Physician assisted suicide also referred to as Euthanasia has been a wildly controversial and to this day is still the topic of many debates such as should a person be put out of their misery and is it moral to end the life of a human being. According to Webster’s dictionary, assisted suicide is "suicide with help from another person (such as a doctor) to end suffering from severe physical illness." (Webster) Assisted suicide is right in the sense that human beings should be allowed to make the decision on whether they want to live or not. The idea is to essentially put the terminally ill out of their pain and suffering because they can no longer live a life of good quality. On the flip side assisted suicide is wrong because life is precious and man should do everything he can to preserve it. As well as life being precious it is also against current legislation to commit or aid in helping one commit suicide which is where the debate begins. Both sides of the assisted suicide argument are strong in that the argument for physician assisted suicide is more of a moral decision while the argument against physician assisted suicide is more of a legal argument and the following reflects the pros and cons of assisted suicide which will be covered in this argument. “The Right to Die, Patient Suffering at End-of-Life, Slippery Slope to Legalized Murder, Government Involvement in End-of-Life Decisions, Palliative (End-of-Life) Care, Healthcare, Religious Concerns, and Living Wills.” (ProCon.org) Legalization of physician assisted suicide, although viewed as wrong by some, would be the best course of action because it allows the suffering to stop suffering and allows the terminally ill to take control of what time they have left to live.
There are many reasons against euthanasia or physician assisted suicide. One of the main reasons is from a religious point of view. The United Stated Conference of Catholic Bishops states:
"As Catholic leaders and moral teachers, we believe that life is the most basic gift of a loving God- a gift over which we have stewardship but not absolute dominion. Our tradition, declaring a moral obligation to care for our own life and health and to seek such care from others, recognizes that we are not morally obligated to use all available medical procedures in every set of circumstances. But that tradition clearly and strongly affirms that as a responsible steward of life one must never directly intend to cause one's own death, or the death of an innocent victim, by action or omission...We call on Catholics, and on all persons of good will, to reject proposals to legalize euthanasia.
By saying this, the leaders of the catholic religion are expressing how it is religiously wrong for someone to cause their own death by means such as euthanasia. Life is given to humans by God and humans should not have complete control over it. Life is precious and should never be ended by anyone.
Another point is made by Doctor Edmund D. Pelligrino about the slippery slope to legalized murder:
In a society as obsessed with the costs of health care and the principle of utility, the dangers of the slippery slope... are far from fantasy... Assisted suicide is a half-way house, a stop on the way to other forms of direct euthanasia, for example, for incompetent patients by advance directive or suicide in the elderly. So, too, is voluntary euthanasia a half-way house to involuntary and nonvoluntary euthanasia. If terminating life is a benefit, the reasoning goes, why should euthanasia be limited only to those who can give consent? Why need we ask for consent?
This is the main reason that physician assisted suicide is illegal today as current legislation states. Anyone would be scared to go to the hospital if they thought their physician could just give them a euthanizing drug without their consent. The slippery slope that doctor Pelligrino refers to is society may translate this as a right for a doctor or the government to kill anyone for whatever justifiable reason they determine. Even such as someone who simply does not want to live anymore. This starts to lead into the basis of euthanasia, an opposing view can be that if this were socially acceptable it can become a loose cannon. There may be too many autonomous decisions causing the death of the elderly or disabled persons that are viewed as being useless burdens on society and its resources because there is always a large argument of concern of the added health care expenses to the elderly and disabled patients. Another danger would be to the mentally ill because if the courts eventually allow as assisted suicide they most unsurely would allow for the mentally ill to make a choice of death even though they do not have Mens Rea (guilty Mind) to understand what they are actually doing to themselves.
However, Based on the advocacy of Hemlock society and Doerflinger:
An individual should be able to seek one’s own determination in deciding whether they live or die and the argument is why should one be forced to remain alive when their existence is terminally erect with pain and suffering which is no life that anyone would cherish. Death is simply more preferable than the hardships than living a seriously ill life. One should be able to have the dignity as a human and an individual to have the ultimate control of their existence or nonexistence.”
This should all be balanced against what is already in the law books which is the constitutional right to die which was set by the Supreme Court in 1973. And thus, one should also have the option to extinguish his or her own life without any government interference. Being alive while suffering is not enjoyable for anyone (the person suffering or friends and family witnessing the suffering) and a person should have the right to end all suffering because there is no longer a good quality of life to be lived. Having this economy to make this decision would better serve the suffering individual while not making a statement that their life is just not worth living for no apparent reason of justification.
An argument can be made for physician assisted suicide based on a quote from the Declaration of Independence which states:
"We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness. — That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed." (U.S. Declaration of Independence)
If specifically looking at freedom consider a slave and the fact that he or she being a slave does not have that freedom and for them to live is worse off than that of a copse under those conditions. Thus it is arguable that the freedom to have the choice of termination of one’s life is a form of freedom which is guaranteed of Americans and a freedom from pain and suffering. Also, it is noted that this freedom from a life of pain and suffering is another definition or form of the freedoms guaranteed. To further the argument of no freedom guaranteed to an American and an individual who is suffering from terminal illness does not have to guarantee freedoms to explore or pursue simple everyday tasks of life. They are in fact a slave to their terminal illness.
