Euthanasia- Dying with Dignity: the Last Right?
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Submission to the Committee on Justice on Dying with Dignity Bill
Submission to the Committee on Justice on the Dying with Dignity Bill 2020 January 2021 Age Action 10 Grattan Crescent Dublin 8 01 4756989 www.ageaction.ie The Scheme to Support National Organisations is funded by the Government of Ireland through the Department of Rural and Community Development Table of Contents Key Recommendations 1 Introduction 3 Policy and Legislative Context 4 Dying with Dignity Bill 2020 6 Title / Long Title 6 Section 2 Interpretation 7 Section 8 Terminally ill 9 Section 9 Declaration 10 Section 10 Assessment of capacity 12 Section 11 Assistance in dying 13 Section 15 Establishment of Assisted Dying Act Review Committee 14 Key Recommendations 16 Bibliography 18 Key Recommendations Process Age Action firmly believes that broad consultation with a wide range of stakeholders is necessary to allow for an informed discussion where all voices are heard. Title / Long Title Age Action recognises the inherent dignity of the individual and the importance of this concept in underpinning human rights protections. We recognise that a person may achieve a dignified and peaceful end in many different ways and that this is not the exclusive jurisdiction of assisted dying. Age Action recommends that the short and long title of this Bill be reviewed. Section 2 Interpretation To accurately understand the impact on the doctor-patient relationship it is necessary to hear the views of all parties affected. It is only through broad engagement that a true picture of perceptions and attitudes can be discerned. Section 8 Terminally ill Age Action recommends that the definition for terminal illness be reviewed, particular attention should be paid to the reasons why a person might seek assisted dying. -
ASSISTED DYING in OREGON Twenty Years of a Safe and Effective Law
ASSISTED DYING IN OREGON Twenty years of a safe and effective law “ The Death with Dignity Act is widely considered a success in Oregon. It’s part of how the state defines itself: as pioneering, stubbornly independent and deeply compassionate.” Twenty years of a safe and effective law 1 What we can learn from Oregon HIGHLIGHTS • Oregon has had a safe and effective assisted dying law for 20 years (page 3) • Past opponents of assisted dying now support the law (page 6) • Assisted dying is embedded in clinical practice (page 7) • The Oregon Hospice and Palliative Care Association supports patients’ right to access this option (page 8) • Religious leaders recognise the law works well (page 9) • Palliative care has flourished alongside assisted dying (page 10) • Upfront safeguards protect the public and prevent coercion (page 11) • The evidence from Oregon has convinced legislators around the world to make assisted dying a legal option (page 14) 2 Assisted Dying in Oregon The law and process in Oregon In October 1997, Oregon enacted the Death with Dignity Act 2. In the 20 years since, this has proved to be a safe and trusted medical practice. The law allows a dying adult with mental capacity, and a prognosis of six months or less to live, to request that their doctor prescribe them medication that they can choose to self-ingest to bring about a peaceful death. To be eligible for an assisted death, the person must be 3 : • 18 years of age or older, currently resident in Oregon • mentally competent to make and communicate healthcare decisions for themselves and • be diagnosed with a terminal illness that will lead to death within six months The process: • The person must make an oral request for the medication. -
A Study on Legalising Euthanasia in India 1AGILA S ,2Dhanasekar
International Journal of Pure and Applied Mathematics Volume 120 No. 5 2018, 4353-4362 ISSN: 1314-3395 (on-line version) url: http://www.acadpubl.eu/hub/ Special Issue http://www.acadpubl.eu/hub/ A Study on Legalising Euthanasia in India 1AGILA S ,2Dhanasekar. M 1Student, BA., LLB., Student, Saveetha School of Law , Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai-77, Tamil nadu , India. 2Assistant Professor, Saveetha School of Law , Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai-77, Tamil nadu , India [email protected], [email protected], ABSTRACT: Euthanasia is a term that regularly starts warmed civil argument, paying little heed to whether individuals are 'for' or 'against'. It is a standout amongst the most talked about moral issues in late time as uncovered by the significant number of logical productions, media scope of particular cases and furthermore proposed charges in numerous nations. The idea depends on the rationality of humanism and empathy. It perceives the independence of an individual opportunity of decision to live incredible poise. In this article an endeavour has been made to streamline the legitimate and good complexities common on the planet in regards to Euthanasia with extraordinary reference to Indian socio-lawful picture. This research explains about the is an exceptionally old issue, with its foundations in traditional reasoning.As of late the idea of Euthanasia has turned out to be progressively under the spotlight because of the continuous technicians ion of medication. To explain importance of effectiveness of euthanasia and to analysis the status of euthanasia and to explore the role of judiciary to euthanasia . -
LEGALIZATION of EUTHANASIA a Prime Human Right Issue to Be
