BMJ 2001;323:1079-1080 ( 10 November )

Editorials

Why active euthanasia and physician assisted suicide should be legalised

If death is in a patient's best interest then death constitutes a moral good

The first 150 words of the full text of this article appear below.

Last month Diane Pretty was refused the legal right to choose the circumstances of her own death.1 She suffers from motor neurone disease and is experiencing the disintegration of her body. She faces a death that she believes will entail indignity and suffering and physically cannot kill herself. The court has denied her request that her husband be allowed to help her. This decision may be consistent with legal precedent but is morally wrong. That is why the law should be changed.

Suppose that Mrs Pretty became permanently and severely incompetent as a result of brain damage and that her life was being sustained by medical technology. If her doctors believed that medical treatment could provide no benefit because of her inability ever to engage in any self directed activity, then legally they could withdraw life sustaining treatments, including hydration and nutrition.2 In such circumstances they would foresee that she . . . [Full text of this article]


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  • Altisent, R. (2003). From Spain. Palliat Med 17: 132-132  
  • Oliver, D., Fisher, J., Savage, M., Rivett, A. G, Barratt, P., Davis, A., Davies, J., Davies, S. (2002). Legalising active euthanasia and physician assisted suicide. BMJ 324: 846-846 [Full text]  

Rapid Responses:

