South
Australian Voluntary Euthanasia Society (SAVES)
The VE Bulletin Excerpts
'No
price is too high to pay for the privilege of owning yourself' Rudyard
Kipling
Vol 19 No 2 July 2002
Medical Support for Voluntary Euthanasia
There is ample evidence of a diversity of opinion within the medical profession,
with an arguable majority in favour of legalising voluntary euthanasia; as
these following surveys reveal.
In 1987, Kuhse and Singer1 reported the results of a survey of 869 Victorian Doctors:
- 62% answered yes to the question "Do you think it is sometimes right
for a doctor to take active steps to bring about the death of a patient who
has requested the doctor to do this?" (64% of AMA members polled said yes)
- 93% thought such a request could be rational
- 59% thought that a practice similar to that in the Netherlands should be allowed,
- 52% of AMA members thought that the AMA should change its stance on the issue.
.
In 1993, Baume and O'Malley2 surveyed 1268 NSW doctors:
- 59% thought actively hastening death on request was sometimes right
- 96% thought such a request could be rational
- 59% thought Netherlands practice should be allowed
- 52% thought their professional organization should approve medically assisted dying.
In 1994, Stevens and Hassan3 surveyed 298 SA doctors:
- 89% thought a request to hasten death could be rational
- 47% were in favour of legalization of voluntary euthanasia.
In 1996, the RACGP4 surveyed 886 members:
- 45% personally wished to have the option of voluntary euthanasia.
- 56% would not be distressed if it were available to others
- 68% believed that euthanasia can be an act of caring.
- 45% did not believe that “present arrangements are adequate in delivering help to the dying."
In 1997, Steinberg et al5 surveyed 259 Queensland doctors:
- 36% thought a doctor should be allowed by law to assist a terminally ill person to die.
In 1997, Kuhse et al6 published their survey
of Australian end-of-life decisions (comparable to the Dutch Remmelink studies).
From this survey of 1918 Australian doctors, they estimated that:
- 1.8% of deaths were by VE or physician assisted suicide
- 3.5% of deaths involved termination of the patient’s life without explicit request
- in 24.7% treatment was withheld or withdrawn with the intention to hasten death
- in 6.5% of deaths opioids were administered with at least the partial intent to hasten death.
In 1998, Cartwright et al7 published their survey of 174 NT doctors:
- 53% approved of the Rights of the Terminally Act, which allowed active medical assistance in dying on request.
In 2001, Douglas8 et al published their survey of 683 Australian general surgeons
- 36.2% reported that they had given drugs in doses greater than was
necessary to relieve symptoms with the intention of hastening death
- 20.4% reported that they had given drugs with the intention of hastening
death, but without the explicit request of the patient
- 1.9% reported assisting with a suicide
- 4.2% reported having acceded to requests for voluntary euthanasia
References:
- Kuhse H, Singer P. 'Doctors’ practises and attitudes regarding voluntary euthanasia.' Med. J. Aust 1988, 148: 623-627
- Baume P, O’Malley E. 'Euthanasia; attitudes and practises of medical practitioners.' Med. J. Aust. 1994; 161: 137-144
- Stevens CA, Hassan R. 'Management of death, dying and euthanasia; attitudes
and practices of medical practitioners in South Australia.' J. Medical Ethics
1994; 20: 41-46
- Wilson I, Kay B, Steven I. 'General practitioners and euthanasia.' Aust Fam Phys 1997; 26: 399-401
- Steinberg MA, Najman JM, Cartwright CM, MacDonald SM, Williams GM 'End-of-life
decision-making: community and medical practitioners’ perspectives. ' Med
J Aust 1997; 166: 131-134
- Kuhse H, Singer P, Baume P, Clark M, Rickard M. 'End-of-life decisions
in Australian medical practice.' Med J Aust 1997; 166: 191-196
- Cartwright CM, Robinson GW, Steinberg MA, Williams GM, Najman JM, Tyler
WB. 'End-of-life decision making perspectives of Northern Territory Doctors,
Nurses and Community Members,' The Lancet, 1997; 349: 9051:577
- Douglas C, Kerridge I, Rainbird K, McPhee J, Hancock L, Spigelman A.
'The intention to hasten death: a survey of attitudes and practices of surgeons
in Australia.' Med J Aust 2001; 175:
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