Australians in their 20s and 30s are killing themselves with the drug that euthanasia advocate, Dr Philip Nitschke, has promoted as the ''peaceful pill''. The Victorian Institute of Forensic Medicine has found that 51 people in Australia have died from an overdose of Nembutal in the past 10 years. While the lethal barbiturate is only available for veterinarians to euthanise animals in Australia, Dr Nitschke has been helping people obtain it from Mexican vets and other overseas sources since the late 1990s.
The MDU has grave concerns about how the new policy* on whether or not to prosecute the offence of assisted suicide, will be applied to doctors. “The MDU’s advice to its members remains that doctors approached by patients for advice about suicide should not engage in discussion which assists the patient to that end. Members who are faced with requests for help from patients, including for example the provision of medical reports, should contact us for advice.”
Should those with incurable illnesses be allowed to choose how and when they die? In his Richard Dimbleby lecture, author Terry Pratchett, who has Alzheimer's disease, makes a plea for a common-sense solution. This is an edited extract of Terry Pratchett's Richard Dimbleby lecture, Shaking Hands With Death, which was broadcast on BBC1 on 1 February
Justice Minister Eveline Widmer-Schlumpf says she wants the government to rethink its proposal to tighten legislation on assisted suicide. Widmer-Schlumpf, in a SonntagsZeitung newspaper interview, said assisted suicide should not only be limited to the terminally ill who are close to death.
The Swiss Government is considering new laws that are likely to make it harder for foreigners to travel to clinics, such as Dignitas, to get help to end their life. Recently the British conductor Edward Downes and his wife, Joan, used the services of Dignitas. Unlike his wife, Sir Edward, 85, did not have a terminal illness. In June the Swiss justice minister, Eveline Widmer-Schlumpf, announced that two different draft pieces of legislation would be considered in parliament this autumn. "One is a complete ban on assisted suicide, and one is the introduction of stricter, clearer legislation," she said. Currently it is legal in Switzerland to assist in a suicide unless it can be proved that the assistant has a selfish motive. Opinion polls have always shown that about two thirds of the population have a liberal attitude towards self determined death. But the Swiss are opposed to commercial assisted suicide and the cost to the nation of investigating cases.
While assisted suicide (AS) is strictly restricted in many countries, it is not clearly regulated by law in Switzerland. This imbalance leads to an influx of people—‘suicide tourists’—coming to Switzerland, mainly to Zurich, for the sole purpose of committing suicide. Political debate regarding ‘suicide tourism’ is taking place in many countries. Swiss medicolegal experts are confronted with these cases almost daily, which prompted our scientific investigation of the phenomenon. The present study has three aims: (1) to determine selected details about AS in the study group (age, gender and country of residence of the suicide tourists, the organisation involved, the ingested substance leading to death and any diseases that were the main reason for AS); (2) to find out the countries from which suicide tourists come and to review existing laws in the top three in order to test the hypothesis that suicide tourism leads to the amendment of existing regulations in foreign countries. ...
Background: In Switzerland, non-medical right-to-die organisations such as Exit Deutsche Schweiz and Dignitas offer suicide assistance to members suffering from incurable diseases. Objectives: First, to determine whether differences exist between the members who received assistance in suicide from Exit Deutsche Schweiz and Dignitas. Second, to investigate whether the practices of Exit Deutsche Schweiz have changed since the 1990s. Conclusions: Weariness of life rather than a fatal or hopeless medical condition may be a more common reason for older members of Exit Deutsche Schweiz to commit suicide. The strong over-representation of women in both Exit Deutsche Schweiz and Dignitas suicides is an important phenomenon so far largely overlooked and in need of further study.
This short paper for one of the world's leading bioethics journals introduces readers to medical tourism - the travel of patients from their home country to another for the primary purpose of seeking medical treatment. The paper divides medical tourism into three types: (1) Medical tourism for services illegal in both the patient's home and destination countries (e.g., organ transplant tourism); (2) Medical tourism for services that are illegal in the patient's home country but legal in the destination country (e.g., some forms of fertility tourism, euthanasia tourism, experimental drug tourism); (3) Medical tourism for services legal in both the home and destination country (e.g., traveling abroad for a heart valve or hip replacement). The paper then discusses several difficult ethical and regulatory challenges posed by each type of medical tourism.
By attempting to avoid accusations that he is creating a regulatory regime, the DPP in his final policy on assisted-suicide prosecutions has wrongly exposed those with much-needed medical expertise to the risk of prosecution, says Penney Lewis
The House of Lords in Purdy forced the DPP to issue offence-specific guidance on assisted suicide, but Jacqueline A Laing argues that the resulting interim policy adopted last September is unconstitutional, discriminatory and illegal. In July 2009, the law lords in R (on the application of Purdy) v Director of Public Prosecutions [2009] All ER (D) 335 required that the DPP publish guidelines for those contemplating assisting another to commit suicide. The DPP produced a consultation paper (23 September 2009) seeking to achieve a public consensus, albeit outside Parliament, on the factors to be taken into account in determining when not to prosecute assisted suicide. Although the consultation exercise is hailed by proponents of legislative change as a democratic, consensus-building and autonomy-enhancing initiative, there is much to suggest that, on the contrary, the guidance is unconstitutional, arbitrary and at odds with human rights law, properly understood.
Sir Terry Pratchett, the author, believes doctors should be able to prescribe a take-home suicide kit which would be “close to the ideal” way for terminally ill people to end their lives.
Amongst the latest, and ever-changing, pathways of death and dying, “suicide tourism” presents distinctive ethical, legal and practical challenges. The international media report that citizens from across the world are travelling or seeking to travel to Switzerland, where they hope to be helped to die. In this paper I aim to explore three issues associated with this phenomenon: how to define “suicide tourism” and “assisted suicide tourism”, in which the suicidal individual is helped to travel to take up the option of assisted dying; the (il)legality of assisted suicide tourism, particularly in the English legal system where there has been considerable recent activity; and the ethical dimensions of the practice. I will suggest that the suicide tourist—and specifically any accomplice thereof—risks springing a legal trap, but that there is good reason to prefer a more tolerant policy, premised on compromise and ethical pluralism.
Figures obtained by The Daily Telegraph show that more than 30 people travelled to die with the help of Dignitas or Ex-International in 2009. At the same time, a high-profile campaign conducted in Parliament, the courts and the media sought to end the fear of prosecution for those who assist in suicides.
Decision on prosecution – the death by suicide of Daniel James, 9 December 2008. The detailed statement made by the Director of Public Prosecutions (DPP) in December 2008 that the family of Daniel James, who died in the Swiss clinic Dignitas in September 2008, would not face criminal charges marks a milestone in the development of the law as it applies in practice to assisted suicide. The DPP and, more recently, the judiciary 1 are arguably contributing to the tacit acceptance of assisted uicide abroad.
Sir Terry Pratchett, the fantasy writer who was diagnosed with Alzheimer's in 2008, said yesterday he had started the formal process that could lead to his own assisted suicide at the Dignitas clinic in Switzerland. Pratchett, whose BBC2 film about the subject of assisted suicide is to be shown on BBC2 tomorrow, revealed he had been sent the consent forms requesting a suicide by the clinic and planned to sign them imminently. "The only thing stopping me [signing them] is that I have made this film and I have a bloody book to finish," he said during a question-and-answer session following a screening at the Sheffield documentary festival Doc/Fest. He said that he decided to start the process after making the film Terry Pratchett: Choosing to Die, which shows the moment of death of a motor neurone sufferer, millionaire hotel owner Peter Smedley.