Oregon’s Death With Dignity Act: Two Decades of Data
By Tara Haelle
Oregon’s Death With Dignity Act (DWDA), passed through a voter-approved ballot initiative in 1997, lays out strict requirements for patients interested in requesting a prescription from their physician that would enable the patient to end to his or her life. In the 20 years since its passage, 0.2% of deaths in Oregon resulted from DWDA prescriptions but the number is increasing, researchers report in an article published online today in Annals of Internal Medicine.
To obtain a DWDA prescription, patients must be adults of sound mind, have Oregon residency status, and have a terminal illness diagnosis. In addition, two physicians must confirm the patient’s diagnosis and prognosis, the patient must be offered hospice care, and the patient must make one witnessed written request and two oral requests at least 15 days apart.
Among the 1857 Oregon residents who received DWDA prescriptions between 1998 and June 2017, 64% died from taking the prescribed drugs. These deaths represented a rate of 19 per 10,000 total deaths out of the 614,972 all-cause deaths of Oregon adults during that period.
Cancer was the diagnosis for 77% of DWDA patients, 8% had amyotrophic lateral sclerosis, 5% had chronic respiratory disease, and 2% had heart disease. Among adults with these same diagnoses who did not elect DWDA prescriptions, the rate of death was 54.6 per 10,000 deaths.
DWDA death rates showed relative increases of 14% each year from 1998 to 2013 and 36% annually from 2013 to 2015. Although DWDA deaths appeared to level off in 2016, it’s unclear Continue Reading »
Tags: choice in dying, Death With Dignity, Derek Humphry, Dignitas, Final Exit, Oregon law, physician assisted death, physician-assisted suicide