“This is a book to be read by all involved in either side of this heated debate.” Dr C Fourcade, President of the French Association for Palliative Care, France "This powerful collection of essays brilliantly unpacks the legal, ethical and practical issues around the assisted dying debate.” Jonathan Herring, Professor of Law, University of Oxford, UK “This is an essential exploration of the complexities behind the sound bites.” Baroness Campbell of Surbiton DBE, UK “A much needed, timely compendium covering the main issues underlying and surrounding Assisted Dying.” Robert Twycross, Past Head, WHO Collaborative Centre for Palliative Care, Oxford, UK "Wherever your views lie on … assisted dying, you should read this book.” Dr Matt Morgan, Professor of Intensive Care, Cardiff University, UK, and Curtin University, Australia At a critical moment in the UK debate, this book provides up-to-date reflections from a broad variety of international experts on the profoundly important issues that surround changes in the law in any jurisdiction in connection with assisted dying and considers the realities that surround such changes. The Reality of Assisted Dying covers all the important issues in the debates about assisted suicide and euthanasia. This includes thoughts on the role of the law, discussion of important philosophical and ethical concepts, investigating the various issues that arise in the practice of medicine and palliative care, and scrutinizing concerns about definitions, coercion, consequences and safety. This book: Provides up-to-date data, evidence and reflections from professionals from countries where assisted dying has been legalized; Takes a fresh look at the arguments around legalization of assisted dying; Shows how a change in the law must take account of all those who will be affected, including families and those who will feel compelled to participate by assisting suicides or performing euthanasia; Shows the problems and dangers of embedding assisted dying within healthcare, and explores how alternative socio-legal procedures would improve legitimacy and monitoring for patients and their families. The book is relevant to a variety of intellectual disciplines and to political and social debates both in the UK and internationally, as well as being of interest to general readers and students studying the many relevant subjects, from medicine, to law, sociology, politics, philosophy and ethics. Julian C. Hughes has studied and been a professor of both philosophy and of old age psychiatry. He was an NHS consultant in old age psychiatry and served as deputy chair of the Nuffield Council on Bioethics, UK. His most recent book was Dementia and Ethics Reconsidered, published by Open University Press. Ilora G. Finlay is a Crossbench Peer in the House of Lords, an honorary professor of palliative medicine at Cardiff University, UK, past President of the BMA and the Royal Society of Medicine. A founder director of Living and Dying Well, she co-authored Death by Appointment and led on legislation to encourage the availability of palliative care for all.

Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.

Public discussion of euthanasia and assisted suicide is growing. In Australia as elsewhere the debate is difficult, contentious and confronting, and hampered by the secrecy that necessarily surrounds illegal practice. Most people simply have no way of knowing how, and how often, medically assisted death actually occurs. Roger Magnusson presents, for the first time, detailed first-hand accounts by doctors, nurses, therapists and other health professionals who have been participants in assisted death. All have been intimately involved in caring for people with AIDS, both in Australia and in California. He places these ambivalent, self-incriminating accounts within the broader context of the right-to-die debate and the challenges of palliative care. The frankness of the health workers and the richness of their collected evidence set this book apart. From within a culture of deception they speak knowingly and movingly of the merciful release of a peaceful death, while acknowledging the reality of 'botched attempts', euthanasia without consent, precipitative euthanasia, lack of accountability and professional distance, and many other disturbing issues. Angels of Death provides a window into the 'euthanasia underground'-a secret part of medicine and nursing that few professionals will publicly acknowledge. It brings a sense of urgency and precision to public debate, and equips us all to think more independently about these crucial issues.

Assisted suicide remains one of the most emotionally charged and controversial topics—and the issue isn’t going away any time soon. As the baby boomer generation ages, many of us will watch as our parents—and ourselves—grow older, and wonder at the decisions that lie ahead. Understanding Assisted Suicide provides both a fresh take on this important topic and the framework for intelligent participation in the discussion. Uniquely, the author frames the issue using his own experience watching both his parents die, which led him to ask fundamental questions about death, dying, religion, and the role of medicine and technology in alleviating human suffering. In concerns about assisted suicide, each person’s “big picture” has largely been created out of picking and choosing from nine separate snapshot albums. Understanding this offers a perspective for quickly determining the sources of another’s opinion on assisted suicide, as well as the issues they are not considering. Most importantly, Understanding Assisted Suicide offers a clear, easy-to-traverse landscape over which those who are sincerely looking for their own answers can navigate. The “nine-issue structure” allows both careful exploration of separate issues and a view of the full spectrum of ideas involved.

Providing a thorough, well-researched investigation of the socio-legal issues surrounding medically assisted death for the past century, this book traces the origins of the controversy and discusses the future of policymaking in this arena domestically and abroad. Should terminally ill adults be allowed to kill themselves with their physician's assistance? While a few American states—as well as Holland, Switzerland, Belgium, and Luxembourg—have answered "yes," in the vast majority of the United States, assisted death remains illegal. This book provides a historical and comparative perspective that not only frames contemporary debates about assisted death and deepens readers' understanding of the issues at stake, but also enables realistic predictions for the likelihood of the future diffusion of legalization to more countries or states—the consequences of which are vast. Spanning a period from 1906 to the present day, Dying with Dignity: A Legal Approach to Assisted Death examines how and why pleas for legalization of "euthanasia" made at the beginning of the 20th century were transmuted into the physician-assisted suicide laws in existence today, in the United States as well as around the world. After an introductory section that discusses the phenomenon of "medicalization" of death, author Giza Lopes, PhD, covers the history of the legal development of "aid-in-dying" in the United States, focusing on case studies from the late 1900s to today, then addresses assisted death in select European nations. The concluding section discusses what the past legal developments and decisions could portend for the future of assisted death.

In this book the author makes a case for legalized physician-assisted dying. Using the latest data from Oregon and the Netherlands, he puts a new slant on perennial debate topics such as "slippery slopes," "the integrity of medicine," and "sanctity of life." This book provides an in-depth look at how we die in America today. It examines the shortcomings of our end-of-life system. You will learn about terminal torture in hospital ICUs and about the alternatives: hospice and palliative care. The author scrutinizes the good, the bad, and the ugly. He provides a critique of the practice of palliative sedation. The book makes a strong case that assisted dying complements hospice. By providing both, Oregon now has the best palliative-care system in America. This book, above all, may help you or someone you care about navigate this strange landscape we call "end of life." It can be an informed guide to "a good death" in the age of hospice and high-tech medical intervention.

The question of whether and under what circumstances terminally ill patients should be able to access life-ending medications with the aid of a physician is receiving increasing attention as a matter of public opinion and of public policy. Ethicists, clinicians, patients, and their families debate whether physician-assisted death ought to be a legal option for patients. While public opinion is divided and public policy debates include moral, ethical, and policy considerations, a demand for physician-assisted death persists among some patients, and the inconsistent legal terrain leaves a number of questions and challenges for health care providers to navigate when presented with patients considering or requesting physician-assisted death. To discuss what is known and not known empirically about the practice of physician-assisted death, the National Academies of Sciences, Engineering, and Medicine convened a 2-day workshop in Washington, DC, on February 12â€"13, 2018. This publication summarizes the presentations and discussions from the workshop.