LEGALIZATION of EUTHANASIA A Prime Human Right Issue to be Considered Sinduja Amudanathan “The right to live of which Article 21 speaks of can be said to bring in its trail the right not to live a forced life- P. Rathinam v. Union of India AIR 1994 SC 1844” The debate surrounding euthanasia has persisted across world and for several centuries. The proponents of euthanasia have tried and succeeded at various legislative and judicial platforms for the modern application of euthanasia in all its forms especially pertaining to medical and allied jurisprudence and have carved out a place within the legal framework of their respective nations. However not all forms of euthanasia has received extensive support. Legalizing euthanasia also has concern on the type of euthanasia. There are said to be different classifications of euthanasia, they are as follows “voluntary, non-voluntary and involuntary”. These three are the said common classifications of Euthanasia. Voluntary euthanasia is that with reference to a person’s right to die. It speaks on a right of an individual to end their own life by their own wish. Involuntary is that where the decision to end the life of an individual is decided by other people. Since some chances are there for misusing this, euthanasia is opposed by many. But still to benefit the terminally-ill people who really wish to use this many scholars support this. Passive and active are the further classifications of voluntary euthanasia.1 The clear difference between active and passive euthanasia are as follows, in active euthanasia it is done by some move like injecting a lethal injection to end the life of a patient who is voluntary to put an end to his life. -
A Christian Case for Assisted Dying
A Christian case for Assisted Dying The teaching of Jesus In exploring Christian perspectives on death and dying one starting point is to look again at Jesus’ teaching. For Jesus the whole of religious law and prophetic teaching can be summed up by saying that we should love God and love our neighbours as we love ourselves. Jesus’ golden rule was that we should always treat others as we would like them to treat us.i These sayings of Jesus are is highly relevant to the question of assisted dying. In his Essays in Bioethics, Professor R.M. Hare argued that “there is no moral question on which Jesus teaching has a more direct bearing that on euthanasia”ii It was this that led the Church of England report On Dying Well to the conclusion that although they did not want euthanasia to be legalized, they could not say it was always wrong. They admitted that “there are bound to be cases where any of us who is honest with himself would wish to have our own deaths hastened so that the manner of them might be less unbearable. Thus a direct application of the teaching of Jesus to these cases would legitimize at least some instances of euthanasia”.iii This is relevant to the present debate because polls show that between 81 and 87 % of the population would like the option of an assisted death if they found themselves suffering unbearably in the final stages of a terminal illness.iv Some doctors share this perspective and have made pacts to help each other out if they should ever be in the condition of some of their patients.v Allowing such assistance to be given openly would enable such doctors to treat their patients as they themselves wish to be treated. -
2014 Department of Forensic Medicine and Toxicology
J Punjab Acad Forensic Med Toxicol 2014;14(1) A Half-Yearly Publication Volume 14(1), 2014 Department of Forensic Medicine and Toxicology Government Medical College Patiala (Punjab) India Editor-in-Chief: Dr D. S. Bhullar From the Desk of Editor-in-Chief I am thankful to the authors and contributors of the scientific articles and research papers being published in this issue of the Journal of Punjab Academy of Forensic Medicine & Toxicology. I am also thankful to the editorial team for supporting me in publishing this issue and the members of the Academy for giving me the opportunity to serve for the second term. The journal has entered in the 14th year of its publication and it is now covered by Elsevier products (Scopus), Med-Ind and DOAJ and cited with Index Copernicus and many other citing bodies namely Safetylit, Worldcat library, J-Gate & WHO Hinary. My special thanks to Dr Anil Garg, Joint-Editor for his support and sincere efforts for timely publication and release of this issue. Any suggestions and advice for further improving the standards and quality of the journal will be appreciated. Dr DS Bhullar, MD E-Mail: [email protected], [email protected] Phone: 98145-43131, 0175-6536393 4 J Punjab Acad Forensic Med Toxicol 2014;14(1) Editorial HISTORICAL JOURNEY OF GAY TO INDIAN MEDICO - LEGAL CORRIDORS The Supreme Court of India on 11-12-2013 reinstated a colonial - era ban on gay sex that enables the jailing of homosexuals, a major setback for rights campaigners in the country. A bench of Justice GS Singhvi and Justice SJ Mukopadhyaya reversed a landmark 2009 Delhi High Court ruling which said that Section 377 IPC prohibiting voluntary carnal intercourse ‘against the order of nature’ with any man, woman or animal infringed upon the fundamental rights of Indians. -
Perspectives on Assisted Dying
Perspectives on Assisted Dying Discussion Paper April 2014 INTRODUCTION The Science and Society group of the Church in Wales was invited by the Bench of Bishops and the Standing Committee to arrange a discussion and debate at the Governing Body [GB] meeting in April 2014, on ‘assisted dying’. The objective of the debate is to open up for discussion a topic of considerable current interest, on which Christian theology, teaching and practise can contribute insight; and to offer the chance to explore some of the arguments in a Christian context. At the end of the debate, the GB will be invited to pass a motion recognising the importance of the issue and commending it to further prayer and study. Because this is a sensitive subject, and there is a range of views held by Christians, it is not intended that the GB motion commits the Church in Wales to a particular policy; it has been constructed as a ‘take notice’ debate. The GB debate will be introduced by 2 invited speakers: Revd Professor Paul Badham; and Robert Preston, of the Living and Dying Well Foundation. Coming from both theological and health perspectives, they are acknowledged authorities on the subject, and well-known participants in the debate across the UK. In preparation for the GB debate, these background papers have been submitted by the external speakers; and they have had a chance to see one another’s contributions in advance, so that they can address similar issues. The papers do not cover every possible aspect of this complex subject, but we hope they will provide some background and 1 opening ideas. -
Are Our Indian Medical Graduates Equipped and Informed to Handle End of Life Dilemmas?
