Palliative Care Issues

Abstract: This paper discusses the medical ethics of Physician Assisted Suicide (PAS). Focusing on the ideas of legal vs illegal, the different views of PAS will both be addressed. While active euthanasia is illegal, passive euthanasia, or allowing natural death, is completely legal everywhere. PAS will help patients end suffering for themselves at the end of their lives, as well as the family's. The price of the drug may be expensive but the price of medical treatments continues to rise. The Hippocratic Oath does not support the aid in ending a life, however it has been changed in the past. Many citizens are afraid that is PAS was considered legal, it would grow into something even more illegal being debated. Also, the religious aspect of the end of life had conflicting views as some believe PAS is ending suffering, a good deed, and other believe PAS is not respecting a human life. PAS is only legal in seven states but has gained the attention of many others and other places around the world.

Physician assisted suicide or PAS is a controversial topic in the world today. But the important question is, should physician assisted suicides be allowed in cases such as: the patient’s suffering is far too great and there is no chance of them getting better? This is a highly debated issue, that has activist groups on both sides fighting for what they think is the right thing to do. Physician assisted suicides can stop the excruciating pain a patient is in, especially if there is nothing that can be done to stop the pain. Or it can be done for a patient that fully understands that there is nothing that can be done to save their life, so as not to put their loved ones into financial hardship. In this

Thesis Statement: Physician Assisted Suicide should be a matter of free will and not just law.

Physician-assisted suicide is controversial in healthcare and political realms alike. Currently, this end-of-life option is practiced in five states within the United States. Social concerns regarding assisted suicide revolve around ethical quandaries; providing the means to a patient’s death is contradictory to ethical principles of healthcare providers. Political concerns surrounding the legalization of assisted suicide include disparities in healthcare that may lead to certain populations choosing assisted suicide and the stagnation of current care options. While there is no succinct manner in which to declare assisted suicide right or wrong, each individual must address the social and political concerns surrounding the issue when voting for legislation to legalize assisted suicide or pursuing the option for themselves.

Physician-assisted suicide and voluntary euthanasia is still under scrutiny for a number of reasons. “In spring, 1996, the Ninth and Second Circuits were the first circuit courts in the country to find a constitutional prohibition against laws which make physician-assisted suicide a crime” (Martyn & Bourguignon, 1997). New York was one of the states that followed this prohibition. Eventually, The Ninth and Second Circuit, “allow physician-assisted suicide while attempting to protect individuals from unacceptable harms, such as involuntary euthanasia” (Martyn & Bourguignon, 1997). An assumption can be made, that euthanasia involves a licensed physician to play an active role in this partaking, and it’s where the patient prepares to die at.

Physician-assisted suicide is arguably one of the most controversial issues of the twenty-first century. Anyone can kill themselves, but what happens when one is not capable of physically doing so and at the same exact time is also terminally ill. When is it okay for a physician to use their medical expertise, and oblige with a incurably patient; to agree that one’s life is worth ending. Where is the line drawn? Legally, physician-assisted suicide is a criminal offense; you are after all killing another human. Morally, is it okay to watch someone die in agonizing pain and stand-by because God told us all too. This essay will explore and analyze the legal aspect of physician-assisted suicide, what does the law say. As well as, the moral implications of physician-assisted suicide, it is ever okay, and the consequences it will have on our society.

Physician Assisted Suicide (PAS) has grown into quite a contentious topic over the years. According to Breitbart and Rosenfeld (1), physician-assisted suicide can be defined as “a physician providing medications or advice to enable the patient to end his or her own life.” One may find many articles that are written by physicians, pharmacists, patients, and family of patients who receive PAS; from there, it is possible to gain a better understanding of what PAS is and how it has become a rising issue in the United States. For readers who have not heard about PAS and what it entails, it is important to understand that this is a debatable topic that should be approached lightly and non-aggressively in the United States when factors such as offering terminally ill patients the right to end their suffering, the likelihood of overall healthcare cost to decrease, and the comparison of palliative care to physician-assisted suicide are examined.

