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A year after the U.S. Supreme Court upheld Oregon’s physician-assisted suicide law, lawmakers in Hawaii plan to examine the issue once again.

The proposal to allow competent, terminally ill adults obtain a lethal dose of medication to end their lives will be heard by the House Health Committee. Just as with past proposals, the bill specifically prohibits mercy killings, lethal injections and active euthanasia, and requires
patients to provide informed consent.

House Bill 675 initially was referred only to the Judiciary Committee. Health Chairman Dr. Josh Green (D, Keauhou-Honokohau) said he met with Democratic leadership this week and was successful in getting the bill steered to his committee first.

A ruling by Switzerland’s highest court has opened up the possibility that people with serious mental illnesses could be helped by doctors to take their own lives.

Switzerland already allows physician-assisted suicide for terminally ill patients under certain circumstances. The Federal Tribunal’s decision puts mental illnesses on the same level as physical ones.

“It must be recognized that an incurable, permanent, serious mental disorder can cause similar suffering as a physical (disorder), making life appear unbearable to the patient in the long term,” the ruling said.

“If the death wish is based on an autonomous decision which takes all circumstances into account, then a mentally ill person can be prescribed sodium-pentobarbital and thereby assisted in suicide,” it added.

Various organizations exist in Switzerland to help people who want to commit suicide, and assisting someone to die is not punishable under Swiss law as long as there is no “selfish motivation” for doing so.

The judges made clear in their ruling that certain conditions would have to be met before a mentally ill person’s request for suicide assistance could be considered justified.

“A distinction has to be made between a death wish which is an expression of a curable, psychiatric disorder and which requires treatment, and (a death wish) which is based on a person of sound judgment’s own well-considered and permanent decision, which must be respected,” they said.

The case was brought by a 53-year old man with serious bipolar affective disorder who asked the tribunal to allow him to acquire a lethal dose of pentobarbital without a doctor’s prescription.

An Italian doctor who switched off the life support of a paralysed man at the centre of a battle over euthanasia has been cleared of wrongdoing by a medical panel, in what he called a victory for patients’ rights.

Anaesthetist Mario Riccio divided Roman Catholic Italy by granting Piergiorgio Welby his wish to die in December, after a battle with muscular dystrophy that Welby described as torture.

Supporters see Riccio as a hero for ignoring a court ruling that rejected Welby’s request to have his respirator removed. Opponents said Riccio was a criminal who should go to jail. Prosecutors are investigating Welby’s death.

After more than a month of reviewing the case, a committee of doctors in Cremona voted unanimously that Riccio had not violated any rules. The decision was reached late on Wednesday and announced on Thursday.

‘From the point of view of medical ethics, this decision means that the patient’s right to suspend treatment is recognised, even if this suspension can lead to death,’ Riccio told Reuters in an interview.

Welby, 60, an eloquent advocate of euthanasia was denied a Catholic funeral because he had asked to die, and Pope Benedict entered the debate by saying life was sacred until its ‘natural sunset’.

Riccio, who removed the respirator after giving Welby sedatives, denied he had performed euthanasia, which is illegal in Italy and carries a 10-15 year jail term.

Former Italian President Francesco Cossiga formally demanded magistrates consider Riccio a murder suspect last month but Riccio said on Thursday he had still not been named as a suspect in the investigation into Welby’s death.

‘There is also no hypothesis of a crime … as far as I know,’ he said. ‘We’ll have to wait for the judiciary.’

The Swiss Federal Court acknowledges the right to an accompanied suicide as a human right. Also mentally ill are entitled, if they have capacity of discernment. Decision creates legal security.

Uster/Wetzikon, February 1st (.-) The Swiss Federal Court has acknowledged the right of a person to determine the way and the point in time of his/hers end of life as a guaranteed European human right and at the same time basically granted mentally ill this right just like everyone else, if they have capacity of discernment.

At the same time it dismissed a request for the removal of the obligation to present a prescription for the lethal drug necessary for an accompanied suicide. The decision has been announced by the lawyers of the appellant in Uster and Wetzikon ZH.

The decision by the Federal Court has been procured through the complaint of a mentally ill man, a member of Dignitas, for whom – due to legal insecurity – no physician would have written the prescription for the drug Sodium Pentobarbital necessary for a risk-free suicide. The reason for this refusal was the always somehow vague threat by the Zurich Cantonal Physician to withdraw the permission to work of those physicians who would write such a prescription.

For this reason, the appellant addressed himself to the Federal Council, the Director of the Federal Department of Health, the Zurich Cantonal Physician and the Zurich Cantonal Pharmacist, claiming the right to have direct access to the necessary drug. To justify his claim, he referred to the European Convention of Human Rights, which in article 8 secures that all contracting states shall respect the private life of everyone within their jurisdiction. Private life would also include the decision on one’s own end of life.

All of the contacted authorities either explained to be incompetent or dismissed the request. With one complaint against the federal and another one against the cantonal authorities – which had both dismissed his request in the appeal process – he appealed to the Federal Court… Continue Reading »

Four out of five people in Britain believe the law should allow a doctor to end the life of a terminally ill patient who is in pain if they wish to die. In a finding confirming that British public opinion is at odds with the law, the British Social Attitudes Survey reveals strong support for euthanasia, though only in carefully defined circumstances.

Research conducted for the survey indicates that backing for voluntary euthanasia depends strongly on whether someone is terminally ill, on levels of suffering and on how death occurs. There is much greater support for a doctor being permitted to end someone’s life rather than a relative, or than suicide assisted by a doctor.

Strongest support – from 80% – came for the suggestion that a doctor should “probably” or “definitely” be allowed by law to end the life, at the patient’s request, of an individual with an incurable or painful illness from which they will die, such as cancer.

