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Physician Aid-in-Dying: Toward A “Harm Reduction” Approach

Published online by Cambridge University Press:  29 July 2009

Steve Heilig  and
Stephen Jamison
Steve Heilig
Affiliation:
Director of Public Health and Education, San Francisco Medical Society and Co-Editor of Cambridge Quarterly of Healthcare Ethics.
Stephen Jamison
Affiliation:
Director of Life and Death Consultations, Marin County, California.
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Extract

As a bioethical and social issue, euthanasia has become in the 1990s what abor- tion was in the 1960s. Around the world, a de facto taboo on open discussion of the practice is seemingly falling by the wayside, as recognition increases that “active” euthanasia is taking place in spite of social and legal prohibitions. Euthanasia, or more specifically physician-assisted suicide, has become the most visible bioethical issue of the present era; and in the United States the debate has taken on a prominence and urgency unprecedented in our nation's history.

Type
Special Section: Physician-Aided Death: The Escalating Debate
Information
Cambridge Quarterly of Healthcare Ethics , Volume 5 , Issue 1 , Winter 1996 , pp. 113 - 120
Copyright
Copyright © Cambridge University Press 1996

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References

Notes

1. Blendon, RJ et al. , Should physicians aid their patients in dying? The public perspective. Journal of the American Medical Association 1992;267:2658–62.CrossRefGoogle ScholarPubMed

2. Ciesielski-Carlucci, C. Physician attitudes and experiences with assisted suicide: results of a small opinion survey. Cambridge Quarterly of Healthcare Ethics 1993;2:239–44.CrossRefGoogle ScholarPubMed

3. Cohen, JS, Finn, SD, Boyko, EJ et al. , Attitudes toward assisted suicide and euthanasia among physicians in Washington state. New England Journal of Medicine 1994;331:89–94.CrossRefGoogle ScholarPubMed

4. Heilig, S. The San Francisco euthanasia survey. San Francisco Medicine 1988;61:24–26, 34.Google Scholar

5. Khuse, H, Singer, P. Doctors' practices and attitudes regarding euthanasia. The Medical Journal of Australia 1988;148:623–7.Google Scholar

6. Slome, L. Physicians' attitudes towards assisted suicide in AIDS. Journal of Acquired Immune Deficiency Syndrome 1992;5:712–18.Google Scholar

7. Somerville, J. Survey finds support among Colorado MDs for euthanasia. American Medical News 1988; 07 1:17.Google Scholar

8. Harris Poll on Attitudes on Euthanasia. New York: Lou Harris & Associates, 1993.Google Scholar

9. Cotton, P. Medicine's position is both pivotal and precarious in assisted-suicide debate. Journal of the American Medical Association 1995;273:363–4.CrossRefGoogle ScholarPubMed

10. Rachels, J. Active and passive euthanasia. New England Journal of Medicine. 1975;292:78–80.CrossRefGoogle ScholarPubMed

11. Sprung, CL. Changing attitudes and practices in foregoing life-sustaining treatments. Journal of the American Medical Association 1990;263:2211–5.CrossRefGoogle ScholarPubMed

12. Buehler, DA. CQ sources: euthanasia and physician-assisted suicide. Cambridge Quarterly of Healthcare Ethics 1993;2:77–80.CrossRefGoogle Scholar

13. Quill, TE. The ambiguity of clinical intentions. New England Journal of Medicine 1993;329:1039–40.CrossRefGoogle ScholarPubMed

14. Heilig, S. Murder or mercy? The debate over active euthanasia has only just begun. Hospital Ethics Committee Forum 1991;3(2):95–8.Google ScholarPubMed

15. Kimsma, GK, van Leeuwen, E. Dutch euthanasia: background, practice, and present justifications. Cambridge Quarterly of Healthcare Ethics 1993;2:19–35.CrossRefGoogle ScholarPubMed

16. Benrubi, G. Euthanasia – the need for procedural safeguards. New England Journal of Medicine 1992;326:197–8.CrossRefGoogle ScholarPubMed

17. Humphry, D. Deliverance: Framing a Better Law for Physician-Assisted Dying. Eugene, OR: Euthanasia Research and Guidance Organization, 1994.Google Scholar

18. Jamison, S. Helping Another Die: Some Practical Questions. San Francisco: Hemlock Society of Northern California, 1993.Google Scholar

19. Quill, T, Cassel, C, Meier, D. Proposed clinical criteria for physician-assisted suicide. New England Journal of Medicine 1992;327:1380–4.CrossRefGoogle ScholarPubMed

20. Miller, FG, Quill, TE, Brody, H et al. , Regulating physician-assisted death. New England Journal of Medicine 1994;331:119–22.CrossRefGoogle ScholarPubMed

21. Soloman, A. A death of one's own. The New Yorker 1995;05 22:54–69. See p. 58, center column, for a succinct and moving account of this dynamic.Google Scholar

22. Shavelson, L. A Chosen Death. New York: Simon & Schuster, 1995.Google Scholar

23. See note 16. Quill, et al. 1992;326:197–8.Google Scholar

24. Watts, DT, Howell, T. Assisted suicide is not voluntary active euthanasia. Journal of the American Geriatrics Society 1992;40:1043–6.CrossRefGoogle ScholarPubMed

25. Kass, L. “I will give no deadly drug”: Why doctors must not kill. American College of Surgeons Bulletin 1992;77(3):6–17.Google Scholar

26. Jonsen, AR. Beyond the physicians' reference: the ethics of active euthanasia. Western Journal of Medicine 1988;149:195–8.Google ScholarPubMed

27. Smith, GP. Reviving the swan, extending the curse of Methuselah, or adhering to the Kevorkian Ethic? Cambridge Quarterly of Healthcare Ethics 1993;2:49–56.CrossRefGoogle ScholarPubMed

28. Brock, D. Voluntary active euthanasia. Hastings Center Report 1992;22(2): 10–22.CrossRefGoogle ScholarPubMed

29. Callahan, D. When self-determination runs amok. Hastings Center Report 1992;22(2):52–5.CrossRefGoogle ScholarPubMed

30. Quill, TE, Cassel, CK. Nonabandonment: a central obligation for physicians. Annals of Internal Medicine 1995;122:368–74.CrossRefGoogle ScholarPubMed

31. Jamison, S. Final Acts of Love: Families, Friends, and Assisted Dying. New York: Tarcher, 1995.Google Scholar

32. Miles, SH. Physicians and their patients' suicides. Journal of the American Medical Association 1994;271:1786–8.CrossRefGoogle ScholarPubMed