Literature Review

Medical aid in dying bill didn’t cross finish line this MN Legislature session Twin Cities Pioneer Press; by Dene K. Dryden; 5/22/24 Despite advancing through several House committees, Minnesota’s End-of-Life Option Act did not receive a floor vote in the House or Senate during the 2024 legislative session, which ended earlier this week. The legislation, co-authored by Rep. Andy Smith, DFL-Rochester, and Sen. Liz Boldon, DFL-Rochester, would have permitted medical aid in dying, also known as physician-assisted suicide. The measure would have allowed terminally ill adults to request a prescription for life-ending medication, which they would have to self-administer. 

When doctors withhold futile treatments, that isn’t ‘assisted dying’ The Guardian; by Dr. James Haslam; 5/15/24 [Commentary / Letter] I write in response to Dr Jagat Aulakh’s letter (A form of assisted dying already happens in hospitals, 8 May). It must be made clear that withholding or withdrawing futile treatments is not and never has been assisted dying. Stopping – or not starting – treatments that are not wanted, are not working or are not worthwhile is good medicine and the law of the land. Whereas “assisted dying” is the modern euphemism for physician-assisted suicide and euthanasia, both forms of medicalised killing [the author's choice of words]. ... Intentions are important. ...Editor's Note: This thoughtful response puts forth ethical support against Medical Aid in Dying (MAiD), also known as "physican assisted suicide." Likely, different opinions can be inflammatory among your hospice and palliative employees, board, community, and more personally among your family and friends. As hospice and palliative leaders, we must address this issue with respectful dialogue, critical thinking, case studies, personal beliefs and values, empathy, and humanity.

‘Take Me Out Feet First’ docuseries about end of life options debuts on Amazon Prime Video Variety; by Addie Morfoot; 5/7/24 In “Take Me Out Feet First,” a new docuseries now streaming on Amazon Prime Video, director Serene Meshel-Dillman chronicles people’s right to choose medical aid in dying. The six-part docuseries, made in partnership with the nonprofit advocacy organization Compassion & Choices, profiles 25 terminally ill people, their families, and friends, as well as experts in the medical field who advocate for MAID. The series chronicles people who have taken control of how their final days will play out. While some live in states where medical aid in dying is legal, some do not.

More legislation in Illinois deals with ending a person’s life The Center Square - Illinois; by Kevin Bessler; 5/1/24 Another bill has been introduced in Springfield dealing with end of life options for the terminally ill. Illinois state Sen. Julie Morrison’s Senate Bill 2644 would establish a statewide electronic registry that would contain Physician Orders for Life Sustaining Treatment (POLST) forms, which detail what type of medical treatment a critically ill patient does and does not want. “How much or how little treatment a person receives at the end of their life should be up to each individual instead of the one-size-fits-all approach,” said Morrison, D-Lake Forest, during a news conference Wednesday. “This measure will enable physicians to access forms detailing patients wishes in a single, accessible location.” 

Death with dignity or slippery slope? Senate committee hears end-of-life bill testimonySeacoastline, Portsmouth (NH); by Margie Cullen; 4/25/24... The bill has sparked passions as it has made its way through the New Hampshire Legislature. It passed the House in March by just three votes. The hearing Wednesday was its first in the Senate and is likely to be its last public hearing before going to the Senate floor for a vote. The committee did not vote on whether to recommend the bill Wednesday. The bill has transcended typical party lines, with both Democrats and Republicans voting for and against the bill in the House. On Wednesday, Smith was joined by Rep. Bob Lynn, R-Windham, a cosponsor of the bill, in introducing it to the Senate committee. 

Debates begin in the Assembly on the “end of life” bill; Catherine Vautrin calls for a “spirit of humanity, listening and respect”Times.News - France; The Minister of Labor, Catherine Vautrin, and the president of the special commission, Agnès Firmin Le Bodo, on April 22 at the Assembly; 4/22/24At the opening of the work of the special committee of the National Assembly, ... on the “end of life” bill, the Minister of Health, Catherine Vautrin, called on the deputies to have a parliamentary debate which takes place in “a spirit of humanity, listening and respect.” ... At the heart of the questions is the fact of offering certain patients the means of committing suicide ... This “assisted dying” will be reserved for adult patients, born in France or residing in the country for a long time, and able to clearly express their wishes. ... “I have heard fears to which I hope we can respond point by point, a strong demand for clarity and precision, an expectation of vigilance with regard to the sensitivity of the subject”, assured Ms. Vautrin. ... Hoping for a debate full of “humility, seriousness and respect for all convictions” ... [From MP Carline Fiat,] “We can disagree but we have to be careful with the words we say,” she told the deputies present in this committee.

