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USA Today, Thu, 05 Apr 2007 3:08 PM PDT

Excerpt from ‘Final Exit’ http://www.usatoday.com/life/books/excerpts/2007-04-05-final-exit_N.htm?csp=34

Author: Derek Humphry

To Die Well

Your Right to Comfort, Calm, and Choice in the Last Days of Life

By Sidney Wanzer, M.D. and Joseph Glenmullen, M.D.

Price: $24.00 / £14.50 / $29.00 CAN Published by Da Capo Press

Available wherever books are sold including Amazon.com. Orders may also be placed through the Publisher by calling 1-800-343-4499.

Description:

While every one of us hopes “to die well,” this may not be possible without knowing our rights about care at the end of life. How can futile medical treatment be stopped? When might death be hastened? How can each of us retain control of these decisions?

The information in To Die Well is both comforting and empowering. Knowing our rights to refuse treatment, as well as legal ways to bring about death if pain or distress cannot be alleviated, will spare us the frightening helplessness that can rob our last days of meaning and connection with others.

Drs. Sidney Wanzer and Joseph Glenmullen do not shy away from controversy. They make clear what patients should expect of their doctors, including the right to sufficient pain medication even if it shortens life. They distinguish between normal sadness and depression. They also explain the ways to hasten death that are legal and possible for anyone, and those that require a doctor’s help.

Appendices include current national and international end-of-life organizations, sample living wills, and Health Care Proxy.

Author Biographies:

Sidney Wanzer, M.D., nationally recognized authority on issues of death and dying, learned what did and did not work for end-of-life treatment in almost four decades of internal medicine, initially in private practice and later with the Harvard University Health Services. He was the lead author of the groundbreaking article in the New England Journal of Medicine which for the first time held that, in certain situations, it could be ethical for a physician to assist in hastening the death of patients suffering intolerably. Dr. Wanzer lives in Concord, Massachusetts, and has three grown children and six grandchildren.

Joseph Glenmullen, M.D., Clinical Instructor in Psychiatry at Harvard Medical School, is on the staff of Harvard University Health Services and in private practice in Cambridge, Massachusetts. His works include the widely praised Prozac Backlash and The Antidepressant Solution.

Fest Marks Film’s Hollywood Premiere

Event to Take Place August 10-12, 2007 at Cinespace, Digital Superclub

— The organizers of HollyShorts announce that the acclaimed short film “Euthanasia,” directed by Actor/Director Adrian Grenier (HBO’s “Entourage”) will have its Hollywood premiere as the official opening short film at the third annual HollyShorts, Short Film Festival, which takes place August 10-12, 2007.

The organizers have also confirmed Cinespace, Digital Superclub in Hollywood as the official venue for growing short film festival. The announcements were made today by Daniel Sol, HollyShorts, Short Film Festival Director.

“Euthanasia,” is a 17 minute coming of age dark comedy, which tells the story of Sam and Becky, an unfortunate accident forces them to grow too quickly and make some hard decisions about life and death.

“It’s an honor for HollyShorts to host the Hollywood premiere of “Euthanasia,” one of the most critically acclaimed short films in quite some time,” said Sol. “Adrian Grenier is multitalented and has quickly been gaining tremendous respect as a director. We look forward to opening our festival with his short film and it’s also a delight for us to once again be bringing the arts back to Hollywood at Cinespace Digital Superclub.”

Cinespace, Digital Superclub is located at 6356 Hollywood Blvd (2nd Level)

An Italian doctor at the center of a national debate over euthanasia said on Monday he was being investigated for “consensual murder” by a Rome judge for switching off the life support of a
terminally-ill patient.

Anaesthetist Mario Riccio divided Roman Catholic Italy in December when he removed the respirator of a paralyzed muscular dystrophy patient who had asked to die. The 60-year-old patient, Piergiorgio Welby, had described his life as “torture”.

Prosecutors had asked Judge Renato La Viola to shelve the case against Riccio last month, saying the doctor had acted within Welby’s constitutional rights by refusing treatment.

But La Viola disagreed. He said Riccio is a suspect in a “consensual murder”, described in Italy’s penal code as when someone is killed with their consent. It carries a sentence of between six and 15 years in prison.

“The judge ruled that this case can’t be closed,” Riccio said. “And now I’m accused, I’m being investigated for consensual homicide.”

Riccio said the judge will question him within the next 40 days. He said he hopes to explain how, in his view, allowing a paralyzed patient to refuse treatment was not euthanasia, which is illegal in Italy.

Only Switzerland, the Netherlands, Belgium and the U.S. state of Oregon permit assisted suicide for the terminally ill.

Riccio’s critics, including former Italian President Francesco Cossiga, had formally demanded magistrates consider him a murder suspect.

