Michael J. Hyde's pathbreaking study considers the relationship between the phenomenon of conscience and the practice of rhetoric as it relates to one of the most controversial issues of our time-euthanasia. Hyde investigates how the practice of rhetoric becomes a voice of conscience and influences the moral standards of individuals and communities. In doing so, he offers the first extensive treatment of Martin Heidegger's and Emmanuel Levinas's philosophical investigations of conscience and an in-depth analysis of the justifiability and social acceptability of euthanasia. Hyde establishes the theoretical basis of his study by discussing and critically assessing the phenomenological theories of conscience set forth in the works of the two philosophers. To illustrate in concrete terms how the relationship between the call of conscience and the practice of rhetoric shows itself in everyday existence, Hyde surveys the moral discourse that informs ongoing debates over euthanasia and physician-assisted suicide. He focuses on a cluster of related topics that emerge from his discussion of the work of Heidegger and Levinas, including the phenomena of deconstruction and acknowledgment, emotion and the reconstructive power of language, and the discursive creation of heroes. Through these investigations Hyde accounts for some of the key definitions, arguments, and narratives that contribute to the rhetoric of the euthanasia debate, especially as the discussion has evolved since the late 1980s.

After the Nancy Cruzan case was decided by the Supreme Court in 1990, and ultimately resolved by the Courts of the State of Missouri, the decision to withhold or withdraw life-prolonging nutrition and hydration appeared to many to be as noncontroversial as decisions to refuse respirators or dialysis. Even the Catholic Church held that, although there should be a presumption in favor of providing nutrition and hydration, the patient or the patient's surrogate could overrule this presumption, if either believed the treatment was disproportionate or burdensome. The Schiavo case changed all that. Although the decision to remove Terri Schiavo's nutrition and hydration was made by her husband - her legal surrogate - based on his wife's belief that such treatment was disproportionate, Schiavo's immediate family protested so much that the case took years to resolve. It eventually involved all branches of government at both the state and federal levels. The ethical dilemmas that such cases pose continue to stir great controversy. This in-depth examination of these dilemmas provides information and documentation from many perspectives. The editors have included a foreword by Dr. Jay Wolfson, Terri Schiavo's court-appointed guardian ad litem, as well as Dr. Wolfson's report to Gov. Jeb Bush on the case and Gov. Bush's reply; public statements by President George Bush and Senators David Weldon, Rick Santorum, Tom DeLay, Bill Frist, and Barney Frank; statements by the pope and other representatives of the Catholic Church on this issue; plus much medical and legal background material on both precedents to the Schiavo case and its aftermath, including the results of the autopsy report. For anyone wishing an in-depth understanding of these complex ethical issues, issues many of us will have to confront in our own families, this volume is indispensable.

Controversy about the morality of euthanasia and assisted suicide and their legalisation has been running for over a generation, and it shows no sign of flagging. The main arguments for and against are widely familiar, yet the horizon yields no sign of any approaching resolution. Progress can still be made by careful examination of the opposing fronts and that is the service that this book performs. Drawing ecumenically on both theological and philosophical resources, it pioneers an original way to a mature judgement by tackling the three basic questions that the debate raises: What is it that makes human life valuable? Can it ever be moral to intend to kill someone? And how much should we fear the wider, social effects of legalising euthanasia or assisted suicide?

Many advocates of euthanasia consider the criminal law to be an inappropriate medium to adjudicate the profound ethical and humanitarian dilemmas associated with end of life decisions. Euthanasia, Death with Dignity and the Law examines the legal response to euthanasia and end of life decisions and considers whether legal reform is an appropriate response to calls for euthanasia to be more readily available as a mechanism for providing death with dignity. Through an analysis of consent to treatment, living wills and autonomous medical decision making, euthanasia is carefully located within its legal, medical, and social contexts. This book focuses on the impact of euthanasia on the dignity of both the recipient and the practitioner while emphasizing the legal, professional, and ethical implications of euthanasia and its significance for the exercise of clinical discretion. It will provide a valuable addition to the euthanasia debate.

