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Yoshio Kita’s hopelessness and lack of faith in his future crystallizes into a decision to commit suicide by what he calls ‘capital punishment at free will’, meaning his only pressing problem now is how to spend both his remaining self-allocated seven days on earth and all his worldly money. From fine dining with a former porn actress to insuring his life, from pursuing an ex-girlfriend to an entanglement with an assassin, Yoshio’s last seven days on earth take on unexpected twists and turns in this darkly comic exploration of the cult of suicide in Japan and the culture that has created it.
The pressing and universally relevant issue of euthanasia is debated in this volume. Euthanasia has become increasingly contentious as populations age, and medical and scientific advances continue to transform and extend life. Euthanasia - Choice and Death examines the key philosophical arguments that have underpinned thinking and practice up till now: the centrality of choice to our notion of the human being, and the challenge of changes to our concept of death in the face of medical, scientific and technological advances. Gail Tulloch develops a conception of dignity that does not depend on religious assumptions and can promote a broad ethical consensus in a liberal democracy. Examination of landmark cases and the approaches adopted by key countries - the U.S.A., the U.K., the Netherlands, and Australia - ground the book.
James M. Humber,Robert F. Almeder,Gregg A. Kasting
Author : James M. Humber,Robert F. Almeder,Gregg A. Kasting Publisher : Springer Science & Business Media Page : 159 pages File Size : 40,8 Mb Release : 1994-02-04 Category : Medical ISBN : 9781592594481
Physician-Assisted Death by James M. Humber,Robert F. Almeder,Gregg A. Kasting Pdf
Physician-Assisted Death is the eleventh volume of Biomedical Ethics Reviews. We, the editors, are pleased with the response to the series over the years and, as a result, are happy to continue into a second decade with the same general purpose and zeal. As in the past, contributors to projected volumes have been asked to summarize the nature of the literature, the prevailing attitudes and arguments, and then to advance the discussion in some way by staking out and arguing forcefully for some basic position on the topic targeted for discussion. For the present volume on Physician-Assisted Death, we felt it wise to enlist the services of a guest editor, Dr. Gregg A. Kasting, a practicing physician with extensive clinical knowledge of the various problems and issues encountered in discussing physician assisted death. Dr. Kasting is also our student and just completing a graduate degree in philosophy with a specialty in biomedical ethics here at Georgia State University. Apart from a keen interest in the topic, Dr. Kasting has published good work in the area and has, in our opinion, done an excellent job in taking on the lion's share of editing this well-balanced and probing set of essays. We hope you will agree that this volume significantly advances the level of discussion on physician-assisted euthanasia. Incidentally, we wish to note that the essays in this volume were all finished and committed to press by January 1993.
How the legalization of assisted dying is changing our lives. Over the past five years, medical aid-in-dying (also known as assisted suicide) has expanded rapidly in the United States and is now legally available to one in five Americans. This growing social and political movement heralds the possibility of a new era of choice in dying. Yet very little is publicly known about how medical aid-in-dying laws affect ordinary citizens once they are put into practice. Sociological studies of new health policies have repeatedly demonstrated that the realities often fall short of advocacy visions, raising questions about how much choice and control aid-in-dying actually affords. Scripting Death chronicles two years of ethnographic research documenting the implementation of Vermont’s 2013 Patient Choice and Control at End of Life Act. Author Mara Buchbinder weaves together stories collected from patients, caregivers, health care providers, activists, and legislators to illustrate how they navigate aid-in-dying as a new medical frontier in the aftermath of legalization. Scripting Death explains how medical aid-in-dying works, what motivates people to pursue it, and ultimately, why upholding the “right to die” is very different from ensuring access to this life-ending procedure. This unprecedented, in-depth account uses the case of assisted death as an entry point into ongoing cultural conversations about the changing landscape of death and dying in the United States.
