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Palliative Care against Medically Assisted Death? Misunderstanding and Instrumental Objections
Sara Patuzzo1, Elisabetta Pulice2, Luciano Orsi3
1Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.
The American Journal of Hospice & Palliative Care
|August 22, 2023
Summary
Palliative Care (PC) and Medically Assisted Death (MAD) are distinct. Understanding the philosophical and legal differences is key to preventing PC
Area of Science:
- Medical Ethics
- Philosophy of Medicine
- Legal Medicine
Background:
- Palliative Care (PC) and Medically Assisted Death (MAD) are distinct medical practices with differing goals, methods, and outcomes.
- Representatives of PC, including scientific societies and physicians, may critically oppose MAD (assisted suicide and euthanasia).
Purpose of the Study:
- To explore the reasons behind the opposition of Palliative Care representatives towards Medically Assisted Death.
- To analyze the philosophical underpinnings and legal conditions differentiating PC and MAD.
Main Methods:
- Philosophical analysis of Palliative Care and Medically Assisted Death.
- Legal analysis of the conditions and frameworks governing PC and MAD.
Main Results:
- Identified ethical paradigms: the Hippocratic paradigm (associated with PC) and Socratic medicine (associated with MAD).
- Intolerable suffering is a common legal ground but risks misunderstandings and instrumental objections.
- Distinctions in objectives, methods, implementation, and outcomes highlight the divergence between PC and MAD.
Conclusions:
- Preventing the instrumentalization of Palliative Care in relation to Medically Assisted Death is essential.
- Respect and coexistence of both PC and MAD can be achieved by maintaining their distinct ethical and legal boundaries.
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