JANUARY POSTING
January 23, 2006
Physicians for Compassionate Care responds to
Supreme Court Decision
It is very important to understand that last week's ruling on Gonzales
v Oregon by the Supreme Court needs to be interpreted in the correct
way. The court did not uphold the Oregon statute on assisted suicide
as a constitutional matter. In fact, the Oregon statute was not under
review.
The majority opinion by Justice Kennedy acknowledged that the Justice
Department was "reasonable" in asserting that medicine's boundaries
preclude physician assisted suicide. However, the court decision
was very specific to the attorney general's role, authority, and
actions in defining the "medical legitimacy" and applying the Controlled
Substance Act to physician assisted suicide. The dissenting opinion
by Justice Scalia stated "if the term 'legitimate medical purpose'
has any meaning, it surely excludes the prescription of drugs to
produce death."
The official position of the American College of Physicians opposes
Physician Assisted Suicide because:
- Assisted Suicide undermines the patient-physician relationship
- Assisted Suicide changes the role of the physician in society
- Assisted Suicide puts vulnerable populations at risk
Besides these self-evident reasons, assisted Suicide in Oregon is
not a legitimate medical act because the statute sets up a "Shroud
of Secrecy" around assisted suicide, as reporting is not subjected
to peer review and patients and families are prevented from pursuing
malpractice or other legal avenues. There are no other medical procedures
like this, where physicians can practice in complete secrecy without
any consequence.
The U.S. Congress needs to debate the legitimacy of acts of "Medical
Killing" such as Physician Assisted Suicide. We look forward to
this debate.
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