0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

“Agreed Boundaries”: Are We Asking the Right Question?

Samia A. Hurst, MD
Arch Intern Med. 2006;166(1):126-127. doi:10.1001/archinte.166.1.126-c.
Text Size: A A A
Published online

Extract

As both Wolf1 and Jansen-van der Weide and colleagues2 underline, knowing whether legal euthanasia or assisted suicide can be kept “within agreed boundaries”1 is an important question. This, however, does not apply solely to countries where euthanasia or assisted suicide is permitted. In empirical studies, up to 3.7% of US physicians reported having practiced assisted suicide and up to 9.4% reported having practiced euthanasia.3 According to another study, intensive care unit physicians in France, where euthanasia is illegal, are more likely to report having practiced “deliberate administration of medication to speed death in patients with no chance of recovering a meaningful life” compared with their colleagues from 11 European countries including the Netherlands.4(p1630) In Switzerland, where assisted suicide is legal under certain circumstances but not euthanasia,5 an international study reported that 1.04% of deaths could be due to assisted suicide, 0.27% to euthanasia, and 0.42% to ending of life without the patient's explicit request.6 The same study found that these rates were 0.06%, 0.06%, and 0.76%, respectively, in Denmark, where neither euthanasia nor assisted suicide is legal. Which situation is closer to “agreed boundaries”? We may not be asking the right question: much needed attention has focused on how euthanasia and assisted suicide legislation is applied, but this may not be sufficient. Should we not be analyzing which option, forbidding euthanasia/assisted suicide or permitting it, can best keep this practice within the boundaries we want to see respected?

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();