Imagine a patient of a terminal illness. Their life could be full of suffering and pain. If the satisfaction that they get out of living the rest of their life is not worth the suffering, it may be more humane, with their request, to end their pain and suffering.
Voluntary active euthanasia is the intentional administration of medications to cause a patient’s death at the patient’s request with full informed consent. Despite it being a humane option to end the life of terminally ill patients, it is not currently legal in the United States.
One might ask: “If voluntary active euthanasia is simply a way to reduce the length of the pain and suffering that a terminally ill patient goes through at the end of their life, then why is it not a legal option for these poor people to choose?”
Some practical problems arise if voluntary active euthanasia is legalized. Ezekiel J. Emmanuel, a bioethicist at the National Institutes of Health and former professor at Harvard Medical School, believes that there will be many problems associated with the significant emotional burdens on physicians who perform euthanasia and that there would be the potential for abuse: coercion for patients to choose euthanasia due to financial or other external reasons, as well as the possibility of premature euthanasia for patients that still have a possibility with recovery. Therefore, he insists that the possible harms would be too great to allow the legalization of voluntary active euthanasia to take place.
Therefore, for the legalization of voluntary active euthanasia to successfully take place, we must also introduce solutions to these problems to ensure the wellbeing of both physicians and patients.
The potential psychological pressures from carrying out euthanasia would not be universal. Emmanuel notes that, the emotional burden from carrying out euthanasia would only be faced by some physicians. Therefore, for those physicians who are uncomfortable with carrying out euthanasia for their patients, there should be an option for them to decline carrying out euthanasia or to refer their patient to another physician who is willing to provide the means of relief from pain and suffering. In the long term, if voluntary euthanasia were legalized, the problem of emotional burdens should be mitigated, as physicians would be more comfortable with carrying out euthanasia if their colleagues did.
The potential problems of abuse with the legalization of voluntary active euthanasia can be solved through further legislation. Franklin G. Miller, another member of the Department of Bioethics at the National Institutes of Health, has proposed concurrent policies with that of the legalization of voluntary active euthanasia to help solve these potential problems. He suggests that each request for voluntary active euthanasia must be reviewed by a “duly appointed committee” to prevent abuse. According to Miller, “The major functions of the committee would be (1) to confirm that a patient requesting assistance in dying is terminally ill, (2) to assure that the patient is capable, and (3) that her or his request for assistance in dying is genuinely voluntary. Physicians receiving a request for euthanasia and the committee would need to probe whether the request is the result of a treatable depression or other psychiatric disorder, or inappropriate influence.” Therefore, the first role of the function of the committee would be to ensure that premature euthanasia would not be carried out, and if the committee concludes that the patient is not terminally ill, there may be hope for the patient to find a cure. This would also prevent cases of abuse where patients who only suffer from treatable conditions but feel suicidal from accessing a means of death. The second and third roles of the committee would prevent cases of euthanasia without full informed consent, and ensure that the patient is mentally competent in making the permanent decision, as well as identify instances of coercion. The committee would then require a psychiatrist who would be able to verify the mental state of the patient. Therefore, the concurrent policy of introducing a committee to review requests for euthanasia should be a safeguard against premature euthanasia and abuse.
Finally, with these policies to protect both physicians and patients involved in the process of voluntary active euthanasia, it is necessary to address the issue of voluntary active euthanasia in the media and courts to receive the required attention of legislators to make this change. Then, those that experience needless pain and suffering at the end of their life would have a legal and dignified option of relief.








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