Committee on Care at the End of Life,Institute of Medicine
Author : Committee on Care at the End of Life,Institute of Medicine Publisher : National Academies Press Page : 457 pages File Size : 44,9 Mb Release : 1997-10-30 Category : Medical ISBN : 9780309518253
Approaching Death by Committee on Care at the End of Life,Institute of Medicine Pdf
When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
Having a good death is our final human right, argues Sandra Martin in this updated and expanded version of her bestselling and award-winning social history of the right to die movement in Canada and around the world. Winner of the BC National Award for Canadian Non-Fiction, finalist for both the Donner Prize in Public Policy and the Dafoe Prize for History, A Good Death has a new chapter on Canada’s Medical Assistance in Dying Law. The law allows mentally competent adults, who are suffering grievously from incurable conditions, to ask for a doctor’s help in ending their lives. Does the law go far enough? No, says Martin. She delivers compelling stories about the patients the law ignores: people with life-crushing diseases who are condemned to suffer because their natural deaths are not reasonably foreseeable. With a clear analytical eye, she exposes the law’s shortcomings and outlines constitutional challenges, including the presumed right of publicly-funded faith-based institutions to deny suffering patients a legal medical service. Martin argues that Canada can set an example for the world if it can strike a balance between compassion for the suffering and protection of the vulnerable, between individual choice and social responsibility. A Good Death asks the tough question none of us can avoid: How do you want to die? The answer will change your life—and your death. “[An] excellent new book. . . .The timeliness is hard to overstate.” —The Globe and Mail “What truly distinguishes this book is the reportage on individuals and families who have fought to arrange for a better death. . . . These first-hand experiences are the beating heart of a timely and powerful examination.” —2017 BC National Award for Canadian Non-Fiction Jury Citation
The pressing and universally relevant issue of euthanasia is debated in this volume. Euthanasia has become increasingly contentious as populations age, and medical and scientific advances continue to transform and extend life. Euthanasia - Choice and Death examines the key philosophical arguments that have underpinned thinking and practice up till now: the centrality of choice to our notion of the human being, and the challenge of changes to our concept of death in the face of medical, scientific and technological advances. Gail Tulloch develops a conception of dignity that does not depend on religious assumptions and can promote a broad ethical consensus in a liberal democracy. Examination of landmark cases and the approaches adopted by key countries - the U.S.A., the U.K., the Netherlands, and Australia - ground the book.
The issue of physician-assisted death is now firmly on the American public agenda. Already legal in five states, it is the subject of intense public opinion battles across the country. Driven by an increasingly aging population, and a baby boom generation just starting to enter its senior years, the issue is not going to go away anytime soon. In Physician-Assisted Death, L.W. Sumner equips readers with everything they need to know to take a reasoned and informed position in this important debate. The book provides needed context for the debate by situating physician-assisted death within the wider framework of end-of-life care and explaining why the movement to legalize it now enjoys such strong public support. It also reviews that movement's successes to date, beginning in Oregon in 1994 and now extending to eleven jurisdictions across three continents. Like abortion, physician-assisted death is ethically controversial and the subject of passionately held opinions. The central chapters of the book review the main arguments utilized by both sides of the controversy: on the one hand, appeals to patient autonomy and the relief of suffering, on the other the claim that taking active steps to hasten death inevitably violates the sanctity of life. The book then explores both the case in favor of legalization and the case against, focusing in the latter instance on the risk of abuse and the possibility of slippery slopes. In this context the experience of jurisdictions that have already taken the step of legalization is carefully reviewed to see what lessons might be extracted from it. It then identifies some further issues that lie beyond the boundaries of the current debate but will have to be faced sometime down the road: euthanasia for patients who are permanently unconscious or have become seriously demented and for severely compromised newborns. The book concludes by considering the various possible routes to legalization, both political and judicial. Readers will then be prepared to decide for themselves just where they stand when they confront the issue both in their own jurisdiction and in their own lives.
National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy
Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy Publisher : National Academies Press Page : 179 pages File Size : 44,9 Mb Release : 2018-08-29 Category : Medical ISBN : 9780309476980
Physician-Assisted Death by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy Pdf
The question of whether and under what circumstances terminally ill patients should be able to access life-ending medications with the aid of a physician is receiving increasing attention as a matter of public opinion and of public policy. Ethicists, clinicians, patients, and their families debate whether physician-assisted death ought to be a legal option for patients. While public opinion is divided and public policy debates include moral, ethical, and policy considerations, a demand for physician-assisted death persists among some patients, and the inconsistent legal terrain leaves a number of questions and challenges for health care providers to navigate when presented with patients considering or requesting physician-assisted death. To discuss what is known and not known empirically about the practice of physician-assisted death, the National Academies of Sciences, Engineering, and Medicine convened a 2-day workshop in Washington, DC, on February 12â€"13, 2018. This publication summarizes the presentations and discussions from the workshop.
