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Backers of a proposal to allow terminally ill Californians to hasten their deaths with lethal drugs pointed Thursday to legalized assisted suicide in Oregon, where a new report shows it is used sparingly.

Forty-six Oregon residents, most of them cancer patients, used the law to end their lives in 2006, according to the Oregon Department of Human Services’ ninth annual report on the “Death with Dignity Act” that voters there passed in 1994.

That law is unique in the United States. Two Democratic lawmakers in California are making their third attempt in three years to enact a similar law.

Since the Oregon law took effect in 1998, 292 of the roughly 86,000 likely eligible residents have used the lethal prescription to end their lives. To be eligible, people must be Oregon residents, have a prognosis of less than six months to live and be deemed mentally capable of making medical decisions. Continue Reading »

Zurich University Hospital has revealed that a ban on assisted suicide on
its premises has been in place since the beginning of February.

Leading Swiss hospitals have been debating whether to allow assisted
suicide on their premises since Lausanne University Hospital decided in
2005 to allow assisted suicide under strict conditions from January 1,
2006.

Zurich hospital said on Thursday that the directive applied not only to
hospital personnel but also to any visitors. However assisted suicide
groups can still visit patients.

“The directive is intended to be robust and practical regarding everyday
questions,” said Georg Bosshard, head of clinical ethics at Zurich
University Hospital.

For example, when a patient’s desire to end his or her life clashes with
the hospital’s fundamental job of curing patients, the directive is
explicit in forbidding any form of assisted suicide within hospital walls.
Those wanting to die may however leave the hospital.

Patients may still receive visits from assisted suicide groups such as
Exit and Dignitas, and if they express a desire to die, they have the
right — like all patients — to a report giving medical information such as
their diagnosis and prognosis. Continue Reading »

Some 2,000 French doctors and nurses issued a joint call for euthanasia to be legalized in the country, arguing that mercy killings are already widely practiced by the French medical profession, in a text to be printed Thursday.

In the manifesto, to appear in the Nouvel Observateur weekly, all claim to have helped patients to “die with dignity” in the past, using drugs to alleviate their suffering and precipitate death.

“Because, without a doubt, illness was defeating therapy, because despite suitable care, physical and psychological suffering were making the patient’s life unbearable, because the patient wanted to end his life, we carers, in full conscience, have medically helped patients to die with dignity,” they write.

“The majority of those who care regularly for patients up until death, use — in the circumstances cited above — chemical substances to precipitate an end that has become too cruel, in full knowledge they are breaking the law.”

The manifesto comes days ahead of the trial of a French doctor and nurse, accused of deliberately causing the death of a woman suffering from terminal cancer in 2003.

It calls for charges against the pair to be immediately dropped and for the law criminalizing euthanasia to be revised as soon as possible.

French legislation adopted in 2005 made it possible not to artificially prolong the life of a terminally-ill patient who asks to stop treatment, as well as administer pain relief drugs that may accelerate the patient’s death.

The text was adopted in response to the high-profile trial of a Frenchwoman who helped her quadriplegic son — left blind, mute and paralyzed by a car crash — to die in 2003. Both she and her doctor were acquitted in the case.

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EIGHT out of 10 Australians believe the terminally ill should have a right to choose a medically assisted death, according to a new poll out today. The Newspoll research, conducted in February, found 80 per cent of adults surveyed supported the terminally ill’s right to voluntary euthanasia.

Just 14 per cent were opposed and 6 per cent were undecided. The results have renewed calls for further debate.

“I would call on the Victorian Government to permit passage of a private member’s Bill for voluntary euthanasia through Parliament,” Dying With Dignity Victoria incoming president Neil Francis said.

He said the level of public support was an increase on a 2002 Morgan poll, which put support levels at 73 per cent.

Mr Francis said the proposed legislation for Victoria had strong safeguards that mirror those already in place in the US state of Oregon.

“The choice to die is the sole, documented, persistent and tested decision of the sufferer, not anyone else. Detailed annual reviews of the Oregon law, in practice over eight years, have clearly demonstrated no abuse of the process,” he said.

Mr Francis said that without the option of medically assisted euthanasia, many terminally ill people were forced to take their lives in an undignified or violent way, often leaving relatives and emergency workers traumatised.

He said medical professionals currently faced a potential 14-year jail term for assisting with the requested suicide of a sufferer of a terminal disease.

Doctors no longer help terminally ill patients to enjoy a peaceful death because of the Harold Shipman case, according to a leading consultant.

Speaking in Glasgow, Simon Kenwright, a semi-retired consultant gastroenteologist from East Kent hospital, said fears of prosecution are affecting patient treatment.

In a lecture to 100 members of Friends at the end (Fate), the euthanasia organisation, he said such changes makes the need for legislation to allow assisted dying for the terminally ill more urgent.

Dr Kenwright said that in decades past, doctors would help critically ill patients to shorten their lives peacefully but that the fear of prosecution following the case of Harold Shipman, the serial killer, means such treatment is no longer available.

His call for a change in the law comes less than two weeks after The Herald revealed that a prominent Scottish businesswoman chose to end her life at the Dignitas assisted suicide clinic in Switzerland.

Elisabeth Rivers-Bulkeley, who pioneered the right of women to join the Stock Exchange in London and was one of the founding members of Annabel’s, the exclusive club in London’s Berkeley Square, took a lethal dose of barbiturates in the Zurich centre in December.

Dr Kenwright said: “Thirty years ago she would not have had to have gone to Zurich. Someone would have helped her to have a peaceful death here. Post-Harold Shipman doctors have more police pressures. In the old days we did the best for the patient.

