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Commentary on “Four Arguments for Physician-Assisted Suicide and the Objections of Gorsuch”

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Lanson Lectures in Bioethics (2016-2022)
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Abstract

In response to Professor Kamm’s paper, I argue that, when properly used with the intention to relieve pain, there is NO situation where the use of morphine will cause the death of the patient with certainty. The use of morphine is guided by professional codes and the law. One cannot simply claim that morphine is given with an intention to relieve pain, but then gives a lethal dose. Regarding “letting die”, I argue that the nature and implications of an overt intention “not to force treatment” have important differences from those of an overt intention “to help the patient die”. One important difference is going down the slippery slope with the latter intention. I conclude that neither the permissibility of “using morphine to relieve pain” nor the permissibility of “not forcing treatment” lead to permissibility of physician-assisted suicide (PAS). In these issues, the overt intention matters. The justification for PAS has to depend on other arguments.

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Notes

  1. 1.

    See for example, Jean Davis, “The Case foe Legalising Voluntary Euthanasia”, in John Keown ed. Euthanasia Examined: Ethical, Clinical and Legal Perspectives (Cambridge: Cambridge University Press, 1995), 88.

  2. 2.

    Government of Canada: Medical Assistance in Dying. https://www.canada.ca/en/health-canada/services/medical-assistance-dying.html.

  3. 3.

    Oregon Health Authority: Frequently Asked Questions: Death with Dignity Act. http://www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EVALUATIONRESEARCH/DEATHWITHDIGNITYACT/Pages/faqs.aspx#whatis.

  4. 4.

    The End Of Life Option Act in California. http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0001-0050/abx2_15_bill_20151005_chaptered.htm; Death with Dignity Act of 2016 in District of Columbia. http://lims.dccouncil.us/download/33261/B21-0038-SignedAct.pdf.

  5. 5.

    Daniel Azoulay, Jeremy M. Jacobs, Ron Cialic, Eliana Ein Mor, and Jochanan Stessman, “Opioids, Survival, and Advanced Cancer in the Hospice Setting,” J Am Med Dir Assoc 12 (2011): 129–134; Michaela Bercovitch, Alexander Waller, Abraham Adunsky, “High Dose Morphine Use in the Hospice Setting: A Database Survey of Patient Characteristics and Effect on Life Expectancy,” Cancer 86 (1999): 871–877.

  6. 6.

    Raymond W. Gibbs, Jr., Intentions in the Experience of Meaning (Cambridge: Cambridge University Press, 1999), 34; Rudanko, Juhani, “The fallacy of ad socordiam and Two Types of Speaker Intentions: A Case Study from the First Congressional Debate on the Bill of Rights in 1789,” Journal of Pragmatics 37, no. 5 (2005): 723–736.

  7. 7.

    Nathan I. Cherny, Lukas Radbruch, and The Board of the European Association for Palliative Care, “European Association for Palliative Care (EAPC) Recommended Framework for the Use of Sedation in Palliative Care,” Palliative Medicine 23, no. 7 (2009): 581–593.

  8. 8.

    Ronald Dworkin, Thomas Nagel, Robert Nozick, John Rawls, and Judith Jarvis Thomson, et al, “Assisted Suicide: The Philosophers’ Brief,” The New York Review of Books 44, no. 5 (1997): 41–47.

  9. 9.

    F. M. Kamm, “A Right to Choose Death: A Moral Argument for the Permissibility of Euthanasia and Physician-Assisted Suicide,” Boston Review (1997), http://bostonreview.net/archives/BR22.3/Kamm.html.

  10. 10.

    Barron H. Lerner, and Arthur L. Caplan, “Euthanasia in Belgium and the Netherlands on a slippery slope?” JAMA Internal Medicine 175, no. 10 (2015): 1640–1641.

  11. 11.

    Lieve Thienpont, Monica Verhofstadt, Tony Van Loon, Wim Distelmans, Kurt Audenaert, and Peter P. De Deyn, “Euthanasia Requests, Procedures and Outcomes for 100 Belgian Patients Suffering from Psychiatric Disorders: A Retrospective, Descriptive Study,” BMJ Open 5, no. 7 (2015).

  12. 12.

    Bruno Waterfield, “Belgian Killed by Euthanasia after a Botched Sex Change Operation,” The Telegraph, 1 Oct 2013. http://www.telegraph.co.uk/news/worldnews/europe/belgium/10346616/Belgian-killed-by-euthanasia-after-a-botched-sex-change-operation.html (Accessed 6 Oct 2016).

  13. 13.

    The Great Learning 《大學》. http://classics.mit.edu/Confucius/learning.html.

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Correspondence to Chun-Yan Tse .

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Tse, CY. (2024). Commentary on “Four Arguments for Physician-Assisted Suicide and the Objections of Gorsuch”. In: Li, HL. (eds) Lanson Lectures in Bioethics (2016-2022). Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-42052-8_5

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