Research Paper Topic and Thesis
Terminally ill patients’ requests for physician-assisted suicide are now a viable possibility. Knowing the pathways to answering to those patients, as their requests for assisted death persist, is upmost importance. As of June, 9th 2016 California became the fifth state to allow physician-assisted suicide. The California’s End of Life Option Act authorizes any individual 18 years of age or older, who has been diagnosed as terminally ill and fits specific criteria, to solicit administration of assisted dying drugs at the hands of his/her attending physician. This Act will require specific documentation and data to be submitted to the California Department of Public Health (CDPH) by the attending physician
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While Oregon ranks among the best states in the provisions of excellence of palliative care in 2015 California received a “B” which revealed an opportunity for improvement (Petrillo, Dzeng, & Smith, 2016, p. 828).
The study also showed that for-profit, small and community hospitals had very limited accessibility to palliative care; and the higher request for physician assisted death came from outpatient facilities. It has been noted that palliative care practices are extremely low nationwide. Neither primary care physicians nor specialists who treat terminally ill patients routinely are provided with palliative care training. These are important facts since statistics show that although most individuals support the option for a physician-assisted suicide the low numbers of actual requests for assisted death reflected the preference of alternative treatment options. As patients regain the power of making decisions regarding their care, aggressive pain control measures are put in place; consideration of physician-assisted suicide becomes an avoidable option for a dignified death. Regardless of the views on physician-assisted death healthcare professional
A controversial human rights issue in modern society is the right to die, an issue that has much to do with the way that human beings relate to society at large, the notion that a man has ownership of their own body, and the obligations set forth in the Hippocratic oath and medical ethics. Physician assisted suicide, or the right to die as those in the pro-assisted suicide movement call it, divides two very different kinds of people into two camps. One’s opinion on the subject is entirely related to one’s core values. Whether one values the individual or whether one places more emphasis on the will of the majority has a great impact on one’s beliefs concerning the issue of the right to die. In this essay, I will prove
In homes across the world, millions of victims are suffering from fatal and terminal illnesses.With death knocking on their door, should these people have to endure pain and misery knowing what is to come? The answers to these questions are very controversial. Furthermore, there is a greater question to be answered—should these people have the right and option to end the relentless pain and agony through physician assisted death? Physician-Assisted Suicide PAS is highly contentious because it induces conflict of several moral and ethical questions such as who is the true director of our lives. Is suicide an individual choice and should the highest priority to humans be alleviating pain or do we suffer for a purpose? Is suicide a purely
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
Oregon’s physicians are required by law to recommend hospice and palliative care, but are often not qualified, therefore only thirteen percent of dying patients get to hear their alternatives. (Hendin) Oregon also does not require a psychiatric evaluation when a patient makes a request for suicide. (Hendin) Studies have shown that 13-77% of patients who request assisted suicide are suffering from depression; however, psychiatrists believe that depression is a normal response to a severe illness. (Boyd) Also, patients who are aware they are going to receive a psychological evaluation which may allow them to commit suicide may lie during the evaluation so that they seem fine.
In a Netherlands report it tells, “Many physicians who had practiced euthanasia [form of assisted suicide] mentioned that they would be most reluctant to do so again” (Stevens 189). Everyday these physicians are faced with decisions of how to best save their patient. Now they also, have to determine if they can come to terms with ending their lives. The impact on these physicians is tremendous. Kenneth R. Stevens the Vice President of Physicians for Compassionate Care concludes, “Doctors who have participated in euthanasia and/or PAS [Physician-Assisted Suicide] are adversely affected emotionally and psychologically by their experiences” (187). Physicians, who have made the decision to help, face the consequences of their actions. They have helped someone take a life, even if it their own. Death always leaves an impression. Imagine what it must be like to be directly involved with a death. Those men and women in time will have to come to terms with their participation in Physician-Assisted Suicide.
A poll in 1999 found that 52% of Americans though that Kevorkian should have been found guilty on some charge, while only 27% said that he was not guilty. The survey also found that 45% of Americans have a positive opinion of Kevorkian while 36% have an unfavorable one. After being informed that Kevorkian does not have a license to practice medicine and that he supports the right of doctors to help healthy patients die, his approval rating dropped to 19%, while his unfavorable rating rose to 57%.
