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A Communitarian Approach to Physician-Assisted Death

Published online by Cambridge University Press:  03 August 2009

Franklin G. Miller
Franklin G. Miller
Affiliation:
An assistant professor in the Center for Biomedical Ethics at the University of Virginia, Charlottesville.
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Extract

The standard argument in favor of the practice of voluntary physician-assisted death, by means of assisted suicide or active euthanasia, rests on liberal, individualistic grounds. It appeals to two moral considerations: (1) personal self-determination—the right to choose the circumstances and timing of death with medical assistance; and (2) individual well-being—relief of intolerable suffering in the face of terminal or incurable, severely debilitating illness. One of the strongest challenges to this argument has been advanced by Daniel Callahan. Callahan has vigorously attacked the practice of physician-assisted death and the goal of legalization as deep affronts to values of community: “By assuming that the relief of suffering is a goal important enough to legitimate killing as a way of achieving it, we corrupt the idea of such relief as a social goal and duty. We cease helping to bear one another's suffering, but eliminate altogether the person who suffers. We thereby jeopardize both the future of self-determination and the kind of community that furthers its members' capacity to bear one another's suffering. Why bear what can be eliminated altogether?” In another passage Callahan remarks, “For there is a deep sense in which suicide and euthanasia are likely to represent, at least in part, a failure of the community, whether that of the intimate community of family and friends, or the larger civic community, to respond to the needs of another.”

Type
Articles
Information
Cambridge Quarterly of Healthcare Ethics , Volume 6 , Issue 1 , Winter 1997 , pp. 78 - 87
Copyright
Copyright © Cambridge University Press 1997

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References

Notes

1. Brock, D. Voluntary active euthanasia. Hastings Center Report 1992;22(2):10–22.CrossRefGoogle ScholarPubMed

2. Callahan, D. The Troubled Dream of Life. New York: Simon & Schuster, 1993:115–6.Google Scholar

3. See note 2. Callahan, . 1993:152.Google Scholar

4. See note 2. Callahan, . 1993:107–9.Google Scholar

5. Compassion in Dying v. State of Washington -F. 3d.-, 1996 WL 94848 (9th Cir. (Wash.)). The Second Circuit Court overturned New York State's ban on assisted suicide as a violation of the Fourteenth Amendment's equal protection clause: Quill v. Vacco -F. 3d.-, 1996 WL 148605 (2nd Cir. (N.Y.)).

6. Avineri, S, de-Shalit, A. Introduction. In: Avineri, S, de-Shalit, A, Eds. Communitarianism and Individualism. New York: Oxford University Press, 1992:1–11.Google Scholar

7. Ryan, A. John Dewey and the High Tide of American Liberalism. New York: W.W. Norton, 1995.Google Scholar

8. Walzer, M. The communitarian critique of liberalism. In: Etzioni, A, Ed. New Communitarian Thinking: Persons, Virtues, Institutions, and Communities. Charlottesville: University of Virginia Press, 1995:52–70.Google Scholar

9. Miller, FG. Is active killing of patients always wrong? The Journal of Clinical Ethics 1991;2:130–2.Google ScholarPubMed

10. Miller, FG, Fletcher, JC. The case for legalized euthanasia. Perspectives in Biology and Medicine 1993;36:159–76.CrossRefGoogle ScholarPubMed

11. Miller, FG, Fletcher, JC. Physician-assisted suicide and active euthanasia. In: Humber, JM, Almeder, RF, Kasting, GA, Eds. Physician-Assisted Death. Totowa, NJ: Humana Press, 1994:75–97.CrossRefGoogle ScholarPubMed

12. Miller, FG, Quill, TE, Brody, H et al. , Regulating physician-assisted death. The New England Journal of Medicine 1994;331:119–23.CrossRefGoogle ScholarPubMed

13. Miller, FG. The good death, virtue, and physician-assisted death: an examination of the hospice way of death. Cambridge Quarterly of Healthcare Ethics 1995;4:92–97.CrossRefGoogle Scholar

14. Miller, FG, Brody, H. Professional integrity and physician-assisted death. Hastings Center Report 1995;25(3):8–17.CrossRefGoogle ScholarPubMed

15. Quill, TE. Death and Dignity. New York: W.W. Norton, 1993.Google Scholar

16. Quill, TE, Cassel, CK. Nonabandonment: a central obligation for physicians. Annals of Internal Medicine 1995;122:368–74.CrossRefGoogle ScholarPubMed

17. Brody, H. Assisted death–a compassionate response to a medical failure. NEJM 1992;327:1384–8.CrossRefGoogle ScholarPubMed

18. Shavelson, L. A Chosen Death: The Dying Confront Assisted Suicide. New York: Simon & Schuster, 1995.Google Scholar

19. Kasting, GA. The nonnecessity of euthanasia. In: Humber, JM, Almeder, RF, Kasting, GA, eds. Physician-Assisted Death. Totowa, NJ: Humana Press, 1994:25–45.CrossRefGoogle Scholar

20. See note 15. Quill, 1993:98–120.Google Scholar

21. See note 18. Shavelson, 1995:204–232.Google Scholar

22. Bender, L. A feminist analysis of physician-assisted dying and voluntary active euthanasia. Tennessee Law Review 1992;59:519–46.Google ScholarPubMed

23. See note 9. Miller, 1991.Google Scholar

24. Gay, P. Freud. New York: W.W. Norton, 1988:650–1.Google Scholar

25. See note 24. Gay, 1988:651.Google Scholar

26. See note 24. Gay, 1988:740.Google Scholar

27. See note 18. Shavelson, 1995.Google Scholar

28. Miller, RJ. Hospice care as an alternative to euthanasia. Law, Medicine & Health Care 1992;20(2):127–32.CrossRefGoogle ScholarPubMed

29. Cundiff, D. Euthanasia Is Not the Answer. Totowa, N.J.: Humana Press, 1992.CrossRefGoogle Scholar

30. See note 12. Miller, , Quill, , Brody, et al. 1994.Google Scholar

31. See note 14. Miller, , Brody, 1995.Google Scholar

32. Campbell, CS, Hare, J, Matthews, P. Conflicts of conscience: Hospice and assisted suicide. Hastings Center Report 1995;25(3):36–43.CrossRefGoogle ScholarPubMed

33. See note 32. Campbell, , Hare, , Matthews, 1995.Google Scholar

34. See note 32. Campbell, , Hare, , Matthews, 1995.Google Scholar

35. Beauchamp, TL, Childress, JF. Principles of Biomedical Ethics, 4th ed.New York: Oxford University Press, 1994:219–241.Google Scholar

36. Lynn, J. Letter to the editor. The New England Journal 1994;331:1657.Google Scholar

37. I owe this point to a suggestion by Howard Brody.