What Is The Difference Between Physician Assisted Suicide And Euthanasia Euthanasia and assisted suicide: What are they and what do they mean?

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What Is The Difference Between Physician Assisted Suicide And Euthanasia

Euthanasia and physician-assisted suicide refer to a deliberate action taken with the intention of ending a life to relieve persistent pain.In most countries, euthanasia is against the law and may carry a jail sentence. In the United States, the law varies between states.Euthanasia has long been a controversial and emotive topic.This article looks at the debate surrounding the decisions. The definitions of euthanasia and assisted suicide vary.One useful distinction is:Euthanasia: A doctor is allowed by law to end a person’s life by a painless means, as long as the person and their family agree.Assisted suicide: A doctor assists an individual in taking their own life if the person requests it.Voluntary and involuntary euthanasiaEuthanasia may be voluntary or involuntary.Voluntary: When euthanasia is conducted with consent. Voluntary euthanasia is currently legal in Australia, Belgium, Canada, Colombia, Luxembourg, The Netherlands, Spain, Switzerland, and New Zealand. It is also legal in the U.S. states of Oregon, Washington D.C., Hawaii, Washington, Maine, Colorado, New Jersey, California, and Vermont.Non-voluntary: When euthanasia is conducted on a person who is unable to consent due to their current health condition. In this situation, the decision is made by another appropriate person, on behalf of the individual, based on their quality of life.Involuntary: When euthanasia is performed on a person who would be able to provide informed consent, but does not, either because they do not want to die, or because they were not asked. This is called murder, as it’s often against the person’s will.Passive and active euthanasiaThere are two procedural classifications of euthanasia:Passive euthanasia is when life-sustaining treatments are withheld. The definitions are not precise. If a doctor prescribes increasing doses of strong pain-management medications, such as opioids, this may eventually be toxic for the individual. Some may argue that this is passive euthanasia.Others, however, would say this is not euthanasia, because there is no intention to take life.Active euthanasia is when someone uses lethal substances or forces to end the person’s life, whether by the individual themself or somebody else.Active euthanasia is more controversial, and it is more likely to involve religious, moral, ethical, and compassionate arguments.What is assisted suicide?Assisted suicide has several different interpretations and definitions.One is:“Intentionally helping a person take their own life by providing drugs for self-administration, at that person’s voluntary and competent request.”Some definitions include the words, “in order to relieve intractable (persistent, unstoppable) suffering.”The role of palliative careSince pain is the most visible sign of distress or persistent suffering, people with cancer and other life threatening, chronic conditions will often receive palliative care. Opioids are commonly used to manage pain and other symptoms.The adverse effects of opioids include drowsiness, nausea, vomiting, and constipation. They can also be addictive. An overdose can be life threatening.Refusing treatmentIn many countries, including the U.S., a person can refuse treatment that is recommended by a health professional, as long as they have been properly informed and are “of sound mind.”One argument against euthanasia or physician-assisted suicide is the Hippocratic Oath, dating back some 2,500 years. All doctors take this oath.The Hippocratic OathThe original oath included, among other things, the following words:“I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect.”There are variations of the modern oath.One states:“If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty.”As the world has changed since the time of Hippocrates, some feel that the original oath is outdated. In some countries, an updated version is used, while in others, for example, in Pakistan, doctors still adhere to the original.As more treatments become available, for example, the possibility of extending life, whatever its quality, is an increasingly complex issue.Euthanasia in the United StatesIn the U.S. and other countries, euthanasia has been a topic of debate since the early 1800s.In 1828, the first anti-euthanasia law in the U.S. was passed in New York state. In time, other states followed suit.In the 20th century, Ezekiel Emmanual, a bioethicist of the American National Institutes of Health (NIH) said that the modern era of euthanasia was ushered in by the availability of anesthesia.In 1938, a euthanasia society was established in the U.S., to lobby for assisted suicide.Physician-assisted suicide became legal in Switzerland in 1937, as long as the doctor ending the patient’s life had nothing to gain.During the 1960s, advocacy for a right-to-die approach to euthanasia grew.The Netherlands decriminalized doctor-assisted suicide and loosened some restrictions in 2002. In 2002 doctor-assisted suicide was approved in Belgium.In the U.S., formal ethics committees now exist in hospitals and nursing homes, and advance health directives, or living wills, are common around the world. These became legal in California in 1977, with other states soon following suit. In the living will, the person states their wishes for medical care, should they become unable to make their own decision.In 1990 the Supreme Court approved the use of non-active euthanasia.In 1994, voters in Oregon approved the Death with Dignity Act, allowing physicians to assist people with terminal conditions who were not expected to survive more than 6 months.The US Supreme Court adopted such laws in 1997, and Texas made non-active euthanasia legal in 1999.The Terri Schiavo case galvanized public opinion in Florida and the U.S. Schiavo had a cardiac arrest in 1990 and spent 15 years in a vegetative state before her husband’s request to allow her to die was granted.The case involved various decisions, appeals, motions, petitions, and court hearings over a number of years before the decision was made to disconnect Schiavo’s life support in 2005.The Florida Legislature, U.S. Congress, and President Bush all played a role.In 2008, 57.91% of voters in Washington state chose in favor of the Death with Dignity Act, and the act became law in 2009.Various arguments are commonly cited for and against euthanasia and physician-assisted suicide.Arguments forFreedom of choice: Advocates argue that the person should be able to make their own choice.Quality of life: Only the individual really knows how they feel, and how the physical and emotional pain of illness and prolonged death impacts their quality of life.Dignity: Every individual should be able to die with dignity.Witnesses: Many who witness the slow death of others believe that assisted death should be allowed.Resources: It makes more sense to channel the resources of highly skilled staff, equipment, hospital beds, and medications toward lifesaving treatments for those who wish to live, rather than those who do not.Humane: It is more humane to allow a person with intractable suffering to be allowed to choose to end that suffering.Loved ones: It can help to shorten the grief and suffering of loved ones.We already do it: If a beloved pet has intractable suffering, it is seen as an act of kindness to put it to sleep. Why should this kindness be denied to humans?Arguments againstThe doctor’s role: Healthcare professionals may be unwilling to compromise their professional roles, especially in the light of the Hippocratic Oath.Moral and religious arguments: Several faiths see euthanasia as a form of murder and morally unacceptable. Suicide, too, is “illegal” in some religions. Morally, there is an argument that euthanasia will weaken society’s respect for the sanctity of life.Patient competence: Euthanasia is only voluntary if the patient is mentally competent, with a lucid understanding of available options and consequences, and the ability to express that understanding and their wish to terminate their own life. Determining or defining competence is not straightforward.Guilt: Patients may feel they are a burden on resources and are psychologically pressured into consenting. They may feel that the financial, emotional, and mental burden on their family is too great. Even if the costs of treatment are provided by the state, there is a risk that hospital personnel may have an economic incentive to encourage euthanasia consent.Mental illness: A person with depression is more likely to ask for assisted suicide, and this can complicate the decision.Slippery slope: There is a risk that physician-assisted suicide will start with those who are terminally ill and wish to die because of intractable suffering, but then begin to include other individuals.Possible recovery: Very occasionally, a patient recovers, against all the odds. The diagnosis might be wrong.Palliative care: Good palliative care makes euthanasia unnecessary.Regulation: Euthanasia cannot be properly regulated.Opinions appear to be growing in favor of euthanasia and assisted suicide.In 2013, researchers published findings of a survey in which they asked people from 74 countries their opinions on physician-assisted suicide.Overall, 65% of respondents voted against physician-assisted suicide. In 11 of the 74 countries, the vote was mostly for.In the U.S., where 1,712 respondents represented 49 states, 67% voted against it. In 18 states, the majority were for physician-assisted suicide. These 18 did not include Washington or Oregon.In 2017, a Gallup poll indicated that 73% of respondents were in favor of euthanasia in the U.S., and 67% were in favor of doctor-assisted suicide.Among weekly churchgoers, Gallup found that 55% were in favor of allowing a doctor to end the life of a patient who is terminally ill, compared with 87% of those who do not regularly attend church.It is also a political issue. Gallup’s 2017 poll found that almost 9 out of 10 liberals are in favor, compared with 79% of moderates and 60% of conservatives.How many people die each year?In countries where euthanasia or assisted suicide are legal, they are responsible for between 0.3 and 4.6% of deaths, over 70% of which are linked to cancer. In Oregon and Washington states, fewer than 1% of physicians write prescriptions that will assist suicide each year.

