Many recent events have contributed to the resurgence of the historically cyclical debate over euthanasia. Now, the focus rests on physician-assisted suicide. Many landmark events regarding physician-assisted suicide have occurred within the last year alone. For example, Derek Humphry's Final Exit recently became a best seller, giving people the detailed knowledge of how to “self-deliver” In The New England Journalbf Medicine, Dr. Timothy Quill shared his touching experience of assisting his patient “Diane” after she chose to decline treatment options for (...) leu- kemia. Dr. Jack Kevorkian made use of his highly publicized “death machine” to help Janet Adkins and subsequently, several other women, end their lives. (shrink)

Dutch developments on euthanasia have drawn much attention over the years. Defenders and opponents have been telling very different stories about the practice of euthanasia and the frequency of cases, and the Dutch government has been struggling with the legal and moral problems involved. Concern about the procedures followed by physicians as well as questions on the “real” figures led the government to decide to organize an epidemiological study on the extent and the decision making. The results of the study (...) were published in November 1991. Interpretation of the data may lead to a final settlement of the debate on euthanasia and has inevitably led to a revival of the moral debate of the 1970s. For the moment it has been decided that euthanasia will remain officially illegal under the Penal Code. However, in cases where euthanasia does occur, Attorneys General will continue to check the procedures followed by physicians to ensure no abuses have occurred and to safeguard physicians against prosecution. In this contribution, we discuss the development and intertwinement of legal, medical, and moral aspects of euthanasia in The Netherlands and the effects of the empirical studies of 1991, both on definitions and procedures for medical decisions at the end of life. (shrink)

Methuselah, it is said, lived 969 years. His state of health at death is not revealed. It can only be surmised that he was surely not robust and, no doubt, was subject to all of the infirmities of old age and the tragic indignities associated with senility.Jonathan Swift captured well the “curse” of immortality when, in Gulliver's Travels, he created a group of individuals, the Struldbrugs, who, when encountered, dulled what had heretofore been an appetite for perpetual life. The Struldbrugs (...) were allowed to be born totally exempt from the “calamity of human Nature,” in that their minds were free “and disingaged, without the Weight and De pression of Spirits caused by the continued Apprehension of Death.” They were thus condemned “to a perpetual continuance in the World.” In his travels, Gulliver found some Struldbrugs well over 1,000 years old. (shrink)