Over the years since the first approval of physician assisted suicide, the opposition has challenged this ruling, but in stance to find common ground, the Washington State Medical Association created 13 panel physicians and of Life task force with a sole purpose to find that common ground. According to the article Finding Common Ground, “By putting both issues on the table-but not insisting they are causally linked-physicians came together to talk over a range of urgent clinical concerns and search for common ground” (Back, Colley, & McGough, 1997). The future depends on finding that common ground, though it will not be an easy path forward, the notion of physician assisted suicide will still present a challenging fight.

Physician-assisted suicide is one of the most controversial topics in the United States and other parts of the world today. Assisted death allows mentally proficient, terminally-ill adult patients to request access to life-ending medication from their physician. This type of assisted death is promoted by organizations such as the Death with Dignity National Center, who advocate for countrywide advances in end-of-life care and extended options for individuals near death. Although there are various arguments that state it is both immoral and unethical, physician-assisted suicide is a viable and honorable method to provide end-of-life options to the terminally-ill and to provide better support, relief, and comfort to dying patients. This topic

The United States is a nation founded on freedoms and liberties, giving each citizen the ability to make their own life decisions. This freedom includes all aspects of one’s life, including medical care. With freedom comes responsibility, and this is true in terms of physician-assisted suicide. The ongoing struggle between those in favor and those opposed to this subject has ravaged the medical field, bringing into question what is morally and ethically right. The fact of the matter is that physician-assisted suicide is neither morally nor ethically acceptable under any circumstance. Not only is it a direct violation of a doctor’s Hippocratic Oath, but it is not constitutionally binding. Physician-assisted suicide would also lead to

The process of assisted suicide, or physician-assisted death, is a hotly debated topic that still remains at the forefront of many national discussions today. Assisted suicide can be described as the suicide of patient by a physician-prescribed dose of legal drugs. The reason that this topic is so widely debated is that it infringes on several moral and religious values that many people in the United States have. But, regardless of the way that people feel, a person’s right to live is guaranteed to them in the United States Constitution, and this should extend to the right to end their own life as well. The reasons that assisted suicide should be legalized in all states is because it can ease not only the suffering of the individual, but the financial burden on the family that is supporting him/her. Regardless of opposing claims, assisted suicide should be an option for all terminally ill patients.

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

In the United States today, there is a considerable amount of debate of whether or not physician-assisted suicide should be legalized. Many oppose physician-assisted suicide because they view it to be morally and ethically wrong. Similarly, many support the legalization of physician-assisted suicide because they believe human beings have the right to determine when and how they die. Personally, I believe human beings have the right to determine when they die and that the government should not keep individuals who are in extreme pain and only have a few months to live from ending their life with dignity. Through this paper, I am going to explore the many sides of physician-assisted suicide.

Today we are face with death in a different setting then our ancestors, instead of dying at a younger age and dying in our home with our families, people are now dying at a hospital or in a medical setting. We are living longer because of the advances in medicine, this is causing us to develop diseases that our ancestors never had to face. Our ancestors did not live long enough to develop some of the diseases we face today. As Jones (2011) provides, “we don’t just die of different diseases then our ancestors, we also die in different circumstances” (p. 302). The changes in circumstances have caused us to reevaluate what is believed to be ethical when faced with dying. There are many medical options a terminal ill or elderly patient that is dying can choose from, however there is great debate whether some of these options are ethical.

Most adults diagnosed with cancer undergo years of treatment in attempts to cure that cancer. However, sometimes these treatments may not work, or the cancer is found too late in a patient to be stopped, and a patient’s cancer can be determined terminal, which means that the cancer can not be cured and will lead to death. If cancer is determined terminal, end-of-life care can be administered patients to control lasting pains, including shortness of breath, nausea, and constipation. However, this treatment does not cure the cancer, and will not prevent death in a terminally ill cancer patient. In some cases, patients decide that receiving end-of-life treatment is not worth it if the treatment does not prevent death. Terminally ill cancer patients may also continue to experience unbearable suffering, despite end-of-life treatments, as it is not always effective. These factors may push some terminally ill cancer patients to request to be actively euthanized. Active euthanasia is the merciful ending of a patient’s life through a single act, such as an injection. Terminally ill cancer patients should have the right to determine if they are actively euthanized. However, only patients who consider their suffering unbearable should have the right to be euthanized.