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What Is The Difference Between Euthanasia And Assisted Suicide?

Euthanasia and assisted suicide are two processes designed to end the suffering of those in chronic pain by ending their life, or helping them do so. In this video I will provide you with a definition of both euthanasia and assisted suicide, showing you how they are similar and different. The biggest difference between euthanasia and assisted suicide concerns who takes the life of the person. With Euthanasia, the person’s death is caused by somebody else, whereas with assisted suicide, they are given all the necessary help to kill themselves but the final act is taken by them alone. However these definitions can be misleading, as they imply a world of difference between euthanasia and assisted suicide. By better understanding euthanasia we can see that they are actually very similar.

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Euthanasia is a process that has two distinct forms, the active and
passive form. Active euthanasia is when death is caused by an act, for example giving somebody an overdoes of painkillers. Passive euthanasia on the other hand refers to the omission of something, for example, turning off somebody’s life support, or denying them an operation qwhich would prolong their life. This form of euthanasia is legal in many more countries than active euthansia because it is often seen as letting somebody die naturally, as opposed to actively bringing about their death.

So what do these two forms of euthanasia tell us about assisted suicide. I would argue that they show us that Assisted suicide is more a form of euthanasia than a different process entirely. Why? Because for the person to be assisted in taking their own life, they have to be helped towards this goal. An example of this is Dignitas, a Swiss organisation that provides assisted sucide through a drink that contains an overdose of anesthetic. The provision of this drink by somebody else cannot register as passive euthanasia, because by giving it to somebody you are not letting them die naturally, you are actively helping them to kill themselves. However it is neither active euthansia, because under that scenario the person would be administered the drink, with assisted sucide, they drink it themselves. Thus, I would argue that assisted suicide is a different form of euthanasia, which contradeicts the idea that euthansia can purely be condensed into the active and passive forms. The fact that in many places where assisted suicide is legal such as belgium and switzerland it is referred to as ‘vouluntary euthanasia’, only helps to prove this.

The the fact that Assisted sucide and euthanasia are thus closely related underlines the importance of knowing their separate definitions. These different definitions are important, because if we get them wrong, we can end up conferring guilt onto people that are not responsible for the acts we suppose they are. The death of Noa Pothoven is a good example of this. She was a 17 year old Dutch girl who took her own life by refusing to eat or drink. A victim of rape, Pothoven’s death was reported in many news outlets as euthanasia, when it was in fact suicide.

So to conclude, euthanasia is when somebody’s death is brought about by somebody other than themself, either through an act, known as active euthanisa, or through withholding something that would extend their life, for example food, or life support. Assisted suicide, is a form of euthansia where somebody is helped to kill themselves, maybe through provision of lethal drugs, but the final act is undertaken by the person themselves. Thanks for watching, don’t forget to like share and subscribe.

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