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    Taking Life Away

    A look at the legality of assisted suicide.

    WebMD Feature

    In March 1998, an Oregon woman dying of breast cancer asked her physician to prescribe a drug that would allow her to end her life. The doctor agreed. Later in the month she took the medication. With that action, she became the first person in the United States to commit suicide with the help of a doctor -- legally.

    This has come to be known as "physician-assisted suicide." A physician honors a patient's voluntary request for a lethal dose of medication, which the patient later administers to him- or herself. It's legal only in the state of Oregon, and has been only since late 1997.

    A few other states are making efforts to legalize assisted suicide. But soon Congress may put a stop to it everywhere.

    The Pros and Cons

    The issue of physician-assisted suicide is emotional and controversial -- it ranks right up there with abortion. According to Clarence H. Braddock III, MD, a faculty member of the University of Washington?s departments of medicine and medical history and ethics, the arguments in favor of legalizing assisted suicide generally run along these lines:

    • People should be able to control their own lives.
    • Some terminally ill patients are allowed to end their lives by refusing medical treatments; in all fairness, those who don't have that option should be allowed to choose death. * Death is a compassionate way to relieve unbearable suffering.
    • Legal or not, assisted suicides occur, and it would be better if they were brought into the open.

    The arguments against legalization, Braddock says, usually go something like this:

    • Taking a life under any circumstances is immoral.
    • Assisted suicide has great potential for abuse. People without family support or adequate finances, as well as the depressed, could be pressured to choose death.
    • Physicians can be wrong about estimating how much time a patient has left, causing unnecessary deaths.
    • The public will lose its confidence in the medical profession if physicians get into the business of helping people kill themselves.

    An Age-old Debate

    Physicians have been divided over the issue of assisted suicide since the birth of Western medicine some 2,000 years ago. "The ancient Hippocratic Oath enjoins physicians to 'neither give a deadly drug to anybody if asked for it, nor make a suggestion to this effect,'" oncologist Ezekiel Emanuel writes in the March 1997 Atlantic Monthly. "The oath was written at a time when physicians commonly provided euthanasia and assisted suicide for ailments ranging from foot infections and gallstones to cancer and senility. Indeed, the Hippocratic Oath represented the minority view in a debate within the ancient Greek medical community."

    Two thousand years later, though, opposition to assisted suicide is the majority view within the medical community. After Oregon passed its assisted-suicide law, 67% of the state's physicians said they still would refuse to participate in an assisted suicide -- and even those physicians who have helped patients terminate their lives said they did so reluctantly, according to a survey conducted by the Oregon Health Division. "It was an excruciating thing to do," said one doctor in the survey.

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