Understanding the Voices of Disability Advocates in Physician-Assisted Suicide Debates

2021 ◽  
Vol 27 (3) ◽  
pp. 279-297 ◽  
Author(s):  
Devan Stahl
Keyword(s):  
Moral Psychology ◽  
Assisted Suicide ◽  
Terminally Ill ◽  
Christian Ethics ◽  
Social Conditions ◽  
Physician Assisted Suicide ◽  
Persons With Disabilities ◽  
Phenomenological Experience ◽  
The World ◽  
Bear Witness

Abstract Christians have an obligation to attend to the voices of persons who are crying out that their dignity and very lives are in jeopardy when physician-assisted suicide (PAS) becomes legalized. The following essay begins with an account of the concept of “disability moral psychology,” which elucidates the unique ways persons with disabilities perceive the world, based on their phenomenological experience. The author then explores the disability critique of PAS and the shared social conditions of persons who are chronically disabled and terminally ill. Finally, the author positions the disability critique within Christian moral deliberations on PAS to unearth its significance for Christian ethics. To bear witness to a compassionate God, theological and ethical judgments concerning PAS must seek perspectives from persons who claim that their dignity and even their lives are in jeopardy by the practice.

scholarly journals Attitudes of Physicians towards Different Types of Euthanasia in Kuwait

2019 ◽  
Vol 28 (3) ◽  
pp. 199-207 ◽  
Author(s):  
Shaikhah Abohaimed ◽  
Basma Matar ◽  
Hussain Al-Shimali ◽  
Khalid Al-Thalji ◽  
Omar Al-Othman ◽  
...  
Keyword(s):  
Assisted Suicide ◽  
Terminally Ill ◽  
Cross Sectional Study ◽  
Physician Assisted Suicide ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Terminally Ill Patients ◽  
Specialty Hospitals ◽  
The World ◽  
Different Types

Objective: Although in recent years the world has witnessed great advances in the medical field, much ambiguity still surrounds the issue of euthanasia and physician-assisted suicide, with increasingly favorable attitudes among physicians around the world. In our study, we aimed to assess the attitudes of physicians in Kuwait towards different types of euthanasia and examine whether physicians’ frequent encounters with terminally ill patients were associated with their approval. Subjects and Methods: We conducted a cross- sectional study on 464 physicians employed in government hospitals (6 general and 3 specialty hospitals). A self-administered questionnaire adapted from previous studies was used. Results: Of the physicians in our study, 43.9% reported that the Ministry of Health should legalize euthanasia under certain restricted conditions. In addition, 29.1% of our population was willing to perform euthanasia. After controlling for several characteristics in logistic regression analysis, approval of passive euthanasia was significantly associated with the following 2 factors: frequent exposure to terminally ill patients (AOR = 2.45) and obtention of the basic medical degree from Asia (AOR = 4.36) or North America/Europe (AOR = 3.24) compared to Kuwait. Male gender was significantly associated with willingness to perform euthanasia. Religion was the major reason for opposing euthanasia. Conclusion: The attitudes of physicians towards euthanasia are diverse, and therefore the Ministry of Health should provide guidelines for physicians dealing with situations where patients or their families request euthanasia.

The Oxford Handbook of Ethics at the End of Life

2014 ◽  
Keyword(s):  
End Of Life ◽  
Assisted Suicide ◽  
Clinical Decision Making ◽  
Death And Dying ◽  
The United States ◽  
Dark Side ◽  
Human Beings ◽  
Cultural Issues ◽  
Physician Assisted Suicide ◽  
Persons With Disabilities

This handbook explores the topic of death and dying from the late twentieth to the early twenty-first centuries, with particular emphasis on the United States. In this period, technology has radically changed medical practices and the way we die as structures of power have been reshaped by the rights claims of African Americans, women, gays, students, and, most relevant here, patients. Respecting patients’ values has been recognized as the essential moral component of clinical decision making. Technology’s promise has been seen to have a dark side: it prolongs the dying process. For the first time in history, human beings have the ability to control the timing of death. With this ability comes a responsibility that is awesome and inescapable. How we understand and manage this responsibility is the theme of this volume. The book has six sections. Section I examines how the law has helped shape clinical practice, emphasizing the roles of rights and patient autonomy. Section II focuses on specific clinical issues, including death and dying in children, continuous sedation as a way to relieve suffering at the end of life, and the problem of prognostication in patients who are thought to be dying. Section III considers psychosocial and cultural issues. Section IV discusses death and dying among various vulnerable populations, such as the elderly and persons with disabilities. Section V deals with physician-assisted suicide and active euthanasia (lethal injection). Finally, Section VI looks at hospice and palliative care as ways to address the psychosocial and ethical problems of death and dying.

scholarly journals Guidelines for Physician-Assisted Suicide: Can the Challenge Be Met?

