Physician Assisted Suicide; A Viable End-of-life Directive

Physician assisted suicide was brought to mainstream attention in the 1990’s due to Dr. Kevorkian’s “suicide machine," who claims to have assisted over 100 suicide deaths of terminally ill patients with Alzheimer’s disease (Dickinson, p. 8). In the early 1990’s, for the first time in United States history the issue was brought to the voting polls in California, Washington, and Oregon (Dickinson, p. 9). The bill was passed in Oregon; legally allowing physicians to facilitate death of the terminally ill, but voters fails to pass the bill in Washington and California (Dickinson, p. 9). In 2008 voters in Washington State passed the Washington Death with Dignity Act (Dickinson, p. 277). Today

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

Finley, Ilora. “Personal View – Ilora Finley.” The Economist. 22 June 2015. Web. 21 Nov 2016.

1. (problem – PAS): In today’s society, Physician Assisted Suicide is one of the most questionable and debatable issues. Many people feel that it is wrong for people to ask their doctor to help them end their life; while others feel it is their right to choose between the right to life and the right to death. “Suffering has always been a part of human existence.” (PAS) “Physicians have no similar duty to provide actions, such as assistance in suicide, simply because they have been requested by patients. In deciding how to respond to patients ' requests, physicians should use their judgment about the medical appropriateness of the request.” (Bernat, JL) Physician Assisted Suicide differs from withholding or discontinuing medical treatment, it consists of doctors providing a competent patient with a prescription for medication to aid in the use to end their life.

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.

Physician-assisted suicide is a controversial subject all around the world. Although it is legal in some countries and states, such as the Netherlands, Luxembourg, Switzerland, Oregon, Montana, Washington, and Vermont it is not yet legal in most (Finlay, 2011). People travel from all around the world to these locations to receive information. Physician-assisted suicide is when terminally ill and mentally capable patients perform the final act themselves after being provided with the required means and information. The elemental causes found for physician-assisted suicide include: terminal cancer, mental and behavioral disorders, diseases of the nervous system, disease of the circulatory system, and diseases of the musculoskeletal system

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.

In Oregon, as of 2014, the three most frequently mentioned end-of-life concerns were: loss of autonomy (91.4%), decreasing ability to participate in activities that made life enjoyable (86.7%), and loss of dignity (71.4%) (Oregon Health Authority). Physician-assisted suicide is a controversial topic that continues to divide federal and state governments and citizens everywhere around the country and world. In what’s known as “Death With Dignity Laws” that have already been passed in Oregon, Washington, Vermont, and likely California, doctors are able to write prescriptions to patients, who fall within strict guidelines, who wish to end their lives. These laws follow strict guidelines including; a terminal diagnoses with less than six

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

Physician-assisted suicide can be the withholding of essential care, but it can also be the administration of lethal drugs either by the patient themselves or by a medical professional to end suffering from incurable diseases (Richmond, 2014). Is it fair to make someone live in chronic pain for the rest of their life when there are options? If someone has tried all options to live and have come to terms with no more options, is it okay to help them end their life? The choices do not come easy and not everyone can make them, there are certain rules and regulations set up by the National Boards and the Supreme Court that must they must follow. These rules are in place to make sure not only the patients are safe, but the healthcare

In today’s society, suicide, and more controversially, physician assisted suicide, is a hotly debated topic amongst both every day citizens and members of the medical community. The controversial nature of the subject opens up the conversation to scrutinizing the ethics involved. Who can draw the line between morality and immorality on such a delicate subject, between lessening the suffering of a loved one and murder? Is there a moral dissimilarity between letting someone die under your care and killing them? Assuming that PAS suicide is legal under certain circumstances, how stringent need be these circumstances? The patient must be terminally ill to qualify for voluntary physician-assisted suicide, but in the eyes of the non-terminal patients with no physical means to end their life, the ending of their pain through PAS may be worth their death; at what point is the medical staff disregarding a patient’s autonomy? Due to the variability of answers to these questions, the debate over physician-assisted suicide is far from over. However, real life occurrences happen every day outside the realm of debate and rhetoric, and decisions need to be made.

Physician-assisted suicide (PAS) has fueled a lot of debate ever since it was first legalized in Oregon in 1997. PAS is when a doctor prescribes a medication that the patient can use to end their life. Washington legalized PAS in March of 2009, but only saw 255 individuals in 2012 who acquired the medication necessary to end their life from their doctor, resulting in only 24 of those patients using the prescription (McBride 45). It is debatable whether or not PAS should be seen as the equivalent to the suicide that we have labeled as immoral and have tried to prevent while others also question whether PAS is a reasonable solution to the suffering that terminally ill patients are inevitably being put through. I believe PAS should not be legalized in any other state and should, therefore, become illegal in the four states which now allow it and instead train their doctors to provide better palliative care for their patients.

Although a majority of Americans consider suicide morally wrong, the public shows a broad support for the idea of physician assisted suicide when considering terminal patients. However, even though it is the same concept, the term "physician assisted suicide" is a somewhat negative implication for a substantial amount of Americans, which is why the public is divided when asked about its moral acceptance. Physician-assisted suicide is thought by many to be a form of euthanasia, however, it is not. Euthanasia is when a doctor injects a patient with a lethal dosage of medication accelerating the death process. During this process, the physician only prescribes a lethal dose of medication to a patient. According to Dr. Brian Pollard,

Thesis Statement: Many states do not allow for assisted suicides of terminally ill patients. I reason with the advances in medical science this should be an option for all terminally ill patients. Main Supportive Points: The wonders of modern medicine have come at a price not only are healthy people living longer lives, but the terminally ill patients are living longer (Coombs, 2017).

Envision yourself laying in a hospital bed hooked to numerous machines. The doctors and nurses are constantly coming in always to determine the status of your health while you’re attempting to get what little rest you can through the suffering your feeling, weakness and pain endlessly throughout your body. On top of that you 're experiencing symptoms from numerous medications, blockage, wooziness, you can barely breathe and the fact that you’re continually ill. The doctors have given you a zero percent chance of survival; and your demise is inescapable, it 's simply a question of when? You 've said your farewells. Presently in the event that you had the opportunity to pick how your life finished, how would you choose it? In physician