Legality of Physician Assisted Suicide and Ethics
Luz Garcia Taunton
University of Texas Rio Grande Valley Abstract
Physician assisted suicide is defined as a doctor intentionally killing a person by the administration of drugs, at that person’s voluntary and competent request. Research has been conducted in different countries to determine under what conditions this practice is acceptable. Most health care practitioners agree that this is only suitable when the patient in question is suffering from a terminal illness. This study is aimed to examine whether a physician’s responses would differ if physician assisted suicide became legal. A positive relationship is expected to be recorded between the numbers of “yes” responses if this practice was legal in the state of Texas. Legality of Physician Assisted Suicide and Ethics Physician assisted suicide has been a subject of much controversy in the field of healthcare. A physician’s decision to provide life ending drugs relies on whether or not this practice is legal in their state of residence, the patient’s competence, and whether or not they are suffering from a terminal illness. In a study conducted by Zenz, Tryba, and Zenz (2015), it was found that healthcare providers (physicians and nurses) would rather perform euthanasia on terminal patients over physician assisted suicide. Interestingly enough, this study also found that there is a more general acceptance of this practice than a willingness to perform
Others have argued that physician assisted suicide is not ethically permissible, because it contradicts the traditional duty of physician’s to preserve life and to do no harm. Furthermore, many argue that if physician assisted suicide is legalized, abuses would take place, because as social forces condone the practice, it will lead to “slippery slope” that forces (PAS) on the disabled, elderly, and the poor, instead of providing more complex and expensive palliative care. While these arguments continue with no end in sight, more and more of the terminally ill cry out in agony, for the right to end their own suffering.
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
Who gets to make the choice whether someone lives or dies? If a person has the right to live, they certainly should be able to make the choice to end their own life. The law protects each and everyone’s right to live, but when a person tries to kill themselves more than likely they will end up in a Psychiatric unit. Today we hear more and more about the debate of Physician assisted suicide and where this topic stands morally and ethically. Webster 's dictionary defines Physician assisted suicide as, 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 who is aware of the patient 's intent (Webster, 1977).
In Nicomachean Ethics, Aristotle establishes that “every art and every inquiry, and similarly every action and pursuit, is thought to aim at some good and for this reason the good has rightly been declared to be that at which all things aim” and explains this through the dialectic of disposition, particularly between vice and virtue. In chapter four, Aristotle affirms that since “all knowledge and every pursuit aims at some good”, we inherently seek the highest form which is known to both the masses and the educated as happiness through both living and acting well . Thus regardless of whether man is inherently evil or good, we aspire for the highest form of happiness. Through the implications and discourse of vice and virtue, this paper explores the relevance of Aristotle’s moral philosophy in modern day and will be applied to the contemporary ethical issue surrounding physician assisted suicide. By exploring Aristotle’s work through primary and secondary sources, this paper will discuss the greater good and happiness as it relates to not only the patient or physician, but as a member of a greater social circle and that of society because to Aristotle the role of the individual is less important than their social obligations and role. This paper aims to use the rationale of natural law and of Aristotle to explore the prospects of physician assisted suicide as for the greater good and as a modern ethical obligation.
Physician assisted suicide is a controversial moral issue that I feel should be allowed in all states not just a few. Right now there are only five states that have some type of death with dignity law; one which has some extra steps that need to be taken to be able to use the law. Over the last year there has been more media coverage on this topic because of a young woman named Brittany Maynard, who decided to tell her story with needing this option. The real question though should be do we have the right to tell someone that they do not deserve to have this choice?
According to Mirror News, In October of 2014 a women named Charlotte Fitzmaurice Wise was watching her daughter Nancy Fitzmaurice suffer from pain. She was born with Hydrocephalus and septicaemia which made it impossible for her to walk, talk, eat or drink. She required around the clock care and was fed through tubes. As time went on her health worsened and she would scream in pain even though she was injected with morphine. Wise believed that her daughter was in excruciating pain and deserved to be at peace. Wise submitted an application to end her daughter’s misery, and soon her application would be approved. She was able to relieve her daughter from pain, and made it legal in the United Kingdom for a parent to end their critically ill child’s life if they are disable and can’t speak for themselves.
