Literature Review

Medical marijuana law does not impair employers’ right to drug-free workplace Insurance Journal, by Andrew G. Simpson; 3/22/24 A Connecticut employer has the right to terminate an employee who is impaired by medical marijuana in the workplace. The Connecticut Appellate Court on March 19 upheld the dismissal of a lawsuit brought against a nonprofit pre-school by a teaching assistant who used medical marijuana for treatment of her disability and was fired for violating the school’s drug-free workplace policy by showing up for work impaired. 

Noem signs bill removing some medical marijuana dispensary protections SDPB Radio (South Dakota Public Radio), by Evan Walton; 3/19/24 Gov. Kristi Noem has signed a bill removing some protections medical cannabis facilitates now receive. Senate Bill 71 allows local law enforcement to inspect, search, seize, prosecute, or impose disciplinary action on medical cannabis dispensaries. This includes medical cannabis cultivation, manufacturing, and testing facilities. 

Colorado Senate votes to shorten ‘Medical-Aid-in-Dying’ waiting period Colorado Newsline, by Sara Wilson; 3/8/24 The Colorado Senate approved a bill Friday that would alter the state’s medical aid-in-dying law by shortening the required waiting period and allowing more medical professionals to prescribe the medication. ... Senate Bill 24-68 would tweak the law by shortening the waiting period between a patient’s first and second request for the medication from 15 to seven days. ... Statistics from Denver Health’s medical aid-in-dying program show that about 1 in 4 patients died from their illness during the current 15-day waiting period.

Aid in dying or physician-assisted suicide? As Minn. lawmakers weigh bill, advocates and opponents choose different terms ArcaMax / Pioneer Press, by Alex Derosier; 3/10/24... “Medical aid in dying” or “physician-assisted suicide” is an emotional issue for many, with a January [Minnesota] House hearing on the bill drawing an audience of hundreds on either side. Lawmakers heard hours of testimony from cancer patients with only months to live, and families of people who suffered painful deaths from disease. There also were people concerned legal elective death could eventually become an option for people with disabilities and negatively affect care. But it isn’t just a debate on medical ethics. There’s also an ongoing discussion in medicine, academia, journalism and law over what society should call the practice.

Editorial: ‘Right to die’ debate comes to Illinois. Both sides have merit, but we would vote no.

Congress floats Medicare physician pay bump: 4 notes Becker's Hospital CFO Report, by Mackenzie Bean; 3/4/24 Physicians are set to receive a 1.7% increase in Medicare pay effective March 9 as part of a $460 billion spending package congressional leaders released this weekend. Four things to know: ... [click on the title's link for more]

What is the appropriate response when a colleague is not following an aid-in-dying law? American Clinicians Academy on Medical Aid in Dying - Ethics Consultation Service; posted by Jean Abbott, MD, MH; originally posted 2/2/24 and emailed 3/4/24 Outline of Ethics Question: A resource practitioner for aid-in-dying care has encountered practitioners who have not followed the requirements of the laws in that state, including eligibility, documentation, and other standard legal or medical elements of aid-in-dying care. The resource practitioner wonders what ethical responsibilities should guide their response to these concerns. Definition of “resource practitioner”: An experienced prescriber who acts as a source of information or a mentor for others prescribing or consulting for patients considering aid in dying. Their role is to advise the provider on aid-in-dying best medical practices and the process required to comply with the law.

Rhode Island: Physician-assisted suicide bill reintroduced in state legislature The Brown Daily Herald, by Maya Kelly; 3/1/24House Bill 7100 would legalize prescription of lethal medications to patients wiht less than six months to live. ... [Read this article for more history.] ... Joan Teno, an adjunct professor of health services, policy and practice, noted that medical professionals are “strictly protected” by the bill: if a healthcare provider does not wish to prescribe a lethal medication, they are under no obligation to do so. Physicians are also immune from accusations of unprofessional conduct as long as the patient meets all requirements. 

Minnesota's ethical dilemma: Assisted suicide debate intensifies amid disability concerns BNN, by Waqas Arain; 2/28/24  Discover the complex narratives and ethical dilemmas surrounding Minnesota's proposed End-of-Life Option Act, as advocates and opponents clash over the autonomy of terminally ill patiens and the potential risks to vulnerable groups.

Proposed legislation would create tax credits for family caregiversHospice News, by Jim Parker; 2/23/24A bill to strengthen support for family caregivers is working its way through Congress. If enacted, it would create tax credits to help offset the financial burdens of caring for the seriously ill. ... The nation’s health care system is lacking in support for caregivers of the terminally ill, who are often left with a heavy financial and logistical burden. Without assistance or relief, these difficulties can impede access to hospice and other types of home-based care.

PERSPECTIVE: Nurses, too, must do no harmColorado Springs Gazette, by Kathryn Palermo; 2/25/24Two decades ago, our family faced an experience that would forever shape my perspective on life, choices, and the importance of time in making profound decisions. ... Reflecting on this experience, I cannot help but draw parallels to the potential consequences of the changes proposed by the Legislature to expand physician-assisted death. In our case, time was a crucial factor in making informed decisions that preserved life and allowed for unexpected recovery. As a nursing professional and a family member who experienced a life-altering event, I am opposed to the newly introduced “Medical Aid-in-Dying” bill in the Colorado Senate, SB24-0068, expanding physician-assisted suicide.Editor's Note: The views expressed are those of the author. Hospice & Palliative Care Today seeks to present articles of highest integrity and quality information, especially when reporting on controversial issues. This author presents these expertly from her perspective. While this author defines "the" Christian perspective, this editor supports that hospice and palliative care leaders and patients/families embrace a broader scope of religious beliefs, both within Christianity and inclusive of non-Christian faith systems. Whatever the reader's perspective, this editor invites you to read this insightful article with an open mind of respect, learning, and ethical dialogue.Publisher's note: On 1/31/24, Hospice & Palliative Care Today ran a Denver Post article announcing and supporting SB24-0068. Today's article from the Colorado Springs Gazette opposes this bill.

House of Delegates considering SB 280, Medical Aid in Dying The Connection to Your Community, by Mercia Hobson; 2/20/24Virginia is a battleground state within itself. State legislators are fiercely divided concerning proposed legislation, SB 280. If passed, it would allow an eligible adult diagnosed with a terminal disease to request an attending health care provider to prescribe a fatal dose of a controlled substance to be self-administered for the purpose of ending the patient's life. Senate Bill 280, one of the two Virginia bills concerning Death with Dignity, passed passed the Senate. Its companion, House Bill 858, which was originally "put on hold for the day," failed in committee.