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.

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.

BOOK OF THE YEAR IN THE SPECTATOR AND THE TIMES 'Fascinating.... Deeply disturbing... Brilliant' Sunday Times 'Powerful and moving.' Louis Theroux Meet Adam. He's twenty-seven years old, articulate and attractive. He also wants to die. Should he be helped? And by whom? In The Inevitable, award-winning journalist Katie Engelhart explores one of our most abiding taboos: assisted dying. From Avril, the 80-year-old British woman illegally importing pentobarbital, to the Australian doctor dispensing suicide manuals online, Engelhart travels the world to hear the stories of those on the quest for a 'good death'. At once intensely troubling and profoundly moving, The Inevitable interrogates our most uncomfortable moral questions. Should a young woman facing imminent paralysis be allowed to end her life with a doctor's help? Should we be free to die painlessly before dementia takes our mind? Or to choose death over old age? A deeply reported portrait of everyday people struggling to make impossible decisions, The Inevitable sheds crucial light on what it means to flourish, live and die.

The right to life is a core human right which has not yet received the detailed legal analysis that it requires. This book provides detailed, critical analysis of the controversial human right to life and, in particular, assesses the weight of conflicting interests which could and/or should serve to override the right. This contemporary study of the right to life focuses on the legal, as well as ethical, issues raised by the value of life in modern day society. It seeks to analyze the development, meaning and value of the fundamental human right to life in the context of its conflicts with other competing interests. The book begins with an overview of the right to life in which the concept of life itself is first analyzed, before both the right and its legal protection and enforcement are subjected to historical, philosophical and comparative analysis. The remainder of the book identifies, and assesses the merits of, various competing interests. These comprise armed conflict; prevention of crime; rights of others; autonomy; quality of life; and finite resources.
The right to life is unusual in having potential application to so many of today's ethically controversial questions. This new work investigates specific topics of current political, legal and ethical concern such as the right to life during international conflicts, the role of lethal force in law enforcement, the death penalty, the right to life of a foetus in the context of legalized abortion, and the significance of quality of life and autonomy issues in respect of euthanasia and assisted suicide.

The issue of physician-assisted death is now firmly on the American public agenda. Already legal in five states, it is the subject of intense public opinion battles across the country. Driven by an increasingly aging population, and a baby boom generation just starting to enter its senior years, the issue is not going to go away anytime soon. In Physician-Assited Death L.W. Sumner equips readers with everything they need to know to take a reasoned and informed position in this important debate. The book provides needed context for the debate by situating physician-assisted death within the wider framework of end-of-life care and explaining why the movement to legalize it now enjoys such strong public support. It also reviews that movement's successes to date, beginning in Oregon in 1994 and now extending to eleven jurisdictions across three continents. Like abortion, physician-assisted death is ethically controversial and the subject of passionately held opinions. The central chapters of the book review the main arguments utilized by both sides of the controversy: on the one hand, appeals to patient autonomy and the relief of suffering, on the other the claim that taking active steps to hasten death inevitably violates the sanctity of life. The book then explores both the case in favor of legalization and the case against, focusing in the latter instance on the risk of abuse and the possibility of slippery slopes. In this context the experience of jurisdictions that have already taken the step of legalization is carefully reviewed to see what lessons might be extracted from it. It then identifies some further issues that lie beyond the boundaries of the current debate but will have to be faced sometime down the road: euthanasia for patients who are permanently unconscious or have become seriously demented and for severely compromised newborns. The book concludes by considering the various possible routes to legalization, both political and judicial. Readers will then be prepared to decide for themselves just where they stand when they confront the issue both in their own jurisdiction and in their own lives.

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.

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.

Death duties are now only a minor source of revenue to the British Exchequer (about 1.5 per cent of Inland Revenue receipts) and they now have few committed advocates. Nevertheless they persist, mainly because of inertia. Dr Bracewell-Milnes analyses the traditional criticism of death duties and adds some novel arguments based on the concept of saving in perpetuity -- saving which is never drawn down, whether or not it was initially planned as perpetual. The perpetual saver is a public benefactor because he or she provides the rest of society with a permanent loan at rates chargeable for loans with maturity dates. Taxing perpetual saving will reduce its supply, thus resulting in losses to the rest of society. Inheritance tax does immense economic damage, according to Dr Bracewell-Milnes, and should be abolished. It is 'perverse and counterproductive for its own ostensible purposes, egalitarian or otherwise.

