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.

Marie Fleming became a household name in Ireland with her trail-blazing campaign for the right to die with dignity, when she took a landmark case against the Irish State to lift the ban on assisted suicide. But behind the Multiple Sclerosis sufferer's brave fight lay a remarkable life story known to few. From her young years growing up in Donegal, as she struggled to keep her family together after her mother left, to her battle to keep her own baby - born when Marie was still a teenager - to her later quest for education and self-betterment against the odds, An Act of Love is an unforgettable story of ambition, of sorrow, and of life lived to the full. In it, she also describes coming to terms with MS and the ordeal of her later court case. Completed just before Marie's death in late 2013, most of all, this is a story of the power of abiding love.

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.

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.

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.

The case of Terri Schiavo, a young woman who spent 15 years in a persistent vegetative state, has emerged as a watershed in debates over end-of-life care. While many observers had thought the right to refuse medical treatment was well established, this case split a family, divided a nation, and counfounded physicians, legislators, and many of the people they treated or represented. In renewing debates over the importance of advance directives, the appropriate role of artificial hydration and nutrition, and the responsibilities of family members, the case also became one of history's most extensively litigated health care disputes. The Case of Terri Schiavo assembles a team of first-hand participants and content experts to provide thoughtful and nuanced analyses. In addition to a comprehensive overview, the book includes contributions by Ms. Schiavo's guardian ad litem, a neurologist and lawyer who participated in the case, and scholars who examine issues related to litigation, faith, gender, and disability. The volume also includes a powerful dissent from the views of many scholars in the bioethics community. The book is intended for students, health care professionals, policy makers, and other in search of carefully reasoned analyses of the case that will shape our view of death and end-of-life medical care for decades.

In Western thought, suicide has evolved from sin to sin-and-crime, to crime, to mental illness, and to semilegal act. A legal act is one we are free to think and speak about and plan and perform, without penalty by agents of the state. While dying voluntarily is ostensibly legal, suicide attempts and even suicidal thoughts are routinely punished by incarceration in a psychiatric institution. Although many people believe the prevention of suicide is one of the duties the modern state owes its citizens, Szasz argues that suicide is a basic human right and that the lengths to which the medical industry goes to prevent it represent a deprivation of that right. Drawing on his general theory of the myth of mental illness, Szasz makes a compelling case that the voluntary termination of one's own life is the result of a decision, not a disease. He presents an in-depth examination and critique of contemporary antisuicide policies, which are based on the notion that voluntary death is a mental health problem, and systematically lays out the dehumanizing consequences of psychiatrizing suicide prevention. If suicide be deemed a problem, it is not a medical problem. Managing it as if it were a disease, or the result of a disease, will succeed only in debasing medicine and corrupting the law. Pretending to be the pride of medicine, psychiatry is its shame.

In this important new book, a number of ethicists expound on the issue of medically assisted death and, in particular, on the issue of whether it is morally permissible to hasten the death of those who are suffering from a medical condition but, because of their diminished mental capacities, are unable to ask that anything be done about that suffering. This essential new book is concerned with the issue of euthanasia and associated legislative and health care issues. The book focuses on a central strand in the debate over medically assisted death, the so called 'slippery slope' argument, and in particular, on one important aspect of the downward slope of this argument: hastening the death of those individuals who appear to be suffering greatly from their medical condition but are unable to request that we do anything about that suffering because of their diminished mental capacities. Slippery slope concerns have been raised in many countries, including Britain, the Netherlands, Canada, and the United States. This book concentrates most of its attention on the latter two countries.

This volume focuses on issues involving the inviolability of the human body and the decision to end life. The contributors explore the difficulties in framing a public policy that legalizes aid in dying, and return to the more general question of what is the most fair and effective relationship between private medical authority and public policy. In Part 1, biologists, ethicists, theologians and political scientists examine the issue of whether there ought to be limits to medical intervention. Although medicine has continually stretched the boundaries of intervention in the human body, new technologies of organ transplantation and genetics and the emergence of revolutionary drugs raise ethical concerns over how far we should go in moving from therapeutics to enhancement of the human body. Questions of inviolability also arise in situations where treatment of the foetus requires intrusion into the bodily integrity of the pregnant woman. The contributors debate what is meant by inviolability and where, if ever, it should be a matter of public policy. Part 2 brings together authors from bioethics, medicine, psychology, journalism and politics to examine the intensifying debate over the empowerment of patients in making decisions to end life.

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.

Euthanasia has become increasingly contentious as populations age, and medical and scientific advances continue to transform and extend life. Euthanasia - Choice and Death examines the key philosophical arguments that have underpinned thinking and practice up till now: The centrality of choice to our notion of the human being; The challenge of changes to our concept of death in the face of medical, scientific and technological advances. Gail Tulloch develops a conception of dignity that does not depend on religious assumptions and can promote a broad ethical consensus in a liberal democracy. Examination of landmark cases and the approaches adopted by key countries - the USA, the UK, the Netherlands, and Australia - ground the book.

