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  1. Medically Assisted Dying and Suicide: How Are They Different, and How Are They Similar?Phoebe Friesen - 2020 - Hastings Center Report 50 (1):32-43.
    The practice of medically assisted dying has long been contentious, and the question of what to call it has become increasingly contentious as well. Particularly among U.S. proponents of legalizing the practice, there has been a growing push away from calling it “physician‐assisted suicide,” with assertions that medically assisted dying is fundamentally different from suicide. Digging deeper into this claim about difference leads to an examination of the difference between two kinds of suffering—suffering from physical conditions and suffering from psychological (...)
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  • Concepts of mental capacity for patients requesting assisted suicide: a qualitative analysis of expert evidence presented to the Commission on Assisted Dying.Annabel Price, Ruaidhri McCormack, Theresa Wiseman & Matthew Hotopf - 2014 - BMC Medical Ethics 15 (1):32.
    In May 2013 a new Assisted Dying Bill was tabled in the House of Lords and is currently scheduled for a second reading in May 2014. The Bill was informed by the report of the Commission on Assisted Dying which itself was informed by evidence presented by invited experts.
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  • A role for doctors in assisted dying? An analysis of legal regulations and medical professional positions in six European countries.G. Bosshard, B. Broeckaert, D. Clark, L. J. Materstvedt, B. Gordijn & H. C. Muller-Busch - 2008 - Journal of Medical Ethics 34 (1):28-32.
    Objectives: To analyse legislation and medical professional positions concerning the doctor’s role in assisted dying in western Europe, and to discuss their implications for doctors.Method: This paper is based on country-specific reports by experts from European countries where assisted dying is legalised , or openly practiced , or where it is illegal .Results: Laws on assisted dying in The Netherlands and Belgium are restricted to doctors. In principle, assisted suicide is not illegal in either Germany or Switzerland, but a doctor’s (...)
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  • Watching the watchmen: changing tides in the oversight of medical assistance in dying.Sean Riley - 2023 - Journal of Medical Ethics 49 (7):453-457.
    The recent wave of medical assistance in dying legalisation raises questions about proper oversight of the practice as new systems for data collection, case assessment and public reporting emerge. Newer systems, such as in Spain, New Zealand and Colombia, are eschewing the retrospective approach used for case assessment in older systems, particularly those in the Netherlands, Belgium and the USA, in favour of an approach requiring more extensive review prior to the procedure. This shift aims to increase compliance with each (...)
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  • Physician–Patient Relationship, Assisted Suicide and the Italian Constitutional Court.E. Turillazzi, A. Maiese, P. Frati, M. Scopetti & M. Di Paolo - 2021 - Journal of Bioethical Inquiry 18 (4):671-681.
    In 2017, Italy passed a law that provides for a systematic discipline on informed consent, advance directives, and advance care planning. It ranges from decisions contextual to clinical necessity through the tool of consent/refusal to decisions anticipating future events through the tools of shared care planning and advance directives. Nothing is said in the law regarding the issue of physician assisted suicide. Following the DJ Fabo case, the Italian Constitutional Court declared the constitutional illegitimacy of article 580 of the criminal (...)
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  • Developments in the practice of physician-assisted dying: perceptions of physicians who had experience with complex cases.Marianne C. Snijdewind, Donald G. van Tol, Bregje D. Onwuteaka-Philipsen & Dick L. Willems - 2018 - Journal of Medical Ethics 44 (5):292-296.
    Background Since the enactment of the euthanasia law in the Netherlands, there has been a lively public debate on assisted dying that may influence the way patients talk about euthanasia and physician-assisted suicide with their physicians and the way physicians experience the practice of EAS. Aim To show what developments physicians see in practice and how they perceive the influence of the public debate on the practice of EAS. Methods We conducted a secondary analysis of in-depth interviews with 28 Dutch (...)
