Physician-Assisted Suicide is Receiving Fresh Support, But Remains as Open to Abuse as Ever

It's a terrible, terrible policy.

European countries put old people to death simply for being lonely, while calling it "compassionate."

And now Brittany Maynard's case is being used to advertise "death with dignity."

I can't think of anything as ghastly.

From Paul McHugh, at the Wall Street Journal, "Dr. Death Makes a Comeback":

‘I guess Jack’s won,” a pal of mine said, alluding to Jack Kevorkian , whose views on physician-assisted suicide are lately back in vogue. With backing from liberal financier George Soros —a longtime supporter of “right to die” legislation—proponents are intent on expanding beyond Oregon, Vermont and Washington the roster of states where the practice is legal. Legislation to allow assisted suicide is moving through New Jersey’s statehouse, last month a New York legislator vowed to introduce a similar bill, and in California state Sens. Bill Monning and Lois Wolk are working to legalize the practice.

My pal may have a point, but he perhaps has forgotten how often in fights for good ideas, the bad ones—even when crushingly defeated, as when Michigan sent Kevorkian to prison in 1999—sidle back into the ring and you have to thrash them again.

Since ancient Greece physicians have been tempted to help desperate patients kill themselves, and many of those Greek doctors must have done so. But even then the best rejected such actions as unworthy and, as the Hippocratic Oath insists, contrary to the physician’s purpose of “benefiting the sick.” For reasons not too different, doctors traditionally refuse to participate in capital punishment; and, when they are inducted into military service, do not bear arms.

lso, as Ian Dowbiggin showed in “A Merciful End: The Euthanasia Movement in Modern America” (2003), physician-assisted suicide was periodically championed in the 20th century yet rejected time after time by American voters when its practical harms were comprehended. As recently as 2012, Massachusetts voters defeated an initiative to legalize assisted suicide.

There are two essential harms from the practice. First: Once doctors agree to assist a person’s suicide, ultimately they find it difficult to reject anyone who seeks their services. The killing of patients by doctors spreads to encompass many treatable but mentally troubled individuals, as seen today in the Netherlands, Belgium and Switzerland.

Second: When a “right to die” becomes settled law, soon the right translates into a duty. That was the message sent by Oregon, which legalized assisted suicide in 1994, when the state-sponsored health plan in 2008 denied recommended but costly cancer treatments and offered instead to pay for less-expensive suicide drugs.

These intractable, recurrent drawbacks are but one side of the problematic transaction involved with assisted suicide. The other, more telling side is the way assisting in patients’ suicides hollows out the heart of the medical profession.

The fundamental premise of medicine is the vocational commitment of doctors to care for all people without doubting whether any individual is worth the effort. That means doctors will not hold back their ingenuity and energies in treating anyone, rich or poor, young or old, prominent or socially insignificant—or curable or incurable.

This is the heart and soul of medical practice. The confidence with which patients turn to their physicians depends on it, and it is what spurs doctors to find innovative ways of helping the sick.

So why do the arguments for physician-assisted suicide regularly recur? Primarily because of compelling stories about patients who despair when medical futility, burdensome treatments and an unavoidable, painful fate seem to combine. Such patients have never been rare.

A recent high-profile case was that of Brittany Maynard, a 29-year-old woman diagnosed last year with a malignant brain tumor. She chose to publicize how, given her fears over what doctors were predicting, she would move from California to Oregon where a physician could—and did—prescribe medications for her to kill herself before many of the symptoms she feared had developed...

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