Physician Assisted Suicide Essay

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.

Secondly, the patient should be capable of making and communicating health care decisions for him or herself. Thirdly, the patient must be diagnosed with a terminal illness that will lead to death within six months.  Interested patients must also provide the request for termination in writing to the physician. In addition, physicians are expected to inform patients to alternative means of care including hospice care and other medications. Only after precautions evaluation, the laws then permit patients to make the ultimate life ending decision.

Within the past few years physician assisted suicide has been a major topic of debate. Assisted suicide is termed as suicide committed with aid from another individual, including a doctor. With the suicide term raising much concern, many people interchangeably use other terms. A few terms are death with dignity, physician assisted death or compassionate dying. Physician assisted death is implemented for those that are terminally ill and mentally capable adults that would prefer to shorten their dying process. The option of being able to get medical aid in dying only apply to certain states, and must pass through an election for that specific state. The first state to vote on the subject was Oregon and eventually passed in 1994 as the Death with Dignity Act (Jackson, 2008). There are now six states in the United States that has passed this act. The states that are allowing physician assisted death are District of Columbia, Oregon, Washington, Vermont, California and recently Colorado.

The patient 's death is caused by a mechanism which the patient could not attain on his or her own (Brody, 1995).

“Is it worse to kill someone than to let someone die?” – James Rachels. At the end of the disagreement, many philosophers say euthanasia, also known as physician-assisted suicide, is a compassionate method of death. At the other side are the opponents of euthanasia, who may consider this technique as a form of murder. In this paper, I will show that it is not important to know the distinction between killing and letting die on request which is performed by a physician. Both killing and letting die on request are similar because it is based on the controversial issue called euthanasia also known as physician-assisted suicide.

Legalized physician assisted suicide. California, Oregon, Vermont, and Washington have made it legal by legislation, and Maine has made it legal by a court ruling. The remaining 45 states

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.

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 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.

vegetative states so that the patient dies of the underlying illness, and from administration of

Although a patient’s choice of suicide symbolizes an expression of self-determination, there is a great distinction between denying life-sustaining treatments and demanding life-ending treatments. The right to self-determination is a right to allow or reject offered treatments, not to choose what should be offered. The right to refuse life-sustaining interventions does not correlate with a right to force others to hasten their death. The inability of physicians to inhibit death does not mean that physicians are allowed to help induce death.

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

     ?Physician Assisted Suicide is when a physician supplies information and/or means of committing suicide. This can be a prescription for a lethal dose of

2. Active euthanasia which is giving a person a lethal drug causing them to die.

The medication can be given or prescribed by the physician or nurse practitioner, being self-administered to cause death (medically assisted suicide), or directly administered, such as an injection of a drug (voluntary euthanasia).2