Seventy-five per cent backed doctor-administered euthanasia for those with an incurable and terminal illness who say their suffering is unbearable.

However, public support for euthanasia drops dramatically for cases where an individual is not already facing death as a result of their condition. Where the patient has an “incurable and painful illness, from which they will not die”, 45% support assisted dying, while only 43% back euthanasia for those not in danger of death but permanently and completely dependent on relatives.

When questioned on a specific condition, public backing falls still further. Exactly a third of people said they would condone euthanasia for individuals with an incurable and painful but not terminal illness, such as severe arthritis.

The survey comes in the wake of a fiercely contested attempt last year to change the law. A private member’s bill introduced in the House of Lords by the cross-bench peer Lord Joffe proposing assisted dying for the terminally ill was rejected after a concerted lobbying campaign by church leaders and others.

The latest social attitudes report concludes that, as a result of debate over the bill and other high-profile cases such as the efforts of Diane Pretty – terminally ill with motor neurone disease – to ensure her husband freedom from prosecution should he help her to die, the public is now relatively well informed on issues of assisted dying.

It also argues that public opinion seems to be stable, despite running contrary to current law. There have been only small variations since 1989 in backing for doctor-assisted euthanasia for patients with incurable and painful conditions.

The survey also finds attitudes to euthanasia are rooted in a wider set of values. People who regularly attend a religious service, for instance, are far less likely to support euthanasia than people who never attend.

The researchers conclude: “The disjuncture between the current law on assisted dying and majority public opinion thus seems unlikely to simply disappear. Pressure to mount further attempts to change the law in some ways at least looks set to continue.”

Three American organizations which were once chapters of the Hemlock Society USA (1980-2003) have chosen to separate from their new parent organization, Compassion and Choices, and revert to their original names.

The Hemlock Society of San Diego, Hemlock of Illinois and the Hemlock Society of Florida Inc., have also elected to operate in the future as independent, nonprofit organizations.

Donna Klamm, president of the Florida group, says in a letter to members, “We will now be known as the Hemlock Society of Florida. Sounds familiar? In spite of massive brain-crunching throughout the past six years, no one has come up with a name this memorable or distinctive. It became part of us when Suncoast Hemlock started in Sarasota (1987), and we are proud of it.

“As an independent Florida group, we will serve Floridians exclusively. By phone [800-849-9349] or email [HemlockFl@aol.com] we can communicate with you regarding many end-stage issues.”

A French woman who suffered from a debilitating disease took her life in Spain with the aid of a pro-euthanasia group.

The Spanish daily El Pais reported how Madeleine Z., 69, was helped by members of the Association for the Right to a Dignified Death.

Madeleine, who suffered from the incurable lateral amiotrophic sclerosis, gave an interview to the newspaper before she died explaining she did not want to become a burden on her son and his family.

She died last Friday (11 Jan 07) surrounded by two volunteers from the group.

Euthanasia is illegal in Spain and helping people to end their lives is also an offence. The government has failed to complete a promise to start a commission into the issue.

But it became a cause celebre in 2004 after the Oscar-winning film ‘The Sea Within’ focused attention on the case of Ramon Sampedro, the quadriplegic who campaigned to be able to end his own life. When all legal measures failed, he killed himself with the aid of a friend.

There is also Ex-International

Those attending the Toronto conference of the World Federation of Right to Die Societies last September were interested to hear from Dr Elke Baezner that there is yet another organisation in Switzerland devoted to helping the dying. This is Ex-International, which operates in much the same way as Dignitas but very discreetly and without any financial benefit, using the same medicaments as EXIT and Dignitas.

Ex-International is based in Bern, where it is on good terms with the authorities.

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Euthanasia & assisted suicide literature at the ERGO bookstore

SHOULD PEOPLE HAVE THE CHOICE TO END THEIR LIVES?

“End of Life: Exploring Death in America.” Developed in conjunction with a series produced by National Public Radio. This web site contains an extraordinary range of material about dying and death, including stories submitted by ordinary people about experiences with their own life-threatening illnesses as well as deaths of friends and family members.

http://www.npr.org/programs/death/

Facts on Dying — http://www.chcr.brown.edu/dying/whatsnew.htm

Euthanasia World Directory — http://www.finalexit.org/

Death Rates for Suicide 1950-2002 — http://www.infoplease.com/ipa/A0779940.html

Suicide — http://www.trinity.edu/~mkearl/death-su.html

Last Acts. A record of the activities of the program conducted by the Robert Wood Johnson Foundation — http://www.lastacts.org

Palliative Care Policy Center — http://www.medicaring.org

DHARWAD, India: The recent demise of Vishwaaradhya Siddalingaiah Hiremath (77) who is said to have died of his own accord here, has triggered a debate as to whether self- willed-death could be considered as another form of euthanasia in order to circumvent legal hassles or a glorification of natural death.

According to Hiremath’s family sources, Hiremath was said to have prescribed a certain timing for his death including the date and had also made arrangements for his cremation at his native village Byahatti. Besides, he insisted that his near and dear ones not grieve before and after his departure.

Refusing to call the doctor on Sunday morning as he developed stomach-ache, he calmly went to bed to breathe his last, after his brother poured a handful of water into his mouth.

Hiremath’s grandfather Rachaiah Hiremath too is said to have died in a similar self willed manner sixty years ago.

Hiremath’s family had traditionally been entrusted to supervise the routines in Srimadh Kashi Gnana Simhasana Jangamawadimath in the village, which has a history of 800 years. This legacy might have influenced Hiremath to decide upon a self willed-death.

According to Shivashankar Pol , a psychiatrist, the phenomenon of willed-death was a co-incidence.

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