The question of whether euthanasia and assisted suicide should be legalized is often treated, by judges and commentators alike, as a universal, ethical question, transcending national boundaries and diverse legal systems. By thinking of the issue in this way, the important context in which individual jurisdictions make decisions about assisted dying and the significance of the legal methods chosen to carry out those decisions is often lost. This book examines the impact of the choice of diverse legal routes towards legalization on the subsequent assisted dying regimes in operation. This examination suggests that greater caution is needed before relying on the experience of one jurisdiction when discussing proposals for regulation of assisted dying in others. The book seeks to demonstrate the need to explore the legal environment in which assisted dying is performed or proposed in order to evaluate the relevance of a particular legal experience to other jurisdictions. The book begins with an examination of the unsuccessful attempts to use constitutionally entrenched human rights claims to challenge criminal prohibitions on assisted suicide which reached the highest courts in the United States, Canada and Europe. Their failure makes legalization through a rights-based claim unlikely in any major common law or European jurisdiction. Alternative routes towards legalization are then discussed, including the defence of necessity, by which euthanasia was effectively legalized in the Netherlands and an approach based on compassion which has been proposed in France, as well as the legislative approaches which have been taken in Oregon, Belgium and the Northern Territory of Australia. All of these approaches are compared in detail, with particular attention paid to the effectiveness and transferability of the ubiquitous slippery slope arguments

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."

'I have quite a bit of understanding of white man's ways, but it is difficult for me to understand this one.' An Australian Senate committee investigation of the Northern Territory's Rights of the Terminally Ill Act 1995, the first legislation in the world that allowed doctors to actively assist patients to die, found that for the vast majority of Indigenous Territorians, the idea that a physician - or anyone else - should help end a dying, suffering person's life was so foreign that in some instances it proved almost impossible to translate. The Good Death Through Time asks how such a death became a 'thinkable'-even desirable-way to die for so many others in Western cultures. For centuries a good death - the 'euthanasia' - meant a death blessed by God that might well involve pain, for suffering was seen as ultimately redemptive. But in the Victorian age, when doctors started to treat the dying with painkillers as well as prayers, a painful death came to be thought of as an aberrant, dehumanising experience. As this book explores, the modern idea that a good death should be painless spurred sometimes troubling developments in palliative medicine as well as an increasingly well-organised assisted dying movement. Delving into what euthanasia activists, doctors, lawyers, religious leaders and lay people have thought and felt about dying, The Good Death Through Time shows that understanding the radical historical shift in Western attitudes to managing dying and suffering helps us better grasp the stakes in today's contestations over what it means to die well.

Voluntary Euthanasia investigates the complex and controversial issue of active voluntary euthanasia, presenting the legal position in a clear, comprehensive fashion. It critically examines the criminal law prohibition of medically administered active voluntary euthanasia in common law jurisdictions and looks at the situation in practice. The evidence of patient demands for active euthanasia and the willingness of some doctors to respond to patients requests is explored, and an argument for reform of the law is made with reference to the position in the Netherlands where active voluntary euthanasia is now openly practised.

"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

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.

"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.

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'.

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.

Citizen Killings: Liberalism, State Policy and Moral Risk offers a ground breaking systematic approach to formulating ethical public policy on all forms of 'citizen killings', which include killing in self-defence, abortion, infanticide, assisted suicide, euthanasia and killings carried out by private military contractors and so-called 'foreign fighters'. Where most approaches to these issues begin with the assumptions of some or other general approach to ethics, Deane-Peter Baker argues that life-or-death policy decisions of this kind should be driven first and foremost by a recognition of the key limitations that a commitment to political liberalism places on the state, particularly the requirement to respect citizens' right to life and the principle of liberal neutrality. Where these principles come into tension Baker shows that they can in some cases be defused by way of a reasonableness test, and in other cases addressed through the application of what he calls the 'risk of harm principle'. The book also explores the question of what measures citizens and other states might legitimately take in response to states that fail to implement morally appropriate policies regarding citizen killings.

A dazzling and darkly comic memoir about coming of age in a black funeral home in Baltimore
Sheri Booker was only fifteen when she started working at Wylie Funeral Home in West Baltimore. She had no idea her summer job would become nine years of immersion into a hidden world. Reeling from the death of her beloved great aunt, Sheri found comfort in the funeral home and soon had the run of the place. With AIDS and gang violence threatening to wipe out a generation of black men, Wylie was never short on business.
As families came together to bury one of their own, Booker was privy to their most intimate moments of grief and despair. But along with the sadness, Booker encountered moments of dark humor: brawls between mistresses and widows, and car crashes at McDonald's with dead bodies in tow. While she never got over her terror of the embalming room, Booker learned to expect the unexpected and to never, ever cry. "Nine Years Under" offers readers an unbelievable glimpse into an industry in the backdrop of all our lives.

In court cases, policy studies and media stories, euthanasia advocates claim that Belgium's euthanasia records are complete and transparent. The official euthanasia story from Belgium has been accepted at face value by the authors of these influential reports and court decisions; the Royal Society of Canada End-of-Life Decision Making report; the Quebec Select Committee on Dying with Dignity report; the Commission on Assisted Dying report - UK the BC Supreme Court Justice Lynn Smith: Carter decision.

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.

How veterinarians and pet owners manage companion animal euthanasia.