ASSISTED SUICIDE James G. Anderson, Ph.D. Professor of Sociology Purdue University
PATIENTS Competent adult Incompetent adult Mentally retarded Adolescents Children Infants
PASSSIVE EUTHANASIA Withdrawal of life support Ventilator Antibiotics Food and water
ACTIVE EUTHANASIA Voluntary Physician Assisted
ARGUMENTS FOR ASSISTED SUICIDE Individual’s right to self determination Alleviates pain and suffering Reduced costs Legitimates existing practice
ARGUMENTS AGAINST ASSISTED SUICIDE “Slippery slope” Lack of safe guards Compromises medical and nursing professions Diverts attention from real issues of dying
LEGAL STATUS Netherlands Australia 1988 California Humane and Dignified Death Initiative Oregon Death with Dignity Act 1997 U.S. Supreme Court Ruling
Attitudes toward Participation in Physician-Assisted Suicide 1119 (74%) physicians 998 (76%) public
Two Choices
Three Choices Physicians
Problems Definition of terminal illness: Quadriplegic, Alzheimer's Disease, MS, Huntington’s Disease, ALS Requirement of competence excludes: Alzheimer's Disease, Neonates, Persistent Vegetative State Voluntary Euthanasia: Mistrust of physician, slippery slope Physician-Assisted Suicide: Some patients unable to administer drugs.