Friday, November 13, 2015

The Right to Die

The debate over the right to die has been an ongoing debate for many many years.  The right to die is a moral principle that allows terminally ill patients to undergo voluntary euthanasia to stop life-prolonging treatments, where continuing with the disease would pro-long suffering.  As of now, only a few European countries (Belgium, The Netherlands, France, Germany, and Switzerland), Colombia, and five U.S. states allow some form of assisted suicide.  The two most popular forms of the right to die are assisted suicide and euthanasia.  The two forms do not seem to be different; however, the key difference is the doctor’s role.  Assisted suicide is when the lethal drug is given to the patient, and the patient himself must do the act.  On the other hand, Euthanasia is when the doctor does the act and euthanizes the patient using the lethal injection. 
The right to die debate has been an ethical and moral dilemma among societies for hundreds of years.  There have been many cases involving removal of life support throughout the 1950s-1980s that started the modern concerns over the right to die.  However, in 2006, the case of Gonzales v. Oregon upheld the Oregon’s “right to die” law constitutional and was a monumental case in the movement of legalizing the right to die through euthanasia and assisted suicide.  Oregon enacted the Death with Dignity Act in 1994.  This state law was the first to authorize physicians to prescribe legal doses of controlled substances to terminally ill patients.  However, in 2001, Attorney General John Ashcroft declared that the Death with Dignity Act violated the Controlled Substance Act of 1970, and he made a comment that he would revoke physician’s licenses if they practiced physician-assisted suicide.  Oregon sued Ashcroft, and the court ruled that Ashcroft’s accusations and directive was illegal.  The Supreme Court ruled in a 6-3 decision that the CSA only prevented doctors from dealing illicit drugs, not to define standards of medical practices.  The court also ruled that Ashcroft was not authorized to declare a practice illegitimate.  As of now, Washington, Oregon, California, and Vermont have all enacted the Death with Dignity Act.  The Death with Dignity Act is legal in Montana by court decision; however, it is not a law.   

Supporters of the right to die say that tremendous pain and suffering of patients can be saved, health care costs can be reduced, reasonable laws can be made that protect the value of human life, and organs can be saved.  However, people who oppose the right to die claim that it violates a doctor’s Hippocratic Oath (First, do no harm), demeans the value of human-life, opens the gates to non-critical patient suicides, and gives doctors too much power. 

I believe that the right to die through either assisted suicide or euthanasia should be legalized nationwide.  People with terminal illnesses or patients with dementia should be allowed to make the decision on whether or not they want to end their life.  It is morally right to let these people die with dignity because their quality of life is so low, that it is hurting them more being alive.  More states have started to consider the Death with Dignity Act.  I also believe that the proper way to nationally legalize the Act would be to include provisions that require multiple doctors to approve, have families approve, and specify what illnesses are protected under the act.