Category: Euthanasia

Pressure in dealing with requests for euthanasia or assisted suicide. Experiences of general practitioners

Marike E de Boer, Marja F I A Depla, Marjolein den Breejen, Pauline Slottje, Bregje D Onwuteaka-Philipsen, Cees M P M Hertogh

Abstract

Journal of Medical EthicsThe majority of Dutch physicians feel pressure when dealing with a request for euthanasia or physician-assisted suicide (EAS). This study aimed to explore the content of this pressure as experienced by general practitioners (GP). We conducted semistructured in-depth interviews with 15 Dutch GPs, focusing on actual cases. The interviews were transcribed and analysed with use of the framework method. Six categories of pressure GPs experienced in dealing with EAS requests were revealed: (1) emotional blackmail, (2) control and direction by others, (3) doubts about fulfilling the criteria, (4) counterpressure by patient’s relatives, (5) time pressure around referred patients and (6) organisational pressure. We conclude that the pressure can be attributable to the patient–physician relationship and/or the relationship between the physician and the patient’s relative(s), the inherent complexity of the decision itself and the circumstances under which the decision has to be made. To prevent physicians to cross their personal boundaries in dealing with EAS request all these different sources of pressure will have to be taken into account.

de Boer ME, Depla MFIA, den Breejen M, Slottje P, Onwuteaka-Philipsen BD, Hertogh CMPM.  Pressure in dealing with requests for euthanasia or assisted suicide. Experiences of general practitioners. J Med Ethics. 2019 Jul;45(7):425-429. doi: 10.1136/medethics-2018-105120. Epub 2019 May 15.

Doctors sign letter against ‘assisted suicide’ Bill

Newsie

More than 1000 doctors have signed an open letter saying they want no part in what they call assisted suicide.

The Care Alliance, a charity which opposes physician-assisted euthanasia, has taken out a full-page ad in the New Zealand Herald.

The signatories endorse the views of the World Medical Association and New Zealand Medical Association, that euthanasia is unethical, even if made legal. . . [Full text]

American Medical Association: Call It ‘Physician-Assisted Suicide,’ Not ‘Aid-in-Dying’

CNS News

Patrick  Goodenough

CNSNews.com) – Advocates of assisted suicide are dismayed that the largest association of physicians in the U.S. has decided to continue using the term “physician-assisted suicide” rather than euphemisms such as “medical aid-in-dying.”

Meeting in Chicago on Monday, the American Medical Association, by a vote of 360-190, adopted a report by its Council on Ethical and Judicial Affairs (CEJA) recommending that the term “physician-assisted suicide” continue to be used.

Significantly, the AMA also voted to reaffirm its Code of Medical Ethics’ current policy on assisted suicide – the view that allowing doctors to help patients to die “is fundamentally incompatible with the physician’s role as healer.” That vote was 392-162. . . [Full text]

AMA Reaffirms Stance Against Physician-Aided Death

Medscape

Marcia Frellick

CHICAGO — Delegates voted overwhelmingly to affirm the current policy opposing physician-assisted dying here at the American Medical Association (AMA) 2019 Annual Meeting.

After impassioned testimony from both sides at last year’s meeting, the Council on Ethical and Judicial Affairs was asked to further examine the issue.

“The AMA House of Delegates concluded that established guidance in the Code of Medical Ethics supports shared decisions that respect the deeply held beliefs of physicians and their patients with respect to assisted suicide,” said AMA President Barbara McAneny, MD. . . [Full text]

American Academy of Family Physicians, American Academy of Hospice and Palliative Medicine, American Academy of Neurology

Canadian Blood Services releases first set of national guidelines for organ donation after medical assistance in dying

The Globe and Mail

Kelly Grant

In the last moments before Bob Blackwood died, the doctor paused and, in front of a hushed crowd of operating-room staff, thanked Mr. Blackwood for the gift he was about to give.

It was the summer of 2017 and Mr. Blackwood, a 63-year-old former lawyer with a rare and excruciating neurological disorder, was about to become the first patient in Quebec’s eastern townships to donate his organs after receiving a medically assisted death.

“[The doctor] said he hoped that this was something they’ll be able to do more in the future to help save lives,” said Heather Ross, Mr. Blackwood’s widow. “It was just lovely how he put it.” . . . [Full text]