Physician-Assisted Suicide: What are the Issues?


Book Description

Physician-Assisted Suicide: What are the Issues? offers a detailed discussion of recent supreme court rulings that have had an impact on the contemporary debate in the United States and elsewhere over physician-assisted suicide. Two rulings by the U.S. Supreme Court have altered the contemporary debate on physician-assisted suicide: Washington v. Glucksberg (1997) and Vacco v. Quill (1997). In these cases, the Supreme Court ruled that state laws could prohibit assisted suicide and, therefore, physician-assisted suicide. These rulings mark the apex of over two decades of unprecedented litigation regarding end-of-life care and signal the beginning of a new clinical, ethical, and legal debate over the extent of an individual's rights to control the timing, manner, and means of his/her death. The debate over suicide and assisting suicide is ancient and contentious and intertwined with questions about the permissibility of voluntary active euthanasia or mercy killing. Responses to these issues can be divided into those who defend physician-assisted suicide and many of these other activities and those who object. But those who object may do so on principled grounds in that they regard these activities as wrong in all cases, or non-principled, in that they believe there are more prudent, less disruptive or more efficient policies. The authors in this book sort out these responses and look at the assumptions underlying them. Several of these authors give startling new interpretations that a culture gap, deeper and wider than that in the abortion debate, exists.




Physician-Assisted Death


Book Description

Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.




Approaching Death


Book Description

When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."




Physician-Assisted Suicide


Book Description

"The book is extremely well balanced: in each section there is usually an argument for and against the positions raised. It is a useful and well-thought-out text. It will make people think and discuss the problems raised, which I think is the editor's main purpose." -- Journal of Medical Ethics "... a volume that is to be commended for the clarity of its contributions, and for the depth it gains from its narrow focus. In places, this is a deeply moving, as well as closely argued, book." -- Times Literary Supplement "This work is an excellent historical and philosophical resource on a very difficult subject." -- Choice "This collection of well-written and carefully argued essays should be interesting, illuminating, and thought provoking for students, clinicians, and scholars." -- New England Journal of Medicine "This book is highly recommended..." -- Pharmacy Book Review "This is a well-balanced collection and the essays are of uniformly good quality.... very readable.... should be useful to anyone interested in this topic." -- Doody's Health Sciences Book Review Home Page "Physician-Assisted Suicide continues in the fine tradition of the Medical Ethics series published by Indiana University Press. Chapters are authored by outstanding scholars from both sides of the debate, providing a balanced, in-depth exploration of physician-assisted suicide along clinical, ethical, historical, and public policy dimensions. It is important reading for those who want to better understand the complex, multilayered issues that underlie this emotionally-laden topic." -- Timothy Quill, M.D. "Robert Weir has produced the finest collection of essays on physician assisted dying yet assembled in one volume. Physician assisted dying involves ethical and legal issues of enormous complexity. The deep strength of this anthology is its multi-disciplinary approach, which insightfully brings to bear interpretations from history, moral philosophy, religion, clinical practice, and law. This is a subject, much like abortion, that has divided America. This volume provides balanced scholarship that will help inform opinions from the hospital and hospice bedside to the halls of federal and state legislatures and courtrooms." -- Lawrence O. Gostin, Co-Director, Georgetown/Johns Hopkins Program on Law and Public Health "This book is a timely and valuable contribution to the debate. Highly recommended for academic collections." -- Library Journal These essays shed light and perspective on today's hotly contested issue of physician-assisted suicide. The authors were selected not only because of their experience and scholarship, but also because they provide readers with differing points of view on this complex subject -- and a potential moral quandary for us all.




