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VOLUNTARY EUTHANASIA
WHY SHOULD WE
   LEGALISE
 EUTHANASIA?
1PERSONAL
AUTONOMY
2
SUICIDE IS NOT
      ILLEGAL
3
‘DOUBLE
 EFFECT’
‘DOUBLE EFFECT’
1.THE PHYSICIAN LACKS CRIMINAL INTENT
2.DEATH IS CAUSED BY THE UNDERLYING ILLNESS
3.OVER-SEDATION IS IN THE PATIENT’S BEST
 INTERESTS
4
IT HAPPENS
   ANYWAY
In 1995-1996,

                 30%
of all Australian deaths involved a medical
            end-of-life decision.
In 1995-1996,

                 30%
of all Australian deaths involved a medical
            end-of-life decision.



 ONLY 4% OF THESE WERE MADE IN RESPONSE TO
    A DIRECT REQUEST FROM THE PATIENT
“    Illegal euthanasia illustrates dramatically
         what might be called ‘medical anti-
       professionalism’, that is, an absence of
         appropriate training, an absence of
    oversight, an absence of accountability, and
    an absence of principles guiding oversight
                                                                      .   ”
Professor Roger Magnusson, Angels of Death: Exploring the Euthanasia Underground
5PROSECUTIONS
RARELY HAPPEN
6 PUBLIC
SUPPORT
lia in
In a newspoll survey in South Austra
                  2007,

     81%
              of respondents were in
          favour of legalising euthanasia
PERSONAL        LEGALITY OF SUICIDE   ‘DOUBLE EFFECT’
   AUTONOMY




       EUTHANASIA REFORM


IT HAPPENS ANYWAY     PROSECUTIONS        PUBLIC SUPPORT
WHY ARE PEOPLE
   AGAINST
 EUTHANASIA
   REFORM?
1
SANCTITY OF
 HUMAN LIFE
2
‘SLIPPERY
   SLOPE’
http://slurmed.com/wall/162/162_suicide-
THE NETHERLANDS LEGALISED EUTHANASIA IN
                 2002

   In 2003, deaths attributable to euthanasia comprised less than


              1.5% of the total deaths that year.


   In 1995, deaths attributable to euthanasia or assisted suicide
                comprised 2.4% of the total deaths

                   In 2001, they comprised 2.5%
DEATHS ATTRIBUTABLE TO
EUTHANASIA OR ASSITED SUICIDE IN
       THE NETHERLANDS


                         1933



    1882          1886




           1815


    2002   2003   2004   2005
3
REDUCING COST
REDUCING
OF HEALTHCARE
IN AUSTRALIA, PALLIATIVE CARE
  IS COVERED BY THE PBS AND
          MEDICARE
Before a request for euthanasia is made, two
medical practitioners acting independently must
fully inform the person of -

     c) the forms of treatment that
        may be available to the patient
        and the respective risks, side
        effects and likely outcomes of
        such treatments; and



     d) the extent to which the effects
        of the illness could be
        mitigated by appropriate
        palliative care;



                      Voluntary Euthanasia Bill 2010 (SA), section 5
4
PRESSURE FROM
PRESSURE
       FAMILY
5
COMPETENCE OF
COMPETENCE
      PATIENT
6
MAINTAIN THE
 STATUS QUO
SANCTITY OF HUMAN   SLIPPERY SLOPE   COST OF HEALTHCARE
       LIFE




           AGAINST REFORM


FAMILY PRESSURE      COMPETENCE         STATUS QUO
WHAT WOULD BE THE
IMPLICATIONS FOR OTHER
STATES IF THE VOLUNTARY
 EUTHANASIA BILL (2010)
         PASSES?
AUSTRALIAN CONSTITUTION, s
           117




  States are prohibite
                       d from enacting law
               against residents o        s that discriminate
                                  f other states
The Bill does not require a person seeking
   euthanasia to be a South Australian
 resident, nor could it by virtue of s 117.




