What is the single common denominator that unites all of humanity? That every person will die. Death is a macabre subject, but it is a universal one that entangles itself within our lives. Even while living, death is omnipresent, and it has remained unchanged throughout the ages. What have changed are the definitions of death and its timeline. The word euthanasia comes from the Greek for ‘good death’. While that definition is rooted in etymologic studies and not open for interpretation, the very idea of a ‘good death’ is quite the opposite. What is a good death? Who determines ‘good’? And the question that is under much debate and discussion: Should anything be done to make it so? That, in the form of physician-assisted suicide (PAS), is one of the pressing topics that faces healthcare today. It is imperative that healthcare professionals, particularly nurses who bridge the divide between physicians and patients, are aware of this issue and its components.
Right to Die
The right-to-die movement is at the heart of this discussion. Following World War II, many advances were made in healthcare. Technology saw the advent of ventilators and dialysis machines, pharmaceutics developed antibiotics and now-routine emergency drugs, and hospitals developed more specialized units (McCormick, 2011). All of these developments resulted in patients surviving previously terminal conditions. Is surviving better than dying? That became an issue as patients were maintained
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 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.
When dealing with Physician Assisted Suicide (PAS) ethical dilemmas can come into place. Known as Euthanasia allows physicians to cause death to a terminally ill patient. There are many states that passed the law to allow PAS Oregon and Washington are just two of them. There are five total that allow PAS and they are Washington, Oregon, Vermont, Montana, and California. With Montana PAS is a court ruling meaning that you well must go to court and present your case. While, CA, OR, VT, and WA are legislation. You must be least eighteen. a resident of the state, and diagnosed with a terminal illness that will lead to death within mouths. On October 27,1997 Oregon created the “Death with Dignity Act”. It allowed people who were terminally ill
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.
The topic I chose to write about is Physician-assisted suicide. My position on the topic is that I agree with physician-assisted suicide because it helps terminal ill people end their suffering faster than if they waited until the illness took their life away. Also, the terminal ill person decides that he/she wants to end his or hers life with a clear conscious knowing what is going to happen to them taking the physician-assisted suicide route to end their suffering. By the terminal ill person deciding that they want to end their life with physician-assisted suicide they are helping out their family. They help their family by reducing their pain that they feel and also by helping them financially because it is cheaper to end their life with
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.
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.
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 a controversial subject all around the world. Although it is legal in some countries and states, such as the Netherlands, Luxembourg, Switzerland, Oregon, Montana, Washington, and Vermont it is not yet legal in most (Finlay, 2011). People travel from all around the world to these locations to receive information. Physician-assisted suicide is when terminally ill and mentally capable patients perform the final act themselves after being provided with the required means and information. The elemental causes found for physician-assisted suicide include: terminal cancer, mental and behavioral disorders, diseases of the nervous system, disease of the circulatory system, and diseases of the musculoskeletal system
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?
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).
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,
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”
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.
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