Doctor Assisted Suicide (Group 1)

Doctor Assisted Suicide: What should the Harper government do next?

Introduction

Assisted suicide occurs when a medical professional provides a lethal dose of a drug to a consenting patient suffering from an incurable disease, with the intention of ending their life. The topic of assisted suicide in Canada is very controversial and emotional so it has been fiercely debated in recent years.  The supreme court of Canada ruled on February 6th 2015 to grant mentally competent patients, who are suffering intolerably, the right to doctor assisted dying.  This was a landmark ruling, as it will allow terminally ill and suffering patients the right to live as opposed to a duty of life. Due to the controversial nature of this topic, there is a vast wealth of material available on the internet that aims to educate and persuade Canadians about both sides of the discussion. 

We were able to find a great amount of information relating to the doctor assisted suicide debate and much of the information available was unbiased. Only when we went searching for arguments specifically supporting or opposing doctor-assisted suicide did we find biased articles. However, considering this is an incredibly emotional subject; it is outstanding how many sources presented fact based information.

Link 1

This article discusses the recent Supreme Court of Canada’s ruling to allow “those who are severely and irremediably suffering, whether physically or psychologically” the right to autonomy over their own death. The article illustrates both reasons why the court ruled in favour of allowing assisted suicide as well as issues that could arise because of the ruling.

Reasons for the Court’s ruling:

Under the current law, an individual has only the choice of committing suicide or suffering until natural death.  The Court believes it is unfair to ‘create a duty to live”.  The systems already in place in other countries and states have been proven to “work to protect vulnerable people from unwanted death”.

Issues with the ruling:

The interpretation may not be restricted only to the terminally ill.  People with disabilities may also have a “grievous and irremediable medical condition.”

It is unclear what the federal government will do, if anything, in response to this ruling.

This News article is a viable source because it was published by the Globe and Mail, a well-known Canadian news agency and the success of their brand is based on reliable reporting. In addition, the agency has nothing to gain or lose from reporting all the information related to this issue and therefore can give a non-biased assessment.  We chose this article because it is a relevant summary of the Canadian assisted-suicide debate and points out both the pros and cons of the Supreme Court’s ruling.

Link 2

This article outlines why doctor assisted suicide should be legalized in the United States.  They argue that a patient suffering from a terminal illness (with a prognosis of less than six months to live) should have the option to end their life.  Such patients currently have the right to end treatment but must then wait for natural causes to take their lives.  The article states that this has a negative impact on both the patient, who may be suffering, as well as their loved ones, who must witness the pain and deterioration.  Additionally, the article addresses the American Medical Association’s argument that it would be difficult to control doctor-assisted suicide.  It points to Oregon’s regulations wherein only a patient of sound mind with less than six months to live may request doctor-assisted suicide.  Such a request will only be considered after two doctors sign off on the process and two witnesses confirm the request.  Then there is a fifteen-day period before the patient can make a required second request to end their life.

 This editorial is a viable source because the arguments proposed were backed by evidence and it was published by an accredited medical school with a strong reputation. We chose this article because it clearly states several reasons why assisted suicide should be an available option for patients who are terminally ill, as well, as how it could actually work. Given that this is an editorial, we did not notice a clear bias in the article because the writer presented both sides of the issue using evidence to refute the opposition’s arguments.

Link 3

This CBC news article outlines the Supreme Court ruling for assisted suicide and how the federal and provincial governments will be proceeding in terms of new legislation. The article further explains what the court ruling will mean for Canadians, including the standards that must be met in order to qualify for assisted dying. The role doctors will play in assisted dying is also discussed and the result was that doctors will not be compelled to assist patients in dying, as each medical college will regulate the decisions. The article aims to inform the readers of the events regarding the Supreme Court ruling and explain what it will mean for their readers, rather than persuade them of their point of view. There is no detectable bias within the article as it provides only fact based information.

Link 4

Dying with Dignity is a Canadian organization that advocates for the rights of patients to choose their course at the end of life. Their article summarizes the arguments of the organization in ten main points. The points that are used to explain and persuade readers to their side of the argument are based on opinion and are backed up by evidence surrounding cases in countries and states that have already legalized assisted dying. The article shows a bias for the legalization of assisted dying as it is written by an organization whose agenda it is to do so.

Link 5

This article makes the argument against the legalization of physician-assisted suicide by describing how it disproportionately affects the poor and people living with disabilities. It discusses the role that money and power play in end-of life decisions, and how assisted suicide is being used by some health care companies and decision-makers to save money by denying treatment. It also discusses that despite the safeguards in place, it has not stopped the mentally ill from obtaining lethal drugs. This article is an editorial with a clear bias against assisted suicide because of the author’s strong personal connection with those living with disabilities. For that reason, the author only recalls the negative effects that would occur from the legalization of assisted suicide, without considering the other side of the argument.  We chose this article to show the opinion of someone who has first-hand experience of how assisted suicide can affect the disabled.

 Link 6

This article lists the reasons why assisted suicide should not be legalized. The article discusses two main arguments opposing physician-assisted suicide: Mental Illness and the controllability of pain. The article also discusses how it is not the pain that causes the need for assisted suicide, but mental illness. Statistics show that 93 percent of those who have committed physician-assisted suicide have been mentally ill at the time and that adequate intervention exists to control 90 to 99 percent of pain. This article is written from a pro-life organization’s point of view that believes strongly against the termination of any life. Therefore, there is a clear bias against the legalization of assisted suicide in this article.  Despite the bias, this article gives a good insight into the opposing argument.

Conclusion

As a group, we decided in favour of doctor-assisted suicide, as we believe the benefits outweigh the risks. Doctor assisted suicide gives terminally ill patients the choice to end their suffering, in a humane way. Currently in Canada, these patients have the option to either end their treatment and slowly fade away, or commit suicide, sometimes in a violent manner. Although there are methods to ease pain, the quality of life for these patients can be unbearable, and one has to ask if it is really worth it. We believe the answer to this question differs depending on the patient and that the patient should have the freedom of choose. Allowing doctor assisted suicide does not encourage people to commit suicide; it simply gives people the right to decide their own fate. For many patients, knowing that they have the option to end their life may give them a sense of control, which in turn can give them piece of mind. Some jurisdictions already have regulations that can prevent people from wrongfully requesting assisted suicide or having it imposed upon them. These regulations include requiring the terminally ill patient to have a prognosis of less than 6 months to live, have their personal request be signed off by two doctors, as well as have two unrelated witnesses agree it is the best option. Where doctor assisted-suicide has been implemented, studies have shown that regulations such as those mentioned above protect vulnerable individuals, such as those who are mentally ill, from wrongfully committing suicide. In addition, we found it difficult to accept some of the points that oppose doctor-assisted suicide because they came from heavily biased sources.