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Physician Assisted Suicide (PAS)

Outside the U.S., Canada, Holland, and UK

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Some additional countries that have addressed this issue are:

bulletAustralia: Their Northern Territory passed a law on 1995-MAY-25 which was assented to on 1995-JUN-16. 1 It permitted active euthanasia, under careful controls, when certain prerequisites are met. The Northern Territory consists of about 1/6 the land mass of Australia but only has a population of about 168,000 people. The law started as a private member's bill Rights of the Terminally Ill Bill 1995, sponsored by Marshall Perron. It was opposed by the Australian Medical Association and a variety of right-to-life groups. A "conscience vote" was allowed in which members were free to vote independently of party discipline. The original name was preserved. The law is called the Rights of the Terminally Ill Act. It went into effect on 1996-JUL-1. Similar bills were introduced in other Australian states.

A survey conducted by Newspoll in 1995-JUL found 81% of Australian adults support voluntary euthanasia. This is an increase over an earlier result of 79% in 1994-JUL. A poll by the Roy Morgan Research Centre in 1995-JUN showed similar results: 78% in favor. This is an increase from 66% in 1986. A separate poll showed that 60% of doctors and 78% of nurses in Victoria favored voluntary euthanasia. An additional poll was taken among 6500 Christian congregations, representing 19 denominations. They found that 40% agreed with assisted suicide for terminally ill persons; 30% opposed; 30% uncertain. Among older church attendees, support was higher (50% among those 60 and older).

Bob Dent, 66, was the first person to take advantage of the new law. He had moved to the Northern Territory as a Church of England (Episcopal, Anglican) missionary. He became disillusioned with politics within the church and left his calling to become a building estimator. He was diagnosed with cancer in 1991, and converted to Buddhism shortly afterwards. He wrote a letter saying "If you disagree with voluntary euthanasia, then don't use it, but please do not deny the right to me." He said that no religious group should "demand that I behave according to their rules and endure unnecessary intractable pain until some doctor in his omniscience decides that I have had enough and increases the morphine until I die." In the presence of his wife and doctor, he initiated the process that gave him a lethal drug injection.

The Most Reverend Harry Goodhew, Anglican Archbishop of Sidney denounced the case on 1996-OCT-7; he said: "The moral shape of our nation is under threat with the first legally sanctioned euthanasia death in the Northern Territory, and so is the relationship between doctors and their patients. It has now been shown to us what this means [sic] doctors are no longer those who save lives. Under the Northern Territory law they are also those who kill...We must feel the deep grief of the wife of the one who died, and also understand the human pain which brought about this ending of a man's life. But these facts cannot be allowed to persuade us that this action was right. It is morally wrong. I cannot approve it from any point of view."

A second terminally ill person obtained physician assistance in dying on 1997-JAN-7. She was Janet Mills, age 52, who suffered from a rare form of skin cancer that causes the skin to disintegrate. The Anglican Dean of Sydney, Boak Jobbins, said the latest death was another day of shame for Australia. He said, "Quite clearly we are a nation that has come to the end of its resources...We no longer have anything to offer the terminally ill, the aged or the disabled but a quick exit at the end of a needle."

On 1997-MAR-25, the Australian Senate disallowed the Northern Province's law. The vote was 38 to 33. This passed the bill into law, since it had already been approved by the lower house. This action is directly opposed to public opinion. In addition to the polling results cited above, a nation-wide poll of nurses showed that 70% were in favor.

The first machine built to legally kill patients, was developed by Dr. Philip Nitschke in the Northern Territory. It was scheduled to be displayed in the London Museum of Sciences, London, England starting 2000-JUL. It involved a computer that asked the patient three times whether he/she really wanted to die. If the patient agreed each time, then 100 ml of liquid Nembutal was pumped through a fine needle into the patient's arm. She/he fell asleep and died within five minutes. 9

bulletColombia: An individual who opposes mercy killing brought a lawsuit with the intention of deleting all references to euthanasia in Colombia law. The lawsuit backfired. On 1997-MAY-20, their Constitutional Court legalized euthanasia for terminally ill persons who have clearly given their consent. The decision was 6 to 3. Judges will now have to write guidelines and consider each case separately.
bulletJapan: On 1995-MAR-28, the District Court in Yokahama found a doctor guilty of murdering a terminally ill cancer patient who was expected to die within a few days. He received a two-year prison term, which was suspended. The court then listed four conditions under which mercy killing would be permitted in Japan:
  1. the patient is suffering in unbearable physical pain
  2. death is inevitable and imminent
  3. all possible measures have been taken to eliminate the pain with no other treatment left open
  4. the patient has clearly expressed his or her will to approve the shortening of his or her life.

