The Doctrine Of Physician Assisted Suicide

Physician Assisted Suicide Is it Right or Wrong? The ethical issues of physician-assisted suicide are both emotional and controversial, as it ranks right up there with abortion. Some argue physician assisted suicide is ethically permissible for a dying person who has choosing to escape the unbearable suffering at the end of life. Furthermore, it is the physician’s duty to alleviate the patients suffering, which at times justifies providing aid-in -dying. These arguments rely a great deal on the respect for individual autonomy, which recognizes the rights of competent people to choose the timing and manner of their death, when faced with terminal illness.

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).

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.

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?

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 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.

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.

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.

Oregon was the first state in the United States to pass the Death with Dignity Act (DWDA) on 1994. DWDA, also known as physician-assisted suicide (PAS), allows terminally ill Oregonians to end their lives if they request it to their physician. This act requires that ill patients must meet the requirements for death with dignity before they can request lethal medications that will terminate their lives. The requirements include the following11:

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.

It is obvious this is a very controversial issue that is discussed daily by those who wish to die to avoid loss of dignity and also by those who think it could be immoral. For physician-assisted suicide to even be considered the patient must be of sound mind when they are requesting the physician-assisted suicide. To guarantee that the process is carried out correctly a doctor or a witness should be there to prove consciousness. The patient must be diagnosed with a terminal illness, if they are not then there is a possibility for a life. There are many pro’s and con’s to physician-assisted suicide. If a person is terminally ill they would not be in any suffering and they could die with dignity. It is also proven that hospitals would save money, and it could possibly cut some of the deficit. Although it sounds immoral, having a terminally ill person in the family can create many problems, so in this case it would be positive because there would be no more burden. It is quite possible that passing this law would create a damper on the low income and middle class. For many it goes against the separation of church and state, because many believe that dying that way is a sin. It is very possible that miracle cures will arise shortly after a person has partaken in the physician-assisted suicide. In all reality, the government insurance companies and hospitals will want to force this process because it would save them a great deal of money in the long run.

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”

Physician assisted suicide, the suicide of a patient suffering from an incurable disease, effected by the taking of lethal drugs provided by a doctor for this purpose. The question of whether or not this practice should be made legal in the United States has been one of controversy since 1997. Beginning with the case of Washington v. Glucksberg, where the United States Supreme Court ruled that the matter of the constitutionality of a right to a physician’s aid in dying, was best left up to the states. Then gaining even more controversy when Oregon passed the Death with Dignity Act, which allowed terminally-ill Oregonians to end their lives by the practice of physician assisted suicide. (CNN.com) Proponents of physician assisted suicide