Read all Rapid Responses

Moral Bankruptcy
Sri Varman
bmj.com, 9 Nov 2001 [Full text]
Doctors as killers
Sally Rynne
bmj.com, 9 Nov 2001 [Full text]
Why euthanasia and physician assisted suicide should NOT be legalised
Alison Davis
bmj.com, 9 Nov 2001 [Full text]
A Physician's Duty
David Silverman
bmj.com, 9 Nov 2001 [Full text]
The rights of Drs in suicide
George Dodds
bmj.com, 10 Nov 2001 [Full text]
Death
R A Phillips
bmj.com, 10 Nov 2001 [Full text]
Underutilized Executioners
Joel Thurm
bmj.com, 10 Nov 2001 [Full text]
Fancy philosophical footwork but choreography is not coherent
Andrew Fergusson
bmj.com, 10 Nov 2001 [Full text]
It is my right
David Henshaw
bmj.com, 10 Nov 2001 [Full text]
Doctors do no harm
D Mistry
bmj.com, 10 Nov 2001 [Full text]
A precedent for euthanasia
Santoch Rai
bmj.com, 10 Nov 2001 [Full text]
Greater Good
Louise Beckham
bmj.com, 10 Nov 2001 [Full text]
If autonomy is valuable, euthanasia should be permissible.
Danny Sullivan
bmj.com, 10 Nov 2001 [Full text]
Confusion of Morals
Edward E Rylander
bmj.com, 10 Nov 2001 [Full text]
Hypothetical moralisations
Roger Woodruff
bmj.com, 10 Nov 2001 [Full text]
Observe what is happening elsewhere
Michael H K Irwin
bmj.com, 10 Nov 2001 [Full text]
Desperate patients should be appropriately helped, not eliminated
Michele Tringali
bmj.com, 10 Nov 2001 [Full text]
No to euthanasia
Paul McArdle
bmj.com, 10 Nov 2001 [Full text]
I would want medical help to end my life if it became intolerable
Diane Munday
bmj.com, 10 Nov 2001 [Full text]
Protection for those who wish to live
Elisabeth Le Strange
bmj.com, 11 Nov 2001 [Full text]
Be guided by our humanity.
M D Oliver
bmj.com, 12 Nov 2001 [Full text]
A blurring of distinctions
Iain B Craighead
bmj.com, 12 Nov 2001 [Full text]
response to editorial 10th Nov
Yolanda Holderness
bmj.com, 12 Nov 2001 [Full text]
When does means justify the ends?
Dilip Menon
bmj.com, 12 Nov 2001 [Full text]
Medicine as dictated by ethicists
Andrew Farkas
bmj.com, 12 Nov 2001 [Full text]
Specious arguments do not assist informed debate.
Timothy J Fetherston
bmj.com, 12 Nov 2001 [Full text]
“…in the face of so much moral right, where is the wrong?”1
H van Woerden
bmj.com, 12 Nov 2001 [Full text]
Why not legalize assited suicide?
Michael Loren
bmj.com, 12 Nov 2001 [Full text]
Evidence and euthanasia
Peter Barratt
bmj.com, 12 Nov 2001 [Full text]
The last right?
Simon Chapman
bmj.com, 12 Nov 2001 [Full text]
A Response to Dr. Andrew Fergusson
Michael H K Irwin
bmj.com, 12 Nov 2001 [Full text]
The Evil of Ignorance
Antony Tobin
bmj.com, 12 Nov 2001 [Full text]
How do you influence legislation?
Anders Nordentoft
bmj.com, 12 Nov 2001 [Full text]
Legalising Euthanasia would be a bad move
Huw Morgan
bmj.com, 12 Nov 2001 [Full text]
If only pro-choice doctors felt able to speak out more!"
Don Aston
bmj.com, 14 Nov 2001 [Full text]
Too simple by far
Margaret Whipp
bmj.com, 12 Nov 2001 [Full text]
Don't be mislead!
Karen Sanders
bmj.com, 13 Nov 2001 [Full text]
Who decides? Empowering patients
Roger M Goss
bmj.com, 13 Nov 2001 [Full text]
"Active euthanasia"
C M Gaston
bmj.com, 13 Nov 2001 [Full text]
Active euthanasia and physician assisted suicide:where is the wrong?
David Jeffrey
bmj.com, 13 Nov 2001 [Full text]
Doctor assisted suicide
Tarra
bmj.com, 13 Nov 2001 [Full text]
Re: The last right?
Peter Bradley
bmj.com, 13 Nov 2001 [Full text]
Thanks to the Doyals
Jeremy Holford-Miettinen
bmj.com, 13 Nov 2001 [Full text]
Outlaw medical killing
John Scotson
bmj.com, 14 Nov 2001 [Full text]
?
Mark Blackwell
bmj.com, 14 Nov 2001 [Full text]
A confused argument for legalised euthanasia
Stuart M White
bmj.com, 14 Nov 2001 [Full text]
Euthanasie in Europe - the dilemma of differnt national laws concerning legalisation
Wolfgang Sohn
bmj.com, 14 Nov 2001 [Full text]
The nature of editorials
Francis H Sansbury
bmj.com, 14 Nov 2001 [Full text]
Should we add killing too?
Atsu Seake-Kwawu
bmj.com, 15 Nov 2001 [Full text]
Two points to make in response.
Martin Hughes
bmj.com, 15 Nov 2001 [Full text]
After death?
Julian Kennedy
bmj.com, 15 Nov 2001 [Full text]
Legalisation of euthanasia? Not from this argument
Richard Hayward
bmj.com, 15 Nov 2001 [Full text]
The Judge is right in his decision.
M S Basharuthulla
bmj.com, 16 Nov 2001 [Full text]
Legal right to assisted suicide is an insurance against suicides
Anders Nordentoft
bmj.com, 16 Nov 2001 [Full text]
Nothing to with best interest
Kalman Kafetz
bmj.com, 16 Nov 2001 [Full text]
Deadly compassion.
Gregory Gardner
bmj.com, 16 Nov 2001 [Full text]
Not enough for "good chaps" to agree
Gervase Vernon
bmj.com, 16 Nov 2001 [Full text]
Francis H Sansbury can be gratified at once
Richard Smith
bmj.com, 16 Nov 2001 [Full text]
Re: Who decides? Empowering patients
