Category: Euthanasia

The doctors’ declaration of faith

The Economist

A.H.

THE scene had a melodramatic touch: two stone tablets with an engraved Declaration of Faith by Polish doctors who recognise “the primacy of God’s laws over human laws” in medicine were carried last month to a sanctuary in Częstochowa, in the south of Poland. The gesture was made out of gratitude for the canonisation of the Polish pope, John Paul II. It was the initiative of a physician and personal friend of the late pope, Wanda Półtawska.

The first 3,000 signatories of the declaration thereby announced that they will not violate the Ten Commandments by playing a part in abortion, birth control, in-vitro fertilisation or euthanasia. Abortion until the 25th week of pregnancy is legal in Poland if the mother’s life is in grave danger, the foetus is known to have severe birth defects or the pregnancy is a result of rape or incest.

Poland has 377,000 doctors and nurses so the signatories represent barely 1% of the medical profession. And among them are many students, dozens of dentists, four balneologists and a dance therapist (number 1805 on the leaked list). . . . [Full text]

Assisted suicide and euthanasia bill proposed in Australian Senate

Medical Services (Dying with Dignity) Exposure Draft Bill 2014

A bill to legalize physician assisted suicide and euthanasia has been proposed to the Australian Senate by Green Party Senator Richard di Natale.  Since it is an “exposure draft” it is not in the queue for passage. It includes provisions that provide protection for medical practitioners who refuse to provide the services for “any reason.”  However:

  • The objects of the Act set out in Section 3 do not include the protection of conscientious objectors;
  • The definition of “dying with dignity medical service” in Section 5 includes
    • euthanasia
    •  assisted suicide
    • providing information
  • Since Section 5 is broadly written, it appears that the attending medical practitioner can delegate the act of euthanasia to someone else.
  • Section 11(2)a states that a medical practitioner may refuse to provide euthanasia or assisted suicide “for any reason,” which would include reasons of conscience or religion, but
    • the section pertains only to medical practitioners
      • so it does not protect objecting pharmacists or other health care workers
    • Section 11(2)a does not state that medical practitioners may refuse to facilitate euthanasia or assisted suicide throught referral
  • Section 21 precludes coercion of objecting medical practitioners, but
    • does not preclude coercion of other objecting health care workers, and
    • can be understood to prevent hospices or denominational hospitals from enacting policies against euthanasia and assisted suicide
  • Section 24 provides protection from civil and criminal liability and disciplinary proceedings for medical practitioners who refuse to provide euthanasia and assisted suicide, but
    •  does not clearly offer similar protection to objecting practitioners, since refusing to provide euthanasia or assisted suicide cannot be said to be an omission “for the purposes of the Act,” which are specified in Section 3, and
    • offers no protection at all for other objecting health care workers.
  • There is no provision to protect persons who object to euthanasia for reasons of conscience from discrimination in education or employment.

Euthanasia rulings in Europe stir right-to-die debate

CTV News

The Associated Press

PARIS  — One French court acquitted a doctor of poisoning seven terminally ill patients while another ordered physicians to suspend treatment for a comatose man, while Britain’s top court said the country’s ban on assisted suicide may be incompatible with human rights.

The decisions of the past few days are fueling the arguments of Europeans who say the duty of doctors is to end the suffering of those beyond treatment.

But emotions run high on all sides around the issue of euthanasia and assisted suicide, as is shown by the bitter case of the comatose Frenchman, Vincent Lambert. Hours after the French court sided with his wife in ordering an end to treatment, the European Court of Human Rights blocked the move at the request of his parents, in a rare late-night ruling. . . [Full text]

Right-to-die already weighing on Quebec’s conscience

 New law has hospitals, doctors grappling with old fears, new moral burdens

Toronto Star

Allan Woods

MONTREAL—Quebec passed a landmark euthanasia law earlier this month meant to end the agony in the final days of a terminal patient’s life. But the legislation has lumped the province’s medical community with an existential burden it is only now confronting.

