Assisted
Suicide
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Assisted Suicide
Oregon's Assisted Suicide Law
Summary
Oregon's Death with Dignity Act allows terminally ill
Oregon residents to obtain and use prescriptions from their
physicians for self-administered, lethal medications.
Physicians and patients who follow the act's requirements
are protected from criminal prosecution, and the choice of
legal physician-assisted suicide cannot affect the status of
a patient's health or life insurance policy.
Oregonians first passed the act in a November 1994
referendum by a margin of 51% to 49%. However, a legal
injunction delayed its immediate implementation. It was not
until 1997 when the Ninth Circuit Court of Appeals lifted
the injunction that physician-assisted suicide became a
legal option for terminally ill patients in Oregon. Since
that time, 70 people have ended their lives with the help of
a doctor. But, people's ability to use the law is once again
threatened.
The latest issue is whether assisted suicide is a
legitimate medical purpose within the meaning of
the 1970 Federal Controlled Substances Act. Under the act,
physicians can prescribe federally regulated drugs for
legitimate purposes only. In a November 2001 letter to the
Drug Enforcement Administration (DEA), U.S. Attorney General
John Ashcroft, citing United States v. Oakland Cannabis
Buyers' Cooperative, 532 U.S. 483 (2001), stated that
assisted suicide is inconsistent with the public interest.
Oregon's attorney general was successful in obtaining a
temporary restraining order on Ashcroft's directive. A
hearing on the directive is expected in April.
In Oakland Cannabis Buyers', the U.S. Supreme Court held
cooperatives that distributed marijuana for medical purposes
violated the Controlled Substance Act because marijuana has
no proven medical value, a necessity for distributing
controlled substances. OLR Report 2001-R-0894 provides a
more detailed analysis of this case.
As stated earlier, 70 patients have died from
physician-assisted suicide since 1997. Most of these
patients had some form of cancer and stated the fear of
losing autonomy as their primary reason for wanting to end
their lives. Oregon's health department does not keep
statistics on the total number of physicians writing legal
prescriptions, but it does report that physicians wrote a
total of 96 lethal prescriptions between 1997 and 2001.
Death With Dignity - Oregon's Assisted Suicide
Law
The Death with Dignity Act (ORS §§ 127.800 to
127.897) allows terminally ill Oregon residents to obtain
and use prescriptions from their physicians for
self-administered, lethal medications. Under the Act, ending
one's life in accordance with the law does not constitute
suicide. However, the law is referred to as
physician-assisted suicide because it allows
people to end their lives through the voluntary
self-administration of lethal medications prescribed by a
physician for that purpose.
The Death with Dignity Act legalizes physician-assisted
suicide, but specifically prohibits euthanasia, where a
physician or other person directly administers a medication
to end another's life.
To request a prescription for lethal medications, the
Death with Dignity Act requires that a patient voluntarily
express his wish to die and be:
- an adult (age 18 or older),
- an Oregon resident,
- capable (able to make and communicate health care
decisions), and
- diagnosed with a terminal illness (incurable and
irreversible) that will lead to death within six months.
Patients meeting these requirements are eligible to
request a prescription for lethal medication from a licensed
Oregon physician. To receive a prescription for lethal
medication, the following steps must be fulfilled:
- the patient must make two oral requests to his
physician, separated by at least 15 days;
- the patient must provide a written, witnessed request
to his physician (two witnesses);
- the prescribing physician and a consulting physician
must confirm the diagnosis and prognosis;
- the prescribing physician and a consulting physician
must determine whether the patient is capable;
- if either physician believes the patient's judgment
is impaired by a psychiatric or psychological disorder,
he must refer the patient for a psychological
examination;
- the prescribing physician must inform the patient of
feasible alternatives to assisted suicide, including
comfort care, hospice care, and pain control; and
- the prescribing physician must request, but may not
require, the patient to notify his next-of-kin of the
prescription request.
To comply with the law, physicians must report to Oregon
Health Services (OHS) all prescriptions for lethal
medications. Reporting is not required if patients begin the
request process but never receive a prescription. Physicians
must inform pharmacists of the prescribed medication's
ultimate use. Physicians and patients who adhere to the
act's requirements are protected from criminal prosecution,
and the choice of legal physician-assisted suicide cannot
affect the status of a patient's health or life insurance
policies. Physicians and health care systems are under no
obligation to participate in the Death with Dignity Act.
Source: www.cga.ct.gov/2002/rpt/2002-R-0077.htm
* * *
Death usually comes too early or too late. - -
English Proverb
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