Hospice boss warns of funding challenges BBC News, Josh Sandiford; 4/28/24[United Kingdom] A West Midlands hospice boss has warned it faces a "huge challenge" under the current funding model. Acorns Children's Hospice, which is based in Birmingham, told the BBC the situation was not sustainable despite demand for its services growing. It came after Hospice UK said there was a £77m funding deficit at centres across the UK. Editor's Note: We highlighted this recurring theme from United Kingdom in posts on 4/16/24 and 4/17/24 in our "International" section. Pairing this critical, ongoing financial crisis with our article on 4/19/24, "Will Assisted Dying in Europe Impact Living With Dignity?", how might these potential losses of effective hospice care impact patients' desires for assisted dying? What similar trends are we seeing in the United States?

Will Assisted Dying in Europe impact Living With Dignity? Medscape, by Sara Freeman; 4/17/24 BUDAPEST — Only a handful of European countries have legislation in place that decriminalizes the act of physician-assisted dying for certain patients, such as those who are terminally ill. But in recent months, public debates on the topic have been on the rise. ... This was a topic of discussion at the annual meeting of the 32nd European Congress of Psychiatry (EPA 2024) in a session titled "Psychiatry and Physician-Assisted Dying: Europe — Is Diversity Needed?" [Click on the title's link for summaries about the following countries.]

The association between social connectedness and euthanasia and assisted suicide and related constructs: systematic review BMC Public Health, by Emma Corcoran, Molly Bird, Rachel Batchelor, Nafiso Ahmed, Rebecca Nowland, and Alexandra Pitman; 4/16/24 Background ... Methods ... Results ...Conclusions: Our findings for all age groups are consistent with a those of a previous systematic review focussed on older adults and suggest that poor social connectedness is not a clear risk factor for EAS or for measures more distally related to EAS. ...

The Maine Death with Dignity Act Annual Report - Data from calendar year 2023 Produced by Data, Research, and Vital Statistics Maine Center for Disease Control and Prevention Department of Health and Human Services; 4/12/24 In accordance with 22 MRS § 2140(17), the Department of Health and Human Services (Department) [has generated and made available] to the public an annual statistical report of information collected under the Maine Death with Dignity Act. ... This report is for patients who completed a written request for medication to hasten their death in calendar year 2023. Patients who completed the oral request but not a written request within the calendar year will be included in the subsequent year’s report.

New documentary explores how Lower Moreland’s Terri Schiavo’s story captured the nation Delco.Today, by Tracey Romero; 4/3/24 Between Life & Death: Terri Schiavo’s Story, a new documentary about the right-to-die case of Lower Moreland Township native Terri Schiavo is streaming on Peacock, writes Brian Brant for People. Schiavo who lived in Florida with her husband lived in a persistent vegetative state for 15 years after experiencing cardiac arrest. The documentary explores the familial legal battle over whether or not Schiavo’s feeding tube should be removed.

Could assisted dying be coming to Scotland? BBC, by James Cook; 3/28/24 Scotland could become the first UK nation to provide terminally-ill people with assistance to end their lives if a bill that has been introduced at Holyrood is approved. Supporters of the legislation say it would ease suffering. Opponents worry that some terminally-ill people could feel under pressure to end their lives. 

Dr. Kevorkian was convicted of murder 25 years ago today: Examining the mixed legacy of a fighter for patient autonomy Reason, by Jeffrey A. Singer; 3/26/24Today marks the 25th anniversary of Dr. Jack Kevorkian's conviction of second-degree murder for performing euthanasia on Thomas Youk, a Michigan man suffering from amyotrophic lateral sclerosis, or Lou Gehrig's Disease. ... Kevorkian, a medical pathologist, had been defying state laws by engaging in assisted suicide—he claimed to help more than 130 people die— often using machines. But this was different. Kevorkian was not assisting a suicide. Kevorkian videotaped himself injecting Youk with lethal chemicals. He was doing all the work. And despite having received Youk's informed consent, the Michigan Court considered it murder. ... Today, physician-assisted suicide is legal in 11 jurisdictions: California, Colorado, the District of Columbia, Hawaii, Montana, Maine, New Jersey, New Mexico, Oregon, Vermont, and Washington.  ... Autonomous adults have the right to govern their bodies freely, provided they respect the equal rights of others. ... Active and passive euthanasia are grim exercises for physicians like me who decided to become doctors because we wanted to save lives. ... Editor's Note: Read more from this article that provides significant contexts for today's conflicts: historical, legal, medical, ethical, and geographical (USA and international) .