This is the revealing, personal story of the man behind the controversial pro-euthanasia movement, told in his own words. Medical doctor, humanist, author and founder/director of Exit International, Philip Nitschke's life has always been in the spotlight. The book spans Philip's early days, from his curious, activist student days in Adelaide, to working with Aboriginal land rights groups in Australia's Far North; to his successful campaign to have euthanasia legalised in Australia and his assistance in four people ending their lives before the law was overturned. It covers the controversy surrounding Philip's work, including the banning in Australia of his international bestselling book The Peaceful Pill, and disturbing reports that many young people overdosed on Nembutal, the drug that Exit International recommends for suicide. Ultimately, Philip believes that the right to one's own death is as fundamental as the right to control one's own life: 'It seems we demand humans to live with indignity, pain and anguish whereas we are kinder to our pets when their suffering becomes too much.'

"The chapters in this volume painfully drive home the point that certainly as far as Germany is concerned, the lessons of the Third Reich have not yet been learned... These significant attempts by younger recruits to the larger medical establishment to change things through eye-opening reflection and analysis, however uncomfortable, need support."--Michael H. Kater, author of "Doctors under Hitler," in the foreword.

The infamous Nuremberg Doctors' Trials of 1946-47 revealed horrifying crimes --ranging from grotesque medical experiments on humans to mass murder--committed by physicians and other health care workers in Nazi Germany. But far more common, argue the authors of "Cleansing the Fatherland, " were the doctors who profited professionally and financially from the killings but were never called to task--and, indeed, were actively shielded by colleagues in postwar German medical organizations.

The authors examine the role of German physicians in such infamous operations as the "T 4" euthanasia program (code-named for the Berlin address of its headquarters at Number 4 Tiergartenstrasse). They also reveal details of countless lesser known killings--all ordered by doctors and all in the name of public health. Maladjusted adolescents, the handicapped, foreign laborers too illto work, even German civilians who suffered mental breakdowns after air raids were "selected for treatment." (One physician who persisted in speaking of "killings" was officially reprimanded for his "negative attitude.")

The book also includes original documents--never before published in English--that give unique and chilling insight into the everyday workings of Nazi medicine. Among them:

- Minutes from a 1940 meeting of the Conference of German Mayors, at which a Nazi official gives the assembled politicians detailed instructions for the secret burial of murdered mental patients.

- A pre-Nazi era questionnaire sent by the head of a state mental institution to parents of disabled children. (Sample question: "Would you agree to a painless shortening of your child's life after an expert had determined him incurably imbecilic?" Sample answer: "Yes, but I would prefer not to know.")

- The diary of Dr. Hermann Voss, chief anatomist at the Reichs University of Posen (and later a highly respected physician in postwar Germany), who delights in the flowers blooming outside his window and worries that the overstock of Polish cadavers from his Gestapo suppliers might cause his crematory oven to break down.

- Letters of Dr. Friedrich Mennecke, director of the notorious Eichberg Clinic, who writes with cloying sentimentality to the wife he calls "mommy" and comments offhandedly about visiting concentration camps to select "patients" for death.

Today, as reports of mass death in Europe are once again cast in terms of public hygiene, and as euthanasia is advocated--even applauded--on U.S. television, the relevance of what Michael H.Kater here calls "the lessons of the Third Reich" is perhaps greater than ever. Against this background, "Cleansing the Fatherland" sends a stark message that is difficult to ignore.

"Shai Lavi has enormously deepened the current argument over euthanasia by putting it in a perspective that has seldom entered the discussion, namely, its history. The genealogy of the idea and practices that have turned the art of dying into the technique of dying does not solve the current debate, but it does allow us to see it not just as an argument between ethicists, but as one about the cultural meaning of death. This book is essential for anyone who is concerned about euthanasia and has the potential of changing the very terms of the discussion."--Robert N. Bellah, University of California, Berkeley, coauthor of "Habits of the Heart and The Good Society,"

"This book presents a subtle, nuanced investigation of the practice of euthanasia. It is a thoroughly researched study, relying on a variety of primary sources as well as keen historical instincts to tell a compelling, textured, and insightful story."--Gary Laderman, Emory College

"How do we die? What do our ways of dying tell us about who we are and what kind of society we live in? Using the controversy over euthanasia to address these questions, Shai Lavi has written a theoretically sophisticated and persuasive book. Deftly combining historical argument and legal analysis, "The Modern Art of Dying" speaks to important ethical issues with great sensitivity and unusual subtlety. It exemplifies the best in interdisciplinary scholarship."--Austin Sarat, Amherst College, author of the forthcoming "Mercy on Trial" (Princeton)

"This is an outstanding book-beautifully crafted, extremely thoughtful, exceptionally well-organized and argued, and highly original. It's an important story and Lavi has organized it in a compelling, highly readable manner."--Sharon Kaufman, University of California, San Francisco.