In 1974 the Church of England published a groundbreaking report on euthanasia. Considered by many Christians to be one of the key texts on the subject, it has now been revised and updated with important new additions and commentaries. On Dying Well investigates moral, theological, clinical and legal arguments for and against voluntary euthanasia. It presents arguments on both sides and considers real cases, thereby locating the issues in their clinical context. The report is both intellectually robust and sensitive to the realities of death. On Dying Well is, therefore, as much a contribution to the debate on euthanasia today as it was 25 years ago. The report, while recognising that there may be exceptional cases demanding special decisions, nevertheless concludes that the case for legalising voluntary euthanasia is not one that can be supported. The conclusions are satisfactory because they emerge from careful examination of the issues and reasoned arguments. Anyone who is concerned about euthanasia, or who would like to deepen their own reflections on the subject, should read On Dying Well.

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 wi

"Mercy killing," "assisting a suicide," "planning your own death," and "euthanasia" are once again high-profile issues. Recent popular referendums have sought to legalize doctor-assisted suicide, while best-selling books have been published about how to kill yourself. In short, Americans are searching for more control over their own mortality.
Hemlock's Cup is the first history of the active euthanasia movement in America, as represented by its most visible proponent, the Hemlock Society. Donald W. Cox traces the growth of the society from its beginnings as a three-person cause to its current world-wide fame. The work of Derek Humphrey, the society's founder, is reviewed and the publicity surrounding Dr. Jack Kevorkian and his controversial "suicide machine" is discussed.
Cox also addresses the Washington and California initiatives to legalize doctor-assisted suicide and the ethical questions they pose. He reflects on the impact of the Quinlan and Cruzan cases to establish the "right to die" for all Americans and he explores the reasons for the delays in enacting living-will laws in various states. In addition, Cox examines the significant connections among AIDS, abortion, and assisted suicide.

Patricia Rosier died at her home in Fort Myers, Florida, in January of 1986, having sought the help of her prominent physician husband, Peter, to end her cancer-ravaged life with some measure of dignity. By November 1987, Peter had been indicted for first degree murder and faced death in Florida's electric chair. How could it happen? How does a loving husband and father get charged with first degree murder? This compelling true story shows just how easy it is in America's legal system. "Euthanasia" remains a crime in Florida and in most other states, yet the majority of such "criminals" are never prosecuted. But Dr. Rosier was singled out because he "confessed", both in a television interview and in writing, to believing in euthanasia and to assisting his wife's suicide. In Murder of Mercy every heart-pounding moment of Dr. Rosier's legal ordeal is vividly captured by famed trial attorney Stanley M. Rosenblatt, who, together with his wife and law partner, Susan, represented the accused. Describing an intriguing array of legal twists and turns, this riveting book is more than just gripping courtroom drama. Find out why Patricia's father and brothers sought immunity before they would testify. Feel the rush, the exhilaration, of planning defense strategy: How could anyone explain away Dr. Rosier's confessions? Could the Fort Myers judge be persuaded to change the location of the trial? Should Peter Rosier testify in his own defense? The powerful arguments of the State and the defense are laced with ridicule, sarcasm, and scorn: each side accusing the other of treacherous character assassination. Rosenblatt's penetrating assessment of judges, the use of expert witnesses, the exclusion ofrelevant evidence, attorney-client privilege, and the granting of immunity serve as the foundation for a searing critique of America's criminal justice system and the society it is designed to protect.

For many years Dr. Kevorkian was at the center of the red-hot debate over physician-assisted suicide. The inventor of the "suicide machine" stirred up both admiration and controversy. His "Deaths with Dignity" won him the accolades of the pro-choice movement. Other groups, like Operation Rescue, the AMA, the Hemlock Society, and especially the Michigan State Legislature, insisted that Kevorkian had gone too far. His much-publicized campaign to assist the terminally ill to commit suicide eventually led to his prosecution and imprisonment.
In Prescription: Medicide, the famed "suicide doctor" talks about why he was so committed to his struggle. He addresses the need to assist the terminally ill to die, how death row inmates should be allowed to donate organs after their deaths, and the need for medical reform to create a rational program of dignified, humane, beneficial planned death.

