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Just When You Thought the Euthanasia Debate Had Died

Abstract

The death by assisted suicide in Switzerland of Australian Dr. John Elliott, in early 2007 has highlighted the inadequacy of the law pertaining to medical decisions at end-of-life, both from a legal as well as ethical perspective. Despite being illegal in most jurisdictions around the world, physician-assisted death is a reality, in part because of the flexibility, inconsistent application and, at times, invisibility, of laws surrounding it. The appropriate response to this should be greater transparency by a reform of the law.

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References

  1. 1.

    James, B. (2007). Date with death: How John Elliott ended his life. The Age (Melbourne). Jan 27.

  2. 2.

    James, B. (2007). My name is Dr John Elliott and I’m about to die, with my head held high. Sydney Morning Herald. Jan 27.

  3. 3.

    Nitschke’s euthanasia patient speaks on film. (2007). The 7.30 Report, ABC TV, Melbourne. Feb 1. Online: http://www.abc.net.au/7.30/content/2007/s1838512.htm.

  4. 4.

    Oregon Department of Human Services. (2006). Eighth Annual Report On Oregon’s Death With Dignity Act. March 9.

  5. 5.

    Stafford, A., & Miletic, D. (2007). Abbott hits out at new push on euthanasia laws. The Age. Jan 29.

  6. 6.

    Cohen-Almagor, R., & Hartman, M. (2001). The Oregon Death With Dignity Act: review and proposals for improvement. Journal of Legislation, 27, 269–298.

    PubMed  CAS  Google Scholar 

  7. 7.

    Haverkate, I., Onwuteaka-Philipsen, B. D., van der Heide, A., Kostense, P. J., van der Wal, G., & van der Maas, P. J. (2000). Refused and granted requests for euthanasia and assisted suicide in the Netherlands: interview study with structured questionnaire. British Medical Journal, 321, 865–866.

    PubMed  Article  CAS  Google Scholar 

  8. 8.

    Mendelson, D. (1992). The medical treatment (Enduring Power of Attorney) Act and assisted suicide: The legal position in Victoria. Bioethics News, 12(1), Oct.

  9. 9.

    Skene, L. (2004). Law and medical practice, rights, duties, claims and defences (2nd ed.). Sydney: LexisNexis Butterworths.

    Google Scholar 

  10. 10.

    Pretty v DPP and Secretary of State for the Home Department (2001). UKHL 61 at para. 36 per Lord Bingham.

  11. 11.

    R v Hood (2002). VSC 123. 2002 April 12.

  12. 12.

    Fox, R., & Freiberg, A. (1999). Sentencing state and federal law in Victoria (2nd ed.). UK: Oxford University Press, 886.

    Google Scholar 

  13. 13.

    Birchard, K. (2004). Swiss doctors may help patients die. The Medical Post, 40(12), March 23.

    Google Scholar 

  14. 14.

    Langley, A. (2003). Suicide tourists go to the Swiss for help in dying. New York Times. February 4.

  15. 15.

    Baezner-Sailer, E. M. (2004). Medically-Assisted Suicide in Switzerland [Paper]. Physician-Assisted Suicide, Medical, Ethical, Legal and Social Implications. International symposium. University of Giessen, (Germany). March 19–21. Reproduced in: Birnbacher D and Dahl E, editors. Giving Death a Helping Hand: Physician-assisted suicide and public policy. An international perspective. Springer Series: International Library of Ethics, Law, and the New Medicine. Forthcoming 2008(March); Vol.38.

  16. 16.

    Hurst, S., & Mauron, A. (2003). Assisted suicide and euthanasia in Switzerland: allowing a role for non-physicians. British Medical Journal, 326, 271–273.

    PubMed  Article  Google Scholar 

  17. 17.

    Airedale NHS Trust v Bland (1993) AC 789.

  18. 18.

    Seale, C. (2000). Changing patterns of death and dying. Social Science & Medicine, 51, 917–930.

    Article  CAS  Google Scholar 

  19. 19.

    Taylor, R., Lewis, M., & Powles, J. (1998). The Australian mortality decline: cause-specific mortality 1907–1990. Australian and New Zealand Journal of Public Health, 22, 37–44.

    PubMed  CAS  Google Scholar 

  20. 20.

    New York State Task Force on Life and the Law. (1994). When death is sought: Euthanasia and physician assisted suicide in the medical context, 109.

  21. 21.

    Re, B (Adult: Refusal of Medical Treatment) (2002) All ER 449.

  22. 22.

    Meisel, A. (2004). Shifting the focus from means to ends. In T. E. Quill & M. P. Battin (Eds.), Physician-assisted dying: The case for palliative care & patient choice. Maryland: John Hopkins University Press.

