Marcia Angell was an editor of the most prestigious medical journal in the world for two decades. She currently gives monthly lectures on ethics to faculty at Harvard Medical School. And she served on a panel that gave advice on medical issues to the White House. But Dr. Angell’s credentials were challenged, Wednesday, in the Supreme Court of British Columbia when a lawyer for the federal Department of Justice tried to prevent her affidavit from being entered in a case concerning physician-assisted suicide.
Terminally ill patients who want to commit suicide should be able to receive medical help to die, a government adviser on care for the elderly has said. Martin Green, a dementia expert for the Department of Health, said patients who were too frail to take their own lives were being denied “choice” and “autonomy” because assisted suicide is illegal in the UK. In an interview with The Daily Telegraph, he urged ministers to review the law and suggested that a referendum or a free vote in Parliament should be called to settle policy on the issue. “If you’re going to give people ‘choice’, it should extend to whether or not they want to die,” he said.
Russel Ogden has seen enough people end their own lives to convince him that a planned and fully accountable suicide is a right all Canadians should have. This week in the Supreme Court of British Columbia, Mr. Ogden and the Farewell Foundation For The Right To Die will be fighting both the provincial and federal governments to make “self-chosen death” a legal option.
SAN JOSE — Costa Rica, a nation that takes pride in its respect for civil liberties, is being sued for failing to lift a ban on in-vitro fertilization (IVF), as it remains the only country in the Americas that prohibits the procedure. The Inter-American Commission on Human Rights said on Monday it will take Costa Rica to the Inter-American Court of Human Rights for not legalizing IVF after the commission twice extended its previous deadline for the country to do so. In-vitro fertilization was banned in Costa Rica in 2000 under pressure from the Catholic Church. Some couples have taken their cases to the Inter-American Court, which is based in Washington, and 50 couples have joined to file the petition. President Laura Chinchilla has made efforts to prevent the case from reaching the court, but she was met with sluggish action on the part of Costa Rican lawmakers.
A man who is almost completely paralysed is taking legal action in a bid to end his life. His solicitors have told the BBC that they believe his case could have major implications for the way prosecutors in England, Wales and Northern Ireland deal with assisted suicides.
The B.C. Civil Liberties Association says it wants to challenge Canada's assisted-suicide laws alone. The BCCLA represents four plaintiffs seeking to change Canada's assisted-suicide laws, including a dying woman who won the right to have her trial expedited because her health is failing. Gloria Taylor suffers from amyotrophic lateral sclerosis, also known as Lou Gehrig's disease. On Wednesday, a B.C. Supreme Court judge ruled Taylor's trial should be heard in November because of the woman's rapidly deteriorating condition. A similar lawsuit is simultaneously being brought forward by the Farewell Foundation. The group's co-founder Russell Ogden is lobbying to join the BCCLA's lawsuit if its own challenge is struck down. Ogden argues testimony from his application should be part of the civil liberties association's case because it's unfair to assess the quality of either challenge.
US military medical ethics evolved during its involvement in two recent wars, Gulf War I and the War on Terror. Norms of conduct for military clinicians with regard to the treatment of prisoners of war and the administration of non-therapeutic bioactive agents to soldiers were set aside because of the sense of being in a ‘new kind of war’. Concurrently, the use of radioactive metal in weaponry and the ability to measure the health consequences of trade embargos on vulnerable civilians occasioned new concerns about the health effects of war on soldiers, their offspring, and civilians living on battlefields. Civilian medical societies and medical ethicists fitfully engaged the evolving nature of the medical ethics issues and policy changes during these wars. Medical codes of professionalism have not been substantively updated and procedures for accountability for new kinds of abuses of medical ethics are not established. Looking to the future, medicine and medical ethics have not articul
In the case of V.C. v. Slovakia the Court found a violation of the prohibition of inhuman or degrading treatment and of the right to respect for private and family life concerning the sterilisation of a young Slovakian woman of Roma origin.
Predictive testing for Huntington’s disease was introduced in the late 1980s. It was offered reluctantly, however, because of the lack of treatment available for identified gene carriers and the potential for genetic discrimination—that is, the unfair and inappropriate treatment of a person or group on the basis of genetic information. In the linked cross sectional survey (doi:10.1136/bmj.b2175), Bombard and colleagues assess the nature and prevalence of genetic discrimination in a cohort of asymptomatic genetically tested and untested people at risk for Huntington’s disease.
Debbie Purdy, who wants her husband to accompany her to Switzerland for an assisted suicide without fear of prosecution, took her case to the United Kingdom’s highest court, the House of Lords, for a final appeal this week. Ms Purdy, who has progressive multiple sclerosis, scored an important victory on the first day of the two day hearing, when the director of public prosecutions, Keir Starmer, conceded that article 8 of the European Convention on Human Rights, the right to respect for private life, applies to cases like hers.
British Columbia’s Supreme Court ruled last week [in Carter v AG Canada] that provisions of the Criminal Code that ban physician-assisted suicide are unconstitutional. Madam Justice Lynn Smith suspended her ruling for one year to give Parliament time to draft new legislation. A government spokeswoman said Ottawa is still reviewing the judgment, but her reminder that Parliament voted not to change the physician-assisted suicide law just two years ago has only added to the sense that there will be an appeal. Ms. Taylor – a 64-year-old who suffers from Lou Gehrig’s disease – was granted a constitutional exemption that permits her to proceed with physician-assisted suicide during the one-year period, though she must meet a number of conditions.