Assisted dying (6do encyclopedia)



Assisted dying, also known as assisted suicide or euthanasia, is a controversial topic that involves the deliberate hastening of a person’s death with the assistance of another person. This practice raises ethical, moral, legal, and social concerns, and its legality varies across different countries and regions.

Assisted dying can be categorized into two forms – voluntary and involuntary. Voluntary assisted dying is when a competent person makes an informed decision to end their own life with the assistance of another person, while involuntary assisted dying is when someone else makes the decision for another person, usually without their consent.

There are several reasons a person may seek assisted dying. One of the primary reasons is to escape from the intolerable suffering caused by a terminal illness or a chronic condition. In such cases, the patient may have lost all quality of life and may be experiencing unbearable pain and discomfort. By seeking assisted dying, the patient can end their suffering on their own terms.

However, some opponents of assisted dying argue that it is unethical, as it involves intentionally ending a person’s life. They also suggest that physicians who assist in the process of assisted dying violate their Hippocratic Oath to do no harm, which could erode trust between healthcare providers and patients. Others believe that assisted dying could lead to abuse, with vulnerable individuals such as the elderly, disabled people, and those with mental health issues being coerced into ending their lives.

Despite these concerns, the legalization of assisted dying has been gaining momentum in many countries in recent years. As of 2021, assisted dying is legal in several countries, including Belgium, Canada, Colombia, Luxembourg, the Netherlands, New Zealand, Spain, and Switzerland. In the United States, assisted dying is legal in ten states and the District of Columbia.

The laws governing assisted dying differ depending on the country, and the criteria for eligibility can also vary. Generally, those seeking assisted dying must be suffering from a terminal illness, be of sound mind, and make the request for assisted dying voluntarily and with an informed consent. Additionally, they may have to be evaluated by a doctor to ensure that their decision is not influenced by mental health issues or external pressures.

In some countries, such as Canada and the Netherlands, the process of assisted dying is strictly regulated. A healthcare provider must ensure that the patient is aware of all available treatment options and has provided clear and explicit consent. Additionally, healthcare providers who participate in the act of assisted dying must follow specific guidelines.

The availability of assisted dying has also led to improvements in palliative care, which is the specialized medical care that focuses on relieving the symptoms and improving the quality of life for people with serious illnesses. Palliative care can help alleviate a person’s pain and discomfort, giving them more control over their treatment and improving their quality of life. By providing assisted dying as an option, patients can ensure that they maintain control over their end-of-life decisions, which can alleviate the anxiety and uncertainty that often accompany terminal illness.

In conclusion, assisted dying remains a contentious issue, with supporters and opponents alike presenting dynamic arguments about morality, ethics, and legality. While some believe that assisted dying is a way for terminally ill patients to regain control over their suffering, others believe that it is unethical and violates the values and principles of medicine. Nevertheless, the legalization of assisted dying will continue to be debated in various parts of the world, as governments and healthcare providers seek to balance the rights of individuals to make decisions about their own health with the responsibility to protect vulnerable populations from harm.


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As a geriatrician, I’ve treated hundreds of dementia patients. They deserve a choice

The Sydney Morning Herald

23-05-14 19:00


Voluntary assisted dying should be available to dementia sufferers as part of an advanced care plan, according to Kate Gregorevic, a Melbourne-based geriatrician. By the time someone has advanced dementia, they have lost the ability to make their own medical decisions. Those decisions fall to their medical treatment decision-maker or substitute decision-maker, a person who can legally make decisions on their behalf. However, as many of these conversations only happen in the midst of a crisis, Gregorevic argues voluntary assisted dying should be available for those wishing to make this choice in advance.

https://www.smh.com.au/national/victoria/as-a-geriatrician-i-ve-treated-hundreds-of-dementia-patients-they-deserve-a-choice-20230511-p5d7qg.html
Parents can now euthanise terminally ill children under 12 in the Netherlands

Telegraph

23-04-14 19:19


The Dutch government has agreed to extend euthanasia laws to enable parents to legally end the lives of their terminally ill children between the ages of one and 12 in cases where palliative care is no longer of help. Fierce opposition was voiced by two Christian parties within the ruling coalition. Until now, children aged 12-15 could include their parents in requests to end their own lives, while 16-17 year olds may do the same but must inform their parents. Babies under one could also be euthanised under the Groningen Protocol. Young adults aged 18 years of age or older also have the option of voluntary euthanasia when facing terminal illness.

The debate about compassionate euthanasia for ill children has been emotive, with doctors and parents acknowledging the distressing nature of the decisions. A 2019 study demonstrating an increased need for end of life options for children between one and 12 helped prompt the decision. When requested, euthanasia can only take place if there is no hope of improvement, if the parents request the procedure and if the children are suffering unbearably. The case must be reported to a medical review committee and public prosecution service post-procedure, to ensure due care has been taken.

The Netherlands became the first country in the world to legalise voluntary euthanasia in 2002, permitting it for older children and babies under certain circumstances since then. For adults, the reason for the request for euthanasia need not be related to terminal illness. Last year, over 5% of deaths in the Netherlands were due to euthanasia.


https://www.telegraph.co.uk/world-news/2023/04/14/netherlands-extends-euthanasia-laws-children-under-12/