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 physician also has the duty of inform the patient of alternative solutions such as palliative care, other pain management options, and hospices. Lastly, the physician must request that the patient notify another individual—a family or friend—of their decision. Despite the legalization of physician-assisted suicide, physicians are not obligated to participate. The patient, if eligible, must also fulfill all the necessary guidelines implemented if they wish to partake in the end of life process. The patient must first submit an oral request to their attending physician. A second oral request follows a 15 day waiting period. Following the second oral request is a written request. If the patient’s request is approved, the patient must wait another 48 hours before receiving their prescribed medications.
Physician assisted suicide/dying (PAD) is it good or bad? PAD is referred to when physician provides patients who are terminally ill with prescriptions of a lethal dose of medication, upon the patient’s request, which the patient intends to use to end their own life (Merriam-Webster Dictionary, 2011); another option that is close to physician assisted suicide is Euthanasia. Euthanasia is the act or practice of killing or permitting the death of hopelessly sick or injured individuals (as persons or domestic animals) in a relatively painless way for reasons of mercy (Merriam-Webster Dictionary, 2011).
For multiple years, the debate on physician assisted suicide has prevailed. Physician assisted suicide is the death of a terminally ill patient, who wants to die on their own terms with the administration of a doctor. This is different than euthanasia because physician assisted suicide is backed by a controlling legal authority (“Physician…”). Some debaters are uncomfortable with the morality issues that arise with doctors killing patients or physician assisted suicide being abused. Others focus on the pain people who are terminally ill suffer from and the control physician assisted suicide gives them. Overall, the right to live or die should not be up to the government. Physician assisted suicide is legal in six states within the United States. Specific regulations are already practiced in five of those six states. Legalizing physician assisted suicide nationally would solve any regulation issue. Physician-assisted suicide should be legal nationwide with strict regulations in order to offer the freedom that the United States stands for.
Alma Moctezuma Western Governors University WGU Student ID # 000429008 Thesis statement: Research suggests the legalization of assisted suicide is necessary throughout all states in the U.S. because it will give a human being the moral right to choose freely, provide them with an opportunity for death with dignity, and allow for the option of timely organ donation. Annotated Bibliography CNN U.S. Edition.
Physician-assisted suicide is a topic that hits home to many people, both in the United States and across the world. Currently, five states have legalized physician-assisted suicide in the United States and it is crucial that every state reconsiders their stance on the issue. Each state needs to look at the pros and cons, as well as the implications of their decision on their stance on physician-assisted suicide. Citizens also have a critical role, as they must tell their legislators their stance on physician-assisted suicide so that the legislators can properly represent their states. This paper looks to show the major arguments for both the groups that support physician-assisted suicide as well as the groups that oppose physician-assisted suicide, while also taking other issues into consideration, such as different pressures legalization of physician-assisted suicide would have on different demographics.
In majority of the cases where patients requested help with their demise, the diagnoses included cancer, acquired immunodeficiency syndrome (AIDS), and various neurological diseases. The article states further that primary patient concerns, while typically nonphysical, included being a burden on their families and caregivers, loss of control of physical and mental capacities to function, being reliant on others for personal, private care, and diminished self-esteem and dignity. The chief conclusions drawn from this study include that most individuals requesting life-ending prescriptions from their physicians are doing so with primarily intangible, nonphysical worries in mind. Perhaps more surprisingly, most physicians do not consult their work-associates regularly about these appeals. Without guidance from other physicians and regulations verified by higher authorities, there is reason to question how doctors are able to guarantee both quality and equality in the assessment of patient appeals for physician-assisted suicide. This article both stresses the desire for dignified death by individuals suffering from terminal illnesses and the importance of having the practice regulated to protect both patients and physicians
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
According to the article, “The Last Choice”, the California Legislature has passed a bill call “A Right to Die Act” in favor over assisted suicide since September 11, 2015 (Sanburn 2017, 50). This act was created in defense of terminally-ill patients who wished to end their lives due unstable circumstances they faced. Many physicians voiced their concern about this issue and made contacted with their state representatives in order to be heard. Anesthesiologist Dr. Daniel Swangard is one of the physicians describe in this article who help pass the law in California after witnessing several of his patients suffer from irreversible illness. Suicide is an option that can only be available in states that have made it legal and only to patients who have terminal-illness and who have more than one physician to sign off on