Monday, May 23, 2011

Trial Search: Prolonging life with Dignity


Most of us have wondered at one point or another, if I were to get in a terrible accident and was in a great amount of pain, would it be better to die and end the suffering? If I were to become terminally ill with only 6 months left to live, would it be better to die before my disease takes over my life? These situations and more are reality too many people; so many in fact, that new laws are trying to be passed in order to make it legal to have a physician assist you in suicide. However, this law is extremely controversial because its dealing with life, something considered sacred to most people. Although in America all should have the freedom to choose, is helping someone commit suicide morally right? My opinion of the issue is that this law should not be passed, because there is too much room for corruption and abuse, there is too much confusion over who this law is even applying to, and there are too many other options for terminally ill patients that it is just wrong for them to need to kill themselves.

With any new law, there are going to be those people who try and twist its meaning for their benefit. There could be issues with people trying to collect on life insurance. Also there could be issues with family members, or even doctors trying to sway the decision of those who are dying. Ethically it is wrong to have a law which could be manipulated so easily. What happens to our society when it is morally acceptable for doctors to kill their patients? Although the Hippocratic Oath is no longer in use today, there are some things about medicine that should not change, including doctors trying their best to preserve the life of patients. The problem is though, that if more restrictions were put on the law that would make it even more unattainable to most patients who request it. This law would give false hope to many patients, who in the end will never receive the treatment they are looking for. That is why it would be better not to have this law in the first place, so patients can focus their attention on other alternatives.  

There is much confusion to who this law is actually applying to, therefore its confusing whether or not this law will even be helpful. When most people think about assisted suicide they think about that patient that is in such terrible, chronic pain, aiding them in their death is the only merciful option. They think about that patient paralyzed from the neck down, and can no longer live a life on their own, and are relying on machines. They think about that old patient that is slowly losing all memories to Alzheimer’s, and going into advanced dementia. As it turns out, none of these patients would even be able to try and qualify for PAD. According to Robert Macauley, head of ethics for Fletcher Allen, “the proposed legislation would limit physician assisted death to competent, terminally ill patients, who could self administer the lethal dose of a pharmaceutical.” This means that PAD would be able to help only a small number of people. This could be seen as a good or bad thing. For those patients that actually have the option of PAS, only few will want to take advantage of that, and after that even fewer will live long enough to receive the medication. Based on the current size of Vermont’s population and statistics from Oregon, only one or two people a year would get an assisted death, according to Claire Wies, a hospice nurse. This brings up the question if all the legal issues are worth it for just those one or two people.

The last thing I would like to mention is all of the alternative options. When you see the situation with only two options being dying with dignity or living with pain, you’re missing a huge part of the debate. With how advanced medicine is today, there is no reason for these terminally ill patients to be in extreme pain. With how advanced technology is today, there is no real way to put an expiration date on someone’s life. Also, with great palliative and hospice care available, especially in Vermont, there are many ways to ease patients into the end of their lives naturally, all while maintaining their dignity. I spoke with Suzanna Urrutia, a woman whose husband died of cancer four years, and had received hospice care. She said that although the process was the hardest thing she’s ever been through, the amount physical and emotional support she got from Vermont palliative care and resources was immense, and she was glad her husband got a natural death. Her story helped me to realize that death is a natural thing. It shouldn’t have to be brought upon early to maintain dignity. There are ways for terminally ill patients to die peacefully with loved ones without any assistance.

By all means, I am not trying to say that people shouldn’t have the right to choose what they want to do with their lives (and deaths). I’m just saying that this law getting passed would end up leading to things it was not intended for. It would be subject to abuse, misuse, and a lot of misunderstanding around it. Also, we should try to promote non suicidal actions. Of course patients that are terminally ill will be feeling some depression. Perhaps they may feel like hastening their death will be an easy way out. If we could make them aware of the pain free options that offer more longevity, then they would be able to spend more time with their loved ones, and doctors would have to be obliged to killing. It may sound heartless for us not to grant terminally ill patients their last requests. It may ever seem like without this law we’re taking away their freedom. But the truth is, this law is just another Vermont could do fine without.

