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The Nonnecessity of Euthanasia

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Physician-Assisted Death

Part of the book series: Biomedical Ethics Reviews ((BER))

Abstract

Among the arguments against legalizing voluntary euthanasia and physician-assisted suicide, there is one yet to be scrutinized in the literature. This argument states simply that these acts are not necessary. The reason they are not necessary, it is claimed, is that pain is manageable in “virtually all” or, at least, “most” patients with terminal illness.

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Notes and References

  1. J. Rachels (1975) Active and passive euthanasia, New Engl. J. Med. 292:2, 78–80.

    Article  PubMed  CAS  Google Scholar 

  2. R. M. Sade and A. B. Redfern (1975) Euthanasia (letter), New Engl. J. Med. 292:16, 863, 864.

    Article  Google Scholar 

  3. C. K. Cassel and D. E. Meier (1990) Morals and moralism in the debate over euthanasia and assisted suicide, New Engl. J. Med. 323:11, 750–752.

    Article  PubMed  CAS  Google Scholar 

  4. C. E. Cavagnaro and D. L. O’Brien (1991) Assisted suicide and euthanasia (letter), New Engl. J. Med. 324:20, 1435, 1436.

    Google Scholar 

  5. K. O’Rourke (1991) Assisted suicide: An evaluation, J. Pain Symptom Manage. 6:5, 317–324.

    Article  PubMed  Google Scholar 

  6. R. Barry and J. E. Maher (1990) Indirectly intended life-shortening analgesia: Clarifying the principles, Issues Law Med. 6:2, 123, 124.

    Google Scholar 

  7. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1983) Deciding to Forego Life-Sustaining Treatment. US Government Printing Office, Washington, DC, pp. 50,51.

    Google Scholar 

  8. C. M. Saunders, ed. (1978) The Management of Terminal Disease, Edward Arnold, London;

    Google Scholar 

  9. I. K. Goldberg, S. Malitz, and A. H. Kutscher, eds. (1973) Psychopharmacological Agents for the Terminally Ill and Bereaved, Columbia University Press, New York.

    Google Scholar 

  10. R. G. Twycross (1978) Relief of pain, in The Management of Terminal Disease ( C. M. Saunders, ed.), Edward Arnold, London, pp. 65–92.

    Google Scholar 

  11. C. M. Parkes (1977) Evaluation of family care in terminal illness, in The Family and Death ( E. R. Pritchard, J. Collard, B. A. Orcutt, A. H. Kutscher, I. Seeland, and N. Lefkowicz, eds.), Columbia University Press, New York.

    Google Scholar 

  12. Goldberg, Malitz, and Kutscher (1973).

    Google Scholar 

  13. G. L. Klerman (1973) Drugs and the dying patient, in Psychopharmacological Agents for the Terminally Ill and Bereaved (I. K. Goldberg, S. Malitz, and A. H. Kutscher AH, eds.), Columbia University Press, New York, p. 22.

    Google Scholar 

  14. P. A. Singer and M. Siegler (1990) Euthanasia—A critique, New Engl. J. Med. 322:26, 1881, 1882.

    Article  PubMed  CAS  Google Scholar 

  15. M. Angell (1982) The quality of mercy, New Engl. J. Med. 306: 2, 98.

    Article  PubMed  CAS  Google Scholar 

  16. W. T. Beaver (1980) Management of cancer pain with parenteral medication, JAMA 244:23, 2653–2657;

    Article  PubMed  CAS  Google Scholar 

  17. D. S. Shimm, G. L. Logue, A. A. Maltbie, and S. Dugan (1979) Medical management of chronic cancer pain, JAMA 241:22, 2408–2412;

    Article  PubMed  CAS  Google Scholar 

  18. R. G. Twycross (1975) Relief of terminal pain, Br. Med. J. 4, 212–214.

    Article  PubMed  CAS  Google Scholar 

  19. Shimm et al. (1979), pp. 2408, 2412.

    Google Scholar 

  20. Twycross (1975), p. 212.

    Google Scholar 

  21. K. M. Foley (1985) The treatment of cancer pain, New Engl. J. Med. 313:2, p. 85.

    Google Scholar 

  22. R. L. Daut and C. S. Cleeland (1982) The prevalence and severity of pain in cancer, Cancer 50:9, 1913–1918.

    Article  PubMed  CAS  Google Scholar 

  23. J. J. Bonica (1985) Treatment of cancer pain: Current status and future needs, in Advances in Pain Research and Therapy (H. T. Fields, R. Dubner, and F. Cervero, eds.), Raven, New York, vol. 9, 589–616.

    Google Scholar 

  24. J. J. Bonica (1979) Importance of the problem, in Advances in Pain Research and Therapy (J. J. Bonica, V. Ventafridda, R. B. Fink, L. E. Jones, and J. D. Loeser, eds.), Raven, New York, vol 2, p. 4.

    Google Scholar 

  25. W. T. McGivney and G. M. Crooks, eds. (1984) The care of patients with severe chronic pain in terminal illness, JAMA 251:9, 1182–1188.

    Article  PubMed  CAS  Google Scholar 

  26. World Health Organization (1986) Cancer Pain Relief. World Health Organization, Geneva.

    Google Scholar 

  27. J. J. Bonica (1985), p. 599.

    Google Scholar 

  28. E. Bruera, K. MacMillan, J. Hanson, and R. N. MacDonald (1990) Palliative care in a cancer center: Results in 1984 versus 1987, J. Pain Symptom Manage. 5:1, 4, 5.

    Google Scholar 

  29. V. Ventafridda, F. De Conno, C. Ripamonti, A. Gamba, and M. Tamburini (1990) Quality-of-life assessment during a palliative care programme, Annals. Oncol. 1:6, 415–420.

