Physician Assisted Suicide Case Study

Physician assisted suicide is the termination of a life by the administration of lethal substances with the help of a doctor or physician. The legality and morality of physician assisted suicide is in a constant debate. Some claim that it is merciful to the terminally ill. Others claim that it is no better than murder. Despite its advocates, physician assisted suicide is morally and ethically wrong and impractical therefore it should remain illegal in the United States.

Physician-assisted suicide can be described as the act of a terminally ill individual obtaining a lethal prescription in order to exercise their right to die with dignity. Though physician-assisted suicide is highly controversial, it is legally practiced in a small number of states within the United States. Much of the controversy surrounding physician-assisted suicide relates to the social, political, and ethical questions and considerations concerning the practice. Regardless

Physician-assisted suicide was first made legal in the state of Oregon. (Hendin) In cases of euthanasia, physicians often give lethal doses of a medication to terminate a patient’s life because they’re experiencing intolerable pain. Patients who wish to use the Death with Dignity law in Oregon must be eighteen or older, must be a resident of Oregon, and they must be able to make their own health care decisions. (Sharp 53) However, the law does not require the patient to be in unmanageable pain, they must just have a prognosis of less than six months to live. (Sharp 54) This law seems to be in place to kill patients more quickly to open up hospital space, instead of compassionately ending someone’s suffering.

Even if assisted suicide were to be permitted under some conditions, a second issue is whether physicians should ever participate in it. This is where the moral and ethical issues arise? Physicians may not want to have the burden of essentially killing a human being. A life is sacred and doctors avoid putting patients in severe pain. The law can get involved if a physician does administer this lethal dose of medication to their patient. For example, Dr. Jack Kevorkian was arrested for performing physician-assisted suicide on his patients. He clearly did not view assisted dying as an immoral type of procedure. “The site of most activity surrounding physician-assisted suicide is Michigan because Dr. Kevorkian practiced physician-assisted suicide there despite its illegal status. From 1990 to 1999, when he was convicted and imprisoned, Kevorkian assisted in more than 130 physician-assisted suicides” (Grosswald, 2002).

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.

Some physicians are using a lethal combination of drugs and or euthanasia on patients with or without their consensus. Euthanasia/active euthanasia (sometimes called “mercy killing”) occurs when a person, usually a physician or nurse, performs an act (e.g., administering a lethal injection) to end a patient’s life. Additional descriptors for euthanasia include “voluntary” (i.e., the patient requests euthanasia) (tcmd/euthanasia/2009).

Since 1994, Physician-Assisted Suicide (PAS) has been legal in the state of Oregon. The law allows patients diagnosed as having less than six months to live to decide when they will die. Sadly, death is a fact of life. Losing a loved one to debilitating disease or terminal illness is an experience to which an increasing number of Americans can relate. Every day new cases of cancer, ALS, and other painful, potentially fatal diseases are diagnosed in the US. The American Cancer Society estimates that over 22,000 new cancer cases will be reported in 2015 in Oregon alone, with roughly 8,000 subsequently dying. Faced with such overwhelming diagnoses, many patients choose to fight; other patients opt to spend their remaining time with their families,

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

When it comes to end of life care, there are several options that can be discussed between a patient, their family, and the physician. Whether the patient expresses a desire to fight their disease and escalate care to the fullest extent, or if the patient would prefer to deny treatment and keep themselves comfortable in their last days, options exist. But what about those that are undeniably suffering from a terminal illness that is causing them immense amounts of pain that cannot be controlled strictly with palliative measures and wish to end their own life, by their own hands? Currently, there is no federally approved option

Advances in medical treatments have raised the average life expectancy of people in Canada. However, it fails to guarantee a perfectly healthy life for people who experience incurable diseases. The rising interest in Euthanasia and Assisted Suicide in Canada, is an outcome of the desire of people to have a greater control over their lives in terms of their capacity to determine death when the patients are terminally ill.

In Chapter 13 of the Medical Law and Ethics book on page 334, is the topic of Assisted Suicide. Physician-Assisted Suicide is an option given to competent adult patients diagnosed with a terminal illness or prognosis with a life expectancy of six months or less. Physician-assisted suicide is when a physician facilitates a terminally ill patient’s death by prescribing a lethal amount of medication to the patient, for the patient to administer themselves, to accelerate their death (Library, 2015). The difference between physician-assisted suicide and euthanasia is that the patient or someone else has to administer the lethal dose and it cannot be the physician. If the lethal dose was to be given to the patient directly

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” (MedicineNet.com, 2004). Many times this ethical issue arises when a terminally-ill patient with and incurable illness, whom is given little time to live, usually less than six-months, has requested a physician’s assistance in terminating one’s life. This practice with the terminally ill is known as euthanasia. Physician-assisted suicide and euthanasia is a controversial topic

A study of social workers and nurses in Oregon reported that symptoms of extreme air hunger, anxiety, depression, pain and fear of dying were more involved among hospice patients who have not requested an aid-in-dying medication. The article in Palliative Medicine reported on the patterns of hospice nurses noted that Oregon was in both the highest and lowest quartile use of concerning patterns of hospice use. Oregon has the lowest hospital death rates in the nation and the in home death rates and the highest of the nation in violent suicide among hospice patients has been significantly lowered.

There are numerous different types of physician assisted suicide one of them being euthanasia. Euthanasia is when a physician prescribes the treatment as well as directly administers the treatment to the patient. Euthanasia also breaks down into four separate categories; active, voluntary, passive, and involuntary. Active is the act of giving treatment to end one’s life while passive withholds from treatment that sustains life, while voluntary is when the patient gives their consent to the treatment and involuntary is when the patient is to a point they are unable to give the consent they need. Euthanasia is illegal in the United States and

Legalizing euthanasia provides a way to relieve extreme pain. Modern medicine has brought great benefits to humanity such as prolonging life, but by prolonging life it is also