Nurses' Values and Perspectives on Medical Aid in Dying: A Survey of Nurses in the United States

2022 ◽  
Vol 24 (1) ◽  
pp. E1-E1
Author(s):  
Carey T. Ramirez ◽  
Kathleen Fundalinski ◽  
Judy Knudson ◽  
John Himberger

Assistance in dying, though highly controversial, is requested of an increasing number of palliative clinicians. This necessitates an exploration of the current nomenclature, history, and ethical and legal foundations of the topic, followed by an evaluation of the characteristics of those who request physician assisted dying (PAD), suggestions for responding to requests, and recommended alternatives. As of 2017, medical aid in dying is legal in six states and the District of Columbia, jurisdictions in which 16.4% of the United States population live. In 2018, 27 states are considering legalization. Furthermore, assisted dying and euthanasia are legal in five countries and assisted dying without euthanasia is legal in three. The goal of this chapter is to ensure palliative specialists are prepared to handle requests for physician assistance in dying.


2021 ◽  
pp. 145-164
Author(s):  
David Orentlicher

Religions ◽  
2020 ◽  
Vol 11 (11) ◽  
pp. 584
Author(s):  
Jeremy Cohen

In October of 2018, Norman Hardy became the first individual to be cryopreserved after successful recourse to California’s then recently passed End of Life Options Act. This was a right not afforded to Thomas Donaldson, who in 1993 was legally denied the ability to end his own life before a tumor irreversibly destroyed his brain tissue. The cases of Norman Hardy and Thomas Donaldson reflect ethical and moral issues common to the practice of assisted dying, but unique to cryonics. In this essay, I explore the intersections between ideologies of immortality and assisted dying among two social movements with seemingly opposing epistemologies: cryonicists and medical aid in dying (MAiD) advocates. How is MAiD understood among cryonicists, and how has it been deployed by cryonicists in the United States? What are the historical and cultural circumstances that have made access to euthanasia a moral necessity for proponents of cryonics and MAiD? In this comparative essay, I examine the similarities between the biotechnological and future imaginaries of cryonics and MAiD. I aim to show that proponents of both practices are in search of a good death, and how both conceptualize dying as an ethical good. Cryonics members and terminal patients constitute unique biosocial worlds, which can intersect in unconventional ways. As temporalizing practices, both cryonics and MAiD reflect a will to master the time and manner of death.


2015 ◽  
Vol 59 (4) ◽  
pp. 554-574
Author(s):  
Susan Grant

In its examination of American Medical Aid to Russia, this article shows how the best of intentions can have the potential to go horribly awry. It argues that the competing binary forces of international collaboration and goodwill versus political tensions and uncertainty combined to create an environment wherein actors and agents inhabited an ever changing and unpredictable international stage. Could American philanthropic organisations and individuals overcome political volatility, financial restrictions and ideological barriers? Just what would it take to establish an American hospital in Moscow, the Bolshevik seat of power? The attempt to establish the hospital proved to be an exercise in patience, persistence and prudence (although not always in equal measure). This article shows that international cooperation, while undoubtedly complicated, was certainly possible. The flow of information, materiel and personnel between the United States, Germany and Russia proved that good intentions, trust and a will to help others were valued. The history of American Medical Aid to Russia also demonstrates that the Quaker role of facilitator and interlocutor was vital in establishing a relationship of trust between Soviet Russia and the United States. This article discusses the difficulties that philanthropic organisations faced when navigating the choppy international waters of the early 1920s and highlights the rewards of successfully doing this. It argues that basic human relationships and trust were just as, if not sometimes more, important than ideology in determining the tenor of early US–Soviet relations.


1983 ◽  
Vol 13 (3) ◽  
pp. 443-458 ◽  
Author(s):  
Martin F. Shapiro

During international or civil wars, private citizens of noncombatant nations often provide medical aid to one of the contending factions, particularly when they support a participant not favored by their own government. This paper details and analyzes the prominent campaign in the United States, Canada and Great Britain to provide medical aid to the Republicans during the Spanish Civil War (1936 to 1939). The substantial medical aid that was provided clearly alleviated some suffering, but one of the major objectives of the campaign was to arouse public opinion sufficiently to end the boycott of military aid to Republicans; this objective was never achieved. Whether it be in Republican Spain, Vietnam or El Salvador, even a successful medical aid campaign to people in a military conflict may save some lives but may not affect substantially the course of the conflict. Those who are primarily interested in influencing political or military developments, hoping to advance the cause of a particular contending faction, may find tactics other than medical aid campaigns more useful in accomplishing their goals.


Author(s):  
Kathryn L. Tucker

The movement for disability rights in the United States is grounded on a bedrock commitment to empowering the individual with autonomy and independence. Despite this foundation, a sharp line has been drawn by much of the disability advocacy community when it comes to the autonomy of a mentally competent terminally ill patient to choose a more peaceful death through aid in dying. This exercise of autonomy has largely been opposed by the disability advocacy community. This Article proposes that given the common principles shared by these two social justice movements and evidence from two decades of open practice in the United States that shows that no risk arises for people with disabilities when aid in dying is available, it is time for the disability advocacy community to reexamine and evolve its position on aid in dying. This evolution has the potential to benefit both advocacy communities.Part I discusses the principles common to the movements for disability rights and end-of-life liberty, demonstrating how they are virtually identical. Part II reviews arguments advanced by proponents of end-of-life liberty in favor of empowering terminally ill patients with more options, specifically including aid in dying, and those advanced by disability rights advocates against this position. In Part III, the data from nearly twenty years of openly practiced aid in dying in the United States is reviewed. Particular focus is given to how data regarding this practice relates to persons with disabilities. Finally, Part IV suggests that it is timely and strategic for the disability advocacy community to reconsider its opposition to aid in dying, and it sets forth indicators that such reconsideration is emerging. 


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