administration o lethal medications, as prescribed by a medical professional who specifies in this area of healthcare. The Oregon Death with Dignity act requires that all physicians, patients and other professionals to submit patient information, data, and annual statistical reports to the Oregon Health Authority.

The Minnesota Compassionate Care Act of 2015 was introduced in the Minnesota Senate in 2015, with some expectation that it would be brought up for a vote during the 2016 legislative session. This proposed legislation would create a legal process for terminally ill patients to receive life ending medication from their physician, for the purpose of “Aid in Dying”. Passage of this bill would make Minnesota the seventh State to approve a Death With Dignity bill. Minnesota is not alone in introducing this type of legislation, this legislative season. As of March of 2015, “At least 17 states have introduced similar legislation” (Simons, 2015), and the Governor of California signed a similar bill into law earlier this year. As with any policy that addresses issues of life and death for patients, the legislative process for bills such as these are fraught with idealist contention. A thorough understanding of the actual legislation being proposed helps the public to make informed decisions regarding what they want their elected representatives to support.

I support Oregon’s Death with Dignity Act because it will allow the patient’s family to observe a peaceful, loving, and calm death with their last moments with their loved one. My mother had to watch my uncle suffer from his illness. It wasn’t comfortable for her because she had to watch him suffer and not being able to move by himself. He had lung cancer and he had the hardest time breathing. He never got the choice to request a lethal dose of medication unlike the patients in Oregon, Washington, and Vermont. Their family members don’t have to go through what my mother went through watching my uncle suffer. If he had a choice, I believe he would have taken the route to end his life with a pill. His death was not peaceful, loving, and calm at all from what my mom explained and that is how a death should be.

Oregon Death with Dignity, the predecessor organization, provided strategic and moral support, with staff leading countless conference calls and traveling across the country to meet with advocates in person. Many conversations and living-room meetings later, Patient Choices Vermont was born (“Four Years of…”). Patient Choices Vermont (PCV) is a non-profit organization dedicated to end-of-life choice. PCV worked for more than ten years to achieve enactment of the law entitled Patient Choice at End of Life (Act 39). PCV “educates Vermonters and the state's health care providers about end-of-life choices and works to ensure that all Vermonters have access to the rights established by the law” (“Patient Choices Vermont” …). Together, the political action committee, the national organizations, and the nonprofit all worked diligently, and with some help from political figures, the death with dignity bills were passed in both Vermont and

The U.S. Supreme Court upheld court decisions in Washington and New York states that criminalized physician-assisted suicide on July 26, 1997.12 They found that the Constitution did not provide any “right to die,” however, they allowed individual states to govern whether or not they would prohibit or permit physician-assisted suicide. Without much intervention from the states individuals have used their right to refuse medical treatment resulting in controversial passive forms of euthanasia being used by patients to die with dignity such as choosing not to be resuscitated, stopping medication, drinking, or eating, or turning off respirators.9

Here in the United States, the topic of assisted suicide as long being discussed and disputed many times especially when there is a high profile case in the news. According to (Sanburn, J 2015) throughout the late 1990s and early 2000s, the Death with Dignity National Center kept an office in Washington, D.C. For years, Republican lawmakers tried to pass legislation nullifying Oregon’s 1997 Death with Dignity Act, which allowed terminally ill patients to obtain life-ending medication. The legislation never made it out of the Senate, but it eventually passed in the Republican-controlled House, and the aid-in-dying organization felt compelled to keep pressure on Congress to stop the bill. Then came Terri Schiavo.

In 1994, Oregon voters passed the Oregon Death with Dignity Act, which exempted, “from civil or criminal liability physicians who, in compliance with specific safeguards, dispense or prescribe (but not administer) a lethal dose of drugs upon the request of the terminally ill patient.” Oregon, to this day, remains the only state within the Union to allow physician-assisted suicide. In 1997, the United States Supreme Court ruled in a landmark case that, although there was no constitutionally protected right to physician-assisted suicide, states have permitted to pass laws allowing it. Thus, the issue of euthanasia remains widely open to philosophical, political, legal, and ethical challenges.