{"id":655,"date":"2017-04-04T16:56:45","date_gmt":"2017-04-04T20:56:45","guid":{"rendered":"http:\/\/www.silvercentury.org\/?p=655"},"modified":"2018-07-11T13:40:02","modified_gmt":"2018-07-11T17:40:02","slug":"if-assisted-suicide-is-legalized-is-that-really-good-for-the-dying","status":"publish","type":"post","link":"http:\/\/78.142.243.82\/~silvercentury\/2017\/04\/if-assisted-suicide-is-legalized-is-that-really-good-for-the-dying\/","title":{"rendered":"If Assisted Suicide Is Legalized, Is That Really Good for the Dying?"},"content":{"rendered":"

Journalist John Daley digs into the broad topic of assisted suicide, considering it in the context of a proposition on the 2016 Colorado ballot that would legalize aid in dying. He wrote this article for a<\/em> partnership that included <\/em>Colorado Public Radio<\/a>, NPR<\/a><\/em> and Kaiser Health News<\/a>. Update: in November, after this was published, 65 percent of Coloradans voted in favor of the proposition.<\/em> <\/p>\n

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Last spring, everything changed for Matt Larson.<\/div>\n<\/div>\n<\/div>\n

\u201cOne day I was fine. The next I was being rushed by ambulance to Denver Health following two very massive and violent seizures,\u201d said Larson.<\/p>\n

The force of the seizures, from the sheer shaking, fractured and dislocated his shoulders and snapped two bones in his back. Soon, his doctors had life-altering test results to share with him.<\/p>\n

\u201cThey came back and shut the door and said \u2018you have a mass on your brain,\u2019 which was tough to hear,\u201d said Larson, who lives in Denver [CO].<\/p>\n

He\u2019d like the option to end his life rather than face an agonizing and painful death.<\/p><\/blockquote>\n

The diagnosis, a malignant brain tumor called an anaplastic oligodendroglioma<\/a>, rocked his world. Larson, 36, and his girlfriend, Kelly, decided to get married. He says a couple of days later, surgeons cracked open his skull and scooped out part of his brain. Since then he\u2019s endured the tough road of radiation and chemo, with a sobering outlook.<\/p>\n

\u201cI have a 50\/50 probability that I\u2019m going to live,\u201d says Larson. \u201cI hope to beat the odds. I desperately want to live.\u201d<\/p>\n

But Larson has decided that if the brain cancer returns and is incurable, he\u2019d like the option to end his life rather than face the possibility of an agonizing and painful death.<\/p>\n

\u201cIt would just bring me a ton of peace and comfort now to know that I have this option,\u201d Larson said.<\/p>\n

He\u2019s become an advocate for Colorado\u2019s Proposition 106<\/a>. It would give mentally competent adults the ability to end their lives with a doctor-prescribed drug, generally a high dose of a sleeping medication called secobarbital.<\/p>\n

\u201cWe need to help people diminish and assuage their suffering any way we can,\u201d said Dr. David Grube, a family doctor in Oregon, one of five states to allow the practice.<\/p>\n

About a third of those who requested medications to end their lives decided not to take them.\t<\/p><\/blockquote>\n

Grube, who retired after practicing for 38 years, is also a national medical director for the group Compassion & Choices<\/a>. He became a proponent of what he calls \u201cdeath with dignity\u201d shortly before the law passed in Oregon in 1994. He was moved to the position after one of his patients, who was dying from bladder cancer, shot himself to death.<\/p>\n

\u201cIf I can ever prevent such a violent and tragic end to a person\u2019s life, I should be open to helping people,\u201d Grube said.<\/p>\n

Four states currently allow the practice: Washington, Oregon, California and Vermont; and Montana has effectively legalized it, due to a court ruling that protects doctors<\/a> who help dying patients from prosecution.<\/p>\n

A poll of likely Colorado voters<\/a> conducted [in September] found 70 percent said they favored Proposition 106.  The poll of 540 registered voters by Franklin & Marshall College was commissioned by Rocky Mountain PBS and Colorado Mesa University.<\/p>\n

Colorado\u2019s proposal is modeled after Oregon\u2019s law. In both, two doctors must determine [that] a patient is mentally capable of making the choice and isn\u2019t under undue influence or coercion. Grube said he has helped about 30 people end their lives, with about a third of those who requested medications deciding not to take them.<\/p>\n

\u201cMany more people just want to talk about it, just want to know if it\u2019s a possible option,\u201d said Grube. \u201cStill, in all, it\u2019s quite uncommon.\u201d<\/p>\n

According to the Oregon Public Health Division, during 2015, 218 people<\/a> received prescriptions for lethal medications under the provisions of the state\u2019s Death with Dignity Act. That was up from 155 the prior year. The division has received reports of 132 people who died in 2015 from taking the medications prescribed under the act, a rate of 38.6 per 10,000 patients.<\/p>\n

