Argument: It is vital that a doctor's role not be confused

The guiding principle of medical ethics is to do no harm: a physician must not be involved in deliberately harming their patient. Without this principle, the medical profession would lose a great deal of trust; and admitting that killing is an acceptable part of a doctor’s role would likely increase the danger of involuntary euthanasia, not reduce it. Legalising assisted suicide also places an unreasonable burden on doctors. The daily decisions made in order to preserve life can be difficult enough; to require them to also carry the immense moral responsibility of deciding who can and cannot die, and the further responsibility of actually killing patients, is unacceptable. This is why the vast majority of medical professionals oppose the legalisation of assisted suicide: ending the life of a patient goes against all they stand for. The Hippocratic Oath that doctors use as a guide states 'I will neither give a deadly drug to anybody if asked for it, nor will I make a suggestion to this effect.' [1]

[1] Medical Opinion, religiouseducation.co.uk http://www.religiouseducation.co.uk/school/alevel/ethics/euthanasia/DpFS_MedOp.html (accessed on 4/6/2011)

Candidate 1: "However, the idea that we should not kill is not absolute, even for those with religious beliefs — killing in war or self-defence is justified by most. We already let people die because they are allowed to refuse treatment which could save their life, and this has not damaged anyone's respect for the worth of human life. Concerning the notion that legalised voluntary euthanasia might lead to involuntary euthanasia being carried out, there is no evidence to suggest this. As Ronald Dworkin states, 'Of course doctors know the moral difference between helping people who beg to die and killing those who want to live.' [1]

[1] Ronald Dworkin, stated in The case against, available at http://www.religiouseducation.co.uk/school/alevel/ethics/euthanasia/DpFS_Agst.html (accessed 4/6/2011)."
Candidate 2: "Demanding that family take part in such a decision can be an unbearable burden: many may resent a loved one’s decision to die, and would be either emotionally scared or estranged by the prospect of being in any way involved with their death. Assisted suicide also introduces a new danger, that the terminally ill may be pressured into ending their lives by others who are not prepared to support them through their illness. Even the most well regulated system would have no real way to ensure that this did not happen."
Candidate 3: "There is no comparison between the right to life and other rights. When you choose to remain silent, you may change your mind at a later date; when you choose to die, you have no such second chance. Arguments from pro-life groups suggest that nearly ninety-five percent of those who kill themselves have been shown to have a diagnosable psychiatric illness in the months preceding suicide. The majority suffer from depression that can be treated. [1] If they had been treated for depression as well as pain they may not have wanted to commit suicide. Participating in someone’s death is also to participate in depriving them of all choices they might make in the future, and is therefore immoral.

[1] Herbert Hendin, M.D., Seduced by Death: Doctors, Patients, and Assisted Suicide (New York: W.W. Norton, 1998): 34-35. http://www.usccb.org/prolife/issues/euthanas/roleofdepression.pdf (accessed 4/6/2011)"
Candidate 4: "Society recognises that suicide is unfortunate but acceptable in some circumstances – those who end their own lives are not seen as evil. It seems odd that it is a crime to assist a non-crime. The illegality of assisted suicide is therefore particularly cruel for those who are disabled by their disease, and are unable to die without assistance. For example, in March 1993 Anthony Bland had lain in persistent vegetative state for three years before a Court Order allowed his degradation and indignity to come to a merciful close. [1] It might cause unnecessary pain for people if they make an attempt at suicide themselves and subsequently fail. Rather than the pain-free methods that could be available through doctors and modern medicine.

[1] Chris Docker, Cases in history, euthanasia.cc, 2000 http://www.euthanasia.cc/cases.html (accessed 6/6/2011)"
Candidate 5: "Were the disposal of human life so much reserved as the peculiar province of the almighty, that it were an encroachment on his right for men to dispose of their own life, it would be equally criminal to act for the preservation of life as for its destruction' [1] . If we accept the proposition that only God can give and take away life then medicine should not be used at all. If only God has the power to give life then medicines and surgeries to prolong people's life should also be considered wrong. It seems hypocritical to suggest that medicine can be used to prolong life but it cannot be used to end someone's life.

[1] David Hume, Of Suicide, cited in Applied Ethics ed. Peter Singer (New York: Oxford University Press, 1986) p.23"
Candidate 6: "At the moment, doctors are often put into an impossible position. A good doctor will form close bonds with their patients, and will want to give them the best quality of life they can; however, when a patient has lost or is losing their ability to live with dignity and expresses a strong desire to die, they are legally unable to help. To say that modern medicine can totally eradicate pain is a tragic over-simplification of suffering. While physical pain may be alleviated, the emotional pain of a slow and lingering death, of the loss of the ability to live a meaningful life, can be horrific. A doctor’s duty is to address his or her patient’s suffering, be it physical or emotional. As a result, doctors will in fact already help their patients to die – although it is not legal, assisted suicide does take place. Opinion polls suggest that fifteen percent of physicians already practise it on justifiable occasions. Numerous opinion polls indicate that half the the medical profession would like to see it made law. [1] It would be far better to recognise this, and bring the process into the open, where it can be regulated. True abuses of the doctor-patient relationship, and incidents of involuntary euthanasia, would then be far easier to limit. The current medical system allows doctors the right to with-hold treatment for patients. Though, this can be considered to be a more damaging practise than allowing assisted suicide.

[1] Derek Humphrey, Frequently asked questions, Finalexit.org http://www.finalexit.org/ergo_faq.html (accessed 4/6/2011)"
Candidate 7: "Modern palliative care is immensely flexible and effective, and helps to preserve quality of life as far as is possible. There is no need for terminally ill patients ever to be in pain, even at the very end of the course of their illness. It is always wrong to give up on life. The future which lies ahead for the terminally ill is of course terrifying, but society’s role is to help them live their lives as well as they can. This can take place through counselling, helping patients to come to terms with their condition."

At the moment, doctors are often put into an impossible position. A good doctor will form close bonds with their patients, and will want to give them the best quality of life they can; however, when a patient has lost or is losing their ability to live with dignity and expresses a strong desire to die, they are legally unable to help. To say that modern medicine can totally eradicate pain is a tragic over-simplification of suffering. While physical pain may be alleviated, the emotional pain of a slow and lingering death, of the loss of the ability to live a meaningful life, can be horrific. A doctor’s duty is to address his or her patient’s suffering, be it physical or emotional. As a result, doctors will in fact already help their patients to die – although it is not legal, assisted suicide does take place. Opinion polls suggest that fifteen percent of physicians already practise it on justifiable occasions. Numerous opinion polls indicate that half the the medical profession would like to see it made law. [1] It would be far better to recognise this, and bring the process into the open, where it can be regulated. True abuses of the doctor-patient relationship, and incidents of involuntary euthanasia, would then be far easier to limit. The current medical system allows doctors the right to with-hold treatment for patients. Though, this can be considered to be a more damaging practise than allowing assisted suicide.

[1] Derek Humphrey, Frequently asked questions, Finalexit.org http://www.finalexit.org/ergo_faq.html (accessed 4/6/2011)
