ASSISTED SUICIDE

REVISE AND/OR REPLACE ALL LAWS AGAINST

CHOOSING A VOLUNTARY DEATH OR A MERCIFUL DEATH

REVISE AND/OR REPLACE ALL LAWS RESTRICTING THE RIGHT-TO-DIE

REVISE OR REPLACE ALL LAWS THAT MIGHT BE APPLIED BY MISTAKE
TO END-OF-LIFE MEDICAL DECISIONS

    This portal gathers information and suggestions
concerning assisted-suicide laws everywhere in the world.

    Derek Humphry has collected information about the laws in several countries:
http://www.assistedsuicide.org/suicide_laws.html




BACKGROUND

    From ancient times up thru the middle of the 20th century,
'suicide' was prohibited and punished.
Alongside such laws against committing suicide
there was often another section of law prohibiting assisting a suicide.

    During the 20th century,
almost all laws against committing suicide were repealed.
The reason for this change of law
was that people who want to kill themselves
are suffering from personal problems
that call for compassion and perhaps treatment rather than punishment.
Counseling and problem-solving are more appropriate than prison.
And if suicidal people become a serious danger to themselves,
civil commitment was thought to be a better approach
than using the criminal justice system
to prevent or punish the self-harming behavior.

    In many places on the Earth,
the laws against assisting a suicide
have not been examined for many decades.
Some have been on the books for over 100 years, unchanged.
They remain on the books even tho they are seldom applied.

    However, with the advent of modern medicine,
new situations at the end-of-life arose.
We now make important medical choices about the best time to die.
Should bedside decisions in the hospital
ever be considered 'assisting suicide'?

    Thus, new legislation is needed
to permit wise end-of-life medical decisions
while at the same time
continuing to prohibit and punish assisting an irrational suicide
.

    Here is an op-ed piece briefly presenting the issues:
Replacing Laws Against 'Assisting Suicide'
This article presents 20 stories of friends and relatives
helping someone to kill themselves for foolish reasons.
Such behavior should continue to be outlawed.
Assisting an irrational suicide harms the victim.
This article also presents 20 stories of friends and relatives
helping dying patients to make life-ending decisions.
Such behavior should never be considered 'assisting suicide'.
And, of course, supporting wise end-of-life medical choices
should never be prohibited or punished.




DEFINITIONS AND DISTINCTIONS

    In order for laws to be revised, we need to make clear
what behavior is prohibited and what behavior is permitted.

ASSISTING AN IRRATIONAL SUICIDE
SHOULD CONTINUE TO BE AGAINST THE LAW

    Irrational suicide means harming oneself by causing one's own death.
Even when self-harming is not itself prohibited,
assisting others to harm themselves should continue to be outlawed.

    To clarify our own minds about the differences
between the negative behavior we want to discourage
and the positive behavior we want to encourage,
we can ask about the proposed death:

Will it be: harmful, irrational, capricious, & regrettable?
If "yes", it is an irrational suicide.
If "no", it is a voluntary death.
See the following on-line essay:
Will this Death be an "Irrational Suicide" or a "Voluntary Death"?

    And here is a set of safeguards
for separating irrational suicide from voluntary death:
26 Recommended Safeguards (A-Z).




PROPOSALS FOR CHANGE &
LAWS ALREADY REVISED

    A. Gentle-Poison Laws and Proposals

    The right-to-die movement has focused mainly on creating new laws
that grant permission for doctors to prescribe life-ending chemicals,
which qualified patients will then administer to themselves.
In the USA, Oregon and Washington states have the first such laws.

The Oregon Death with Dignity Act
This presentation of the text of the Oregon law
highlights the safeguards embodied in the law
and links them to further explanation of those safeguards.

Washington State Death with Dignity Act
Very similar to the Oregon law,
this Washington State law also has
its safeguards highlighted and linked to further explanation.

The California Compassionate Choices Bill
Even tho this bill did not pass in 2007,
it contains significant improvements over the Oregon model.

More laws and proposals will be found here.




    B. Proposals for Changing Laws against Assisting Suicide

Proposed Model Law against Causing Premature Death
Section V of this draft-legislation lists 26 safeguards
for choosing a wise, ethical, & timely death.
Careful end-of-life medical decisions will easily be separated
from all forms of causing premature death
if most of the recommended safeguards are fulfilled. 



    C. Discussion of the Differences between these Approaches

Advantages of the Premature-Death Approach to the Right-to-Die
This link leads to 12 advantages of this approach
in contrast to the laws that allow giving lethal chemicals.

Two Approaches to Right-to-Die Laws:
Granting Permission & Banning Harms

This essay shows how putting the right-to-die within homicide laws
has several legal advantages
over health-care laws permitting gentle poisons.




STATE-BY-STATE CHANGES
IN THE LAWS AGAINST ASSISTING SUICIDE

Minnesota law has already been revised
to permit doctors to help patients die:

https://s3.amazonaws.com/aws-website-jamesleonardpark---freelibrary-3puxk/MN-SUIC.html



{Please submit links for any and all specific changes proposed.}







MEDICAL PRACTICES
THAT SHOULD NOT BE CONSIDERED ASSISTING A SUICIDE


Interpreting Laws Against 'Assisting Suicide'.
What were such laws trying to prevent?

Pulling the Plug:
A Paradigm for Life-Ending Decisions
.
This essay shows that  disconnecting life-supports
has not been considered a method of committing suicide.

Losing the Marks of Personhood:
Discussing Degrees of Mental Decline
.
Relatives and formal proxies for the patient
might use specific questions to help them explore
just how far the patient has declined mentally and/or emotionally.
Medical practice should evaluate the quality-of-life of the patient.

Will this Death be a "Mercy-Killing" or a "Merciful Death"?
The same four distinctions that separate
irrational suicide
from voluntary death
also define the differences between mercy-killing and merciful death.

VDD:
Why Giving Up Water is Better than other Means of Voluntary Death.

When a patient chooses to die by giving up water and food,
this is usually not an irrational suicide.

Voluntary Death by Dehydration:
Safeguards to Make Sure it is a Wise Choice

This Choosing this method of dying has built-in safeguards.



SUICIDE PREVENTION

Depressed?
Don't Kill Yourself!
This essay directly addresses several questionable 'reasons'
that lead some people toward irrational suicide.




FURTHER READING

Best Books on Voluntary Death


Books on Helping Patients to Die


Books Supporting the Right-to-Die

Books Opposing the Right-to-Die



Created March 18, 2009; Revised 3-21-2009; 3-22-2009; 4-2-2010; 5-12-2010;
5-21-2011; 3-14-2012; 4-19-2013; 3-27-2015; 1-4-2019; 5-3-2019;


Go to the Right-to-Die Portal.



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