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Physician assisted suicide in terminally ill patients, that decision is final; there is no turning back once that decision has been carried out. If you take out the emotion and just sit down with the hard truth and facts, then I am for physician-assisted suicide. Someone is suffering and prolonging the inevitable, death. I don't think that every patient would choice death over life, but it should be a safe and monitored option. When factoring in emotion and ethics then I am against physician-assisted suicide. God makes that decisions, he has a time and a place for you in heaven and when He is ready is when you should come to serve him. No one knows what goes on in the mind of a terminally ill patient who lives life in pain every minute of the day, we could never imagine, and hope never to know. The fact that ending their life would be better than living, a decision that I am sure is not taken lightly. Euthanasia and physician-assisted suicide have the same results but different approaches and are often confused. Physician-assisted suicide the doctor would supply you with the drugs and the patient would administer them himself or herself. Euthanasia as is Dr. Kevorkian cases the doctor administers the drugs; in his case he is now serving 10-5 years in prison for nd degree murder.
In all states, but Oregon it is against the law to partake in physician-assisted suicide. On October 7, 17 physician-assisted suicide became a legal medical option for terminally ill in Oregon. The Death with Dignity Act allows terminally ill Oregon residents to obtain from their physicians and use prescriptions for self-administered, lethal medications. The Act states that ending ones life in accordance with the law does not constitute suicide. However, we have used the term physician-assisted suicide rather than Death with Dignity to describe the provisions of this law because physician-assisted suicide is the term used by the public, and by the medical literature, to describe ending life through the voluntary self-administration of lethal medications, expressly prescribed by a physician for that purpose. The Death with Dignity Act legalizes physician-assisted suicide, but specifically prohibits euthanasia. The state of Oregon has set ground rules for physician-assisted suicide Patients eligible to use the Act must This is a summary, to read the entire Death with Dignity act please visit, http//www.hospicepatients.org/oreg-death-act.html.
(a) Be 18 years of age or older
(b) Be an Oregon resident
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(c) Be capable of making and communicating health-care decisions
(d) Have a terminal illness with 6 months to live
(e) Voluntarily request a prescription. The patient must make one written and two verbal requests (separated by at least 15 days) of their physician. The prescribing physician and a consultant physician are required to confirm the terminal diagnosis and prognosis, determine that the patient is capable and acting voluntarily, and refer the patient for counseling if either believes that the patient's judgment is impaired by a psychiatric or psychological disorder. The prescribing physician must also inform the patient of feasible alternatives, such as comfort care, hospice care and pain control options. (Oregon's, 00)
These ground rules are through, and give the patient ample time to consider their decision, which I feel is very important. I am wondering why the family is not more involved. I would like to see some additional ground rules set in place. The above rules, the state of Oregon did a great job, but emotional ramifications to the family I don't think were considered nearly enough. I would like to see
(f) Two separate meetings with all who feel this decision would affect them emotional (ie sisters, brothers, husband and parents) with a social worker.
This would give the family a chance to sit with their loved one and let them know how this would affect them. Sometimes in decisions we forget that other people will have to deal with the decision we choose. I am sure that the family has talked about this before, but maybe didn't express those feeling to the sick family member. A social worker may be able to bring up situations that no one else thought of addressing. Having a mediator is a great tool in family crisis; they bring to a table a neutral position.
Ground rules also have to be set into place and addressed after the patient has completed the physician-assisted suicide.
• What will churches and synagogues and coroners and funeral homes and obituary writers say in describing how death has come?
• What will be done to protect the dying against the pressure to end it all that families who stand to gain financially from death may subtly bring to bear? (Chaplan, 00)
• Life insurance, most companies don't pay insurance for people who have committed suicide, physician assisted or not.
This is my first time reading about physician-assisted suicide I truly believe that this has been a well-thought our process. It is very hard to find an aspect of critical thinking process they have not at least touch upon with regards to making the final decision. I can see why other states have no followed suite. There is always the fear of error, abuse and manipulation.
This debate has ethical implications, not only on the patient but all others involved. One of the most ethical issues I think would be wondering if and when I end my own life, does God still have a place for me in heaven. I would think that also would lay on the minds of the family, wondering if your loved one went to heaven after they passed away. The doctors also have a very ethical issue to struggle with. A paragraph from the modern Hippocratic Oath a doctor takes says " I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God." (Hippocratic 00) The last sentence is one that with this decision goes against your Hippocratic Oath. To be torn between your patience wishes and their care and what you have sworn to up hold. You essentially are prescribing death. You write a prescription that you willfully and know fully will end in death. How is that not playing God? On the other hand you have a patient that you have cared for, grew to have a relationship with and are watching die in pain or near future paid. They turn to you to help end their pain and let them die with dignity, how do you turn your back on them?
With something like physician-assisted suicide ground rules need to change as different situation arise. Abuse of physician-assisted suicide would flag Oregon to maybe rethink the ground rules and or delete rules and they see fit. If physician-assisted suicide starts happening too often, the ground rules might have to be adjusted. Hopefully with such a well thought out process the ground rules will only have to be adjusted slightly to better the system.
To be honest before researching physician Oregons Death with Dignity Act I didn't even know that physician-assisted suicide was legal in any state. According to new research, 1 people committed suicide between 17, when the Death with Dignity Act took effect, and 00. The report appears as a research letter in the March 6 issue of The New England Journal of Medicine. I have thought a lot about what I would do if in the situation or how I would react if someone I loved wanted to end their life. Even after thinking about extensive, I still could not give a clear-cut answer. This is one of the things that I think you need to be in the situation to know what you would do. I think I would like to have the choice, but what I would do with that choice, that is one ethical decision I hope I never have to make
References
OREGON'S DEATH WITH DIGNITY ACT THE SECOND YEAR. (000, April). Retrieved from http//www.ohd.hr.state.or.us/chs/pas/pascdsm.cfm
Caplan, A. (00, July 8) The nation waits and watches-- Oregon Physician-assisted suicide may open Pandoras box Retrieved from http//www.med.upenn.edu/bioethic/PAS/oregon.html
Doheny, K (00, March 5) Physician-Assisted Suicide Still Rare in Oregon, Retrived from, http//www.hon.ch/News/HSN/51076.html
Hippocratic Oath -- Modern Version, (00, July 8) Retvried from http//www.pbs.org/wgbh/nova/doctors/oath_modern.html
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