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Death and Medical Power: An Ethical Analysis of Dutch Euthanasia Practice

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Titel: Death and Medical Power: An Ethical Analysis of Dutch Euthanasia Practice
Autor/en: Henk Ten Have, Henk Have, Jos V. M. Welie

ISBN: 0335217559
EAN: 9780335217557
Sprache: Englisch.

1. Mai 2005 - kartoniert - 258 Seiten

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"This book is a well-referenced review of the history of the societal debate, attempts at regulation, and the practice itself. In addition, it discusses important and insightful distinctions (active-passive; omission-commission; outcomes-intentions). The unique basis for their conclusion makes an outstanding contribution to the literature."
Robert D. Orr, MD, CM, Professor of Bioethics,at Loma Linda University, California, USA.
  • How have Dutch debates on end-of-life care developed so differently from most other countries, finally resulting in the legalization of euthanasia?
  • What are the relevant legal, medical and ethical dimensions of euthanasia and physician assisted suicide?
  • What lessons can be learned from the Dutch experience with euthanasia?
In all modern countries a good death and relief of suffering are important issues of public debate. The bioethical debate in the Netherlands is unique since it has been focusing on the issue of euthanasia for more than thirty years. This book describes the debate, explains its origins, and analyses its development, resulting in the legislation of euthanasia. It also presents data on the medical practice of euthanasia with examples of cases. Death and Medical Power details the evolution as well as the complexities of the legal responses to physician involvement in euthanasia. The authors analyze the ethical debate concerning euthanasia, discussing the pros and cons of medical termination of human life. The book concludes with a section on the lessons to be learned from the Dutch experience.This unique study will be of relevance to all clinicians and other professionals involved in end-of-life care, to health policy makers and educators, as well as anybody else interested in the ethics of euthanasia.

Series editor's preface
Introduction1. Euthanasia and medical powerThe "Postma" Case
The Dutch euthanasia debate
Beginnings of the euthanasia movement
The verdict
Expansion of the debate
The lack of a theoretical foundation for euthanasia
Dutch euthanasia as a contradiction of respect for patient autonomy
Euthanasia as a hindrance to a good death
A framework of queries2. The growth of medical powerVictims of medical power
Medical-ethical uncertainty
Normative stability
The postwar period
The changing medical scene
The power of medicine
A new focus on death and dying
The development of the practice of euthanasia
The issue of public control
Public debate and the politics of compromise 3. The medical practice of euthanasiaIntroduction
General description of Dutch euthanasia cases
Incidence of medically procured death (MPD)
Who practices euthanasia?
The doctor-patient relationship
The physician's role in the decision-making process
Evaluation of the practice of euthanasia
Why physicians?4. The response of the lawIntroduction
The relevance of the Dutch legal developments for other countries
The law of 1886
Force Majeure
Jurisprudential developments
Why physicians?
Who can speak on behalf of the medical profession?
Guilty but no punishment
The role of the prosecutor
Legalization of euthanasia
Why a new law?5. Justifying the euthanasia practiceIntroduction
The importance of distinctions
Euthanasia versus letting go
Euthanasia versus palliative treatment
Euthanasia versus PAS
Voluntary versus non-voluntary MDP
Different methods of ethical reasoning
The model of double effect
Patient autonomy
Unbearable suffering and the patient's quality of life
Shifts in argumentation6. Lessons to be learnedIntroduction
The medicalization of end-of-life care
Medical interventions and control over human death
The inevitability of judgements about patients' quality of life
Powerlessness of the law, public debate and policy
The importance of distinctions
Towards a broader array of end-of-life care optionsAppendix I: digets of Dutch jurisprudenceAppendix II: 2001 law on euthanasia and PASNotes
Henk ten Have studied medicine and philosophy. He has worked as professor of philosophy at the University of Maastricht and as professor of medical ethics in the University Medical Centre of Nijmegen, the Netherlands. He is currently Director of the Division of Ethics of Science and Technology of UNESCO, Paris, France. Jos Welie studied medicine, philosophy and law. He joined Henk ten Have at the University Medical Centre of Nijmegen in the early 1990s, but has resided and taught in the US since 1997, presently as professor of health policy and ethics at Creighton Universitys Center for Health Policy and Ethics in Omaha.

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