 ASSISTED SUICIDE IS A CRIME IN EVERY STATE
       AND TERRITORY IN AUSTRALIA.
UK DPP PUBLIC INTEREST FACTORS AGAINST
             PROSECUTION
   The victim had reached a voluntary, clear, settled and informed
                    decision to commit suicide.

         The suspect was wholly motivated by compassion.

 The actions of the suspect, although sufficient to come within the
   definition of the crime, were of only minor encouragement or
                             assistance.

   The suspect had sought to dissuade the victim from taking the
        course of action which resulted in his or her suicide.

    The actions of the suspect may be characterised as reluctant
encouragement or assistance in the face of a determined wish on the
                part of the victim to commit suicide.

   The suspect reported the victim's suicide to the police and fully
assisted them in their enquiries into the circumstances of the suicide
  or the attempt and his or her part in providing encouragement or
                             assistance.
“
Nothing in this policy could be taken to
 amount to an assurance that a person
will not be prosecuted if he assists the
suicide or attempted suicide of another
                 person               .              ”
           Kier Starmer, QC, UK Director of Public
           Prosecutions
THANK YOU
CREDITS
                          ALL IMAGES LICENSED UNDER CREATIVE

PHOTOS:
                          COMMONS
                                                        :
1. FLICKR / dad loves potato chips / Susan NYC
3. FLICKR / Jayney after... / Irregular Shed
4. http://jmason.org/albums/2004-04-Road-Trip/arizona-territorial-
   jail.jpg
5. FLICKR / Injections / amasc
6. http://www.freefoto.com/preview/9905-04-3/Crime-Scene-Do-Not-
   Enter
7. FLICKR / ReSurge International
11.FLICKR / The Law / smip.co.uk
12.FLICKR / Election Night Crowd, Wellington 1931 / National Library NZ
16.FLICKR / Religion Plays an Important Part in the Lives of Residents / US
   National Archives
20.FLICKR / CascadeAndSTAN
23.FLICKR / Golden Wedding Celebrations at the Orthopaedic Hospital,
   Gobowen / LIGC ~ NLW
25.FLICKR / Older Citizens, Retired Persons and Those Unable to Care for
   Themselves Physically Are Cared for in Two Community Centers / US
   National Archives
26.FLICKR / freedryk
29.http://jmason.org/albums/2004-04-Road-Trip/arizona-territorial-

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Euthanasia 110426055229-phpapp01