    CAS  Google Scholar 

  30. Ibid., pp. 417, 418.

    Google Scholar 

  31. D. E. Moulin and K. M. Foley (1990) A review of a hospital-based pain service, in Advances in Pain Research and Therapy (K. Foley et al., eds.), Raven, New York, vol. 16, pp. 422, 425.

    Google Scholar 

  32. C. M. Parkes (1978) Home or hospital? Terminal care as seen by surviving spouses, J. Royal Coll. Gen. Pract. 28, 19–30.

    CAS  Google Scholar 

  33. Moulin and Foley (1990), p. 425.

    Google Scholar 

  34. J. N. Morris, V. Mor, R. J. Goldberg, S. Sherwood, D. S. Greer, and J. Iiris (1986) The effect of treatment setting and patient characteristics on pain in terminal cancer patients: A report from the National Hospice Study, J. Chronic Disease 39: 1, 27–35.

    Article  CAS  Google Scholar 

  35. Morris et al. (1986), p. 33.

    Google Scholar 

  36. M. A. M. de Wachter (1989) Active Euthanasia in the Netherlands, JAMA 262:23, 3316–3319.

    Article  PubMed  Google Scholar 

  37. H. Rigter, E. Borst-Eilers, H. J. J. Leenen (1988) Euthanasia across the North Sea, Br. Med. J. 297, 1593–1595.

    Article  CAS  Google Scholar 

  38. T. E. Quill, C. K. Cassel, and D. E. Meier (1992) Care of the hopelessly ill: Proposed clinical criteria for physician-assisted suicide, New Engl. J. Med. 327:19, 1380–1384.

    Google Scholar 

  39. H. Brody (1992) Assisted death—A compassionate response to a medical failure, New Engl. J. Med. 327:19, 1384–1388.

    Article  Google Scholar 

  40. G. I. Benrubi (1992) Euthanasia—The need for procedural safeguards, New Engl. J. Med. 326:3, 197–199.

    Article  PubMed  CAS  Google Scholar 

  41. C. P. Gomez (1991) Regulating Death: Euthanasia and the Case of the Netherlands, Free, New York.

    Google Scholar 

  42. Centers for Disease Control (1992) Monthly Vital Statistics Report 41:1,16 17.

    Google Scholar 

  43. Ibid.,p. 16. Major cardiovascular diseases include valvular heart disease, hypertensive heart and renal disease, and ischemic heart disease, all of which are significant causes of or contributors to congestive heart failure and dyspnea.

    Google Scholar 

  44. Ibid.,p. 17. Chronic obstructive pulmonary diseases include asthma and emphysema. Deaths from these diseases would be accompanied by dyspnea in an overwhelming majority of patients who were not placed on ventilators, far beyond the 5% used in this calculation.

    Google Scholar 

  45. D. B. Reuben and V. Mor (1986) Dyspnea in terminally ill cancer patients, Chest 89:2, 234–236.

    Article  PubMed  CAS  Google Scholar 

  46. C. M. Saunders and M. Baines (1989) Living with Dying: The Management of Terminal Disease, 2nd ed., Oxford University Press, New York, pp. 32, 33.

    Google Scholar 

  47. E. Wilkes (1984) Dying now, Lancet 1, 950–952.

    Article  PubMed  CAS  Google Scholar 

  48. N. Coyle, J. Adelhardt, K. M. Foley, and R. K. Portenoy (1990) Character of terminal illness in the advanced cancer patient: Pain and other symptoms during the last four weeks of life, J. Pain Symptom Manage. 5:2, 83–93. Ventafridda et al. (1990).

    Google Scholar 

  49. Ventafridda et al. (1990) and Wilkes (1984).

    Google Scholar 

  50. Reuben and Mor (1986), p. 235.

    Google Scholar 

  51. L. Heyse-Moore (1984) Control of other syptoms: respiratory symptoms (section), in The Management of Terminal Malignant Disease, 2nd ed. ( C. M. Saunders, ed.), Edward Arnold, London, pp. 113–119.

    Google Scholar 

  52. M. H. Levy and R. B. Catalano (1985) Control of common physical symptoms other than pain in patients with terminal disease, Semi. Oncol. 12:4, 411–430.

    CAS  Google Scholar 

  53. I. Higginson and M. McCarthy (1988) Measuring symptoms in terminal cancer: Are pain and dyspnea controlled? J. Royal Soc. Med. 82, 264–267.

    Google Scholar 

  54. M. H. Cohen, A. Johnston-Anderson, S. H. Krasnow, and R. G. Wadleigh (1992) Treatment of intractable dyspnea: Clinical and ethical issues, Cancer Invest. 10:4, 317–321.

    Article  PubMed  CAS  Google Scholar 

  55. S. Grond, D. Zech, S. A. Schug, J. Lynch, and K. A. Lehann (1991) Validation of World Health Organization guidelines for cancer pain relief during the last days and hours of life, J. Pain Symptom Manage. 6:7, 411–422.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Gregg A. Kasting
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Editors and Affiliations

  1. Georgia State University, Atlanta, Georgia, USA

    James M. Humber  & Robert F. Almeder  & 

  2. Department of Philosophy, Georgia State University, Atlanta, Georgia, USA

    Gregg A. Kasting

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Kasting, G.A. (1994). The Nonnecessity of Euthanasia. In: Humber, J.M., Almeder, R.F., Kasting, G.A. (eds) Physician-Assisted Death. Biomedical Ethics Reviews. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-448-1_3

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  • DOI: https://doi.org/10.1007/978-1-59259-448-1_3

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-002-1

  • Online ISBN: 978-1-59259-448-1

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