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. 2009 Apr;37(4):1206-9.
doi: 10.1097/ccm.0b013e31819622c8.

Why not physician-assisted death?

Affiliations

Why not physician-assisted death?

Constantine A Manthous. Crit Care Med. 2009 Apr.

Abstract

Objective: The Hippocratic Oath states "... I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect" (http://en.wikipedia.org/wiki/Hippocratic_Oath ). Physician-assisted suicide and euthanasia are topics that engender a strong negative response on the part of many physicians and patients. This article explores contributions of religion, Western medical mores, law, and emerging concepts of moral neurocognition that may explain our inherent aversion to these ideas.

Sources: Religious texts, legal opinions, manifestos of medical ethics, medical literature, and lay literature.

Conclusion: Our collective repudiation of physician-assisted death, in all its forms, has complex origins that are not necessarily rational. If great care is taken to ensure that a request for physician-assisted death is persistent despite exhaustion of all available therapeutic modalities, then an argument can be made that our rejection constrains unnecessarily the liberty of a small number of patients.

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Comment in

  • Shortening the dying process: More than a feelin'.
    Whetstine LM, Crippen D. Whetstine LM, et al. Crit Care Med. 2009 Apr;37(4):1489-90. doi: 10.1097/CCM.0b013e31819879ed. Crit Care Med. 2009. PMID: 19318830 No abstract available.
  • Physician-assisted death.
    Ely EW. Ely EW. Crit Care Med. 2009 Aug;37(8):2492-3; author reply 2495-6. doi: 10.1097/CCM.0b013e3181aee73e. Crit Care Med. 2009. PMID: 19609134 No abstract available.
  • Islam and physician-assisted death.
    Rady MY, Verheijde JL. Rady MY, et al. Crit Care Med. 2009 Aug;37(8):2493-4; author reply 2495-6. doi: 10.1097/CCM.0b013e3181aee62f. Crit Care Med. 2009. PMID: 19609135 No abstract available.
  • "Please don't let me be misunderstood".
    Kuiper M, van der Spoel J. Kuiper M, et al. Crit Care Med. 2009 Aug;37(8):2494; author reply 2495-6. doi: 10.1097/CCM.0b013e3181aee780. Crit Care Med. 2009. PMID: 19609136 No abstract available.
  • Flawed assumptions surround concept of physician-assisted death.
    Jackson KE, Jackson WL Jr. Jackson KE, et al. Crit Care Med. 2009 Aug;37(8):2494-5; author reply 2495-6. doi: 10.1097/CCM.0b013e3181aee874. Crit Care Med. 2009. PMID: 19609137 No abstract available.
  • Physician-assisted suicide.
    Castro O, Gordeuk VB. Castro O, et al. Crit Care Med. 2009 Oct;37(10):2861; author reply 2861. doi: 10.1097/CCM.0b013e3181b3a115. Crit Care Med. 2009. PMID: 19865023 No abstract available.

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