Timothy James
bmj.com, 16 Nov 2001 [Full text]
Dead wrong
Paul Keeley
bmj.com, 16 Nov 2001 [Full text]
Kakothanasia
Marinopulos Ioannis
bmj.com, 16 Nov 2001 [Full text]
A view from the slippery slope
Daniel Munday
bmj.com, 16 Nov 2001 [Full text]
Poor Reasoning
Roger Albin
bmj.com, 16 Nov 2001 [Full text]
The Law is an Ass
Andrew Thornton
bmj.com, 17 Nov 2001 [Full text]
Other things to consider
Martin Jackson
bmj.com, 17 Nov 2001 [Full text]
The Doyals do not refute their opponents
Andrew Warsop
bmj.com, 17 Nov 2001 [Full text]
Only God the Sir of Life, physician the servant of Life
Matias Diaz Sanchez
bmj.com, 17 Nov 2001 [Full text]
Re: Doctors as killers
Mohan Chawla
bmj.com, 18 Nov 2001 [Full text]
Re: It is my right
Mohan Chawla
bmj.com, 18 Nov 2001 [Full text]
Caution is the word
Manvikar Purushottam
bmj.com, 18 Nov 2001 [Full text]
No justification for killing anyone for any reason
Sahar Jameel Kalyal
bmj.com, 19 Nov 2001 [Full text]
Why active euthansia and physician assisted should be legalised - the arguments are flawed
Michael Jarmulowicz
bmj.com, 19 Nov 2001 [Full text]
Medical Ethics Alliance intervene tooppose Mrs Pretty
Anthony Cole
bmj.com, 19 Nov 2001 [Full text]
Doctors rights, patients wronged.
Edward Hanlon
bmj.com, 19 Nov 2001 [Full text]
What is wrong today will be legal tomorrow
Graham Todd
bmj.com, 19 Nov 2001 [Full text]
The last enemy
M Trimble
bmj.com, 19 Nov 2001 [Full text]
Euthanesia and Physician Assisted Suicide
W Eric Scott
bmj.com, 19 Nov 2001 [Full text]
Re: The Law is INDEED an Ass
Peter Bradley
bmj.com, 20 Nov 2001 [Full text]
Blurred ethical arguments should not be used to justify killing
Adrian Treloar
bmj.com, 21 Nov 2001 [Full text]
Upon what morality can euthanasia be based?
Gareth Payne
bmj.com, 21 Nov 2001 [Full text]
Why euthanasia should not be legalised
Liz Croton
bmj.com, 20 Nov 2001 [Full text]
Active euthanasia and physician-assisted suicide
Andrew Rivett
bmj.com, 21 Nov 2001 [Full text]
The end does not justify the means
Andrew Perrett
bmj.com, 22 Nov 2001 [Full text]
Flawed arguments against active euthanasia
Martin Klein
bmj.com, 22 Nov 2001 [Full text]
Compassion and rationality
Nigel Phillips
bmj.com, 22 Nov 2001 [Full text]
Patient autonomy requires information
David Oliver, et al.
bmj.com, 22 Nov 2001 [Full text]
Slippery slope arguments
Colin Ferguson
bmj.com, 22 Nov 2001 [Full text]
Euthanasia - an Overview and a Balanced Approach
Dayantha Fernando
bmj.com, 22 Nov 2001 [Full text]
Compassion and Common Sense
V E W Ball
bmj.com, 22 Nov 2001 [Full text]
Autonomy not absolute
Malcolm Savage
bmj.com, 22 Nov 2001 [Full text]
The stories I have heard
Simon Allen
bmj.com, 22 Nov 2001 [Full text]
End the suffering
Stephanie Bacon
bmj.com, 22 Nov 2001 [Full text]
COMPASSION AND CHOICE
D Hardy
bmj.com, 22 Nov 2001 [Full text]
The state's power over our bodies should be ended
Amorey Gethin
bmj.com, 23 Nov 2001 [Full text]
"one more voice"
Val Martin
bmj.com, 24 Nov 2001 [Full text]
patients need medical care not legalised euthanasia
M D D Bell
bmj.com, 25 Nov 2001 [Full text]
Euthanasia and physician assisted suicide
Robert Twycross
bmj.com, 26 Nov 2001 [Full text]
The implications could have grave consequences
G Barr
bmj.com, 27 Nov 2001 [Full text]
On not arguing the case
Luke Gormally
bmj.com, 28 Nov 2001 [Full text]
Denying us voluntary euthanasia causes unnecessary human suffering
Jean Davies
bmj.com, 7 Dec 2001 [Full text]
A patient's view
M van Ments
bmj.com, 29 Nov 2001 [Full text]
Criticism of Editor
Andrew Cooper
bmj.com, 29 Nov 2001 [Full text]
Withholding and withdrawing medical treatments towards the end of life
Sanjay Shah, et al.
bmj.com, 2 Dec 2001 [Full text]
Consequences of the editor's choice
Mark Houghton
bmj.com, 4 Dec 2001 [Full text]
Re: Consequences of the editor's choice
Wayne Lewis
bmj.com, 5 Dec 2001 [Full text]
Circumstances Alter Cases
Hugh Wynne Eur Ing
bmj.com, 6 Dec 2001 [Full text]
"Patients want to know where we stand"
Mark Houghton
bmj.com, 14 Dec 2001 [Full text]
The law is there to protect both patients and doctors
Sally E Bashford
bmj.com, 26 Dec 2001 [Full text]
Debate on active euthanasia and physician assisted suicide
David T Shakespeare, et al.
bmj.com, 15 Jan 2002 [Full text]
Re: Francis H Sansbury can be gratified at once
Francis H Sansbury
bmj.com, 17 Jan 2002 [Full text]
Ethical Diversity, Consistent Law
Daniel L Johnson
bmj.com, 29 Jan 2002 [Full text]
Denying our humanity
Guido G Geutjens
bmj.com, 7 Apr 2002 [Full text]
Re: Specious arguments do not assist informed debate.
Agnes Wood
bmj.com, 28 May 2002 [Full text]
Re: Re: Specious arguments do not assist informed debate.
Michele Tringali
bmj.com, 29 May 2002 [Full text]



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