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Why physician assisted suicide or euthanasia may be wrong and why alternative methods need to be embraced in the end of life care

Introduction

 Attention getter

The privilege to life is not inclusive of the privilege to die even though Life and death are Siamese twins held at the hip. Euthanasia stands on shaky moral grounds often leading to endless debates whenever the issue comes up. The endless controversies surrounding whether the right to life is inclusive of death is a global issue rubbed the wrong way by the human society as a whole. Interesting enough, heavily populated countries such as India do not have readily available statistics indicating the quantity of euthanasia or physician assisted suicide appeals in the country, which would help point out the stand of the society on the issue.

 Thesis statement

This essay will carry out a comprehensive discussion on reasons why physician assisted suicide is illegal in some sections of the American society and assess the public attitude people towards the act, which will in turn help, unveil why euthanasia is unfavorable or favorable depending on background and perceptions. By supporting details and evidence, the essay will determine why physician assisted suicide or euthanasia may be wrong and why alternative methods need to be embraced in the end of life care.

 Relevance audience and sentiments

According to Battin, Rhodes, & Silvers (2015), the legalization of euthanasia is synonymous to assisting suicide. Voluntary assisted suicide takes occurs when a patient wishes for termination of his or her life due to a terminal medical condition. However, there are some basic issues on the subject on either side. There are well-structured arguments supporting euthanasia. Supporters claim that euthanasia frees patients from suffering and gives the patient authority over their life and any paternalistic invasion. Moreover, advocates purport that giving permission to a small number of people to undergo euthanasia under the right controlled environmental conditions was harmless. If it remains illegal, the advocates fear that some dubious and secrets means would emerge to facilitate euthanasia.

On the other hand, opponents claim that it would shift the moral compass of societies and normalize murder. Hence, it would unveil a series of serious uncontainable consequences in the society. In other words, any benefits derived from euthanasia would not outweigh the negative consequences (Emanuel et.al, 2016). Even if the government legalizes euthanasia, under certain contexts and allow medical experts to partake in it, it would violate their moral code and role as healers in the society. In summary, physicians would go against their integrity when they participate in euthanasia.

 Transition to the main point

This transition talks about physicians assisted suicide from a general point of view

The ever-increasing certification of physician-assisted suicide in various parts of the world enables compulsory exploration of associated attitudes and practices. In terms of objectivity, one should analyze the legal position of physician-assisted suicide and the accessible information on attitudes and practices. Support differs significantly dependent on the phrasing of the study questions; the providence of facts on the patients, their health analysis, their prospects and symptoms; characterization of specific mediations; and whether the enquiries center on ethical matters, legalization and other motivations (Emanuel et.al, 2016). Furthermore, since the year 1947, () in an illustrative survey which comprised of an estimated 1000 to 1500 people. The illustrative survey concentrated on The American public. For instance, when a person becomes terminally ill, can a medical doctor terminate the patient’s life via painless mechanism if the family members and the patient suggest it? The question is vague as it does not reveal the age, illness, diagnosis, and symptoms and assumes that terminating life is ethical as long as the medical expert has permission from the family members and the patient. Hence, the question is neither legal nor ethical for that matter. Moreover, support for this act rose from 37% in the year 1947 to 53% at the beginning of the 1970s. Support for physician assisted suicide stagnated in the 1990s with an estimated two thirds of Americans populace backing termination of a terminal ill patient’s life. Consequently, numerous public perspective surveys in America seem to detect or take note of a decreasing support for physician assisted suicide from 75, which was the highest in the year 2005 to 64% in 2012. After changing the questions to include ‘severe pain’ and the word ‘certification’ but the practice indicates ‘suicide’ instead of physician terminating life, then people’s support declines by 10%.

Two elements of the survey information are astonishing. There exists a pause between upsurges in backing for euthanasia and physician assisted suicide and also the authorization of physician assisted suicide within America (Emanuel et.al, 2016). In addition, there is a greater societal backing for euthanasia than physician assisted suicide even though euthanasia is still illegal under the rule of law. In America, various features are persistently linked to preferring or differing with euthanasia and physician assisted suicide. From an overall point of view, Caucasian men, youths, and spiritual unaffiliated people are more likely to back the subject matter more.