This book is an attempt to deal with the basic issues that surround the euthanasia debate. The subject is important, controversial, and complex, calling for sensitivity to the realities of death and dying, a clear understanding of one's Christian faith and its implications for this significant dimension of human existence, conceptual and analytical skills to deftly make the requisite distinctions along the way, and logical rigor to enable one to draw the appropriate conclusions.

People in serious illness, crises, suffering and grief are particularly vulnerable in their reliance on the support and help of others. Therefore, all full-time and voluntary workers involved should always reflect ethically on their offers and their actions towards them in order not to "run over" them in their dependency, not to exploit them or even to enrich themselves with them. It is always important to respect the values of the sick, suffering person, to respect his dignity. Practiced ethics lead to pausing in everyday life and then to systematic, discursive reflection on the often opposing values of care and autonomy. Doing no additional damage to sufferers should be taken for granted, but everyone knows counterexamples. Special ethical challenges arise in the treatment and support of suffering people with regard to fairness in the distribution of resources, for example with people from other cultures, with seriously ill people whose hope is to be supported without senseless (possibly self-paid) treatment attempts, as well in observing the wishes of the dying. And how does the volunteer companion deal with cross-border behavior in interaction? What ethical considerations are important when advising believers of other religions? This booklet is dedicated to the importance of ethics in counseling, support and treatment of suffering people.

This book is written for all those who are concerned about how their life may end-and who wish to die without unnecessary suffering. Dr. Charles F. McKhann discusses many aspects of physician-assisted dying and explains why he thinks it should be made legally available under certain circumstances. Dr. McKhann, a specialist in cancer surgery, has conducted in-depth interviews with people who were dying from a variety of illnesses and with the physicians who cared for them. Drawing on these interviews and on his own experiences as a physician, he looks at the dying process as it is encountered in painful and debilitating diseases and at the needs of patients and their families. Dr. McKhann presents the case for rational suicide, comparing a failed suicide attempt in the United States with a planned death in the Netherlands and illustrating the differences in approach and attitudes. He explains the ways in which physician assistance is already taking place and considers the physician`s personal and professional concerns. And he reflects on relevant religious, moral, legal, and public-policy issues that are currently so widely debated. His thought-provoking book is a valuable resource not only for the general public but also for compassionate physicians who attend people with fatal diseases and for lawmakers who strive for understanding and courage in dealing with this new challenge.

In this collection of essays by one of the foremost philosophers writing about issues of death and dying, the dilemmas raised by contemporary medicine concerning the way we die are explored. The volume focuses on the issues of withdrawing and withholding care, euthanasia, and suicide. Battin has written an extensive introduction which identifies the principle ethical issues and surveys the current political and social ferment over right-to-die issues. The essays range from treatments of the moral and philosophical issues to essays in practice and policy.

Medical science now allows us to live longer than ever before. So living with pain and dying well have become major concerns for the general community, health practitioners, church groups and politicians. Should these issues be decided in private by individuals or must we legislate ethical guidelines? Rodney Syme has been an advocate for medically assisted dying for more than twenty years. In Time to Die he reflects on those living and dying in pain and shares their stories. Syme makes a powerful case for extending the right to die to those whose suffering is unbearable.

How veterinarians and pet owners manage companion animal euthanasia.