Original Research Article http://doi.org/10.18231/j.jeths.2019.019 Are our Indian medical graduates equipped and informed to handle end of life dilemmas? T S Gugapriya1, N Vinay Kumar2* 1Professor, 2Associate Professor, Dept. of Anatomy, 1All India Institute of Medical Sciences, Nagpur, Maharashtra, 2Government Medical College, Palakkad, Kerala, India *Corresponding Author: N Vinay Kumar Email: [email protected] Abstract Introduction: Euthanasia stands as the much debated, controversial and legally questionable end of life dilemma encountered by health care professionals globally. In India, currently active euthanasia has been debated for granting legal sanction. Yet, the health care professionals especially the medical graduates were not exposed to these ethical end of life dilemmas in their formative years. This scenario calls for an analysis into their understanding of this issue, how they want to handle such dilemmas and whether they had adequate exposure and training to handle such end of life dilemmas in their curriculum. Methodology: A questionnaire with three segments of 9, 5and 6 questions each was administered to 100 medical graduates who were enrolled voluntarily for this study. The collected data were analysed by descriptive statistics. Results: Only 53% showed awareness about euthanasia. Among them only 17% among were aware of physician assisted death. The third year graduates had finite idea about this concept among all years studied. The study found that the medical graduates wanted legalisation of euthanasia. Only 37% opined that if legalised they might administer if needed on their patients. Personal belief was cited as the primary reason for hesitancy to administer euthanasia. Less than 50% only were aware of right of the patient to decide to have euthanasia. -
Dignity at the End of Life: What's Beneath the Assisted Dying Debate?
Report Dignity at the End of Life: What’s Beneath the Assisted Dying Debate? Andrew Grey Foreword by Baroness Ilora Finlay of Llandaff Published by Theos in 2017 Scripture quotations are from the © Theos New Revised Standard Version, copyright © 1989 the Division of ISBN 978-0-9956543-3-4 Christian Education of the National Some rights reserved. See copyright Council of the Churches of Christ in licence for details. For further the United States of America. Used information and subscription details by permission. All rights reserved. please contact — Theos Licence Department +44 (0) 20 7828 7777 77 Great Peter Street [email protected] London SW1P 2EZ theosthinktank.co.uk Report Dignity at the End of Life: What’s Beneath the Assisted Dying Debate? Andrew Grey Foreword by Baroness Ilora Finlay of Llandaff Dignity at the End of Life Theos – enriching conversations Theos exists to enrich the conversation about the role of faith in society. Religion and faith have become key public issues in this century, nationally and globally. As our society grows more religiously diverse, we must grapple with religion as a significant force in public life. All too often, though, opinions in this area are reactionary or ill informed. We exist to change this We want to help people move beyond common misconceptions about faith and religion, behind the headlines and beneath the surface. Our rigorous approach gives us the ability to express informed views with confidence and clarity. As the UK’s leading religion and society think tank, we reach millions of people with our ideas. Through our reports, events and media commentary, we influence today’s influencers and decision makers. -
Law Relating to Euthanasia in India: a Critical Study
EUTH ANASIA LAW LAW RELATING TO EUTHANASIA IN INDIA: A CRITICAL STUDY DebabrataBasu Assistant Professor, West Bengal Education Service (W.B.E.S), Hooghly Mohsin College, West Bengal. Abstract Euthanasia and its procedure entail complicated issues regarding legal and procedural compliance in countries across the world. Every person has a right to determine what should be done with his/her person. It is unlawful to administer treatment on an adult who is conscious and of sound mind, without his consent. Patients with Permanent Vegetative State (PVS) and no hope of improvement cannot make decisions about treatment to be given to them. It is ultimately for the Court to decide, as to what is in the best interest of the patient. Every human being desires to live and enjoy the life till he dies. But sometimes a human being wishes to end his life in the manner he chooses. To end one’s life in an unnatural way is a sign of abnormality. When a person ends his life by his own act we call it “suicide” but to end a person’s life by others on the request of the deceased, is called “euthanasia” or “mercy killing”. Keywords: Euthanasia; legal rights; active euthanasia, passive euthanasia. Euthanasia is mainly associated with people with terminal illness or who have become incapacitated and don’t want to go through the rest of their life suffering. A severely handicapped or terminally ill person supposed to have the right to choose between life and death. This right of a patient with terminal illness cannot be equated with an able bodied, sane person’s right. -