Judge Matsuura said "Dr.Tokunaga's action did not meet all these conditions, arguing that the patient had made no clear expressions about his physical pain nor about his will to approve euthanasia. The doctor's action cannot be viewed as euthanasia and represents illegal termination of the patient's life."
 

bulletSouth Africa: The country currently criminalizes physician assisted suicide. A survey by the Medical Association revealed that:
bullet12% of physicians had already helped terminally ill patients die.
bullet60% had performed passive euthanasia by withholding medication or procedure with the expectation of hastening death. 
bullet9% had engaged in physician-assisted suicide. 

Recent developments include:

bullet1997-APR-15: The South African Law Commission released a 100 page discussion paper on  titled "Euthanasia and the Artificial Preservation of Life." It included a Draft Bill on the Rights of the Terminally Ill. 7 The bill discusses:
bullethow mentally competent persons might refuse medical treatment and thereby hasten death
bulletthat physicians could administer pain control medication, even though it has a "double effect" of killing pain and hastening death. This is a common practice that is currently in a legal limbo.
bulletthat a competent person could obtain assistance in committing suicide from a physician under certain conditions. The patient would have to be suffering from a terminal illness, be in extreme pain that cannot be relieved, be over the age of 18, be mentally competent, and persistently request assistance in dying. Two doctors would have to agree. 
bulletthat a person could issue a living will in advance of need which would direct what medical treatment that they would prefer to avoid.
bulletthe conduct of medical personnel in withholding medical treatment. Doctors could refuse to participate in any of the above.
bullet1999-MAR-9: The South Africa Medical Association asked that the proposed legislation be put on hold.
bullet1999-MAR-10: Doctors for Life is a group of 600 physician who oppose choice in abortion and physician assisted suicide. They appealed to the South African government and Law Commission to retain the status quo and to abandon any proposed legislation. 
bullet1999-OCT: A bill is under active discussion in Parliament.
bullet1999-OCT-4: Christians for Life organized a demonstration to protest abortion access and physician assisted suicide.
bullet1999-OCT-8 & 9: 40 African pro-life groups who form the National Alliance for Life (NAL) attended the "Love Them Both" conference in Amanzimtoti, South Africa. The conference linked the right of a pregnant woman to choose an abortion with the right for terminally-ill elderly persons in intractable pain who seek assistance in committing suicide. Albu van Eeden, the NAL chairman, said "Euthanasia is contrary to the very nature of medicine. It will destroy the trust that forms the basis of the doctor-patient relationship. Legalizing euthanasia is all about giving the doctor the right to kill, to be both judge and executioner." Dr. F. Kellerman, a member of Doctors for Life, said: "We are deeply grieved because of the situation in South Africa. Despite the thousands of people who stood up against abortion and against the legalizing of euthanasia, the government just continues to do what they have in mind to do. We get the impression that irrespective of what the people say, irrespective of what scientific facts are put to the government, even in Parliament, there are some people who have set their minds on killing babies and bringing in euthanasia."

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References used:

The following information sources were used to prepare and update the above essay. The hyperlinks are not necessarily still active today.

  1. The text of the Northern Territory of Australia law is at: http://www.nt.gov.au/
  2. The Right-To-Die Society of Canada has a web page at: http://www.righttodie.ca/
  3. ERGO, the Euthanasia Research & Guidance Organization promotes voluntary assisted suicide for terminally and irreversibly ill with unbearable suffering. They include a list of "right-to-die" agencies from around the world, movies which have dealt with the topic, a list of books on euthanasia, etc. See: http://www.efn.org/~ergo/
  4. VESS, the Voluntary Euthanasia Society of Scotland maintains a WWW site with an A-Z interactive glossary, information on Living Wills, case histories, mailing lists, and a Values History Centre. See: http://www.netlink.co.uk/
  5. Brad Knickerbocker, "Sanctioned euthanasia: lessons from abroad," The Christian Science Monitor, 1998-DEC-3 at:http://www.csmonitor.com/
  6. "Dutch to legalize mercy killing." Associated Press, 1999-JUL-12.
  7. South African Law Commission, "Euthanasia and the artificial preservation of life."  Text is at: http://www.law.wits.ac.za
  8. Maranatha Christian Journal is a religious online news source at: http://www.mcjonline.com Their article on euthanasia is at: http://www.mcjonline.com/
  9. "London museum exhibits euthanasia machine," EWTN News at: http://www.ewtn.com/

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Copyright © 1997 to 2007 by Ontario Consultants on Religious Tolerance
Latest update: 2007-JUN-08
Author: B.A. Robinson

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