Killing the known dying: notes of a death watcher.
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With this special issue the Report once again joins the debate on what patients, physicians, and society can -- and cannot -- live with at the end of life. The articles gathered here address in various ways, from various perspectives, the questions that inform the debate on euthanasia and assisted suicide. Do the canons of self-determination and respect for persons compel us to honor the choices of those who request active assistance in dying? Can we coherently argue that physicians' professional obligations to alleviate suffering extend so far as to taking life on request? To what extent ought our policy decisions rest on consideration of possible consequences?
...[T]here appears to be a conflation of physician-assisted suicide (the doctor makes the means of suicide available by, for example, writing a prescription for barbiturates) with active euthanasia (the doctor actively intervenes to kill the patient). I believe that these two entities are quite distinct in terms of several factors: they require very different roles for the physician, they involve distinct and disparate power relationships between physician and patient, and they would likely have a substantially different impact on the ethos of the medical profession. Thus, I would argue that it may be reasonable to support easing constraints on physician-assisted suicide while retaining them for active euthanasia, and that the distinction between the two entities should be addressed, particularly in discussions of legalization.
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