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b. The person has clearly made a considered and informed decision. An individual has the ability
nowadays to indicate this with a "Living Will" (which applies only to disconnection of life
supports) and can also, in today's more open and tolerant climate about such actions, discuss
the option of a hastened death with health professionals, family, lawyers, etc. But they may not
demand it.
c. The euthanasia has not been carried out at the first knowledge of a life-threatening illness, and
reasonable medical help has been sought to try to cure or at least slow down the disease. The
pro-choice movement does not believe in giving up on life the minute a person is informed of a
terminal illness, a common misconception spread by our critics. Life is precious, you only pass
this way once, and is worth a fight. It is when the fight is clearly hopeless and the agony physical and mental - is unbearable that a final exit is an option.
d. The treating physician has been informed, asked to be involved, and the response taken into
account. What the physician's response will be depends on the circumstances, of course, but we
advise people that as rational suicide is not a crime, there is nothing a doctor can do about it.
But it is best to inform the doctor and listen to the response. For example, the patient might be
mistaken - perhaps the diagnosis has been misheard or misunderstood. In the last century,
patients raising this subject were usually met with a discreet silence, or meaningless remarks,
but in this century's more accepting climate of personal freedoms most physicians will discuss
potential end of life actions, however cautiously.
e. The person has made a Will disposing of worldly possessions and money. This shows evidence
of a tidy mind, an orderly life, and forethought -- all something which is paramount to an
acceptance of rational suicide.
f. The person has made plans to exit that do not involve others in criminal liability or leave them
with guilt feelings. As I have mentioned earlier, assistance in suicide is a crime in most places,
although the application of the law is growing more tolerant. Few cases actually come to court.
But care must still be taken and discretion is the watchword.
g. The person leaves a note saying exactly why he or she is taking their life. This statement in
writing obviates the chance of subsequent misunderstandings or blame. It also demonstrates
that the departing person is taking full responsibility for the action. If the aim is to attempt to
allow the death to be seen as 'natural' and not suicide, this note should be kept in a private,
secure place and only shown later if necessary
Lethal injection introduces a few particular complications. The drugs chosen for their lethality
are not often used on human beings, and application is somewhat poorly understood.
(Stephanie Mencimer of Mother Jones detailed some of these difficulties in a prescient piece
published just before Oklahoma tried to execute Lockett last week.) States have had special
trouble with condemned men who are obese, or heroin addicts or others on whom it is tricky to
find a vein. Executions have been extremely prolonged because prison staff tied an arm strap too
tightly, cutting off circulation and keeping drugs from moving throughout the body, or because it
took an hour to find a vein; in 2009, the state of Ohio tried to execute a man named Romell
Broom, and over the course of two hours officials stuck him 18 times in the legs and arms,
unsuccessfully. At several points, Broom tried to help them, though that didn't work either. After
two hours, the prison officials decided to regroup, and phoned the governor to ask him to delay
the execution by a few days. He agreed. Then there were legal challenges about the ethics of
condemning someone to a second execution after the state had failed to carry out the first. More
than four years later, Broom is still on death row
Dr. Jack Kevorkian was guilty in law but morally innocent (in my view) of helping a terminal man
to die by lethal injection. A Michigan jury found him guilty of second-degree murder and he was
jailed for 10-25 years. In recent years two spouses in New York State have been imprisoned for
assisting their sick wives to die.
Euthanasia is the deliberate advancement of a person's death for the benefit of that person. In
most cases euthanasia is carried out because the person asks to die, but there are cases where a
person can't make such a request.
A person who undergoes euthanasia is usually terminally ill.Euthanasia can be carried out either
by doing something, such as administering a lethal injection, or by not doing something
necessary to keep the person alive (for example failing to keep their feeding tube going).