There are few issues more divisive than what has become known as "the right to die." One camp upholds "death with dignity," regarding the terminally ill as autonomous beings capable of forming their own judgment on the timing and process of dying. The other camp advocates "sanctity of life," regarding life as intrinsically valuable, and believes that it should be sustained for as long as possible. Is there a right answer? Raphael Cohen-Almagor takes a balanced approach in analyzing this emotionally charged debate, viewing the dispute from public policy and international perspectives. His study is an interdisciplinary, compelling study in medicine, law, religion, and ethics. With a comprehensive look at the troubling question of whether physician-assisted suicide should be allowed, Cohen-Almagor delineates a distinction between active and passive euthanasia and discusses legal measures that have been invoked in the United States and abroad. He outlines reasons why nonblood relatives should be given a role in deciding a patient's last wishes. As he examines euthanasia policies in the Netherlands and the 1994 Oregon Death with Dignity Act, the author suggests amendments and finally makes a circumscribed plea for voluntary physician-assisted suicide. Raphael Cohen-Almagor has been the Fulbright-Yitzhak Rabin Scholar and a visiting professor at UCLA School of Law and department of communication. He is chairperson of library and information studies at the University of Haifa, and the author of The Boundaries of Liberty and Tolerance, Speech, Media and Ethics: The Limits of Free Expression, and Euthanasia in the Netherlands.

Examining the evidence from Belgium - one of only five countries where euthanasia is practised legally - an international panel of experts considers the implications of legalised euthanasia and assisted suicide. Looking at the issue from an international perspective, the authors have written an invaluable in-depth analysis of the ethical aspects of this complex area. The discussion forms a solid foundation for informed debate about assisted dying. With contributors from a broad range of disciplines, this book is ideal for students, academics, legislators and anyone interested in legal, medical, social and philosophical ethics. A vital and timely examination of a growing phenomenon and one of the most challenging ethical questions of our time.

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. Provides comprehensive, well-researched, and accessible information on a timely and controversial topic Presents a socio-legal explanation rather than a simple description of the emergence and evolution of the legal concepts involved with medically assisted death Offers invaluable historical perspective for academics in the fields of sociology, criminal justice, law, and related disciplines as well as practitioners who deal with end-of-life decision-making and lay readers

Ethical and legal issues concerning physician-assisted suicide and euthanasia are very much on the public agenda in many jurisdictions. In this timely book L.W. Sumner addresses these issues within the wider context of palliative care for patients in the dying process. His ethical conclusion is that a bright line between assisted death and other widely accepted end-of-life practices, including the withdrawal of life-sustaining treatment, pain control through high-dose opioids, and terminal sedation, cannot be justified. In the course of the ethical argument many familiar themes are given careful and thorough treatment: conceptions of death, the badness of death, the wrongness of killing, informed consent and refusal, the ethics of suicide, cause of death, the double effect, the sanctity of life, the 'active/passive' distinction, advance directives, and nonvoluntary euthanasia. The legal discussion opens with a survey of some prominent prohibitionist and regulatory regimes and then outlines a model regulatory policy for assisted death. Sumner concludes by defending this policy against a wide range of common objections, including those which appeal to slippery slopes or the possibility of abuse, and by asking how the transition to a regulatory regime might be managed in three common law prohibitionist jurisdictions.

This revealing volume explores recent historical perspectives on the modern euthanasia and assisted-suicide debate and the political arenas in which it has unfolded. Emotional public responses to widely publicized right-to-die and euthanasia cases, such as those revolving around Dr. Jack Kevorkian and Terri Schiavo, highlight their volatile mix of medical, ethical, religious, legal, and public policy issues. The Euthanasia/Assisted-Suicide Debate explores how this debate has evolved over the past 100 years as judicial approaches, legislative responses, and prosecutorial practices have shifted as a result of changes in medical technology and consumer sophistication. Emphasizing the period from the 1950s forward, the book offers an unbiased examination of the origins of the modern medical euthanasia and assisted-suicide debates, the involvement of physicians, the history and significance of medical technology and practice, and the role of patients and their families in the ongoing controversy. This illuminating exploration of concepts, issues, and players will help readers understand both sides of the debate as viewed by participants. Case studies explain contemporary legal techniques in the handling of euthanasia and assisted-suicide prosecutions, including those involving doctors, nurses, and family members A chronology shows political events and major cases of medical euthanasia and assisted suicide over the past 100 years A glossary explains key terms, such as "causation," "intent," "palliative care," and "double effect" An interdisciplinary bibliography cites significant materials from the fields of history, law, and sociology, as well as major medical journal articles