Doctors are weighing their consciences against their looming legal responsibilities to dying patients. It’s not entirely clear which one will win the day.

“I’ve been working in clinical ethics as a physician for 24 years and this is going to be one of our biggest challenges,” says Dr. Eugene Bereza, director of the centre for applied ethics at Montreal’s McGill University Health Centre.

The process that led to Bill 52, the so-called Medical Aid in Dying legislation, was wrenching enough in a society where the government, school and hospitals were a proxy for the Catholic Church not two generations ago. . . . [Full text]

West Island Palliative Care Residence clarifies care it offers following passage of Quebec’s end-of-life legislation

Hospice statement 5 June following passage of euthansia law in Quebec

Will continue to provide care and comfort to terminally ill but will NOT act to hasten natural process of death

For immediate release

KIRKLAND, Quebec – June 5, 2014 – In light of the passage today by the National Assembly of new Quebec end-of-life legislation, the West Island Palliative Care Residence wishes to clarify that the new legislation will not change in any way the services it provides to terminally ill patients.

The Residence will continue to act in the way it always has – to provide the best possible care and comfort, including symptom relief to the dying but without taking any actions that hasten the natural process of death.

The new Quebec legislation permits, under certain conditions, Quebec health institutions and health professionals to provide “medical aid in dying” – the administration of drugs or other actions to intentionally cause the death of a patient. The legislation also permits any health professional as well as “palliative care hospices,” of which the West Island Palliative Care Residence is one, the option to choose not to do so, provided patients are informed that this is the case.

The West Island Palliative Care Residence has chosen to exercise this option and to make no change to the type and methods of care it delivers, meaning it will not take actions that intentionally cause a patient’s death.

“The goal of good palliative care is never to hasten the end of life,” said Teresa Dellar, Co-Founder and Executive Director of the Residence. “We make the last days of life as comfortable and pain-free as possible so patients can live them in the best possible manner.” In fact, she noted, good palliative care from early on in a terminal illness has been shown in clinical studies to both extend patients’ lives and improve their quality of life.

“If we as a society are going to offer more choices to patients at the end of life, as this legislation does, then we must ensure one of those choices is ready access to high-quality palliative care in the patient’s community, as we offer at our Residence,” continued Ms. Dellar. “If quality palliative care is available, few will choose to end their lives prematurely. We can’t allow the premature ending of lives to become a substitute for our responsibility to provide compassionate care and symptom relief at the end of life.”

The West Island Palliative Care Residence will be changing its application forms and information for patients and families to comply with the new legislation and make it clear to them that the Residence will not provide the intentional end-of-life services now permitted.

About palliative care

Palliative care does not hasten death – as do euthanasia and assisted suicide – but ensures it is as comfortable, dignified and pain-free as possible. It is a conservative estimate that palliative care could be useful in more than half of Canadian deaths, or more than 125,000 patients per year. As proportionately fewer Canadians die suddenly or quickly from accidents or acute illnesses, more face end of life with chronic illnesses or diseases such as cancer that can extend over a relatively long period of time. Many dying patients end up in hospital ERs during the last weeks of life, an indicator of poor-quality end-of-life care and a very expensive and unsatisfactory alternative to palliative care.

About the West Island Palliative Care Residence

The West Island Palliative Care Residence is an independent, community-based, non-profit institution, accredited by the Quebec government to provide end-of-life palliative care services to residents of the West Island of Montreal. The Residence allows terminally ill patients to die in comfort and with dignity in a warm, home-like environment, close to their family, and in their community. It is not part of or affiliated with any hospital or health institution and services are provided without charge. The Residence has 23 beds in two pavilions, making it the largest freestanding palliative care residence in Canada. Since opening in 2002, the Residence has welcomed more than 2,500 patients in the final stages of ALS, multiple sclerosis, cardiovascular disease and cancer, as well as 10,000 of their family members. To learn more, visit ww.wipcr.ca

For more information:
Joanne Myers, Director of Development
Tel.: 514 693-1718, ext. 234
Mobile: 514 978-0793