Otago psychiatrists call on colleagues to say no to euthanasia

Voxy.co.nz

The impact of legalising euthanasia will be devastating on older people, the poor and disabled, according to two University of Otago psychiatrists who are calling on their colleagues both in New Zealand and internationally to oppose the move.

Consultant psychogeriatrician Associate Professor Yoram Barak and Senior Lecturer Chris Gale, from the Department of Psychological Medicine, have reviewed the laws and practices in every country with legal euthanasia and how they have been modified.

They found the most vulnerable – the elderly, the poor and the disabled – are disproportionate in their use of euthanasia. . . [Full text]

From dementia to medically assisted death: A Canadian woman’s journey, and the dilemma of the doctors who helped

The Globe and Mail

Kelly Grant

To give Alzheimer’s patient Mary Wilson the death she sought, her physicians had to make a tough decision in a short time – and risked going to prison if they got it wrong. Now they’ve been cleared of wrongdoing in a decision that could have wide-reaching implications for tens of thousands of Canadians. . . [Full text]

Kalgoorlie GP calls for euthanasia ‘kill clinics’

Kalgoolrie Miner

Jason Mennell

A longstanding Kalgoorlie-Boulder GP says the State Government should introduce “kill clinics” if proposed euthanasia laws receive the parliamentary seal of approval.

Dr Mal Hodsdon believes it would be “immensely unfair” of politicians to put the onus on GPs to sign off on people’s deaths.

Instead, Dr Hodsdon feels the State Government should take full responsibility by establishing what he calls “kill clinics”, providing a one-stop shop for terminally ill patients wanting to end their lives. . . [Full text]

Facilitating an unethical practice is unethical

Psychiatric Times

Madelyn Hisaio-Rei Hicks*

I am an adult psychiatrist who has worked in public sector psychiatry in the US and the UK. In both countries, physicians struggle with the ethics and professional meaning of legalized or proposed physician-assisted suicide (PAS). I was recently asked by an organization to host a CME course titled “Best Practices in the End-of-Life Options Act.” Passed in 2016, the Act legalized the practice of PAS in California.

My response to the invitation

Thank you very much for your invitation to join in providing a CME about “Best Practices in the End-of-Life Options Act.”the very serious and complex ethical and legal issue of PAS.

At one point in my 14 years of examining and writing about PAS and euthanasia, I thought that, even though I found PAS to be unethical, in situations where it became legal, perhaps the best that psychiatrists and other physicians could do would be to provide thorough assessments and treatment options for individuals requesting PAS. . . [Full text]

Why people choose medically assisted death revealed through conversations with nurses

The Conversation
Reproduced under Creative Commons Licence

Barbara Pesut*, and Sally Thorne*

Since Canada legalized Medical Assistance in Dying (MAiD) in 2016, as of Oct. 31, 2018, more than 6,700 Canadians have chosen medications to end their life.

Canadians who meet eligibility requirements can opt to self-administer or have a clinician administer these medications; the vast majority of people choosing MAiD have had their medications delivered by physicians or nurse practitioners. Canada is the first country to permit nurse practitioners to assess for medically assisted dying eligibility and to provide it. . . .

. . . Our most recent research involved interviews with 59 nurse practitioners or registered nurses across Canada who accompanied patients and families along the journey of medically assisted dying or who had chosen to conscientiously object. Nurses worked across the spectrum of care in acute, residential and home-care settings. . . .[Full Text]