 Main point

 In terms of comparing America to the rest of the world, European nations did not experience a stagnation in terms of backing euthanasia and physician assisted suicide. Between the year 1999 and 2008, majority of European nations agreed with sentiment of euthanasia and hence increase their support (Emanuel et.al, 2016). Similarly, the subject matter did not experience a decline or increase in support. In other words, euthanasia and physician assisted suicide received full support of the Europeans throughout the years. It is vital to note that alterations related to decline in religion in various sections of Europe. Since Europe legalized the euthanasia in 2002, the support soured through the roof.

            In spite of the numerous challenges experienced during surveys, Europeans and Australians continuously, unveil negligible backing for euthanasia and physician assisted suicide among medical doctors (Emanuel et.al, 2016). For example, in the year 2014, Medscape carried out a research survey on medical doctors in different states inquiring on whether a physician should help a patient terminate the life of a patient. According to the findings, American physicians are more supportive with an estimated 54% approve whereas a lesser number of physicians from other nations such as Germany are less supportive toward the practice. In other words, location may influence people’s opinion on the issue.

 Sub point 1

 Evaluating attitudes toward physician-assisted suicides is an uphill task due to the inclosing effects. The subject matter receives varied support from different quarters of the community (Emanuel et.al, 2016). The issue of euthanasia presents a dilemma in the criminal law. The values and virtues that drive humanity cannot allow the legalization of euthanasia. First of all, the constitution allows for the right to life for each person. Safeguarding life is fundamental for any rules to take root in the society. Indeed as Hobbs confirmed, the protection of life pivots the core reason and functionality of any laws. Thus, defending human life takes into consideration people who suffer from terminal illnesses or genomic deformations. The only dilemma is whether a person who perpetrates mercy killing becomes a murderer or not. The law does not permit taking a person’s life, even though the motive may not be for personal gain. The bottom line is that there is no good enough reason to kill a person. Furthermore, the law does not recognize mercy killing and the elements pertaining the issue cannot naturally fit into the constitution. In fact, the law does not give room for motive as part of homicide. Therefore, if the court proves that a defendant perpetrated a murder, it is first degrees murder.

 Sub main point 2

Accepting euthanasia and physician assisted suicide shakes down the sacredness of life. Euthanasia has a pendulum effect on critical communal issues such as whether a fetus during its early stages is an actual being. As absurd as it may seem, a patient with a terminal illnesses has a right to life and completely human (Emanuel et.al, 2016). The sacredness of human life does not stem from religious perspectives or opinion but the need to value life, regardless of the medical state in which it exists. Advocates of euthanasia suggest that life is priceless but also bring forth another flipside of the argument. Ending the life an individual suffering from a painful sickness, brings respect to human life. Dying with respect sanctifies life. Thus, the contentious issues revolving around euthanasia continue to evoke endless debates and sometimes the advocates cross the line. However, it is vital to note that quality of life has no connection with sanctity. Consequently, between quality and sanctity, the sacredness of life outweighs the quality of life. Viewing the argument in terms of quality of life, it actually implies that people with a low quality lifestyle deserve to die. Maintaining the same line of thought means that individuals with a quality life have more right to live than their counterpart does.

 Transition through an example to illustrate further the subject

 For instance, the right to sell oneself to slavery is not a well thought-out action. Neither is the right to end your own life due to the scourging effects of a terminal illness (Battin, Rhodes, & Silvers, 2015). A physician in a resource limited medical facility, the insurance institution, emotionally drained relatives attached to the patient may find euthanasia attractive once it becomes a viable option tabled in front of them. Therefore, removing the option of death, gives medical experts and insurance institutions the right to fight against terminal illness and find creative ways of preserving the will of life.

