PRESS RELEASE - March 10, 2004
2003 ASSISTED SUICIDE REPORT - STILL SHROUDED IN SECRECY; INJECTABLE
DRUG USED
"There is a wall of secrecy around assisted suicide in Oregon." Says
Dr. Kenneth Stevens, a cancer doctor in Portland, Oregon. "The proponents
of assisted suicide and the Oregon Department of Human Services agency
had promised that appropriate information would be provided to the
public regarding what is happening with assisted suicide in what
has been called the "Oregon Experiment". However, under the guise
of confidentiality, assisted suicide is practiced covertly in Oregon."
Injectable liquid pentobarbital is now the most common drug used
for assisted suicide in Oregon; it is only available as an injectable
liquid. The state agency is not even aware that the injectable form
of pentobarbital was used in 2003 and in prior years. How do we know
it is not being used as a lethal injection for euthanasia? This is
further evidence of the "slippery slope" from assisted suicide to
euthanasia in Oregon.
The state agency is documenting that non-terminal patients are receiving
prescriptions for lethal drugs. The Oregon Department of Human Services
report for the 2002-year stated that two patients receiving prescriptions
in 2001 were still alive at the end of 2002, indicating they were
still alive over one year from receiving the prescriptions. This
year's report documents only one 2001-year prescription recipient
died in 2003. That means a second patient who received a prescription
for lethal drugs in 2001 is still alive over 2 years later at the
end of 2003; this patient is not described in the 2003-year report.
Both of these patients obviously were not terminal when they received
the prescription. This is a clear violation of the State law.
The prescribing doctor was present in only 29% of the cases when
the drug was used. As such, we really don't know how these patients
are dying. What is purported to have happened is obtained second-
or even third-hand from those favoring assisted suicide. The reported
time from ingestion to death ranges from 5 minutes to 48 hours. Oral
barbiturate medication needs time to be absorbed and enter into the
tissues of the brain, and it seems that 5 minutes is too soon for
that to occur. This is more consistent with the time from a lethal
injection to the time of death. The report describes a patient who
drank one-half of the prescribed medication and about 30 seconds
later vomited one-third of what was consumed, retaining only about
3 grams of the barbiturate. This patient is reported to have lived
48 hours before dying. This patient had a non-lethal dose of barbiturate.
Two other patients also vomited some of their overdoses. Patients
surviving beyond 6 hours are unlikely to die from the short-acting
barbiturate. Such instances are clearly failures and lead to more
questions. What is the true cause of death? Where is the so-called
death with dignity?
Depression is the most common condition leading to suicide. It is
a shame that only 5% of assisted suicide patients were referred for
psychological evaluation. "Depressed Oregonians are being over-dosed",
says Portland psychiatrist, Greg Hamilton. Patients with depression
at the end of life deserve good mental health treatment --- not assisted
suicide.
The following table represents information the Oregon Department
of Human Services has and has not provided over the 6 years of physician-assisted
suicide in Oregon. It is evident that the data regarding the numbers
of doctors involved in assisted suicide in Oregon is not complete.
Year |
1998 |
1999 |
2000 |
2001 |
2002 |
2003 |
# of prescriptions written in
year |
24 |
33 |
39 |
44 |
58 |
67 |
# of doctors writing prescriptions
for lethal drugs |
? |
22 |
? |
33 |
33 |
42 |
# of these doctors who had written
prescriptions for lethal drugs in prior year/s |
No Prior Year |
6 |
? |
? |
? |
? |
# of physician-assisted suicide
deaths in year |
16 |
27 |
27 |
21 |
38 |
42 |
# of doctors writing prescriptions
for those who died from physician-assisted suicide |
14 of 15 deaths in first year
report |
? |
22 |
? |
? |
30 |
The incomplete disclosure regarding assisted suicide in Oregon is
alarming. Oregonians should demand that an independent expert panel
be given access to what limited and incomplete data is available
to discover what is really happening with assisted suicide in Oregon.
The issue of physician-assisted suicide is one of the most significant
ethical challenges that the medical profession has faced since the
time of Hippocrates, when the goal of the physician was "First do
no harm". A siege upon the character identity and role of physicians
is taking place right here in Oregon.
In contrast to the proponents of assisted suicide; Physicians for
Compassionate Care affirm that all human life is inherently valuable.
We affirm that physicians' roles are to heal illness, alleviate suffering,
and provide comfort for the sick and dying. We have the duty to safeguard
life, especially life of the most vulnerable: the sick, elderly,
disabled, poor, ethnic minorities, and those whom society may consider
the most unproductive and burdensome.
For further information call Dr. Kenneth Stevens at (503) 481-8410
or page him at 503-599-4439, email at stevensk@ohsu.edu
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