Physician Assisted Suicide Summary

Physician-assisted suicide should be legal nationwide. As a former hospital employee, I know first-hand that some diseases can cause so much disability and pain that patients want to end their lives because they have had enough. Something dear to me is personal autonomy, a right of all people. If the patient is competent and wants to end their life, and a health care provider is willing to humanely help end that patient's life, then physician-assisted suicide should be legal and be performed, per the individual's wishes.

According to Paul J. van der Wal et al. in ¨Euthanasia, Physician-Assisted Suicide, and Other Medical Practices Involving the End of Life in the Netherlands, 1990–1995¨, he addresses that assisted suicide should be legal and regulated. The authors’ purpose of writing this journal article is to make reliable estimates of euthanasia; to describe patients and physicians, and to evaluate changes between 1990 and 1995. Even though assisted suicide is a growing taboo, it is being practiced more each and every day. Paul J. van der Wal et al. chose to conduct two studies to answer their hypotheses.

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.

One of the most controversial end-of-life decisions is “physician-assisted suicide” (PAS). This method of suicide involves a physician providing a patient, at his or her own request, with a lethal dose of medication, which the patient self-administers. The ethical acceptability and the desirability of legalization of this practice both continue to cause controversy (Raus, Sterckx, Mortier 1). Vaco v. Quill and Washington v. Glucksberg were landmark decisions on the issue of physician-assisted suicide and a supposed Constitutional right to commit suicide with another's assistance. In Washingotn v. Glucksberg, the Supreme Court unanimously ruled that the state of Washington's ban on physician-assisted suicide was not unconstitutional.

Imagine a cancer patient on a short rode to death. The pain this patient is experiencing is unreal and unimaginable to most. The pain medicine that can be used does little to take the agony away. The doctors can put the patient in an induced coma, but what kind of living is that? It is not living. The patient does not want to go on. Is it so wrong to ask for a way out? With less than six months to live, the patient’s hope is gone. Many argue that euthanasia is not ethical, but is it really ethical to let someone live in constant, horrifying pain and agony? While in some cases having the right to die might result in patients giving up on life, physician-assisted suicide should be legalized in all fifty states for terminally ill patients with worsening or unbearable pain.

In this chapter we get to see how Lia's fate has really taken a toll on her parents. We also see that the Lee's no longer feel like they can rely on the American medical system after what happened to Lia and instead they would use their own at home methods. Lia's pediatric neurologist also believed that the Lee's might have been right about Lia being affected from too much medication. After hearing this and looking at Lia's records, Neil and Peggy came to the realization that there should have treated her differently. This chapter really demonstrates the importance of culture and the need for doctors to be more accepting and understand of them. Unfortunately, there are doctors who are just not willing to comply. It is sad to see how much the Lee's had to suffer in order for people to open their eyes and it is even sadder that even with cases like this, there are doctors who still refuse to believe in anything outside their medical abilities.

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.

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.

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.

The book was a great read and I couldn’t put it down. I’m willing to bet groupies have been one of the most sexually abused people on earth BEFORE they became groupies as are porn stars and prostitutes. It’s difficult to find a prostitute or porn star who hasn’t been sexually abused and when you are speaking about a high-strung group of very emotionally fragile people you are talking PTSD. I really think PTSD is a form of a nervous breakdown where your defenses are so hammered you can no longer cope. The resulting hormone stress response causes long term brain damage to the hippocampi and amygdala actually changing the sizes of these structures. Now add the epigenetic changes caused by the rush of adrenal corticosteroids bathing the brain

This is a case study that will be examined and evaluating a 68-year-old male, husband that killed his wife per her request. Allowing someone to die has always been a sociological concern. Will take into consideration the ethical values as well as providing proposed solutions on how this can benefit the husband and wife as well as the family, even though they have moved away. During this process, will look at possible treatments, suggestions that will result in a better outcome.

In fact, many organizations exist to totally minimize the suffering of terminally ill individuals while also allowing them to be with their loved ones. Organizations such as hospice are far better alternatives than simply killing oneself. Despite my belief on this issue, many believe that such palliative care is not so immediately available to everyone. In her essay, Angell says “[She has] no doubt that if expert palliative care were available to everyone who needed it, there would be few requests for assisted suicide”(114). The notion of expert palliative care not being able to everyone is a very valid concern for patients who are deciding whether or not to undergo physician-assisted suicide. By saying expert palliative care, Angell is referring to hospice organizations

The article from the Washington Post was about a toddler boy who accidentally shot his sister, Kimi, in their great-grandparent’s house. The great-grandfather left out the gun, the grandmother did not see the gun, and the mother’s son pulled the trigger to the gun that killed his sister (McCoy 1). There were many people around and many precautionary steps that were breezed by in order for the shooting to happen. In our nation, “nearly 4 percent of shootings are unintentional and, in a given week, two children die from accidental shootings, according to gun violence research” (McCoy 1) Accidents such as Kimi’s death do happen, but there are safety steps that can be taken to prevent shootings like what happened.

Assisted suicide is a form of suicide where someone helps dying patients suffering from health problems die by taking medicine prescribed by their doctor to help them die in peace without suffering. In October 2015, California Governor Jerry Brown signed a bill to make assisted suicide legal in his state after the death of a California woman named Brittany Maynard (McGreevy, 2015). The Catholic Church was fighting Jerry Brown because they did not want the bill to pass since suicide is against religious teachings (McGreevy, 2015). The California Governor made the decision to sign the bill based on a person’s right to decide when and how to die (McGreevy, 2015). California joined Oregon, Washington and Vermont in making this legal. Other states such as New York, New Jersey, Tennessee, Connecticut, the District of Columbia and Maryland are trying to pass legislation to make assisted suicide legal (McGreevy, 2015).

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.