India Decides on Euthanasia: Is the Debate Over? Rateesh Sareen* Santokba Durlabhji Memorial Hospital 7 Research Center Pathology, Jaipur, Rajasthan 302015, India
: Curre re nt OPEN ACCESS Freely available online a R C e h v t i l e a w e s H Health Care: Current Reviews ISSN: 2375-4273 Review Article India Decides on Euthanasia: Is the Debate Over? Rateesh Sareen* Santokba Durlabhji Memorial Hospital 7 Research Center Pathology, Jaipur, Rajasthan 302015, India ABSTRACT Euthanasia is a dilemma due to the presence of more than one course of conduct justified on various grounds. Medical science has devised solutions for battling excruciating pain and agony. The Supreme Court in March 2018 delivered landmark judgment allowing ‘living will’ where, an adult in his conscious mind, is permitted to refuse medical treatment or voluntarily decide not to take medical treatment to embrace death in a natural way. The judgment gave legal recognition to Passive euthanasia in India and robust interpretation of ‘Right to life’ including ‘Right to die’ thereby bringing it within manifold of article-21 of constitution of India. The present paper describes evolution of Euthanasia in India contemporary to Dutch law as well as pros and cones of the landmark judgment in Aruna Shanbaug case. Keywords: Euthanasia; Aruna shanbaug; Living will; Advanced medical directives INTRODUCTION suffering, all things take a back seat except autonomy of patient as such no person can be compelled to enjoy right to life to his/ Euthanasia is intentional termination of patient’s life by an act her disliking or deterrence. A patient who is undergoing suffering or omission of medical care [1]. It can be classified as voluntary due to terminal illness may have unbearable suffering and in such or involuntary on the basis of consent and as active or passive situation patient’s autonomy supersedes everything. -
A STUDY to ASSESS the LEVEL of ATTITUDE TOWARDS EUTHANASIA AMONG HEALTH PERSONNEL Maria Therese A
Published online: 2020-04-26 NUJHS Vol. 4, No.4, December 2014, ISSN 2249-7110 Nitte University Journal of Health Science Original Article A STUDY TO ASSESS THE LEVEL OF ATTITUDE TOWARDS EUTHANASIA AMONG HEALTH PERSONNEL Maria Therese A. 1 , Rukumani J. 2 , Pon Princess Mano3 , Ponrani4 & Nirmala5 1Professor, Medical Surgical Nursing, 2Principal, College of Nursing Mother Theresa Post Graduate and Research Institute of Health Science,3 Tutor, PIMS College of Nursing, 4Staff Nurse, Jawaharlal Institute of Postgraduate Medical Education and Research, 5Staff Nurse, Rajiv Gandhi Maternal & Children Hospital, Puducherry. Correspondence: Maria Therese A. Professor, College of Nursing Mother Theresa Post Graduate and Research Institute of Health Sciences Indra Nager, Gorimedu, Puducherry. Mobile : +91 98941 41223 E-mail : [email protected] Abstract : Most people would probably want to live to a ripe old age, and then die painlessly in their sleep. Unfortunately, this is not the reality most people face. Some people will die after a long struggle with a painful disease. Euthanasia has become a complex global issue for the 21st century, with different cultures wrestling with variety of ethical, religious and legal factors involved in helping someone to die legally. The role of health personnel in euthanasia would ultimately cause more harm than good. Euthanasia is fundamentally incompatible with the physician's role as healer, would be difficult or impossible to control, and would pose serious societal risks. Aim : it aims at contributing to the current literature in regard to euthanasia through shedding the light onto the attitude towards euthanasia among health personnel. Material and Methods : An exploratory descriptive design was used to conduct this study non probability ampling technique was employed, the sample consisted of 70 Health Personnel including Doctor & Nurses who are working in Government and Private health institutions at Puducherry.