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Published on: July 13, 2016
[End of life: Belgian, Swiss and Oregon options]
1Accompagnement et soins palliatifs, CHU de Limoges, Limoges, France. Auteur du livre Vaincre la mort ou l'apprivoiser. Paris : éditions Balland, 2018.
Abstract:
End of life: belgian, swiss and oregon options. Three bills requesting to legalize euthanasia and assisted suicide were submitted to the National Assembly a few months ago in France. It draws from Belgian legislation about euthanasia, Switzerland and Oregon about assisted suicide. These legislations date respectively from 2002, 2006 and 1997 and results can be assessed to inform our discussion. These approaches are based on the autonomy of the individual dealing with death. Physicians are seriously involved in these practices. They inject deadly product in Belgium, in Switzerland and Oregon they prescribe it and the patients ingest it. Furthermore, it must be noted that increasing drifts under the law are observed. First in Belgium, the conformity assessment procedures are often criticized. Then, beyond autonomy of patients with intellectual abilities, euthanasia is achieved for psychiatric pathologies and dementias. Elderly persons could be affected in the future for economic reasons. In Switzerland, predominantly two associations are managing requests. Conformity assessment procedures are here again criticized. Assisted suicides are carried out for rheumatological diseases and chronic pain syndrome. Elderly persons could be also concerned. In Oregon, prolonged agony and failure are especially reported. Only a positive point: 35 percent of patients holding deadly product don't swallow it. This study can stimulate public debate, which is, for us, not a medical debate but a societal choice.
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