1996 ◽  
Vol 24 (3) ◽  
pp. 217-224 ◽  
Author(s):  
Carl H. Coleman ◽  
Alan R. Fleischman
Keyword(s):  
American Medical Association ◽  
Medical Association ◽  
American Medical ◽  
Assisted Suicide ◽  
Terminally Ill ◽  
Federal Court ◽  
Physician Assisted Suicide ◽  
Direct Control ◽  
Distant Future ◽  
Commit Suicide

The question of legalizing physician-assisted suicide (PAS) has become a serious public debate. Growing interest in assisted suicide reflects a public increasingly fearful of the process of dying, particularly the prospect of dying a painful, protracted, or undignified death. PAS has been proposed as a compassionate response to unrelievable suffering, designed to give terminally or incurably ill individuals direct control over the timing, manner, and circumstances of their death. Although the American Medical Association remains firmly opposed to legalizing PAS, many physicians have begun to express support for the practice, and some have acknowledged that they have helped patients commit suicide despite the existing legal ban.As support for PAS grows, it becomes increasingly likely that the practice will be legalized in at least some states in the not-too-distant future. In 1994, Oregon voters approved a referendum legalizing PAS for competent, terminally ill patients; a federal court injunction preventing the referendum from going into effect is currently on appeal, and it is widely expected that the injunction will be lifted.

Euthanasia and physician-assisted suicide in cases of terminal cancer: the opinions of physicians and nurses in Greece

2008 ◽  
Vol 48 (4) ◽  
pp. 333-341 ◽  
Author(s):  
Efi Parpa ◽  
Kyriaki Mystakidou ◽  
Eleni Tsilika ◽  
Pavlos Sakkas ◽  
Elisabeth Patiraki ◽  
...  
Keyword(s):  
Cancer Patient ◽  
Cancer Patients ◽  
Assisted Suicide ◽  
Terminally Ill ◽  
Respiratory Arrest ◽  
Terminal Cancer ◽  
Physician Assisted Suicide ◽  
Advanced Cancer Patients ◽  
Terminally Ill Cancer Patients ◽  
Hastened Death

The aim of this study was to investigate the opinions of physicians and nurses on euthanasia and physician-assisted suicide in advanced cancer patients in Greece. Two hundred and fifteen physicians and 250 nurses from various hospitals in Greece completed a questionnaire concerning issues on euthanasia and physician-assisted suicide. More physicians (43.3%) than nurses (3.2%, p<0.0005) reported that in the case of a cardiac or respiratory arrest, they would not attempt to revive a terminally ill cancer patient. Only 1.9% of physicians and 3.6% of nurses agreed on physician-assisted suicide. Forty-seven per cent of physicians and 45.2% of nurses would prefer the legalization of a terminally ill patient's hastened death; in the case of such a request, 64.2% of physicians and 55.2% of nurses (p=0.06) would consider it if it was legal. The majority of the participants tended to disagree with euthanasia or physician-assisted suicide in terminally ill cancer patients, probably due to the fact that these acts in Greece are illegal.

Rights of the Terminally Ill Act of the Australian Northern Territory

1996 ◽  
Vol 5 (1) ◽  
pp. 157-166 ◽  
Author(s):  
Robert L. Schwartz
Keyword(s):  
United States ◽  
Assisted Suicide ◽  
Terminally Ill ◽  
Federal Court ◽  
The United States ◽  
Intractable Pain ◽  
Physician Assisted Suicide ◽  
Death With Dignity ◽  
Assisted Death ◽  
Court Of Appeals

Over the past year the debate over physician-assisted death has been waged in several courts and legislatures, and before at least one electorate as well. Measure 16, the Oregon Death With Dignity initiative that would permit physician-assisted suicide in some circumstances, was approved by the electorate; but it remains on hold while a permanent injunction issued against it by a Federal judge is reviewed by the United States Court of Appeals. Another Federal court judge's decision that the Washington statute criminalizing physician-assisted suicide was unconstitutional when applied to the case of a competent terminally ill patient in intractable pain, was reversed by a three judge panel of that same United States Court of Appeals.

The Beginning and Ending of Life

2019 ◽  
pp. 162-171
Author(s):  
John Keown
Keyword(s):  
Quality Of Life ◽  
Human Development ◽  
Assisted Suicide ◽  
Human Life ◽  
Terminally Ill ◽  
Medical Law ◽  
Physician Assisted Suicide ◽  
Life Sustaining Treatment ◽  
The Law

This chapter identifies several respects in which medical law in England and Wales suffers from a lack of ethical coherence in relation to its protection of human life. It argues that it is philosophically incoherent for the law to calibrate its protection of human life according to arbitrary stages of human development such as birth, viability, the fourteenth day after fertilization, and implantation. To the extent that the law permits life-sustaining treatment to be withheld or withdrawn from incompetent patients on the ground that their ‘quality of life’ is insufficient, and even with an intent to hasten death, it again displays ethical incoherence. If legislators or judges were to make it lawful for physicians to intentionally assist suicidal refusals of treatment, or to endorse a right to physician-assisted suicide for the ‘terminally ill’, the law's ethical incoherence would be seriously aggravated.

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