Death with dignity and the right to die: sometimes doctors have a duty to hasten death.

Miller, Pamela J.

doi:10.1136/jme.13.2.81

Cited by 11 publications

(5 citation statements)

References 7 publications

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“…Their argument is that individuals have control over their David C. Thomasma own lives, and that unbearable suffering demands a response from physicians. 33 Some members of the Hemlock Society disagree that physicians should control dangerous substances with which individuals might be able to kill themselves whenever they wished were they available without prescription. Since they have no qualms about the right to die being an individual's entitlement in society, any delays caused by the supposed need for advanced and thorough public discussion appears to them like a stalling tactic taken by conservatives to deny them their rights.…”

Section: Revisiting Intentionmentioning

confidence: 99%

Assessing the Arguments for and against Euthanasia and Assisted Suicide: Part Two

Thomasma

1998

Camb Q Healthc Ethics

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In Márquez's Of Love and Other Demons Abrenuncio the physician and the Marquis discuss the outbreak of rabies that is the centerpiece of the book, since the Marquis' daughter has been bitten by a rabid dog. Abrenuncio notes that the poor “had the courage to poison the food of their rabid kin in order to spare them of a ghastly death... People believe that we physicians do not know that such things occur... That is not true, but we lack the moral authority to endorse them. What we do instead is... commend them to St. Hubert and tie them to a pillar in order to prolong and intensify their suffering.”

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Section: Revisiting Intentionmentioning

confidence: 99%

Assessing the Arguments for and against Euthanasia and Assisted Suicide: Part Two

Thomasma

1998

Camb Q Healthc Ethics

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“…In Japan, family involvement in clinical decision making remains the norm, so end‐of‐life ethics have focused in the main on the patient's right‐to‐die (Asai et al 1997). There is a paucity of references on the second key concept – duty‐to‐die – in the USA (Miller 1987; Fosnaught 1995; Ott 1998) and it appears in the Japanese literature survey only once (Konishi & Davis 2000). Possible reasons of why this issue is unexplored include: the cruel and inhumane sound of the duty‐to‐die concept; cultural factors that inhibit discussion of topics such as death; and, in Japan, the universal health insurance system that possibly creates less cost‐conscious care recipients than in the West.…”

Section: Introductionmentioning

confidence: 99%

The right‐to‐die and the duty‐to‐die: perceptions of nurses in the West and in Japan

Konishi

Davis

2001

International Nursing Review

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The right-to-die means that the terminally ill person has the right to refuse further treatment. The duty-to-die means that terminally ill persons feel that they have no choice and must refuse treatment because of social factors such as family burden or financial cost to society. This article describes the perceptions of a sample of 72 Japanese nurses and 71 counterparts from the West. The right-to-die received support from all of the western and from a majority of the Japanese sample. However, the duty-to-die received weaker support from the West and rather strong disagreement from Japan. Themes emerged in the two groups from a content analysis of their reactions to the major concepts of right-to-die and duty-to-die, and these included autonomy, values surrounding life, justice, family as a possible coercive agent and family as a partner in decision making. Differences and similarities across the cultures in the meaning of these themes were explored.

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“…In relation to Alzheimer's disease, the intensity of this moral imperative survives despite all the pressures that impinge on doctors towards its suppression. Doctors are often urged at the present time to 'hasten the process of dying' 16 . To accept this as a general principle would be contrary to ethical sensibility.…”

Section: Dilemmas In Clinical Practice Common To Pvs and Alzheimer's mentioning

confidence: 99%

Euthanasia and related ethical issues in dementias of later life with special reference to Alzheimer's disease

Roth

1996

British Medical Bulletin

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Increased public interest and concern regarding euthanasia have been aroused in recent years by a number of developments. A succession of judgments pronounced by Courts of Law in different parts of the world have, in recent years, sanctioned the withdrawal of life sustaining procedures in cases of prolonged and irreversible unconsciousness and in patients suffering from painful and distressing terminal diseases.They have, therefore, pronounced euthanasia in these circumstances to be legally and ethically justified.This has generated wide ranging debate regarding the ethics of management of those judged beyond hope of recovery or improvement and near the terminal phase of their lives.The practice of euthanasia in The Netherlands, which has been in progress for a number of years, has also served to focus the attention of the medical and legal professions, and the public at large, upon the ethical, legal and clinical aspects of euthanasia In the majority of patients, life had been terminated on request. But in a substantial minority, it had been undertaken on an involuntary basis.The scale of the practice of euthanasia in The Netherlands in recent years has yielded a vast body of information regarding the moral and practical dilemmas posed for doctors, families and society concerning patients who are chronically unconscious and ambiguously poised between life and death. As a high proportion of those whose lives were terminated were of advanced age, the lessons learned are closely relevant for the specific theme of this paper.

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Death with dignity and the right to die: sometimes doctors have a duty to hasten death.

Abstract: Death with dignity and the right to die: sometimes doctors have a duty to hasten death 85 at the University ofFlorida, Indiana University, and the University of Virginia.

Cited by 11 publications

References 7 publications

Assessing the Arguments for and against Euthanasia and Assisted Suicide: Part Two

Assessing the Arguments for and against Euthanasia and Assisted Suicide: Part Two

The right‐to‐die and the duty‐to‐die: perceptions of nurses in the West and in Japan

Euthanasia and related ethical issues in dementias of later life with special reference to Alzheimer's disease

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