Vermont Ethics Network

Physician Assisted Suicide …. The Continuing Debate

The Vermont Ethics Network does not have a position on Physician Assisted Suicide. Rather these materials are presented to help the people of Vermont engage in a dialogue about this important ethical issue.
Definition of Terms
Some Questions
Pros & Cons

Print Worksheet
Print Definitions
Other Web Resources

H-318 (VT House Bill)
S-112 (VT Senate Bill)
The Oregon Model
VEN hopes to help people come together to share their values and beliefs and to re-examine the issues and positions in a dialogue format that will allow an analysis of the underlying concerns about dying and choices

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Pros & Cons -Here are several key points from the perspective of proponents and opponents of physician assisted suicide (PAS), based upon the Oregon model.

Proponents would say:
  1. PAS provides another option for people who want to have more control of their dying.
  2. PAS can be used by terminally ill persons whose pain or other symptoms are not otherwise controlled.
  3. PAS in an open and regulated system can provide the reassurance that the prescribed medication will have the desired effect.
  4. PAS will prevent the isolation and guilt attendant upon other forms of suicide by some terminal patients who may now be using other means (e.g. firearms, voluntary refusal of food and fluids (VRFF), etc.)
  5. Having the PAS option available will be a means of opening dialogue with family and health care professionals about other options such as Hospice and palliative care alternatives.
  6. The experience of having PAS available in the State of Oregon has not diverted people away from Hospice and other alternatives and has not lead to a flood of people opting for this means of ending their lives

Opponents would say:

 
  1. PAS is a basic contradiction to the Oath taken by Physicians to heal and minister to the sick and to “first, do no harm.”
  2. The taking of a human life through PAS is wrong, even when suffering and quality of life and patient wishes are taken into consideration. Suicide is illegal and morally wrong.
  3. The introduction of PAS for the terminally ill will start a slide down the “slippery slope” to euthanasia (direct killing) of those who cannot take their own lives and will probably lead to being applied to seriously chronically ill and disabled individuals who are not “dying”.
  4. Growth and development can occur even in the most desperate of circumstances, including healing of relationships and a spiritual understanding of the meaning of suffering as a part of the natural dying process.
  5. Health care professionals, families and other caregivers will not give proper attention to pain control and hospice if they see PAS as a viable alternative.
  6. The respect and trust of physicians in general will be harmed if they are seen as ready to assist in suicide by their patients
Some Questions to Help You Evaluate How You Feel :
  • What concerns on either side of this debate have the most weight for you?
  • If you were to characterize your own position as “for” or “against,” what is the most persuasive single point raised by people who hold the opposite position?
  • What are some areas of common ground identified in this discussion?
  • Are PAS and related matters ones that can or should be dealt with through legislation and/or regulation?
Other Web Resources  

Death With Dignity Vermont (proponents) www.deathwithdignityvermont.org
Vermont Alliance for Ethical Health Care (opponents) www.vaeh.org
The Vermont Legislature (for listing of H318 and S112) www.leg.state.vt.us
The Oregon Law www.dhs.state.or.us/publichealth/chs/pas/pas.cfm

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