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 is arguably one of the most controversial subjects to discuss or read about within our society. This paper will examine both sides of this discussion, from the aspect of the patient choosing to end their own life based on the quality of their remaining life. Also, the religious factors of the medical staff involved and the moral and ethical duty of the doctors to preserve the life of the patient if there are still means available.
Is physician assisted suicide ethically justified? Physician-assisted suicide (PAS) is defined as ending one’s own life by taking a fatal dosage of a substance with the direct or indirect assistance of a physician (MedicineNET.com, 2015). PAS is a very sensitive and controversial topic that raises many moral and ethical questions. While some feel that a person should be able to die with dignity and under their own terms, others feel that this is not a choice we can ethically make. PAS recently made national headlines when Brittany Maynard, a twenty-nine year old woman diagnosed with stage IV glioblastoma, went public with her plan to end her own life under Oregon’s Death with Dignity Act that was passed in 1997. Maynard legally received a prescription from her physician for a lethal dose of barbiturates and decided to end her life own life instead of suffering the painful death that loomed in her near future. She ended her own life on November, 3, 2014 with her family by her side (Durando, 2014). There are many moral issues that surrounded Maynard’s decision and whether or not PAS is ethical, however it is important to understand both sides of the debate to truly get the entire picture of the complexity of this issue before making the determination if physician-assisted suicide is ethically justified.
Thesis: When it comes to the topic of physician-assisted suicide (PAS), some experts believe that an individual should have the option of ending their life in the event that they have been given six months to live with a terminal illness or when the quality of their life has been vastly changed. Where this argument usually ends, however, is on the question whether physician-assisted suicide is medically ethical, would be overly abused to the point where doctors might start killing patients without their consent. Whereas some experts are convinced that just improving palliative care would decrease the need for someone to want to end their life before it happened naturally.
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.
Legalization of physician assisted suicide has been a highly debated topic over the past two and a half decades. It has evoked many emotions and differing opinions from the public. Surveys show that two-thirds of Americans are in favor of physician assisted suicide in terminally ill patients. But when the issue is at the polls, usually less than fifty percent vote for passage of physician assisted suicide (Quill). It is a topic that hits close to home as many have had loved ones die of a terminal disease or a long, lingering illness. This paper will review the terms of the issue, the history of the issue, encourage the reader to consider better options available to a dying person than physician assisted suicide.
There are a few different forms of physician-assisted death, such as active, passive, and assisted suicide. To some people they may mean the same thing but in reality, they are quite different. Active euthanasia is when a physician physically injects the patient with a drug that ends their live or in some way is the direct result of the patient’s death. Passive euthanasia is the result of something taken away from the patient that results in their death, such as removing a breathing tube or stopping treatment. Physician assisted suicide is the result of lethal medication given to the patient for them to take on their own time when they are ready to end their life. Some people see these different forms as being the same while others see them as being different. There are four ethical principles that become involved in conflict with these forms of euthanasia. These principles are beneficence, autonomy, non-maleficence, and justice, which act against each other sometimes in the cases of euthanasia. Beneficence is the duty of the physician to have the welfare of the patient is their first concern. This principle sometime goes against euthanasia because of the fact the physicians are stopping treatment, which results in the death of the patient. Many argue this act is the result of not thinking of the patient’s welfare. Another principle is autonomy, according to Steve Pantilat, “Autonomous individuals act intentionally, with understanding, and without controlling influences”
Physician assisted suicide, the suicide of a patient suffering from an incurable disease, effected by the taking of lethal drugs provided by a doctor for this purpose. The question of whether or not this practice should be made legal in the United States has been one of controversy since 1997. Beginning with the case of Washington v. Glucksberg, where the United States Supreme Court ruled that the matter of the constitutionality of a right to a physician’s aid in dying, was best left up to the states. Then gaining even more controversy when Oregon passed the Death with Dignity Act, which allowed terminally-ill Oregonians to end their lives by the practice of physician assisted suicide. (CNN.com) Proponents of physician assisted suicide
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.