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Death and Medical Power

Death and Medical Power

An Ethical Analysis of Dutch Euthanasia Practice

9780335217564
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Description
This book is a well-referenced review of the history of the societal debate, attempts at regulation, and the practice itself. In addition, it discusses important and insightful distinctions (active-passive; omission-commission; outcomes-intentions). The unique basis for their conclusion makes an outstanding contribution to the literature.
Robert D. Orr, MD, CM, Professor of Bioethics,at Loma Linda University, California, USA.
  • How have Dutch debates on end-of-life care developed so differently from most other countries, finally resulting in the legalization of euthanasia?
  • What are the relevant legal, medical and ethical dimensions of euthanasia and physician assisted suicide?
  • What lessons can be learned from the Dutch experience with euthanasia?
In all modern countries a good death and relief of suffering are important issues of public debate. The bioethical debate in the Netherlands is unique since it has been focusing on the issue of euthanasia for more than thirty years. This book describes the debate, explains its origins, and analyses its development, resulting in the legislation of euthanasia. It also presents data on the medical practice of euthanasia with examples of cases.

Death and Medical Power details the evolution as well as the complexities of the legal responses to physician involvement in euthanasia. The authors analyze the ethical debate concerning euthanasia, discussing the pros and cons of medical termination of human life. The book concludes with a section on the lessons to be learned from the Dutch experience.

This unique study will be of relevance to all clinicians and other professionals involved in end-of-life care, to health policy makers and educators, as well as anybody else interested in the ethics of euthanasia.

Product Details
Open University Press
46331
9780335217564
9780335217564

Data sheet

Publication date
2005
Issue number
1
Cover
hard cover
Pages count
256
Dimensions (mm)
160 x 239
Weight (g)
538

  • Series editor’s preface
    Introduction

    1. Euthanasia and medical power

    The “Postma” Case
    The Dutch euthanasia debate
    Beginnings of the euthanasia movement
    The verdict
    Expansion of the debate
    The lack of a theoretical foundation for euthanasia
    Dutch euthanasia as a contradiction of respect for patient autonomy
    Euthanasia as a hindrance to a good death
    A framework of queries

    2. The growth of medical power

    Victims of medical power
    Medical-ethical uncertainty
    Normative stability
    The postwar period
    The changing medical scene
    Secularization
    The power of medicine
    A new focus on death and dying
    The development of the practice of euthanasia
    The issue of public control
    Public debate and the politics of compromise

    3. The medical practice of euthanasia

    Introduction
    General description of Dutch euthanasia cases
    Incidence of medically procured death (MPD)
    Who practices euthanasia?
    The doctor-patient relationship
    The physicians role in the decision-making process
    Evaluation of the practice of euthanasia
    Why physicians?

    4. The response of the law

    Introduction
    The relevance of the Dutch legal developments for other countries
    The law of 1886
    Force Majeure
    Jurisprudential developments
    Why physicians?
    Who can speak on behalf of the medical profession?
    Guilty but no punishment
    The role of the prosecutor
    Legalization of euthanasia
    Why a new law?

    5. Justifying the euthanasia practice

    Introduction
    The importance of distinctions
    Euthanasia versus letting go
    Euthanasia versus palliative treatment
    Euthanasia versus PAS
    Voluntary versus non-voluntary MDP
    Different methods of ethical reasoning
    The model of double effect
    Patient autonomy
    Unbearable suffering and the patient’s quality of life
    Shifts in argumentation

    6. Lessons to be learned

    Introduction
    The medicalization of end-of-life care
    Medical interventions and control over human death
    The inevitability of judgements about patients’ quality of life
    Powerlessness of the law, public debate and policy
    The importance of distinctions
    Towards a broader array of end-of-life care options

    Appendix I: digets of Dutch jurisprudence

    Appendix II: 2001 law on euthanasia and PAS

    Notes
    References
    Index

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