Australia’s legislative laboratory for euthanasia

BioEdge

Michael Cook

The Labor-majority Parliament of the Australian state of Victoria passed assisted dying legislation in December 2017. This came into effect in June and the first patient has already died. Applications from a dozen or so Victorians have already been approved. Two other Labor states are also debating euthanasia – and it appears that their legislation will be even more permissive than Victoria’s.

According to critics of euthanasia interviewed by The Australian, this is “death creep”, the slippery slope in action.

“There is serious concern about this slippage,” the chair of the Australian Medical Association’s ethics and medico legal committee, Chris Moye, says. “A lot of this (change) was happening even before the Victorian law, which is only two months old, has actually been tested. At this point, we haven’t seen how assisted dying works in Victoria and yet the slippage is happening across these various jurisdictions. I think there are two reasons: people were always going to be looking at it (the Victorian law) and the tendency always is to relax legislation.”

Critics focus on details of a proposed bill in the parliament of Western Australia. In Victoria, doctors are not allowed to raise the topic of assisted dying. But in WA, doctors would be permitted to suggest the possibility of euthanasia and no specialist has to be involved.

Conscientious objection is more difficult as well. In Victoria, objecting doctors are not obliged to refer the person on; in WA they would be.

In Queensland, a parliamentary committee is studying draft legislation. This is even more permissive than Victoria’s or WA’s. There is no time requirement – only that the patient have an incurable terminal illness which is causing intolerable and enduring suffering.

However, Professor Ben White, who helped write Queensland draft bill,  dismisses fears of a “slippery slope”. “When people talk about a slippery slope in terms of the law, they are talking about law X in a particular state or country that is enacted and over time gets changed,” he says. “We live in a federation … and there are differences in laws from one state to another, reflecting a range of factors, including geography. What might be appropriate for a state like Victoria might … require different solutions in Western Australia or Queensland.”


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Firing Doctor, Christian Hospital Sets Off National Challenge To Aid-In-Dying Laws

Kaiser Health News

JoNel  Aleccia

DENVER — A Christian-run health system in Colorado has fired a veteran doctor who went to court to fight for the right of her patient to use the state’s medical aid-in-dying law, citing religious doctrine that describes “assisted suicide” as “intrinsically evil.”

Centura Health Corp. this week abruptly terminated Dr. Barbara Morris, 65, a geriatrician with 40 years of experience, who had planned to help her patient, Cornelius “Neil” Mahoney, 64, end his life at his home. Mahoney, who has terminal cancer, is eligible to use the state’s law, overwhelmingly approved by Colorado voters in 2016.

The growing number of state aid-in-dying provisions are increasingly coming into conflict with the precepts of faith-based hospitals, which oppose the practice on religious grounds. . . [Full text]

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Medical Council guide sets out obligations for doctors with conscientious objections

The Irish Times

30 August, 2019

Martin Wall

The Medical Council has issued revised ethical guidance for doctors following the introduction of abortion legislation earlier this year.

A new version of its ethics document provides updated guidance for doctors who have conscientious objections to particular forms of treatment, procedures or care, not just in relation to abortion.

The amended guide to professional conduct and ethics for doctors says termination of pregnancy is legally permissible within the provisions of legislation introduced in 2018. . . [Full text]

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The Australian

30 August, 2019

Rosie Lewis

Religious doctors in Victoria and Queensland may still be compelled to refer a patient for an abortion under the Morrison government’s proposed religious ­discrimination bill if they conscientiously object to the procedure, triggering concerns among some legal experts.

The exposure draft bill, released yesterday by Attorney-General Christian Porter, is designed to ensure health practitioners do not have to participate in an abortion or euthanasia, or prescribe contraception to a patient, if they are opposed on religious grounds. . . [Full text]

After Months In A Dish, Lab-Grown Minibrains Start Making ‘Brain Waves’

National Public Radio

Jon Hamilton

By the time a fetus is 6 months old, it is producing electrical signals recognizable as brain waves.

And clusters of lab-grown human brain cells known as organoids seem to follow a similar schedule, researchers reported Thursday in the journal Cell Stem Cell.

“After these organoids are in that six-to-nine-months range, that’s when [the electrical patterns] start to look a lot like what you’d see with a preterm infant,” says Alysson Muotri, director of the stem cell program at the University of California, San Diego. . . [Full text]