  23. 23.

    R v Bodkin Adams (1957) Crim. LR 365.

  24. 24.

    Rogers v Whitaker CLR. (1992). 175, 479.

  25. 25.

    Finnis, J. (1995). A philosophical case against euthanasia at 28. In J. Keown (Ed.), Euthanasia examined, ethical, clinical and legal perspectives. Cambridge University Press.

  26. 26.

    Wein, S. (2000). Sedation in the imminently dying patient. Oncology, 14, 585–592, (April).

    PubMed  CAS  Google Scholar 

  27. 27.

    O’Conner, M., Kissane, D., & Spruyt, O. (1999). Sedation in the terminally ill – a clinical perspective. Monash Bioethics Review, 18(3), 17–27.

    Google Scholar 

  28. 28.

    Heide van der, A, Onwuteaka-Philipsen, B. D., Rurup, M. L., Buiting, H. M., Delden van, J. J. M., Hanssen-de Wolf, J. E., et al. (2007). End-of-life practices in the Netherlands under the Euthanasia Act. New England Journal of Medicine 356(19):1911.

    Google Scholar 

  29. 29.

    Orentlicher, D. (1997). The supreme court and physician assisted suicide – rejecting assisted suicide but embracing euthanasia. New England Journal of Medicine, 337, 1236–1239.

    PubMed  Article  CAS  Google Scholar 

  30. 30.

    Billings, A., & Block, S. (1996). Slow euthanasia. Journal of Palliative Care, 12(4), 21–30.

    PubMed  CAS  Google Scholar 

  31. 31.

    Cantor, N., & Thomas, G. (2000). The legal bounds of physician conduct hastening death. Buffalo Law Review, 48, 83–131, (Winter).

    PubMed  CAS  Google Scholar 

  32. 32.

    Magnusson, R. (2000). Angels of death: Exploring the euthanasia underground. Melbourne: University Press.

    Google Scholar 

  33. 33.

    Syme, R. (2002). Coroner and medical practitioner’s board of Victoria sanction hastening of death. Voluntary Euthanasia Society of Victoria. June.

  34. 34.

    Baume, P., & O’Malley, E. (1994). Euthanasia: attitudes and practices of medical practitioners. Medical Journal of Australia, 161, 137–144, (July).

    PubMed  CAS  Google Scholar 

  35. 35.

    Douglas, C. D., Kerridge, I. H., Rainbird, K. J., McPhee, J. R., Hancock, L., & Spigelman, A. D. (2001). The intention to hasten death: a survey of attitudes and practices of surgeons in Australia. Medical Journal of Australia, 175, 511–515.

    PubMed  CAS  Google Scholar 

  36. 36.

    Kuhse, H., & Singer, P. (1988). Doctors practices and attitudes regarding voluntary euthanasia. Medical Journal of Australia, 148, 623–627.

    PubMed  CAS  Google Scholar 

  37. 37.

    Kuhse, H., Singer, P., Baume, P., Clark, M., & Rickard, M. (1997). End-of-life decisions in Australian medical practice. Medical Journal of Australia, 166, 191–196.

    PubMed  CAS  Google Scholar 

  38. 38.

    Stevens, C., & Hassan, R. (1994). Management of death dying and euthanasia: attitudes and practices of medical practitioners in South Australia. Journal of Medical Ethics, 20, 41–46.

    PubMed  CAS  Article  Google Scholar 

  39. 39.

    Waddell, C., Clarnette, R. M., Smith, M., Oldham, L., & Kellehear, A. (1996). Treatment decision-making at end of life: A survey of Australian doctors’ attitudes towards patients’ wishes and euthanasia. Medical Journal of Australia, 165, 540–544.

    PubMed  CAS  Google Scholar 

  40. 40.

    Cassell, E. J. (2004). When suffering patients seek death. In T. E. Quill & M. P. Battin (Eds.), Physician-assisted dying: The case for palliative care & assisted dying. The John Hopkins University Press. 79.

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Acknowledgements

The author thanks Prof. Bernadette McSherry, Faculty of Law, Monash University, for her review and comments on a prior draft of this article.

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None declared.

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Correspondence to Alan Rothschild.

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Rothschild, A. Just When You Thought the Euthanasia Debate Had Died. Bioethical Inquiry 5, 69–78 (2008). https://doi.org/10.1007/s11673-008-9084-7

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Keywords

  • Euthanasia
  • Physician-assisted suicide
  • Law and ethics
  • End-of-life decisions
  • Withdrawing and withholding of treatment
  • Palliative treatment
  • Terminal sedation