Physician Assisted Suicide: The Right to Choose

While the main issue that surrounds physician-assisted suicide is pain control, for the terminally ill, proponents are still unwilling to compromise. However, if both proponents and

The word suicide gives many people negative feelings and is a socially taboo subject. However, suicide might be beneficial to terminally ill patients. Physician- assisted suicide has been one of the most controversial modern topics. Many wonder if it is morally correct to put a terminally ill patient out of their misery. Physicians should be able to meet the requests of their terminally ill patients. Unfortunately, a physician can be doing more harm by keeping someone alive instead of letting them die peacefully. For example, an assisted suicide can bring comfort to patients. These patients are in excruciating pain and will eventually perish. The government should not be involved in such a personal decision. A physician- assisted suicide comes with many benefits for the patient. If a person is terminally ill and wants a physician assisted suicide, then they should receive one.

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).

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?

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.

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 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.

My essay topic is whether or not physician assisted suicide is morally permissible. I intend to argue that it is permissible because a competent patient ultimately has the right to choose for themselves the course of their life, including how it will end. To lie in a hospital bed in a vegetative state, unable to see, think, speak, eat, being totally unaware of your surroundings or those of your loved ones nearby speaks loudly of the pain and suffering at all levels for a terminally ill patient. Physician assisted suicide (PAS) is ethically justifiable in certain cases, most often those cases involving unrelenting suffering. While PAS is not

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.

Having the option to die with dignity requires many laws that need to be followed in order to go through with it. It is illegal for a physician to assist a patient with suicide without meeting all required criteria; if done, it could result in severe consequences. According to the Death with Dignity National Center, the patient must me 18 years or older, currently a resident or in the process of becoming one, capable of making and communicating health care decisions for themselves, and diagnosed with a terminal illness that will lead to death within six months (2015). If those criteria are met, the process cannot start right away and there is more that needs to be done. The patient needs to verbally request to the physician two times with a 15-day waiting period in between. A written request to the physician is then required and needs to be witnessed by two individuals who are not family members or primary caregivers, usually two other physicians. The patient is able to abrogate their requests at any time and must be able to self-administer their own medication (Death and Dignity National Center, 2015). These laws ensure that there is no chance that the patient is forced to hasten their death. If at any time in the process that the

There is so much controversy about physician assisted suicide. There is even controversy about the wording itself. Some call it physician assisted suicide, while others refuse to use the word suicide at all, in correlation to the meaning of this subject, which I will discuss later. There are a few different ways to say it, but all mean basically the exact same thing; death with dignity, end of life option, aid in dying, and the right to die. No one wants to die. But the harsh reality is that when a person is diagnosed with a terminal illness, it is a life changing diagnosis, literally. No one likes the idea of dying, no matter how it is phrased, maybe the reason it is so terrifying is none of us have ever died before to talk about it,

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

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.

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”

The practice is only legal in the states of Oregon, Vermont, Washington, and California, with Oregon being the first state to legalize the practice in 1994 and California being the latest state to legalize it in 2015. Although the practice is legal within the states mentioned, each state has its own laws and regulations as to who can receive the assisted suicide, in addition to what kind of physician must perform the assisted suicide and what procedures they must take. For example, in the state of Oregon, the patient must have a terminal illness in addition to a prognosis of six months or less to live. The physician providing the service must be either a Doctor of Medicine or a Doctor of Osteopathy and be willing to participate the act. In a different state such as California, the patient requesting an assisted suicide must first submit two oral requests, fifteen days apart, with a written request sent directly to his or her attending physician. California also requires the physician performing the practice to be either a Doctor of Medicine or a Doctor of Osteopathy and be willing to participate the act. (CNN.com) One organization in particular that aids terminally ill patients with information regarding physician assisted suicide is the Final Exit Network. Originally known as the Hemlock Society which was organized in 1980 then over time split into two organizations known as the Final