In the nine states/jurisdictions in which medical assistance in dying (MAID) is allowed through legislation or referendum, the insistence on extensive safeguards has served less to protect vulnerable individuals than to limit access to MAID.
Last week, I referred a caller to the Final Exit Network (FEN) to John B. Kelly, a Not Dead Yet opponent of right-to-die (RTD) laws. The person was inquiring on behalf of his brother (I'll call him Carl) about the education and training services that FEN offers to applicants who want to hasten their deaths. The brother was trying to learn if FEN could help Carl, who was despairing of his condition.
In this third part of a series analyzing the arguments against medical-assistance-in-dying (MAID) by opponents of physician-assistance in hastening a person's death in the face of a terminal illness, Lamar Hankins looks at a major reference for most MAID opposition articles – a 2008 Michigan Law Review article, "Physician-Assisted Suicide in Oregon: A Medical Perspective," by psychiatrist Herbert Hendin and neurologist Kathleen Foley. Both oppose what they term "assisted suicide."
In Part 1 of this series, I addressed ten criticisms of MAID laws, particularly those in Oregon and Washington, though most such laws are modeled largely on Oregon's law. In Part 2, I look at criticisms of MAID laws concerning economic pressures, coercion, depression, inadequate resources for MAID clients, doctor shopping, inadequate Medicaid rules, ableism, and the failure of the drugs prescribed to MAID clients. My hope is that we can learn from opponents of MAID laws how to make the laws better.
The American Psychological Association (APA) has prepared and published an "End-of-Life Care Fact Sheet," making it available as an open source document. It tries to answer the question – What are older adults' mental health needs near the end of life?
The document, prepared by Sharon Valente, RN, PhD, FAAN, in collaboration with the other members of the APA Ad Hoc Committee on End-of-Life Issues, addresses many issues of concern to FEN members and provides references for the information and opinions it offers.
While the APA does not take a position on assisted dying, such as the laws that allow a physician to provide a lethal prescription to a terminally ill patient, as can be done in Oregon, Washington, Vermont, California, Colorado, and the District of Columbia (and is permitted in Montana by court decision), it does recognize the many perspectives on the issue of hastened death or rational suicide that exist in the US population.