In this book the author makes a case for legalized physician-assisted dying. Using the latest data from Oregon and the Netherlands, he puts a new slant on perennial debate topics such as "slippery slopes," "the integrity of medicine," and "sanctity of life." This book provides an in-depth look at how we die in America today. It examines the shortcomings of our end-of-life system. You will learn about terminal torture in hospital ICUs and about the alternatives: hospice and palliative care. The author scrutinizes the good, the bad, and the ugly. He provides a critique of the practice of palliative sedation. The book makes a strong case that assisted dying complements hospice. By providing both, Oregon now has the best palliative-care system in America. This book, above all, may help you or someone you care about navigate this strange landscape we call "end of life." It can be an informed guide to "a good death" in the age of hospice and high-tech medical intervention.
Voluntarily Stopping Eating and Drinking by Timothy E. Quill,Paul T. Menzel,Thaddeus Pope,Judith K. Schwarz Pdf
In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.
A successful young lawyer in Wellington, Lecretia Seales met and fell in love with Matt Vickers in 2003. In Lecretia’s Choice, Matt tells the story of their life together, and how it changed when his proud, fiercely independent wife was diagnosed with a brain tumour and forced to confront her own mortality. The death she faced—slow, painful, dependent—was completely at odds with how she had lived her life. Lecretia wanted to die with dignity, to be able to say goodbye well, and not to suffer unnecessarily—but the law denied her that choice. With her characteristic spirit, she decided to mount a challenge in New Zealand’s High Court, but as the battle raged, Lecretia’s strength faded. She died on 5 June 2015, at the age of forty-two, the day after her family learned that the court had ruled against her. Lecretia’s Choice is not only a moving love story but compulsory reading for everyone who cares about the dignity we afford terminally ill people who want to die on their own terms. In 2015 Matt Vickers supported his wife, Lecretia Seales, in her campaign to gain the right to choose how she died. Lecretia’s Choice is his first book. ‘This is a brave, intimate book, both agonizing and uplifting, and unflinchingly honest.’ Andrew Solomon, National Book Award winner, president of PEN American Center ‘Matt Vickers asserts “stories are the most powerful force in the universe.” This is the story of his wife, Lecretia, and her extraordinary advocacy in the face of ordinary tragedy. It will help change the world.’ Barbara Coombs Lee, President of Compassion and Choices USA ‘A tragic story, heart-breaking; so beautifully written...Lecretia’s Choice was an almost un-put-downable book. Every home should have a copy, for a reminder, if nothing more, of what it is to have heart, humility and hope.’ Off the Tracks ‘A very human story... Articulate, thought provoking, honest and poignant.’ Page & Blackmore Booksellers ‘“The unwinding skein of her life was blowing free in the wind, and it tormented her.” If the case for assisted dying could be won through emotional appeals, this sentence would surely clinch it...Vickers is an assured writer who knows the importance of letting the moment speak for itself.’ Sydney Morning Herald
A psychiatrist and world-famous authority on suicide offers a persuasive argument against legalizing assisted suicide in the United States. Dr. Hendin shows what can be done to find better options for those facing the final phase of life.
Revised edition of the best-selling memoir that has been read by over a million people worldwide with translations in 29 languages. After too many years of unfulfilling work, Bronnie Ware began searching for a job with heart. Despite having no formal qualifications or previous experience in the field, she found herself working in palliative care. During the time she spent tending to those who were dying, Bronnie's life was transformed. Later, she wrote an Internet blog post, outlining the most common regrets that the people she had cared for had expressed. The post gained so much momentum that it was viewed by more than three million readers worldwide in its first year. At the request of many, Bronnie subsequently wrote a book, The Top Five Regrets of the Dying, to share her story. Bronnie has had a colourful and diverse life. By applying the lessons of those nearing their death to her own life, she developed an understanding that it is possible for everyone, if we make the right choices, to die with peace of mind. In this revised edition of the best-selling memoir that has been read by over a million people worldwide, with translations in 29 languages, Bronnie expresses how significant these regrets are and how we can positively address these issues while we still have the time. The Top Five Regrets of the Dying gives hope for a better world. It is a courageous, life-changing book that will leave you feeling more compassionate and inspired to live the life you are truly here to live.