"Shai Lavi has written a timely, insightful, and valuable book. Even those who have agitated for or against euthanasia and physician-assisted suicide rarely know the long history behind our current arguments. He does the necessary and invaluable work of a sociologist and historian: showing us the roots of our present debates. We are deeply influenced by them to this day."--Daniel Callahan, Director of International Programs, The Hastings Center

Why we all deserve a life worth living and a death worth dying for 'Most men don't fear death. They fear those things - the knife, the shipwreck, the illness, the bomb - which precede, by microseconds if you're lucky, and many years if you're not, the moment of death.' When Terry Pratchett was diagnosed with Alzheimer's in his fifties he was angry - not with death but with the disease that would take him there, and with the suffering disease can cause when we are not allowed to put an end to it. In this essay, broadcast to millions as the BBC Richard Dimblebly Lecture 2010 and previously only available as part of A Slip of the Keyboard, he argues for our right to choose - our right to a good life, and a good death too.

Wahrend in Deutschland die aktive Sterbehilfe" nach wie vor strafbar sein soll, werden in der Politik Uberlegungen angestellt, die passive Sterbehilfe" straffrei zu machen. Auch die Anderung des Betreuungsrechts steht in diesem Zusammenhang zur Diskussion. Vorsorgevollmacht und Patientenverfugung sind hier die zentralen Begriffe, mit denen argumentiert wird. Ethische, soziologische, rechtliche und medizinische Betrachtungen laden den Leser ein, sich einen umfassenden Uberblick uber das Tabuthema im Wandel?" zu verschaffen."

A SUNDAY TIMES, NEW STATESMAN AND FINANCIAL TIMES BOOK OF THE YEAR 'Immensely powerful . . . her investigation of this terrible illness is sensitive and compelling' Sunday Times After her own father's death from dementia, the writer and campaigner Nicci Gerrard set out to explore the illness that now touches millions of us, yet which we still struggle to speak about. What does dementia mean, for those who live with it, and those who care for them? This truthful, humane book is an attempt to understand. It is filled with stories, both moving and optimistic: from those living with dementia to those planning the end of life, from the scientists unlocking the mysteries of the brain to the therapists using art and music to enrich the lives of sufferers, from the campaigners battling for greater compassion in care to the families trying to make sense of this 'incomprehensible de-creation of the self'.

Whether euthanasia or assisted suicide should be legalized is one of the most pressing and profound questions facing legislators, health care professionals, their patients, and all members of society. Regrettably, the debate is too often characterized by rhetoric rather than reason. This book aims to inform the debate by acquainting anyone interested in this vital question with some of the major ethical, legal, clinical and theological issues involved. The essays it contains are authoritative in that they have been commissioned from some of the world's leading experts, balanced in that they reflect divergent viewpoints (including a vigorous debate between two eminent philosophers), and readable in that they should be readily understood by the general reader.

This book argues against the legalisation of voluntary euthanasia and/or physician-assisted suicide on the ground that, even if they were ethically defensible in certain 'hard cases', neither could be effectively controlled by law. It maintains that the experience of legalisation in the Netherlands, Belgium and Oregon lends support to the two 'slippery slope' arguments against legalisation, the 'empirical' and the 'logical'. The empirical argument challenges the feasibility of drafting and enforcing adequate safeguards against abuse and mistake; the logical argument shows that acceptance of the case for euthanasia in the case of suffering patients who request it logically involves acceptance of euthanasia for suffering patients who are unable to request it, such as infants and those with advanced dementia.

In "The Case against Assisted Suicide: For the Right to End-of-Life Care," Dr. Kathleen Foley and Dr. Herbert Hendin uncover why pleas for patient autonomy and compassion, often used in favor of legalizing euthanasia, do not advance or protect the rights of terminally ill patients. Incisive essays by authorities in the fields of medicine, law, and bioethics draw on studies done in the Netherlands, Oregon, and Australia by the editors and contributors that show the dangers that legalization of assisted suicide would pose to the most vulnerable patients. Thoughtful and persuasive, this book urges the medical profession to improve palliative care and develop a more humane response to the complex issues facing those who are terminally ill.

The coronavirus pandemic has made society's relationship with death and dying everybody's business. We have had to confront new challenges around the way we care for dying people, yet the old problems have not gone away. In February 2018, Dennis Eccleston, suffering in agony from terminal cancer, took an overdose of pain medication to end his own life, helped by his wife Mavis. Mavis was charged with murder. The turmoil that followed sheds light on the brutal impact of the UK's failure to legalise assisted dying. Sarah Wootton and Lloyd Riley of the campaign group Dignity in Dying argue that our laws and culture governing death and dying need radical reform and present a vision of what dying in the twenty-first century should look like. From votes for women to equal marriage, campaigners have had to fight for rights that now seem sacrosanct. As the pandemic now forces us to re-examine how we die, Wootton and Riley show how choice at the end of life is a right whose time has come. Bringing to light the heart-breaking testimony of those who have witnessed unimaginable suffering at the end of life and exposing the hypocrisy of the arguments put forward to oppose progress, Last Rights questions how future generations will judge us if we fail to take action and issues a call to arms for people to unlock their power and demand change.