More than 90 percent of those patients died at home and were enrolled in hospice care. Since the Oregon law was passed, 1,545 people have received legal prescriptions; 991 patients died after ingesting the medications.<\/p>\n

When patients were asked why they decided to consider ending their lives, the most common concerns were that they were less able to engage in activities that make life enjoyable, and that they were losing both autonomy and dignity. Further down the list were inadequate pain control and the financial impact of the treatment.<\/p>\n

Doctors as Healers<\/strong><\/p>\n

But Denver physician Alan Rastrelli opposes the proposal. He worries it will erode the public\u2019s trust in doctors as healers.<\/p>\n

\u201cPhysicians will go towards this philosophy of assisting a patient in their death,\u201d he said. \u201cThat will destroy, I think, the patient and physician relationship.\u201d<\/p>\n

Rastrelli, who practiced anesthesiology for 28 years, transitioned into hospice and palliative medicine 15 years ago. He says when doctors help patients end their lives, it creates a societal and bioethical calamity.<\/p>\n

\u201cWe can help people be OK all the way through to the end.\u201d
\n–Alan Rastrelli, MD<\/p><\/blockquote>\n

Rastrelli worries about what the initiative doesn\u2019t do, such as require a physician to be present when the person dies. He also said it\u2019s difficult to know about common problems or mistakes because reporting requirements in Oregon, and in Colorado\u2019s proposal, are weak.<\/p>\n

He advocates helping dying patients to use pain relievers and receive spiritual and psychological support to ease suffering.<\/p>\n

\u201cWoody Allen said, \u2018I\u2019m not afraid of dying, I just don\u2019t want to be there when it happens,’\u201d Rastrelli said. \u201cWe can help people be OK all the way through to the end.\u201d<\/p>\n

That makes a lot of sense to advocates with Not Dead Yet<\/a>, a national group run by people with disabilities that opposes the proposal.<\/p>\n

Anita Cameron, one of the group\u2019s board members, said doctors \u201care humans and they make mistakes.\u201d<\/p>\n

Cameron\u2019s mother, Alice, was diagnosed with end-stage chronic lung disease seven years ago. She was given less than six months to live. Today, Cameron\u2019s mother is still alive.<\/p>\n

\u201cHad the law been in place, I\u2019m pretty sure those doctors would have convinced my mom to take the pills,\u201d Cameron said. \u201cAnd she\u2019d be dead.\u201d<\/p>\n

Cameron has several disabilities, including multiple sclerosis. She worries that the ballot proposal will encourage people with disabilities to kill themselves. She also thinks that in some cases, insurers will agree to pay for end-of-life medications, but not for measures to keep someone alive.<\/p>\n

\u201cWhen is it going to be a duty to die?\u201d asked Cameron. \u201cThat\u2019s what euthanasia is, and when is it going to stop being a choice?\u201d<\/p>\n

Battle Draws Big Bucks<\/strong><\/p>\n

The ballot initiative is drawing passion\u2014and plenty of money.<\/p>\n

According to the latest filings with the Colorado Secretary of State\u2019s office, backers have raised about $5.6 million, mostly from Compassion & Choices Action Network.<\/p>\n

The \u201cNo Assisted Suicide Colorado\u201d campaign has raised $2.4 million. That money is primarily coming from the Roman Catholic Archdiocese of Denver, which has donated $1.1 million, as well as other archdioceses around the country.<\/p>\n

Both sides have also received numerous smaller donations.<\/p>\n

The board of the Colorado Medical Society, the state\u2019s largest physician group, voted to take a neutral position on the measure, just as doctors in California<\/a> did last year. President-elect Dr. Katie Lozano calls the proposal \u201cthe most personal of decisions that must be left to our patients\u201d to decide.<\/p>\n

A February poll<\/a> of 618 Colorado physicians before the ballot measure was proposed found support within the group for physician-assisted death in general. Fifty-six percent of medical society members favored it; 35 percent opposed.<\/p>\n

Among those who frequently treat patients in later stages of a terminal illness, the gap was smaller, with 50 percent backing physician-assisted death and 41 percent opposing it.<\/p>\n

The medical society said there was a consensus that if the law were to pass, it should focus on protecting patients and doctors, and increasing awareness of end-of-life choices, emphasizing the importance of palliative and hospice care.<\/p>\n","protected":false},"excerpt":{"rendered":"

Last spring, everything changed for Matt Larson. \u201cOne day I was fine. The next I was being rushed by ambulance to Denver Health following two very massive and violent seizures,\u201d said Larson.<\/p>\n

Read more If Assisted Suicide Is Legalized, Is That Really Good for the Dying?<\/span> ›<\/span><\/a><\/div>\n

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