The book strives for as complete and dispassionate a description of the situation as possible and covers in detail: the substantive law applicable to euthanasia, physician-assisted suicide, withholding and withdrawing treatment, use of pain relief in potentially lethal doses, terminal sedation, and termination of life without a request (in particular in the case of newborn babies); the process of legal development that has led to the current state of the law; the system of legal control and its operation in practice; and, the results of empirical research concerning actual medical practice.
A euthanasia advocate, who was convicted in June after assisting in the death of Alzheimer's sufferer Graeme Wylie, has taken her life. Caren Jenning, 75, who was convicted of being an accessory to manslaughter after helping Mr Wylie take a lethal dose of veterinary drug Nembutal, had been suffering breast cancer.
In a blow to the euthanasia movement, a jury has found one woman guilty of the manslaughter and another an accessory to the manslaughter of Alzheimer's sufferer and former Qantas pilot Graeme Wylie. Mr Wylie's partner Shirley Justins, 59, and his long-term friend Caren Jenning, 75, were accused of plotting to kill him. Justins was found guilty of manslaughter and Jenning of being an accessory to manslaughter. Mr Wylie, 71, died in March 2006 from an overdose of the veterinary drug Nembutal, which Jenning had bought and illegally imported from Mexico, and which Justins had given to him in their Cammeray home.
A mother of a prominent ME sufferer and campaigner has admitted aiding and abetting the suicide of her daughter. Bridget Kathleen Gilderdale, 54, of Stonegate, near Heathfield, Sussex, pleaded guilty to the charge at Lewes Crown Court. But she denied a charge of attempted murder and one of aiding and abetting attempted suicide.
Proponents of assisted suicide believe support for legalisation is growing among lawmakers and the public around the world. In the past year three names have been added to the list of places which permit it. The BBC's Vincent Dowd investigates whether assisted suicide is set to become even more common.
Ms. Francine Lalonde moved that Bill C-384, An Act to amend the Criminal Code (right to die with dignity) be read the second time and referred to a committee: Mr. Speaker, I first introduced a private member's bill on the right to die with dignity in June 2005 . . . In fact, I introduced this bill so that people would have a choice, the same right to choose that people in other countries have. My conviction has grown stronger, and that is why I am introducing an amended bill on the right to die with dignity, Bill C-384. Briefly, it amends the Criminal code so that a medical practitioner does not commit homicide just by helping a person to die with dignity if the person continues to experience severe physical or mental pain without any prospect of relief or suffers from a terminal illness.
Subsequent to an intensive three-year period of reflection, the CMQ is revealing its perspective and conclusions today regarding end-of-life care and euthanasia. The CMQ embraces the point of view of the patient who is confronting imminent and inevitable death. In such a situation, the patient looks to their physician and generally requests that they be able to die without undue suffering and with dignity. Neither surveys, nor attorneys, nor politicians can properly advise the physician and the patient facing this situation. In the majority of cases, the patient and their doctor find the appropriate analgesia that respects the ethical obligation of physicians not to preserve life at any cost, but rather, when the death of a patient appears to be inevitable, to act so that it occurs with dignity and to ensure that the patient obtains the appropriate support and relief.
Switzerland's laws that prohibit killing continue to apply in full. Direct, active euthanasia (deliberate killing in order to end the suffering of another person) is therefore also forbidden. By contrast, both indirect, active euthanasia (the use of means having side-effects that may shorten life) and passive euthanasia (rejecting or discontinuing life-prolonging measures) – while not governed by any specific statutory provisions – are not treated as criminal offences provided certain conditions are fulfilled. No legislative action is needed with regard to these three forms of euthanasia. Legal restrictions and a ban on organised assisted suicide are nonetheless open to debate. They are intended to protect human life better, and to prevent organised assisted suicide becoming a profit-driven business.
The Dutch system designed to protect from prosecution doctors who are involved in the mercy killing of severely ill newborn babies who are judged to be suffering unbearably and hopelessly seems to be struggling to gain professional acceptance. The first case is only now being considered, more than two years after the system’s introduction. Research had estimated there should be 15 to 20 such cases a year (New England Journal of Medicine 2005;352:959-62). MPs learnt through parliamentary questions on 18 November that the first report of the decision to end the life of a severely ill baby had been filed in the Netherlands. No more details have been released. The expert committee set up to monitor the system has 12 weeks to decide if the doctor involved followed the correct protocol and whether it should recommend that he or she is not prosecuted.
Objectives: To investigate why physicians label end-of-life acts as either ‘euthanasia/ending of life’ or ‘alleviation of symptoms/palliative or terminal sedation’, and to study the association of such labelling with intended reporting of these acts. Conclusions: Similar cases are not uniformly labelled. However, a physicians’ label is strongly associated with their willingness to report their acts. Differences in how physicians label similar acts impede complete societal control. Further education and debate could enhance the level of agreement about what is physician-assisted dying, and thus should be reported, and what not.