ISSUE SUMMARY
Disabilities    Ethical    History    International    Medical    Psychological    Religious    

Definitions

U.S. Historical Perspective and Current Trends

Alaska

Alaska Chronology

California

California Chronology

California Death With Dignity Act

Florida

Florida Chronology

Hawaii

Hawaii Chronology

Maine

Maine Chronology

Michigan

Kevorkian Chronology

Michigan Chronology

Proposal B - Michigan's Ballot Initiative on Assisted Suicide

New Hampshire

New Hampshire Aid-in-Dying Act

New Hampshire Chronology

New York

New York Chronology

Oregon

1st Annual Report on Oregon's Death With Dignity Act (1998)

2nd Annual Report on Oregon's Death With Dignity Act (1999)

3rd Annual Report on Oregon's Death With Dignity Act (2000)

4th Annual Report on Oregon's Death With Dignity Act (2001)

5th Annual Report on Oregon's Death With Dignity Act (2002)

Background of PAS in Oregon

Eighth Annual Report on Assisted Suicide in Oregon.

Executive Summary of the 5th Annual Report on Oregon's Death With Dignity Act (2002)

How Do Oregon Psychologists View Their Role in Physician-Assisted Suicide?

Measure 16 - Oregon Death With Dignity Act

Oregon Chronology

Oregon Physicians Attitudes About and Experiences With End-of-Life Care Since Passage of the Oregon Death With Dignity Act

Oregon's Assisted Suicide Experience: Safeguards Don't Work

Physician-Assisted Suicide: Reflections on Oregon's First Case

Suicide in the West

The Oregon Report: Don't Ask, Don't Tell

Vermont

Vermont Chronology

Washington

Initiative 119 - Washington Death With Dignity Act

Washington Chronology

Physician-Assisted Suicide: Reflections on Oregon's First Case

By Herbert Hendin, M.D., Kathleen Foley, M.D., and Margot White, J.D.

Herbert Hendin, M.D., Kathleen Foley, M.D., and Margot White, J.D., Physician-Assisted Suicide: Reflections on Oregon's First Case, 14 ISSUES IN LAW & MEDICINE 243 (1998)

The authors analyze Oregon's first reported assisted suicide of Mrs. A as a real life application of the Oregon Death with Dignity Act. They critique the effectiveness of the Act's safeguards as illustrated by the case of Mrs. A. They point out that the Act does not require that physicians be adequately trained in palliative care in order to participate in assisted suicide. Most physicians do not have such training. Without it, they are not able to effectively present alternatives to patients requesting assisted suicide. Most physicians also lack the expertise to assess patients' decision-making capacity. Nor does the Act ensure that physicians will be in a position to assess coercion of patients' decisions. The Act requires physicians to report only minimal information about their cases, and there are no enforcement provisions to see that even this is done. Under the Act, a good faith standard rather than the more usual negligence standard immunizes physicians from civil or criminal liability even when they act negligently. The authors demonstrate that the Act protects physicians more than patients, and encourages secrecy. The authors conclude that secrecy will need to be replaced by openness to permit the kind of examination the practice of assisted suicide warrants.

Posted on June 26, 2004.

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