Tuesday, April 5, 2011

Panel Day Reflection

The panel I experienced on March 28 was made up of panelists Dr. Robert Macauley, ethicist of Fletcher Allen Healthcare, Claire Weis, a palliative care hospice nurse, Dr. David Babbott, a retired doctor, and special guest Marnie Woods, a woman who's sister had a physician assist her suicide in the state of Oregon.Macauley and Weis both believed that Vermont should not legalize PAS, whereas Babbott and woods were completely for it. All panelists put up great arguments, and you could tell how strongly they all felt about the issue. Babbott mention multiple times how this law would be pretty much the exact some law now active in Oregon, and how well its been working for them. However Macauley  provided more solid facts on how statistically, only few will ask to be assisted in suicide, even fewer will actually qualify, therefore the number of people this law will even apply to will be so minimal, yet it  could have negative impacts on us all. Also, Weis pointed out how there are so many other options for terminally ill patients, and there is no reason that patients should feel like killing themselves is the only way to stop the pain.      

Monday, April 4, 2011

Stakeholders

For Physician Assisted Suicide, there are two very emotional sides on weather or not it should be legalized. One of the sides is pro, or they support the idea of death with dignity. The fundamental belief is that everyone has the right to choose and control their own life.This side also acknowledge that in the 14th amendment of the U.S. constitution it affirms that no state shall not deprive any person of life, liberty, or property. By denying them the right to die, they feel that the state is has taken away their freedom of controlling their own life, which I guess you could consider their most valuable possession.

The other side of the issue, or the con side, has people equally as passionate about the issue. They believe that it would be extremely irresponsible to legalize physician assisted suicide. Despite popular belief, there are more than two extremes in these situations, it isn't just die slowly and painfully or have a physician help you commit suicide. For many patients, even with PAS legal, choosing to die still will not be an option for them. It is extremely hard for patients to qualify, and it wont even be an option for patients with advanced dementia chronic pain, or ALS. And possibly the most effective argument of all, there is the fact that there are so many other options. Patients can have palliated care to ease them into the end of there life, or if they are really set on dying so soon the can deny food and treatment, or even possibly qualify to be put into a sleep they cannot wake up from.    

Thursday, March 24, 2011

Current Interpretation

Currently, there are three states that allow physician assisted death (PAD). The first state was Oregon, in 1994 when voters approve "Death with Dignity Act", however the law isn't actually in place until 1998. Next to follow was Washington, who's laws take effect in March 2009. And most recently, PAD was legalized in Montana in December 2009. Many other states, including California, Colorado, Hawaii, Maine, Michigan, and New Hampshire have had failed attempts at legalization. Currently, even Vermont is addressing the issue and may possible become the next state to have PAD legalized.

Constitutional Connection

The constitution is kind of vague and there's lots of room for interpretation, but the 14th amendment is the part that applies best to physician assisted suicide. It states that "...Nor shall any state deprive any person of life, liberty, or property, without the due process of law,". This would make most people think that "a state cannot allow physicians to take away any life" however, it is highly doubtful that the founding fathers were thinking of this situation when the constitution was made. Like I said before, technology has changed,  

Issue Explanation

The controversial issue of “dying with dignity” or having the right to die really started in America in the late 50s. Around this time, because of technological advances, the lives of terminally ill patients could be sustained longer. This aroused the question of if quality of life is better than quantity. This is such a controversial topic because doctor, above all else, are supposed to help people and to make them better. How do they help them if the only way to do so is assisting them in suicide?

Tuesday, March 22, 2011

Right to Die

The topic of physician assisted suicide is one I don't know too much about yet. My opinion so far is that everyone has the right to choose all things involving their own life. If there is a 80 year old terminally ill man, who would rather die peacefully with his family, than wither away being kept alive on a machine or deal with the pains of his disease, than yes by all means, he should be allowed his peaceful death. However I can see the other side of the argument as well. Not so much the religious aspect of it, but the fact that there will be some circumstances where it is not right for a doctor to help someone kill themselves. Also, legally it is going to be hard to draw the line between when someone actually wants to end their own pain, or are just being influenced by other family members to not be a financial burden. I think I need to do more research on the topic before I decide which viewpoint I agree with.

As of right now, I still have a few questions. Will this euthanasia be available to everyone in extreme pain and/or terminally, or just the elderly? How will doctors feel about killing someone, even if in their opinion there was still hope for recovery? What if it goes against their religious/moral views? What about life insurance? What if someone is not conscious or mentally able to decide for themselves, is it all right for their family to?