“We have drifted, over the years, to prolonging death as doctors we were taught ethically that you do not allow a patient to suffer unbearably – that was how we were trained 50 years ago.”

Assisted suicide is illegal in the UK and recent attempts to legalise voluntary euthanasia in the UK have failed, despite a poll which showed it was supported by 80% of the population.

Research conducted by Brunel University, London, found from a survey of 857doctors that 200,000 deaths occurred annually in the UK due to “double effect”, in which a doctor can give increasing dosages of a drug to lessen symptoms, whilst knowing this can shorten the patient’s life.

Dr Kenwright said this practice has become less common because of fears of prosecution. He cited the case of Dr Howard Martin, a GP prosecuted and subsequently acquitted of murdering three patients in 2005. Dr Martin gave three terminally ill cancer patients large doses of morphine.

California Assembly Speaker Fabian Nuñez has announced that he will back a bill to allow terminally ill people to hasten their deaths with lethal prescriptions. Similar bills have failed in the last two years, but supporters say Nuñez, a Los Angeles Democrat, could make the difference.

“We are more hopeful now than ever that we can get this bill signed into law,” said the bill’s author, Assemblywoman Patty Berg (D-Eureka).

Nuñez said he is “ready to buck my church,” despite an entreaty from Cardinal Roger M. Mahony. The Catholic Church, which teaches against suicide, helped defeat the previous “death with dignity” legislation. Nuñez said he would call Mahony today.

He said Berg and her fellow author, Assemblyman Lloyd Levine (D-Van Nuys), persuaded him that the proposal, modeled on a 9-year-old Oregon law, is not about suicide but about “how people are going to live the last days of their lives.”

“They’re going to die,” Nuñez said of those who would qualify for the lethal drugs. “The question is how much pain and suffering is involved and how much of that person’s dignity is taken away from him or her.”

The bill, AB 374, would allow people with less than six months to live who have been declared mentally competent to get drugs that they would administer themselves.

A CAUTIONARY NOTE TO OUR MEMBERS AND SUPPORTERS
FROM ERGO (Euthanasia Research & Guidance Organization)

“The Peaceful Pill Handbook”
By Dr. Philip Nitschke & Dr. Fiona Stewart

To avoid any possible misunderstanding about this new book, our supporters should note that there is no such single unit as a ‘peaceful pill’ described in the book, as might be thought. The title is misleading. It’s a generalization — the authors mean by it any way you choose to die well.

For instance, of the ‘peaceful pill’ they say on page 34: “Much of the remainder of this book focuses on the various forms a Peaceful Pill might take.” They describe all sorts of poisons, gases, cyanide, helium, plastic bags and so on.So do “Final Exit” and other similar books.

As to making your own P.P. at home they write on page 166: “Setting out to manufacture one’s own Peaceful Pill — especially one related to the barbiturate class of drugs — exposes those involved in significant legal risk.” They point out the prison and financial penalties for doing this in Australia. They then describe how it might be done. It is expensive and complicated. The results of this home-made substance would then need to be assayed (tested). Nobody has yet used this way for a gentle death.

Much the same legal risk might apply in America to making your own pentobarbital. Commonsense tells you that making a USA Controlled Substance Schedule 2 at home could be a felony. At this very moment, (14 Feb.07) a court in Sydney is trying to decide whether the Nitschke/Stewart book is promoting crime in the chapter on ‘the Peanut Project’ for making pentobarbital. Continue Reading »

In the 25 months since it opened, more than half a million people have visited ERGO’s online bookstore (505,919 to be exact.)

2,439 have purchased books, ebooks, DVDs and VHS videos. Of those, 1,117 bought ‘Final Exit’ 3rd edition, paperback.

Amazon.com Sales Rank of ‘Final Exit’ today: #14,364 in Books (out of 2 million volumes available)

— Bookstore: www.finalexit.org/ergo-store

A state House committee has voted 6-1 to hold a bill that would have legalized physician-assisted suicide in Hawaii.

House Bill 675 faced overwhelmingly opposition during a hearing before the House Health Committee, chaired by Rep. Josh Green, (D-Keauhou, Honokohau). A similar bill in the Senate is also not expected to make it out of committee.

For years German right-to-die leaders and activists have lived under a cloud of uncertainty whether physicians, “guides”, friends, relatives, etc who had rendered perfectly legal passive assistance at the scene , would nevertheless subsequently be subject to prosecution, if, after witnessing the patient’s suicide, they failed to immediately take emergency measures to nullify the patient’s act and initiate steps to restore his life!

A ridiculous situation of course, but nevertheless one which common wisdom, even among some prestigious lawyers, held to be the existing legal framework. Allegedly this all goes back to a well meaning statute that in the early days of the automobile was deemed appropriate for having drivers stop at the scene of an accident and render first-aid and other assistance.

A few months ago, a highly respected, medically-trained member of the German organisation DGHS, decided to take matters into her own hands, acting solely as an individual and not as a representative of the DGHS organisation, she wrote a letter to the Federal Ministry of Justice, requesting clarification of this matter.

Not long thereafter, she received a reply authorized by Madame Minister of Justice herself , which more or less states that as a rule where there exists clear evidence that the suicide was a clearly voluntary one, carried out by a mentally competent and responsible individual, attendees would not place themselves in jeopardy of prosecution if they failed to initiate reanimation efforts, as such efforts would clearly be a violation of the patient’s right of self determination.

In addition to the good news recently emanating from Switzerland as the result of some determined interventions by Dignitas Director Ludwig A. Minelli, we have also seen this significant and encouraging development in Germany.

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