A 15-year-old student named Zoe Cleland, who has long believed that physician-assisted suicide should be made legal in Canada, had the idea of starting an online petition. She asked if the website of the Right to Die Society (www.righttodie.ca) could be used to point people to it, and of course we said Yes. A red banner has been added to our homepage, with links to the English version and also to the French version.

If your name looks French, or maybe even if it doesn’t but you live in Quebec, please sign the French version (click FRANCAIS in the red banner — although the petition will be in French, all the instructions for signing will be in English, since we are using an American petition-hosting site).

Also, if you are no longer young but you know of some young people who would probably want to sign, please tell them about the petition. The angle for Zoe’s petition is “youth”, the future, etc. (making politicians see that this issue is going to get bigger instead of smaller as the years go by).
Finally, if you are a journalist (or if you know someone who is), please consider giving Zoe’s petition some media coverage. The petition site allows you to contact her (as the sponsor of the petition) by e-mail.

—-Ruth von Fuchs, Toronto, Canada, www.righttodie.ca

A NEW WAY TO SECURE THE RIGHT TO DIE: LAWS AGAINST CAUSING PREMATURE DEATH

SYNOPSIS:

Most recent attempts to secure the right to die have focused on adding provisions to the health-care sections of our laws so that physicians could prescribe life-ending drugs to be taken by the patient when he or she chooses to die.

However, there is another section of our laws that needs to be reformed. Our homicide laws usually include a provision against assisting suicide.

Since suicide itself is no longer a crime in most places, we can also repeal or revise the laws against assisting suicide and replace those laws with new laws against causing premature death.
When our laws define the new crime of causing premature death, these laws will also define wisely-chosen deaths that were NOT premature.

OUTLINE:

1. LAWS AGAINST SUICIDE AND ASSISTING SUICIDE

2. REPEALING OUTDATED LAWS AGAINST ASSISTING SUICIDE

3. NEW LAWS AGAINST CAUSING PREMATURE DEATH

4. SAFEGUARDS TO INCLUDE IN NEW LAWS AGAINST CAUSING PREMATURE DEATH

5. CONCLUSION: INSTEAD OF DYING TOO SOON, WE CAN DIE AT THE RIGHT TIME

The complete essay (about 4 pages) appears here on the Internet:
http://www.tc.umn.edu/~parkx032/CY-RTD-N.html

*********************************************************
🙂 James Park e-mail: PARKx032 at TC.UMN.EDU
1829 Third Avenue South #218 | phone: (612) 871-PARK
Minneapolis, Minnesota 55404-2185
Museum: http://www.tc.umn.edu/~parkx032/
Bookstore: http://www.existentialbooks.com
*********************************************************

The Daily Herald in Utah posed this question:
Should the state allow an inmate to waive his death sentence appeals because he is chronically ill and wants to end his misery, as in assisted suicide?

U.S. District Judge Tena Campbell was confronted with that question when Ronnie Lee Gardner said he is suffering too much from rheumatoid arthritis to continue fighting the state’s plans to execute him. He also claimed that a prison doctor hinted that he should withdraw his appeals to end his suffering.

“You should always follow your doctor’s orders, except in legal matters,” Campbell advised Gardner. She asked Gardner to continue with his current appeals until she rules in several weeks. He will also get an attorney to help him get treatment for his arthritis in prison.

Gardner has agreed to hold off on his request until he speaks with a civil rights attorney.

Gardner’s request is the latest step in an odyssey that began when he was facing charges for fatally shooting Melvyn John Otterstrom during a robbery at a Salt Lake City bar in 1984. At a 1985 court hearing at the old Metropolitan Courthouse, Gardner’s girlfriend smuggled him a loaded gun for an escape attempt. Gardner shot and wounded bailiff Nick Kirk and killed attorney Michael Burdell before he was captured on the courthouse lawn.

He was sentenced to death for killing Burdell, and received a life sentence for Otterstrom’s death. The state argued that by having a gun smuggled to him and plotting an escape, Gardner knowingly committed murder and thus deserved a death sentence.

It’s not unheard of for death row inmates to drop their appeals and demand execution as soon as possible. Some know they are going to be executed and would rather just get it over with rather than sit in prison for 10 or 20 years. Others, like Utah’s Gary Gilmore, acknowledge their crimes and see the death sentence as a way to end both their criminal careers and miserable lives.

But should an inmate be allowed to seek execution as a form of euthanasia?

Utahns generally do not believe in killing the chronically or terminally ill to end their suffering. There’s a fine line between asking medical providers to avoid extraordinary steps to keep one alive and actively putting a person out of his misery. Yet the latter is what Gardner is asking the state to do, to put an end to his suffering. He would turn the court’s sentence into an act many Utahns find morally reprehensible.

