By Mitch Strohm,
THELAW.TV
An aging baby boomer generation is bringing the topic of
physician-assisted suicide (PAS) to the forefront of the end-of-life care
debate.
Some baby boomers with ailing health and advocacy groups
like Compassion and Choices are starting to turn the national attitude of
doctor-assisted suicide from killing to compassion.
Proponents say
that individuals deserve the right to end their lives on their own terms,
without pain and suffering.
In
addition, terminally ill patients may not want to prolong the inevitable, pay
exorbitant medical bills or be a burden to family members.
It's a controversial topic, one that's drawing a lot of legal
and ethical debate.
Bills legalizing the practice are currently being
considered in Connecticut, Vermont, New Jersey, Kansas, Hawaii and
Massachusetts. And bills related to the issue are under consideration in New
Hampshire, New York, Arizona and Montana, according to an Associated Press
report.
Where it's legal
Doctor-assisted suicide is currently legal
in Oregon, Washington and Montana.
Oregon was the first to pass the Death with Dignity Act in
1997. Washington followed suit, passing the Death with Dignity Act in 2008, and
Montana passed the Rights of Terminally Ill Act in 2009.
"It's important to recognize that we're not talking
about legalizing all of assisted-suicide," says Rita Marker, attorney and
executive director of the Patients
Rights Council.
"The laws in Oregon and Washington transformed the crime of
assisted suicide into the legal medical treatment of doctor-prescribed suicide,"
says Marker.
That's currently the discussion going on in states
considering this measure, she adds.
How the procedure
works
In physician-assisted suicide, doctors provide terminally
ill adult patients with the means to end their own life -- a prescription for a
lethal dose of oral barbiturates.
But there are certain criteria
that must be met first.
For example, to participate in Oregon, an individual must
be:
- 18 years of age or older
- A resident of Oregon
- Capable of making and communicating health care
decisions for him/herself
- Diagnosed with a terminal illness with only 6
months to live
The attending physician decides if the criteria have been
met, but further requirements are then necessary. Some of those include:
- Two oral requests by the patient, at least 15
days apart
- A written request by the patient signed by two
witnesses
- Confirmation of diagnosis and prognosis by the
attending doctor and a consulting physician
- The attending and consulting physician must determine
whether the patient is capable of making health care decisions for him/herself
- Patient must be informed of feasible alternatives
- Attending physician must request the patient to
notify their next-of-kin of the prescription request
- Physicians must report all prescriptions for
lethal medications to the Oregon Health Authority, Vital Records
Controversy over the
laws
Some of the controversy over physician-assisted suicide
comes from the procedures and guidelines.
For example, while Oregon's reports indicate that PAS is
working well, data for those reports is based on self-reporting by doctors who
prescribe lethal medication.
Marker asks, "Do you really think that the doctors who
prescribe are going to say that they didn't follow the guidelines?"
Tracking prescriptions and the abuse of them also proves to
be difficult, because doctors are generally not present during the procedure,
notes Marker.
"The safeguards end the minute the prescription is
written," she says.
Aside from the legal issues, religious beliefs also play a
big part in opposition. Many groups oppose physician-assisted suicide because
it's against their religion.
"This is not for everybody. We do realize there are
people that do not believe in this for religious beliefs, and I respect that.
There are no issues over that," said Dr. Gary Blick, a Norwalk physician
who specializes in treatment of patients with HIV and Aids in an AP report.
"But there are those subsets of people that do not want to go through the
suffering that they have to go through."
