The Choice Of Physician Assisted Suicide

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.

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.

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).

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.

A patient must meet the requirements in order to qualify for physician assisted suicide. The patient must be “diagnosed with a terminal illness that will lead to death within six months” (Fass, and Fass 846). Being a legal resident of a state that has legalized the procedure and being eighteen years old are also requirements. Another qualification is being able to make and communicate health care decisions. Along with those requirements, there are certain guidelines that must be followed during the process of physician assisted suicide. First, the patient must make two oral requests for physician assisted suicide at least fifteen days apart. A written request that has to be signed in front of two witnesses must also be provided to the physician. The patient then has to be referred to a consulting physician, so that he can confirm the diagnosis and prognosis and approve that the patient is capable of making decisions related to health care. “The prescribing physician must notify the patient of alternatives to suicide, including comfort care, hospice care, and pain management” (Fass, and Fass 846). It is expected of the physician to encourage the patient to tell their family. The physician has to follow rules to dispense the medication after these steps. One rule is to be registered as a dispensing practitioner and maintaining a current Drug Enforcement Administration certificate in order

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.

Imagine suffering day to day with consistent hospital visits, numerous medications, and unbearable pain for the next six months of your life, then being told that dying peacefully is not a granted privilege. Then imagine not being able to die in a controlled and dignified process like you prefer to. How would that affect the way you feel about death and the rest of your life you have left? Millions of people suffering from terminal illnesses consider physician-assisted suicide, but their wishes are rejected due to state and government beliefs. In fact, only five states out of fifty have a law permitting citizens the right to participate in physician-assisted suicide. That leaves just only 10% of the United States entitling critically ill patients to die with nobility. However, many citizens are commencing to lean toward physician-assisted suicides once they ascertain they hold a terminal illness.

Imagine yourself lying in bed at the hospital hooked up to all sorts of machines that are just barely keeping you alive. Imagine the pain and suffering you are in on a daily bass and the medication being given to you isn’t cutting it any longer and all the doctors and nurses can do for you is just keep you comfortable. The doctors have literally given you no chance of survival and death is imminent. You have taken the time you have left to say your good-byes, came to terms with dying, and you are ready to leave this world. If you could choose to end your life instead of wasting away, would you take advantage of it?

The United States is a nation founded on freedoms and liberties, giving each citizen the ability to make their own life decisions. This freedom includes all aspects of one’s life, including medical care. With freedom comes responsibility, and this is true in terms of physician-assisted suicide. The ongoing struggle between those in favor and those opposed to this subject has ravaged the medical field, bringing into question what is morally and ethically right. The fact of the matter is that physician-assisted suicide is neither morally nor ethically acceptable under any circumstance. Not only is it a direct violation of a doctor’s Hippocratic Oath, but it is not constitutionally binding. Physician-assisted suicide would also lead to

The process of assisted suicide, or physician-assisted death, is a hotly debated topic that still remains at the forefront of many national discussions today. Assisted suicide can be described as the suicide of patient by a physician-prescribed dose of legal drugs. The reason that this topic is so widely debated is that it infringes on several moral and religious values that many people in the United States have. But, regardless of the way that people feel, a person’s right to live is guaranteed to them in the United States Constitution, and this should extend to the right to end their own life as well. The reasons that assisted suicide should be legalized in all states is because it can ease not only the suffering of the individual, but the financial burden on the family that is supporting him/her. Regardless of opposing claims, assisted suicide should be an option for all terminally ill patients.

Physician-assisted suicides (PAS) successful legalization in multiple locations, including four U.S. states, proves that opponents’ predictions of PAS leading to medical misconduct are inaccurate. Jacob Appel, a doctor in New York City, is quoted explaining, “ Despite predictions that legalization would lead to abuse or to decrease in palliative care, jurisdictions that have sanctioned the process, like the Netherlands and Oregon, have shown that a system of assisted suicide can be implemented responsibly” (qtd. in “The Right to Die: Do terminally ill patients have a right to die with the assistance of a physician?”). Appel’s claim is corroborated by Lewis Cohen who says,

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.

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

The topic that my group chose for the AP Capstone group project was Physician Assisted Suicide and Euthanasia, as we all thought that it would be a topic that would be interesting to write about. Additionally, my group was curious about the topic, and personally, I have aspirations to have some sort of career in the medical field one day. Another member in our group was very interested in law, and the other was curious about the topic, so we decided to go with the topic of physician assisted suicide and euthanasia. However, we originally thought that the group paper would be a very easy assignment as we, as a group had worked on other papers together before, but having our papers flow together and editing down repeated or unnecessary information was way harder than I