To some people, that’s not a problem. Gardner is sentenced to die and, given the facts in his case, the sentence will be carried out eventually. Who cares what Gardner’s reasons are for hastening the process, as long as he dies in the end?

But if Gardner is in as much pain as he claims, is he then truly in a position to make a rational decision? Such pain could interfere with his judgment, which some would argue makes execution morally wrong.

Perhaps Gardner should receive treatment for his condition, and when his suffering is reduced as far as possible, the court should see if he still wants to die. Treatment may not change his mind, but at least he would seem better positioned to make that call.

Another factor that needs to be weighed is whether his request serves justice. From the perspective of the victims’ families, it would. They could move on with their lives, forever severing all ties to a living killer.

But Gardner’s request is not one of remorse for his crime or a simple acceptance of the inevitable. It is based in a selfish desire to ease his own physical suffering. Allowing him to die under such circumstances, some might argue, seems to negate the punitive effect of execution. Rather than it being the state’s ultimate sanction, it tends to put the criminal in control.

The question is, does it matter what his motive is? Convicts have dropped appeals for countless reasons, and nobody feels a need to slice and dice their motives and endlessly analyze each little chunk. The killer simply thinks it serves some greater good to stop fighting.

If an execution serves a state interest, then the death is good for the state by definition. If it also happens to be good for the killer, it sounds like a win-win scenario. It’s a Pyrrhic victory for the dead guy, so why worry about it?

A French court has convicted a doctor over the poisoning death of a terminally ill cancer patient in a trial that has raised the issue of euthanasia in France’s presidential race, the International Herald Tribune reported.

Dr Laurence Tramois was given a one-year suspended prison sentence over the August 2003 killing of pancreatic cancer patient Paulette Druais in the town of Saint-Astier in the region of Perigueux. A nurse who had also been accused of carrying out euthanasia in the same case was acquitted. Chantal Chanel allegedly delivered the fatal dose of potassium prescribed by Dr Tramois.

Those involved in the case had a family connection, the newspaper reported. The 35-year-old doctor is the sister of a daughter-in-law of the dead woman. In the trial, Tramois expressed regret that science was unable to help the patient.

The nurse who was acquitted, Chantal Chanel, said during the trial that she didn’t have the impression of killing the patient, but of helping her “through the passage … It was the cancer that killed her.” Euthanasia is illegal in France.

The trial sparked such controversy in France that it led Socialist Party presidential candidate, Segolene Royal, to announce that she would push for a law to allow euthanasia under certain conditions if she were elected in May.

The candidate for the conservative party, Nicolas Sarkoky, had already suggested he might be in favour of a law permitting euthanasia, the International Herald Tribune said, citing one of his recent comments: “Faced with suffering, we can’t just sit there doing nothing”.

At the 14th Hot Docs Canadian International Documentary Festival, April 19-29, 2007 in Toronto they are presenting the World Premiere of “The Suicide Tourist”, a powerful film that examines the
controversial Swiss non-profit Dignitas, the only organization providing access to legal-assisted suicide for everyone, regardless of nationality, through two intimate and compelling stories of an unforgettable journey to Zurich.

The film will be shown twice at the festival – April 24, 9:30 pm and April 29, 4:00 pm.

Hot Docs also offers FREE daytime screenings to students and seniors.

The April 29, 4:00 pm screening of “The Suicide Tourist” at the Isabel Bader Theatre is FREE for students and seniors. If you have questions call 416-203-2155 x241 or by e-mail at smilanes@hotdocs.ca

From the 2006 annual report of Compassion and Choices of Oregon:-

2006 Summary of deceased clients

“Compassion and Choices of Oregon continued its role as the steward of Oregon’s unique aid-in-dying law. We served more than 140 clients during the year, 117 of whom died peacefully and humanely in great part because of our volunteers’ compassionate support.

“Of the 117 who died in 2006, 30 chose to hasten their death by taking medication prescribed under Oregon’s aid-in-dying law, and nine died after voluntarily stopping eating and drinking. In 2006 we also helped prevent seven violent suicides from occurring (clients who expressed the intent to take their lives by violent means and had the means to do so, but changed their minds after working with our volunteers).

“We also helped more than two dozen clients and others receive better pain management, referred 37 clients to hospice care, referred others to religious/spiritual counselors, and mailed or emailed more than 3,000 brochures and other materials to our supports.

“Compassion and Choices of Oregon has participated in 73 percent of all aid-in-dying cases since l998. Compassion estimates that 40 to 45 hastened death occurred statewide in 2006. Compassion assisted 30 of them.”
———-
Compassion and Choices of Oregon, PO Box 6404, Portland, OR 97228, USA.
Telephone: +503-525-1956
Email: or@compassionandchoices.org
web site: www.compassionoforegon.org

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