Living wills also play a major role in physician assisted suicide as pointed out by lawyers Pozzuolo, Lassoff, and Valentine:
"Living wills can be used to refuse extraordinary, life-prolonging care and are effective in providing clear and convincing evidence that may be necessary under state statutes to refuse care after one becomes terminally ill. A recent Pennsylvania case shows the power a living will can have. In that case, a Bucks County man was not given a feeding tube, even though his wife requested he receive one, because his living will, executed seven years prior, clearly stated that he did not want tube feeding or any other artificial invasive form of nutrition'... A living will provides clear and convincing evidence of one's wishes regarding end-of-life care."
This case in a way was a physician assisted suicide because the doctors did not put the feeding tube in as requested in the will by the patient. Although this specific case did not involve a euthanization drug, it involved a man whose life was ended with the help of the doctor, or in this case the lack thereof giving the patient exactly what he wanted and an easy way out of his pain and suffering. It is odd that this way of death, even while suffering is legal, but having a doctor prescribe a drug to end life is illegal.
A strong point for physician assisted suicide is the Palliative, or end of life care. As Doctor Kimsma and Doctor Leeumen say:
" Assisting death in no way precludes giving the best palliative care possible but rather integrates compassionate care and respect for the patient's autonomy and ultimately makes death with dignity a real option... The evidence for the emotional impact of assisted dying on physicians shows that euthanasia and assisted suicide are a far cry from being 'easier options for the caregiver' than palliative care, as some critics of Dutch practice have suggested. We wish to take a strong stand against the separation and opposition between euthanasia and assisted suicide, on the one hand, and palliative care, on the other, that such critics have implied. There is no 'either-or' with respect to these options. Every appropriate palliative option available must be discussed with the patient and, if reasonable, tried before a request for assisted death can be accepted... Opposing euthanasia to palliative care... neither reflects the Dutch reality that palliative medicine is incorporated within end-of-life care nor the place of the option of assisted death at the request of a patient within the overall spectrum of end-of-life care."
Patients with terminal illnesses often are depressed and in excruciating pain near the end of their lives. One option is to charge through the pain and suffering and wait to be consumed by the illness, or the patient could choose to be euthanized to avoid the excessive pain that is included with his or her illness. Not only will euthanization prevent pain and suffering, it can also help with hospital costs and help prevent loved ones from watching the patient deteriorate and struggle to survive before their very eyes. Along with that, the patients that spend weeks or months in the hospital often do not get suitable care from doctors or nurses and are then put through more of a struggle. The doctors and nurses assume that because the patient is going to die soon anyway there is no need to put extra effort into their care and the patient suffers even more making physician assisted suicide even more appealing.
In conclusion, both sides have compelling evidence to promote all sides of the argument. Religion and slippery slopes involved with unvoluntary assisted suicide are against physician assisted suicide while the hemlock society, the Declaration of Independence, living wills, and Palliative care are for physician assisted suicide. The argument for physician assisted suicide is much stronger than argument against it and the hemlock society truly only wishes to assist suicide with those who are actually diagnosed with a terminal illness and have no chance at life after the illness. The court systems would need to be relied upon heavily to prevent a wrong intent of the justification for assisted suicide as it would not be fair to these terminally ill suffering individuals to be denied terminating their lives based on supposed intentions by others. The whole goal of legalizing physician assisted suicide is to help give control to those that are suffering so that they might be able to end their suffering and leave this world in peace.
Works Cited
"Assisted Suicide." Merriam-Webster. Merriam-Webster, n.d. Web. 18 Mar. 2014.
"Top 10 Pros and Cons - Euthanasia - ProCon.org." ProConorg Headlines. N.p., n.d. Web. 17 Mar. 2014.
Doerflinger, R. (1989). Assisted suicide: Pro-choice or anti-life? The Hastings Center Report, 19(1), S16-9. Web.18 Mar. 2014 Retrieved from http://search.proquest.com/docview/222364809?accountid=38769
Kimsma, Gerrit. Leeuwen, Evert van."Would Legalizing Euthanasia or Physician-Assisted Suicide Undermine the Quality of Palliative Care That Patients Receive?" ProCon.org. 11 Mar. 2009. Web. 26 Mar. 2014.
Pozzuolo, Joseph. Lassoff, Lisa. Valentine, Jaime. "Are Living Wills a Good Idea?" ProCon.org. 9 June 2008. Web. 26 Mar. 2014.
Frey,R.G. "Would legalizing voluntary euthanasia and assisted suicide create a slippery slope to involuntary euthanasia?" ProCon.org. 14 Aug. 2009. Web. 26 Mar. 2014.
N.a. "Is the Debate over Euthanasia and Physician-Assisted Suicide Primarily Religious in Nature?" ProCon.org. 5 June 2008. Web. 26 Mar. 2014.
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