Letter to the Editor: Euphemisms Abound

To the Editor:

We wish to respond to Dr. Barry Perlman’s letter to the editor: “A vote for Medical Aid in Dying is not a vote for suicide” (May 28, 2024) He presents his case well. However, we take issue with his reasoning.

Euphemisms abound about this subject: physician-assisted suicide, death with dignity and physician-assisted dying. No matter how the concept is dressed up, it is suicide by the patient and murder by the doctor. Whoever else has been directly or indirectly involved in the demise of the patient are accessories.

Netherlands Grapples With Complex Debate on Broadening Euthanasia Law

https://www.france24.com/en/tv-shows/focus/20240608-netherlands-grapples-with-complex-debate-on-broadening-euthanasia-law

By:Alix LE BOURDON|Fernande VAN TETS

The Netherlands was the first country in the world to legalize euthanasia back in 2001. More than 20 years later, the practice is almost universally accepted in Dutch society to end the lives of those who are physically suffering. But its use remains more restricted for psychiatric cases who say they, too, meet the legal requirement of unbearable suffering. Today, some would like to see the law evolve to include the possibility to end one's life even without a medical need to do so. Our correspondents Fernande van Tets and Alix Le Bourdon report.

French President Macron Faces Backlash From Medical Workers Over Assisted-Dying Bill

Original publication: March 11, 2024 

President Emmanuel Macron on Monday faced criticism from French medical workers and the Catholic Church over a draft bill his government plans to present to parliament in May that would allow assisted dying [aka assisted suicide, physician-assisted suicide and euthanasia] for certain terminally-ill patients.

The centrist leader announced the plan to submit the bill in newspaper interviews published on Sunday, insisting there would be “strict conditions” on allowing people to self-administer a lethal substance, or call on a relative or medical worker if they are incapable.

Beyond Terminal Illness. The Widening Scope of Physician-Assisted Suicide and Euthanasia in the US.

Please find Dr. Komrad's explanatory note to colleagues below.

Physician-assisted suicide (PAS)—commonly but misleadingly called “medical aid in dying”1—is now legal in 11 jurisdictions in the US. PAS remains an area of great controversy among physicians, medical ethicists, and various patient advocacy groups, as evidenced by numerous opinion pieces in Psychiatric Times.2,3 While we recognize that individuals of good conscience may differ on the ethics of PAS, we have consistently maintained—as the American Medical Association has opined—that4:

Physician-assisted suicide is fundamentally incompatible with the physician’s role as healer, would be difficult or impossible to control, and would pose serious societal risks.

Second Thoughts Massachusetts Protest Gains Important News Coverage

Second Thoughts Massachusetts led a peaceful counter demonstration at a gathering of assisted suicide proponents held at the Massachusetts State House on Wednesday, June 5th.

Seated: John Kelly, Randi Shea, Brian Shea. Standing: Chip Guiney, Glacier Gray, Ashlinn Parnell

In addition to those featured in the photo above, others who participated included Ian McIntosh and Jessica Rodgers of the Patients Rights Action Fund, Harry Weissman, Director of Advocacy for Disability Policy Consortium, as well as Gabriell Paye, Jon Ball, John Robinson and Dr. Rich Florentine.

The State House News Service (SHNS) provided unusually balanced coverage of the disability led demonstration against the assisted suicide bill currently before the Massachusetts legislature.

Assisted Suicide & Euthanasia Highlights

1.  Alex Shadenberg, Head of the Euthanasia Prevention Coalition (pictured): "With the legalization of euthanasia throughout Canada, Canadian life spans have dropped for three straight years, from 2019 to 2022." https://www.choiceillusion.org/2024/05/canadas-life-span-drop.html

2.  Margaret Dore, “In Oregon, Other Suicides Have Increased with the Legalization of Assisted Suicide.” The financial cost is “enormous.” https://www.choiceillusion.org/2017/08/in-oregon-other-suicides-have-increased.html

3.  Diane Coleman, “A Short History of Assisted Suicide; Is Canadian Style Assisted Suicide/Euthanasia Coming to California?,” https://www.choiceillusion.org/2024/03/a-short-history-of-assisted-suicide-is.html

New York Bar Association and Medical Society Ignore Dangers of Legalized Assisted Suicide

By Lisa Blumberg (author pictured here).

The New York State Bar Association (NYSBA) adopted a resolution in 2023 that supports the provisions of the assisted suicide bill before the legislature. This position is based on a report by its Task Force on Medical Aid in Dying. The report is extensive but seems more of defense of assisted suicide rather than a balanced inquiry into the myriad issues raised by its legalization.

Alex Schadenberg Regarding Canada & the United States, including Good News

Dear Friends: ... 

Sylvie Berube (BQ) MP sponsored Bill C-390, a bill that would extend Canada’s law by allowing euthanasia approvals by advanced request. The bill amends the federal euthanasia law by adding to sections of the law the words: “or an applicable provincial framework.” Last year, the Québec government passed Bill 11, which expanded the Québec law by (among other things) allowing euthanasia by advanced request. Bill C-390, if passed, would amend Canada’s euthanasia law by changing the federal law based on amendments to provincial laws. In other words, Québec could legislate federally.

Follow up by Mark Komrad MD (pictured below)

Colleagues,

[Theo Boer, Professor of Health Care Ethics in the Netherlands] spoke last Friday. Many asked that I send the link to the lecture when available. Here it is: https://doctorssayno.net/webinars/

[Professor Boer] spoke about the decades of experience with euthanasia in that country and how it has affected and changed some fundamental cultural values there regarding life, death, and disability.  He document[ed] how it grew vastly beyond the initial parameters. 

This was a very worthwhile talk by Dr. Boer who was  involved in the early days of  the medical euthanasia's roll out in the Netherlands. He was initially supportive, but saw it get quite out of hand. So he became an opponent, and a Cassandra, warning other countries to not go down that path.