"Ball's arguments are concise, compelling, and backed with considerable case law. This volume is highly recommended for upper-level undergraduates and above in law, philosophy, and the medical humanities interested in the 'right to die' debates. Summing up: Highly recommended." -Choice Over the past hundred years, average life expectancy in America has nearly doubled, due largely to scientific and medical advances, but also as a consequence of safer working conditions, a heightened awareness of the importance of diet and health, and other factors. Yet while longevity is celebrated as an achievement in modern civilization, the longer people live, the more likely they are to succumb to chronic, terminal illnesses. In 1900, the average life expectancy was 47 years, with a majority of American deaths attributed to influenza, tuberculosis, pneumonia, or other diseases. In 2000, the average life expectancy was nearly 80 years, and for too many people, these long lifespans included cancer, heart failure, Lou Gehrig's disease, AIDS, or other fatal illnesses, and with them, came debilitating pain and the loss of a once-full and often independent lifestyle. In this compelling and provocative book, noted legal scholar Howard Ball poses the pressing question: is it appropriate, legally and ethically, for a competent individual to have the liberty to decide how and when to die when faced with a terminal illness? At Liberty to Die charts how, the right of a competent, terminally ill person to die on his or her own terms with the help of a doctor has come deeply embroiled in debates about the relationship between religion, civil liberties, politics, and law in American life. Exploring both the legal rulings and the media frenzies that accompanied the Terry Schiavo case and others like it, Howard Ball contends that despite raging battles in all the states where right to die legislation has been proposed, the opposition to the right to die is intractable in its stance. Combining constitutional analysis, legal history, and current events, Ball surveys the constitutional arguments that have driven the right to die debate.

The Law and Ethics of Medicine: Essays on the Inviolability of Human Life explains the principle of the inviolability of human life and its continuing relevance to English law governing aspects of medical practice at the beginning and end of life. The book shows that the principle, though widely recognized as an historic and foundational principle of the common law, has been misunderstood in the legal academy, at the Bar and on the Bench. Part I of the book identifies the confusion and clarifies the principle, distinguishing it from 'vitalism' on the one hand and a 'qualitative' evaluation of human life on the other. Part II addresses legal aspects of the beginning of life, including the history of the law against abortion and its relevance to the ongoing abortion debate in the US; the law relating to the 'morning after' pill; and the legal status of the human embryo in vitro. Part III addresses legal aspects of the end of life, including the euthanasia debate; the withdrawal of tube-feeding from patients in a 'persistent vegetative state'; and the duty to provide palliative treatment. This unique collection of essays offers a much-needed clarification of a cardinal legal and ethical principle and should be of interest to lawyers, bioethicists, and healthcare professionals (whether they subscribe to the principle or not) in all common law jurisdictions and beyond.

Those involved in end-of-life decision making must take into account both legal and ethical issues. This book starts with a critical reflection of ethical principles including ideas such as moral status, the value of life, acts and omissions, harm, autonomy, dignity and paternalism. It then explores the practical difficulties of regulating end-of-life decisions, focusing on patients, healthcare professionals, the wider community and issues surrounding 'slippery slope' arguments. By evaluating the available empirical evidence, the author identifies preferred ways to regulate decisions and minimise abuses at the end of life, and outlines an ethical theory which can provide practical guidance for those engaged in end-of-life decisions.

This book examines the reactions of the friends and family of those who elect to die due to terminal illness. These surviving spouses, partners, relatives, and friends, in addition to coping with the death of a loved one, must also deal with the loved one s decision to die, thus severing the relationship. C. G. Prado examines how reactions to elective death are influenced by cultural influences and beliefs, particularly those related to life, death, and the possibility of an afterlife. Understanding the role of these cultural influences on the grieving processes of survivors is a crucial step in allowing them to accept both intellectually and emotionally the finality of elective death and to deal with the decision of their loved one.