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Physician-Assisted Suicide and Criminal Prosecution: Are Physicians at Risk?

Published online by Cambridge University Press:  01 January 2021

Stephen J. Ziegler
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Extract

The legalization of physician-assisted suicide (PAS) remains a hotly debated issue throughout the United States, and continues to capture the attention of government officials at both the state and federal levels. While the practice is currently legal in Oregon, some federal lawmakers and officials from the U.S. Department of Justice have attempted to outlaw that state's practice through legislation (e.g., the Pain Relief Promotion Act of 1999), or through a strained interpretation of the federal Controlled Substances Act. And while several citizen groups throughout the United States have attempted but failed to legalize PAS through popular initiative, several state lawmakers have succeeded in specifically outlawing the practice. Yet even though physician-assisted suicide (PAS) remains unlawful in every state except Oregon, there is ample evidence that American physicians throughout the United States have participated in PAS by providing their terminally ill patients with lethal prescriptions.

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Independent
Information
Journal of Law, Medicine & Ethics , Volume 33 , Issue 2 , Summer 2005 , pp. 349 - 358
Copyright
Copyright © American Society of Law, Medicine and Ethics 2005

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References

Orentlicher, D. and Caplan, A., “The Pain Relief Promotion Act of 1999: A Serious Threat to Palliative Care,” JAMA 283, no. 2 (2000): 255–258; Pain Relief Promotion Act of 1999, HR 2260, 106th Congress.CrossRefGoogle Scholar
Rich, B. A., “Oregon versus Ashcroft: Pain Relief, Physician-Assisted Suicide, and the Controlled Substances Act,” Pain Medicine 3, no. 44 (2002): 353–360; Werth, J., “Reinterpreting the CSA: Predictions for the Effect on Pain Relief,” Behavioral Sciences and the Law 20 (2002): 287–305.CrossRefGoogle Scholar
Meisel, A. and Cerminara, K. L., The Right to Die, 3rd ed. (New York: Aspen Publishers, 2004): at 12–37; Hillyard, D. and Dombrink, J., Dying Right: The Death with Dignity Movement (New York: Routledge, 2001): at 220; Washington v. Glucksberg, 521 U.S. 702 (1997); Vacco v. Quill, 521 U. S. 793 (1997).Google Scholar
Volker, D., “Methodological Issues Associated with Studying an Illegal Act: Assisted Dying,” Advances in Nursing Science 27, no. 2 (2004): 117–128 at 117; Meisel, A. and Cerminara, K. L., The Right to Die, 3rd ed. (New York: Aspen Publishers, 2004): At 12–35.CrossRefGoogle Scholar
Emanuel, E. J., “Euthanasia and Physician-Assisted Suicide: A Review of the Empirical Data from the United States.” Archives of Internal Medicine 162 (2002): 142–152; Meisel, A. and Cerminara, K. L., The Right to Die, 3rd ed. (New York: Aspen Publishers, 2004): At 12–39.CrossRefGoogle Scholar
Meisel, A. and Cerminara, K. L., The Right to Die (3rd Ed.) (New York: Aspen Publishers, 2004): at 12–40, 12–47; Chochinov, H. M. and Wilson, K. G., “The Euthanasia Debate: Attitudes, Practices, and Psychiatric Considerations,” Canadian Journal of Psychiatry 40, no. 10 (1995): 593–602.Google Scholar
The raw data for this article stems from my earlier research (Ziegler, S. J., Prosecutors, Palliative Medicine, and Physician-Assisted Death: An Empirical Assessment of the Likelihood of Prosecution Stemming from Opioid and Non-Opioid Administrations, unpublished Ph.D. dissertation, Washington State University [2003]).Google Scholar
Ziegler, S. J. and Lovrich, N. P., “Pain Relief, Prescription Drugs, and Prosecution: A Four-State Survey of Chief Prosecutors,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 75–100.CrossRefGoogle Scholar
Spohn, C. Beichner, D., and Davis-Frenzel, E., “Prosecutorial Justifications for Sexual Assault Case Rejection: Guarding the Gateway to Justice,” Social Problems 48, no. 2 (2001): 206–235; Albonetti, C. A., “Prosecutorial Discretion: The Effects of Uncertainty,” Law & Society Review 21, no. 2 (1987): 291–313; Jacoby, J. E., The American Prosecutor: A Search for Identity, (Lexington, MA: Lexington Books, 1980).CrossRefGoogle Scholar
Jackson, R., “The Federal Prosecutor,” Journal of the American Judicature Society 24 (1940): 18–20.Google Scholar
Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331 at 308.CrossRefGoogle Scholar
Volker, D., “Methodological Issues Associated with Studying an Illegal Act: Assisted Dying,” Advances in Nursing Science 27, no. 2 (2004): 117–128 at 117; Meisel, A. and Cerminara, K. L., The Right to Die, 3rd ed. (New York: Aspen Publishers, 2004): At 12–11, 12–35; Reid, S. T., Criminal Law, 6th ed. (New York: McGraw-Hill, 2004): At 233.CrossRefGoogle Scholar
Reid, S. T., Criminal Law, 6th ed. (New York: McGraw-Hill, 2004): at 227–235.Google Scholar
Liederbach, J. Cullen, F. T. Sundt, J. L., and Geis, G., “The Criminalization of Physician Violence: Social Control in Transformation,” Justice Quarterly 18, no. 1 (2001): 141–170; Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331 at 309.CrossRefGoogle Scholar
Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331; Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095 at 1094; Ziegler, S. J. and Lovrich, N. P., “Pain Relief, Prescription Drugs, and Prosecution: A Four-State Survey of Chief Prosecutors,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 75–100.CrossRefGoogle Scholar
Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331; Meisel, A. and Cerminara, K. L., The Right to Die, 3rd ed. (New York: Aspen Publishers, 2004): At 12–41; Bucy, P. H., “The Poor Fit of Traditional Evidentiary Doctrine and Sophisticated Crime: An Empirical Analysis of Health Care Fraud Prosecutions,” Fordham Law Review 63 (1994): 383–528 at 386; Ziegler, S. J. and Lovrich, N. P., “Pain Relief, Prescription Drugs, and Prosecution: A Four-State Survey of Chief Prosecutors,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 75–100.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Dillman, D. A., Mail and Internet Surveys: The Tailored Design Method, 2nd ed. (New York: John Wiley and Sons, Inc., 2000).Google Scholar
Washington State University, Pullman, WashingtonGoogle Scholar
Purdue University, West Lafayette, Indiana.Google Scholar
Further details of the methods employed can be found in Ziegler, S. J. and Lovrich, N. P., “Pain Relief, Prescription Drugs, and Prosecution: A Four-State Survey of Chief Prosecutors,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 75–100.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095 at 1094.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095 at 1092.CrossRefGoogle Scholar
Ziegler, S. J. and Lovrich, N. P., “Pain Relief, Prescription Drugs, and Prosecution: A Four-State Survey of Chief Prosecutors,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 75–100.CrossRefGoogle Scholar
Ziegler, S. J. and Lovrich, N. P., “Pain Relief, Prescription Drugs, and Prosecution: A Four-State Survey of Chief Prosecutors,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 75–100.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095 at 1092.CrossRefGoogle Scholar
See, e.g., Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095 at 1094.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095 at 1093.CrossRefGoogle Scholar
Emanuel, E. J., “Euthanasia and Physician-Assisted Suicide: A Review of the Empirical Data from the United States”, Archives of Internal Medicine 162 (2002): 142–152; Meisel, A. and Cerminara, K. L., The Right to Die, 3rd ed. (New York: Aspen Publishers, 2004): At 12–40.CrossRefGoogle Scholar
Liederbach, J. Cullen, F. T. Sundt, J. L., and Geis, G., “The Criminalization of Physician Violence: Social Control in Transformation,” Justice Quarterly 18, no. 1 (2001): 141–170; Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095, at 1093, 1095.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095, at 1095.CrossRefGoogle Scholar
Dillman, D. A., Mail and Internet Surveys: The Tailored Design Method, 2nd ed. (New York: John Wiley and Sons, Inc., 2000).Google Scholar
Alpers, A., “Criminal Act or Palliative Care? Prosecutions Involving the Care of the Dying,” Journal of Law, Medicine, & Ethics 26, no. 4 (1998): 308–331 at 311.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095, at 1092.CrossRefGoogle Scholar
Meisel, A. Jernigan, J. C., and Youngner, S. J., “Prosecutors and End-of-Life Decision Making,” Archives of Internal Medicine 159, no. 10 (1999): 1089–1095.CrossRefGoogle Scholar
Cox, S. J., “Prosecutorial Discretion: An Overview,” American Criminal Law Review 13, no. 3 (1976): 383–434, at 391.Google Scholar
Spohn, C. Beichner, D., and Davis-Frenzel, E., “Prosecutorial Justifications for Sexual Assault Case Rejection: Guarding the Gateway to Justice,” Social Problems 48, no. 2 (2001): 206–235; Frohmann, L., “Convictability and Discordant Locales: Reproducing Race, Class, and Gender Ideologies in Prosecutorial Decisionmaking,” Law & Society Review 31, no. 3 (1997): 531–555; Cox, S. J., “Prosecutorial Discretion: An Overview,” American Criminal Law Review 13, no. 3 (1976): 383–434; Thomas, C. W. and Fitch, W. A., “Prosecutorial Decision Making,” American Criminal Law Review 13, no. 3 (1976): 507–559; Albonetti, C. A., “Prosecutorial Discretion: The Effects of Uncertainty,” Law & Society Review 21, no. 2 (1987): 291–313; Miller, F. W., Prosecution: The Decision to Charge a Suspect with a Crime: The Report of the American Bar Foundation's Survey of the Administration of Criminal Justice in the United States (Boston: Little, Brown and Company, 1969).CrossRefGoogle Scholar
See also Ziegler, S. J. and Lovrich, N. P., “Pain Relief, Prescription Drugs, and Prosecution: A Four-State Survey of Chief Prosecutors,” Journal of Law, Medicine & Ethics 31, no. 1 (2003): 75–100.CrossRefGoogle Scholar
Frohmann, L., “Convictability and Discordant Locales: Reproducing Race, Class, and Gender Ideologies in Prosecutorial Decisionmaking,” Law & Society Review 31, no. 3 (1997): 531–555; Jacoby, J. E., The American Prosecutor: A Search for Identity (Lexington, MA: Lexington Books, 1980); Cole, G. F., “The Decision to Prosecute,” Law and Society Review 4, no. 3 (1970): 331–343; Jacoby, J. E., “The Charging Policies of Prosecutors,” in The Prosecutor, McDonald, W. F., ed. (Beverly Hills, CA: Sage Publications, 1979): 75–95.CrossRefGoogle Scholar
Finkel, N. J. Hurabiell, M. L., and Hughes, K. C., “Right to Die, Euthanasia, and Community Sentiment,” Law and Human Behavior 17, no. 5 (1993): 487–506.CrossRefGoogle Scholar
Jesilow, P. D. Pontell, H. N., and Geis, G., “Medical Criminals: Physicians and White-Collar Offenses,” Justice Quarterly 2 (1985): 149–65.CrossRefGoogle Scholar
Meisel, A. and Cerminara, K. L., The Right to Die, 3rd ed. (New York: Aspen Publishers, 2004): at 12–50.Google Scholar