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The doctor tries to persuade your dad that pain and suffering can usually be well controlled during the final days, but the patient is insistent: he wants to end his life.Would you agree that Dr. Jones is fulfilling his obligations as a physician by assisting your father in jumping off the bridge?If not, would you support the doctor’s providing your father with a lethal dose of medication?From the standpoint of medical ethics, I see no fundamental moral difference in a doctor’s assisting a patient to jump off a bridge without, of course,pushinghim off and a doctor’s prescribing a lethal dose of medication to “assist” in the patient’s suicide.Of course, there are importantproceduraldifferences between my bridge scenario and the way PAS is handled in these states. There are numerous procedural safeguards in place to ensure that dying patients are thoroughly evaluated, and not pressured or coerced into requesting lethal medication though the evidence is mixed as to how effective these safeguards have been.
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