Holland-Frei Cancer Medicine


Book Description

Holland-Frei Cancer Medicine, Ninth Edition, offers a balanced view of the most current knowledge of cancer science and clinical oncology practice. This all-new edition is the consummate reference source for medical oncologists, radiation oncologists, internists, surgical oncologists, and others who treat cancer patients. A translational perspective throughout, integrating cancer biology with cancer management providing an in depth understanding of the disease An emphasis on multidisciplinary, research-driven patient care to improve outcomes and optimal use of all appropriate therapies Cutting-edge coverage of personalized cancer care, including molecular diagnostics and therapeutics Concise, readable, clinically relevant text with algorithms, guidelines and insight into the use of both conventional and novel drugs Includes free access to the Wiley Digital Edition providing search across the book, the full reference list with web links, illustrations and photographs, and post-publication updates




Physician-Assisted Death


Book Description

The question of whether and under what circumstances terminally ill patients should be able to access life-ending medications with the aid of a physician is receiving increasing attention as a matter of public opinion and of public policy. Ethicists, clinicians, patients, and their families debate whether physician-assisted death ought to be a legal option for patients. While public opinion is divided and public policy debates include moral, ethical, and policy considerations, a demand for physician-assisted death persists among some patients, and the inconsistent legal terrain leaves a number of questions and challenges for health care providers to navigate when presented with patients considering or requesting physician-assisted death. To discuss what is known and not known empirically about the practice of physician-assisted death, the National Academies of Sciences, Engineering, and Medicine convened a 2-day workshop in Washington, DC, on February 12â€"13, 2018. This publication summarizes the presentations and discussions from the workshop.




The Future of Assisted Suicide and Euthanasia


Book Description

After assessing the strengths and weaknesses of arguments for assisted suicide and euthanasia, Gorsuch builds a nuanced, novel, and powerful moral and legal argument against legalization, one based on a principle that, surprisingly, has largely been overlooked in the debate; the idea that human life is intrinsically valuable and that intentional killing is always wrong. At the same time, the argument Gorsuch develops leaves wide latitude for individual patient autonomy and the refusal of unwanted medical treatment and life-sustaining care, permitting intervention only in cases where an intention to kill is present.




Regulating how We Die


Book Description

Addressing the subject of euthanasia, medical ethicist Dr. Linda Emanuel assembles testimony from leading experts to provide not only a clear account of the arguments for and against physician-assisted suicide and euthanasia--but also historical, empirical, and legal perspectives on this complex and often heart-rending issue.




Physician-assisted Death


Book Description

The issue of physician-assisted death is now firmly on the American public agenda. Already legal in five states, it is the subject of intense public opinion battles across the country. Driven by an increasingly aging population, and a baby boom generation just starting to enter its senior years, the issue is not going to go away anytime soon. In Physician-Assisted Death, L.W. Sumner equips readers with everything they need to know to take a reasoned and informed position in this important debate. The book provides needed context for the debate by situating physician-assisted death within the wider framework of end-of-life care and explaining why the movement to legalize it now enjoys such strong public support. It also reviews that movement's successes to date, beginning in Oregon in 1994 and now extending to eleven jurisdictions across three continents. Like abortion, physician-assisted death is ethically controversial and the subject of passionately held opinions. The central chapters of the book review the main arguments utilized by both sides of the controversy: on the one hand, appeals to patient autonomy and the relief of suffering, on the other the claim that taking active steps to hasten death inevitably violates the sanctity of life. The book then explores both the case in favor of legalization and the case against, focusing in the latter instance on the risk of abuse and the possibility of slippery slopes. In this context the experience of jurisdictions that have already taken the step of legalization is carefully reviewed to see what lessons might be extracted from it. It then identifies some further issues that lie beyond the boundaries of the current debate but will have to be faced sometime down the road: euthanasia for patients who are permanently unconscious or have become seriously demented and for severely compromised newborns. The book concludes by considering the various possible routes to legalization, both political and judicial. Readers will then be prepared to decide for themselves just where they stand when they confront the issue both in their own jurisdiction and in their own lives.




Physician-assisted Suicide


Book Description

Whether competent, terminally ill patients have a right to die with the assistance of their physicians or whether state and national governments have legitimate interests in forbidding the exercise of this right are the central questions around which this book revolves. In either case, essential constitutional issues as well as ethical and medical reflections enter the debate. This book, blending original sources and expert commentary, prepares its readers to enter the discussion by providing an accessible and concise introduction to the law and politics of physician-assisted suicide. Its timely appearance also sets the stage for understanding future state referenda, court decisions, legislation, and executive orders expected in 2002 and beyond. Visit our website for sample chapters!




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