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    Area of Science:

    • Bioethics
    • Medical Law
    • Public Health Policy

    Background:

    • The Oregon Death with Dignity Act (ODDA) has been law for 20 years.
    • Recent legislative amendments to the ODDA propose significant changes to end-of-life care.
    • Student engagement with end-of-life medical ethics has shifted focus over time.

    Purpose of the Study:

    • To analyze a proposed amendment to the ODDA that alters core safeguards.
    • To examine the ethical implications of shifting from physician-assisted death to medical aid in dying.
    • To explore the tension between individual autonomy and professional ethics in end-of-life medical decisions.

    Main Methods:

    • Analysis of legislative text from a proposed amendment to the Oregon Death with Dignity Act.
    • Classroom discussion and ethical deliberation on the implications of the amendment.
    • Comparative analysis of physician-assisted death versus medical aid in dying frameworks.

    Main Results:

    • The proposed amendment could permit an agent to administer life-ending medication, bypassing direct patient self-administration.
    • This shift raises concerns about patient decision-making capacity and the role of agents.
    • Student discussions indicate a prevailing emphasis on individual choice, even with these proposed changes.

    Conclusions:

    • The proposed amendment signifies a potential evolution in medical aid in dying practices.
    • This evolution challenges traditional bioethical considerations of autonomy and professional responsibility.
    • Further ethical discourse is needed regarding the administration of life-ending medication by agents.