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  • Euthanasia in Belgium: Shortcomings of the Law and Its Application and of the Monitoring of Practice.Kasper Raus, Bert Vanderhaegen & Sigrid Sterckx - 2021 - Journal of Medicine and Philosophy 46 (1):80-107.
    In 2002 with the passing of the Euthanasia Law, Belgium became one of the few countries worldwide to legalize euthanasia. In the 18 years since the passing of the law, much has changed. We argue that in Belgium a widening of the use of euthanasia is occurring and that this can be ethically and legally problematic. This is in part related to the fact that several legal requirements intended to operate as safeguards and procedural guarantees in reality often fail to (...)
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  • Dutch criteria of due care for physician-assisted dying in medical practice: a physician perspective.H. M. Buiting, J. K. M. Gevers, J. A. C. Rietjens, B. D. Onwuteaka-Philipsen, P. J. van der Maas, A. van der Heide & J. J. M. van Delden - 2008 - Journal of Medical Ethics 34 (9):e12-e12.
    Introduction: The Dutch Euthanasia Act states that euthanasia is not punishable if the attending physician acts in accordance with the statutory due care criteria. These criteria hold that: there should be a voluntary and well-considered request, the patient’s suffering should be unbearable and hopeless, the patient should be informed about their situation, there are no reasonable alternatives, an independent physician should be consulted, and the method should be medically and technically appropriate. This study investigates whether physicians experience problems with these (...)
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  • Ambivalence toward euthanasia and physician-assisted suicide has decreased among physicians in Finland.Juho T. Lehto, Jukka Vänskä, Pekka Louhiala & Reetta P. Piili - 2022 - BMC Medical Ethics 23 (1):1-8.
    BackgroundDebates around euthanasia and physician-assisted suicide are ongoing around the globe. Public support has been mounting in Western countries, while some decline has been observed in the USA and Eastern Europe. Physicians’ support for euthanasia and PAS has been lower than that of the general public, but a trend toward higher acceptance among physicians has been seen in recent years. The aim of this study was to examine the current attitudes of Finnish physicians toward euthanasia and PAS and whether there (...)
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  • Developing a ‘moral compass tool’ based on moral case deliberations: A pragmatic hermeneutic approach to clinical ethics.Laura Hartman, Suzanne Metselaar, Guy Widdershoven & Bert Molewijk - 2019 - Bioethics 33 (9):1012-1021.
    Although moral case deliberation (MCD) is evaluated positively as a form of clinical ethics support (CES), it has limitations. To address these limitations our research objective was to develop a thematic CES tool. In order to assess the philosophical characteristics of a CES tool based on MCDs, we drew on hermeneutic ethics and pragmatism. We distinguished four core characteristics of a CES tool: (a) focusing on an actual situation that is experienced as morally challenging by the user; (b) stimulating moral (...)
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  • The development of a descriptive evaluation tool for clinical ethics case consultations.R. Pedersen, S. A. Hurst, J. Schildmann, S. Schuster & B. Molewijk - 2010 - Clinical Ethics 5 (3):136-141.
    There is growing interest in clinical ethics. However, we still have sparse knowledge about what is actually going on in the everyday practice of clinical ethics consultations. This paper introduces a descriptive evaluation tool to present, discuss and compare how clinical ethics case consultations are actually carried out. The tool does not aim to define ‘best practice’. Rather, it facilitates concrete comparisons and evaluative discussions of the role, function, procedures and ideals inherent in clinical ethics case consultation practices. The tool (...)
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  • An Ethical Evaluation Methodology for Clinical Cases.Vittoradolfo Tambone & Giampaolo Ghilardi - 2016 - Persona y Bioética 20 (1):48-61.
    In the present article, we introduce an ethical evaluation methodology for clinical cases. Although rejecting proceduralism as a system, we develop a procedure that eventually could be formalized as a flow chart to help carry out an ethical evaluation for clinical cases. We clarify the elements that constitute an ethical evaluation: aim, integration, and how the action is performed. We leave aside the aspect of intentions, focusing on the object of a medical action, arguing that the internal aim of a (...)
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