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• W2279798571 abstract "Current legal solutions regulating medical treatment of terminally ill or incurable patients (except for solutions adopted in the Dutch law) are based on the view of limited sanctity of human life, a standpoint supported by traditional medical ethics, legal doctrine, medical and court practice. According to that view, criminal and civil law recognize patient's right to passive euthanasia and active indirect euthanasia, subject to material and procedural limitations set by the law and which fall under the scope of so-called normal medical practice, while at the same time incriminating right to physician's assistance with suicide and the right to active direct and voluntary euthanasia. View of the modern medical ethics, legal doctrine and medical and court practice, also supported by the author, is that there are no moral and legal reasons for different legal status of passive euthanasia and active indirect euthanasia, on one side, and physician's assistance with suicide and active direct and voluntary suicide, on the other side. Quality of patient's right approach does not distinguish among active and passive medical actions which have objective to end someone's life. All modalities of physician's assistance should acquire the same legal status, and would represent parallel and alternative options available to a terminally ill patient. Decriminalization of physician's assistance with suicide and active direct and voluntary euthanasia represents a precondition for effective control over their exercise. 'Decriminalization' requires that physician's assistance with suicide and active direct and voluntary euthanasia receive identical treatment to that accorded to passive euthanasia and active indirect euthanasia, to be considered 'normal medical practice', 'medical exception' and be subject to the type of control which is, under present legislation, used to monitor other actions of physicians directed towards shortening life of a patient. In order to enable such control, in decriminalized regime of control, one needs physician's report on terminating patient's life, and the content of such report would be prescribed by the law or protocols of medical associations. Failure to submit report in a proscribed way would represent a criminal offence. When facing a terminal or incurable disease, patient may favor quality of life over its duration. Given the fact that law and ethics order physicians to fight for human life at any cost, one has to ask whether patient should be protected from prolongation of life that is imposed on him/her. This situation is characterized by conflict of professional responsibilities of the physicians and one faces problems of euthanasia and physician's assistance to suicide. This paper stresses that the key issue in euthanasia debate is not whether an individual enjoys freedom to terminate his/her own life, given the fact that suicide is not illegal in any legal system. Crucial question is whether physician may legally assist patient to do that and whether it is legitimate (lawful) for a state to prohibit or limit euthanasia, and if it does so, under which circumstances? This article presents comparative solutions on euthanasia and suicide assistance, and thereupon critically assesses present, prevailing legislative framework regulating medical treatment of a terminally ill patient. Finally reform proposals are offered, and the author submits that current legislative solutions on this subject matter are hard to defend legal and ethical standpoint." @default.
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• W2279798571 date "2005-01-01" @default.
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• W2279798571 title "Legal and ethical aspects of physician's assistance to incurable patients" @default.
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