  • 2. WHY SHOULD WE LEGALISE EUTHANASIA?
  • 6. ‘DOUBLE EFFECT’ 1.THE PHYSICIAN LACKS CRIMINAL INTENT 2.DEATH IS CAUSED BY THE UNDERLYING ILLNESS 3.OVER-SEDATION IS IN THE PATIENT’S BEST INTERESTS
  • 7. 4 IT HAPPENS ANYWAY
  • 8. In 1995-1996, 30% of all Australian deaths involved a medical end-of-life decision.
  • 9. In 1995-1996, 30% of all Australian deaths involved a medical end-of-life decision. ONLY 4% OF THESE WERE MADE IN RESPONSE TO A DIRECT REQUEST FROM THE PATIENT
  • 10. Illegal euthanasia illustrates dramatically what might be called ‘medical anti- professionalism’, that is, an absence of appropriate training, an absence of oversight, an absence of accountability, and an absence of principles guiding oversight . ” Professor Roger Magnusson, Angels of Death: Exploring the Euthanasia Underground
  • 13. lia in In a newspoll survey in South Austra 2007, 81% of respondents were in favour of legalising euthanasia
  • 14. PERSONAL LEGALITY OF SUICIDE ‘DOUBLE EFFECT’ AUTONOMY EUTHANASIA REFORM IT HAPPENS ANYWAY PROSECUTIONS PUBLIC SUPPORT
  • 15. WHY ARE PEOPLE AGAINST EUTHANASIA REFORM?
  • 17. 2 ‘SLIPPERY SLOPE’ http://slurmed.com/wall/162/162_suicide-
  • 18. THE NETHERLANDS LEGALISED EUTHANASIA IN 2002 In 2003, deaths attributable to euthanasia comprised less than 1.5% of the total deaths that year. In 1995, deaths attributable to euthanasia or assisted suicide comprised 2.4% of the total deaths In 2001, they comprised 2.5%
  • 19. DEATHS ATTRIBUTABLE TO EUTHANASIA OR ASSITED SUICIDE IN THE NETHERLANDS 1933 1882 1886 1815 2002 2003 2004 2005
  • 21. IN AUSTRALIA, PALLIATIVE CARE IS COVERED BY THE PBS AND MEDICARE
  • 22. Before a request for euthanasia is made, two medical practitioners acting independently must fully inform the person of - c) the forms of treatment that may be available to the patient and the respective risks, side effects and likely outcomes of such treatments; and d) the extent to which the effects of the illness could be mitigated by appropriate palliative care; Voluntary Euthanasia Bill 2010 (SA), section 5
  • 26. SANCTITY OF HUMAN SLIPPERY SLOPE COST OF HEALTHCARE LIFE AGAINST REFORM FAMILY PRESSURE COMPETENCE STATUS QUO
  • 27. WHAT WOULD BE THE IMPLICATIONS FOR OTHER STATES IF THE VOLUNTARY EUTHANASIA BILL (2010) PASSES?
  • 28. AUSTRALIAN CONSTITUTION, s 117 States are prohibite d from enacting law against residents o s that discriminate f other states
  • 29. The Bill does not require a person seeking euthanasia to be a South Australian resident, nor could it by virtue of s 117. ASSISTED SUICIDE IS A CRIME IN EVERY STATE AND TERRITORY IN AUSTRALIA.
  • 30. UK DPP PUBLIC INTEREST FACTORS AGAINST PROSECUTION The victim had reached a voluntary, clear, settled and informed decision to commit suicide. The suspect was wholly motivated by compassion. The actions of the suspect, although sufficient to come within the definition of the crime, were of only minor encouragement or assistance. The suspect had sought to dissuade the victim from taking the course of action which resulted in his or her suicide. The actions of the suspect may be characterised as reluctant encouragement or assistance in the face of a determined wish on the part of the victim to commit suicide. The suspect reported the victim's suicide to the police and fully assisted them in their enquiries into the circumstances of the suicide or the attempt and his or her part in providing encouragement or assistance.
  • 31. “ Nothing in this policy could be taken to amount to an assurance that a person will not be prosecuted if he assists the suicide or attempted suicide of another person . ” Kier Starmer, QC, UK Director of Public Prosecutions
  • 33. CREDITS ALL IMAGES LICENSED UNDER CREATIVE PHOTOS: COMMONS : 1. FLICKR / dad loves potato chips / Susan NYC 3. FLICKR / Jayney after... / Irregular Shed 4. http://jmason.org/albums/2004-04-Road-Trip/arizona-territorial- jail.jpg 5. FLICKR / Injections / amasc 6. http://www.freefoto.com/preview/9905-04-3/Crime-Scene-Do-Not- Enter 7. FLICKR / ReSurge International 11.FLICKR / The Law / smip.co.uk 12.FLICKR / Election Night Crowd, Wellington 1931 / National Library NZ 16.FLICKR / Religion Plays an Important Part in the Lives of Residents / US National Archives 20.FLICKR / CascadeAndSTAN 23.FLICKR / Golden Wedding Celebrations at the Orthopaedic Hospital, Gobowen / LIGC ~ NLW 25.FLICKR / Older Citizens, Retired Persons and Those Unable to Care for Themselves Physically Are Cared for in Two Community Centers / US National Archives 26.FLICKR / freedryk 29.http://jmason.org/albums/2004-04-Road-Trip/arizona-territorial-

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