 Main point 2

 Of course, the other side of the argument might claim there are better ways of going about euthanasia (Battin, Rhodes, & Silvers, 2015). For example, some people may suggest that psychiatrists and doctors might assess a patient and confirm whether the person is of sound mind before acting upon their decision. Nevertheless, the above context applies only to people with a terminal illness or others who want to end life. Although their reasons seem valid, they are not justifiable to the humanity and society. Therefore, no one has power to give a go ahead for the procedure used in the elimination. Thus, euthanasia would open an entire Pandora box of controversies if the government allows pain and suffering to be the main determinants of euthanasia. Once voluntary euthanasia becomes normal, it would spread to palliative care patients. Any tome dick and harry would request the procedure once medical finances dwindle.

 Sub point 1

 Proponents of euthanasia and physician assisted suicide may propose that the practice already exists in many various forms and doctors and other healthcare providers conduct it all the time without fear and that the media has no clue. More so, legalizing it would open more secure ways for practicing the deed. Thus, accepting the procedure is likely to prevent its misuse and corruptions that often accompanies it. In other words, legalizing euthanasia would avail guidelines and prevent misuse of the procedure.

People have a right to live their lives as they please. There are many public attitudes toward euthanasia (Battin, Rhodes, & Silvers, 2015). Surveys show that there is not enough support for euthanasia. Literature reviews on the topic show that more than two third of American do not support both euthanasia and regulations that accompany the procedure. Politically speaking, legislators hesitate on the issue because they might lose votes.

 Sub point 2

 Surveys that monitor trends speculate that physicians do not easily accept a patient’s plea for euthanasia. In addition, there is a rising concern that people might exploit the poor and the old if euthanasia becomes legal. Poverty stricken people may see death as an option when faced with heavy medical bills (Battin, Rhodes, & Silvers, 2015). Religion plays a major role in shaping the thoughts of people on the issue. In a country like India, where 90% of the population is Indian, the dominant faiths are Hindu and Islam. Hence, euthanasia faces a stiff opposition due to the religious beliefs.

Two approaches inhibit the legalization of euthanasia. The first line of thought seem to derive its main argument from the a religious perspective which claims that people are made by God and their value is priceless and no one should interfere with the sacredness that comes from life. Thus, euthanasia goes against personal dignity of life. With religion comes the ethical side of euthanasia, which makes physicians take a stand against euthanasia (Clark, 2014). On the other hand, the rhetorical nature of the subject matter tends to excite and elicit emotions rather solve the underlying issue. For instance, let us consider a context where one withholds treatment from a person suffering from a terminal illness, when the treatment does not make a difference and the treatment itself has a negative toll on the patient, the context is a weighty matter but euthanasia is weightier. Another subtle element is discernment. A terminally ill individual does not have the ability to make sound decisions. In summary, legalizing euthanasia stands on shaky ground and may be a go-ahead button that would permit myriad of crimes. More so, regulating the act is a tedious task.

 Conclusion

According to Clark, (2014), Physician assisted suicide, refers to the act of a medical practitioner giving a possibly fatal medicine to a patient with a terminal illness at his or her invitation. Some scholars also refer to it as euthanasia. In most states, physician assisted suicide is an illegal practice even though currently an outburst of legal activities tries to find ways of fixing issues surrounding the topic and place it under more smooth pedestal. Oregon was the first place to legalize physician-assisted suicide in the year 1995. After a few years, Washington and other states such as California followed suit and lawmakers will implement this year. Subsequently, empirical studies within America unveiled a secretive practice of euthanasia and physician assisted suicide. The issue is under the radar as long as people do not openly discuss the contentious subjects surrounding the topic. Nevertheless, physician assisted suicide cannot remains undiscussed for long as it comes a time when all the people will have to deal with it directly or indirectly.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Battin, M. P., Rhodes, R., & Silvers, A. (2015). Physician assisted suicide: expanding the debate. Routledge.

Clark, N. (2014). The Politics of physician assisted suicide. Routledge.

Emanuel, E. J., Onwuteaka-Philipsen, B. D., Urwin, J. W., & Cohen, J. (2016). Attitudes and practices of euthanasia and physician-assisted suicide in the United States, Canada, and Europe. Jama, 316(1), 79-90.

2413 Words  8 Pages
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