From the Lancet:
Regulation of assisted suicide limits the number of assisted deaths
Gian Domenico Borasio, Ralf J Jox, Claudia Gamondi
Published:February 20, 2019
DOI:https://doi.org/10.1016/S0140-6736(18)32554-6
"Several countries and US states have recently legalised euthanasia, assisted suicide, or both, including Canada and California, USA. In 2017, more than 13 000 patients died through either method of assisted death in countries where these practices are permitted. Euthanasia and assisted suicide have been legal in the Netherlands and Belgium since 2002, whereas assisted suicide has been legal in Switzerland since 1918 and in Oregon, USA, since 1997.
"In assisted suicide, patients take the lethal drug themselves, whereas doctors administer the drug in euthanasia. In 2012, this appeared to be a main reason for the higher frequency of assisted deaths in the Netherlands and Belgium, compared with Oregon and Switzerland. Yet data from the past 5 years suggest that the lack of legislation in Switzerland could also explain the higher frequency of assisted suicide, particularly since an increasing number of patients without terminal illness obtain permission for assisted suicide in Switzerland. By contrast, the lower frequency in Oregon might be explained by the requirement of a maximum life expectancy of 6 months and by the requirement that patients obtain a lethal dose from the pharmacy for auto-administration. On average, 36% of these patients in Oregon end up not using the lethal drug and die of their illness"
Regulation of assisted suicide limits the number of assisted deaths
Gian Domenico Borasio, Ralf J Jox, Claudia Gamondi
Published:February 20, 2019
DOI:https://doi.org/10.1016/S0140-6736(18)32554-6
"Several countries and US states have recently legalised euthanasia, assisted suicide, or both, including Canada and California, USA. In 2017, more than 13 000 patients died through either method of assisted death in countries where these practices are permitted. Euthanasia and assisted suicide have been legal in the Netherlands and Belgium since 2002, whereas assisted suicide has been legal in Switzerland since 1918 and in Oregon, USA, since 1997.
"In assisted suicide, patients take the lethal drug themselves, whereas doctors administer the drug in euthanasia. In 2012, this appeared to be a main reason for the higher frequency of assisted deaths in the Netherlands and Belgium, compared with Oregon and Switzerland. Yet data from the past 5 years suggest that the lack of legislation in Switzerland could also explain the higher frequency of assisted suicide, particularly since an increasing number of patients without terminal illness obtain permission for assisted suicide in Switzerland. By contrast, the lower frequency in Oregon might be explained by the requirement of a maximum life expectancy of 6 months and by the requirement that patients obtain a lethal dose from the pharmacy for auto-administration. On average, 36% of these patients in Oregon end up not using the lethal drug and die of their illness"
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