Voluntary Death: A Comparison of Terminal Dehydration and Physician-Assisted Suicide

  title={Voluntary Death: A Comparison of Terminal Dehydration and Physician-Assisted Suicide},
  author={Franklin G. Miller and Diane E. Meier},
  journal={Annals of Internal Medicine},
The deeply divisive question of whether to legalize physician-assisted suicide has become a pressing matter of public policy at a time of radical change in the U.S. health care system. Managed care has expanded rapidly and now serves as the form of health care coverage for more than half of Americans with health insurance [1]. Although this organizational change seems to have reduced the growth of health care expenditures [2], approximately 40 million Americans (15% of the population) continue… 

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Clinical, ethical, and policy issues will be analyzed primarily by comparing voluntary stopping of eating and drinking (VSED) to PAS and ethical differences in PAS are analyzed.

Should Assisted Suicide Be Only Physician Assisted?

Multiple public and professional opinion polls confirm that the right of terminally ill people to have access to legal assisted suicide is gaining acceptance in the United States (1-8). The

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It is very difficult to consider this practice of voluntary stopping of eating and drinking as anything other than a type of suicide, and healthcare workers should consider it alien to medical ethos and good clinical practice.

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A framework for examination and overview of Oregon's Death with Dignity Act after its first year of implementation is offered and the effect of physician-assisted suicide on clients and families, professional health care providers and agencies, and society and culture is explored.

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  • 1997
The standard argument in favor of the practice of voluntary physician-assisted death, by means of assisted suicide or active euthanasia, rests on liberal, individualistic grounds. It appeals to two

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Interest in physician-assisted suicide among ambulatory HIV-infected patients.

Patients' interest in physician-assisted suicide appeared to be more a function of psychological distress and social factors than physical factors, and the importance of psychiatric and psychosocial assessment and intervention in the care of patients who express interest in or request physician- assisted suicide is highlighted.

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In theory, a competent patient may refuse any and all treatments, even those that sustain life, but an evaluation of capacity may consider the impact of serious medical or psychiatric illness, as well as the patient's life circumstances.

The Supreme Court and physician-assisted suicide--the ultimate right.

  • M. Angell
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    The New England journal of medicine
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The U.S. Supreme Court will decide later this year whether to let stand decisions by two appeals courts permitting doctors to help terminally ill patients commit suicide, which would mean physicians in 12 states would be allowed to provide the means to take their own lives.

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