The Supreme Court Addresses Physician-Assisted Suicide: Can Its Rulings Improve Palliative Care?

1999 ◽  
Vol 8 (3) ◽  
pp. 200-205 ◽  
Author(s):  
A. Alpers
2003 ◽  
Vol 29 (1) ◽  
pp. 45-76
Author(s):  
Rob McStay

In 1997, the U.S. Supreme Court tacitly endorsed terminal sedation as an alternative to physician-assisted suicide, thus intensifying a debate in the legal and medical communities as to the propriety of terminal sedation and setting the stage for a new battleground in the “right to die” controversy. Terminal sedation is the induction of an unconscious state to relieve otherwise intractable distress, and is frequently accompanied by the withdrawal of any life-sustaining intervention, such as hydration and nutrition. This practice is a clinical option of “last resort” when less aggressive palliative care measures have failed. Terminal sedation has also been described as “the compromise in the furor over physician-assisted suicide.”Medical literature suggests that terminal sedation was a palliative care option long before the Supreme Court considered the constitutional implications of physician-assisted suicide. Terminal sedation has been used for three related but distinct purposes: (1) to relieve physical pain; (2) to produce an unconscious state before the withdrawal of artificial life support; and (3) to relieve non-physical suffering.


Obiter ◽  
2018 ◽  
Vol 39 (2) ◽  
Author(s):  
Ntokozo Mnyandu

The Supreme Court of Appeal in Minister of Justice and Correctional Services v Estate Stransham-Ford raised more questions than the answers it provided. However, of note is the enquiry it made regarding the implications of palliative care in relation to whether the criminality of physician-assisted suicide and physician- administered euthanasia infringes a person’s dignity. In response, this paper aims to reconstruct – through the lens of Ubuntu – our understanding of human dignity and draw links with how the values of compassion and survival, which underpin Ubuntu, enjoin us as a re-affirmation of human dignity, to strive towards making hospice and palliative care readily available. Ultimately, this is done for the benefit of providing constitutionally sound reasons for why greater emphasis should be placed on palliative and hospice care when it comes to dying with dignity. To this effect, a conceptual framework of human dignity that is based on Ubuntu is summarised. This is done for the purpose of properly aligning the understanding of the right to dignity to one that represents our constitutional dispensation and ethos. Flowing from this is an extract of the values of compassion and survival that underpin Ubuntu. These values are then used to gain a lucid perspective, as to why – in our pursuit of providing a dignified death for terminally ill patients – greater emphasis should be placed on hospice and palliative care.


Obiter ◽  
2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Suhayfa Bhamjee

This article examines the question of whether the right to life encompasses the right to die with dignity. It looks at the concepts of autonomy and paternalism as they exist as major themes on either side of the debate. Physician Assisted Suicide (Voluntary Euthanasia) has come under the spotlight in several jurisdictions, not just our own. Most recently in Montana, USA, the issue came before the Supreme Court for deliberation. The states of Washington and Oregon have legislations specific to PAS, legitimizing assisted suicide and removing wrongfulness from the actions of a physician who assists in the prescribed manner. Montana does not have specific legislation, but instead relied on the clauses of its Constitution, and it was held that the right to die with dignity is constitutionally guaranteed in that state. Here, argument is made suggesting that the right to die with dignity, in other words, to seek and easy passing through PAS, is also guaranteed in our Constitution.


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