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Legalized Assisted Dying in America: Improving on the Oregon Mode with Lessons from Other Countries

Frye, John William, III

Abstract Details

2018, Doctor of Philosophy, Case Western Reserve University, Bioethics and Medical Humanities.
The Oregon model of assisted dying has nearly two decades of practice and evaluation. The large scale abuses and negative societal effects predicted by opponents of the law have failed to materialize, and several other states have passed similar laws in recent years. Yet a handful of troubling individual cases and the paucity of individual case review still give reason for concern. By focusing on certain key aspects of the Oregon model, seven important theoretical and practical concerns come to light, such as the lack of assessment at self-administration, the distortion of the physician-patient relationship, and the lack of continuing professional guidance. Other countries that have legalized their own versions of assisted dying have had to grapple with such issues as well. While the response of each country is shaped by its culture and health care system, certain generally applicable principles can be inferred. These include the importance of training, physician presence, palliative/hospice care, and comprehensive research into the evolving practice. With these in mind, I propose several important modifications to the Oregon model. These modifications are possible within the framework of the states that currently allow assisted dying, but would best be implemented by adding legal requirements to these laws, and to similar laws that are under consideration in other states.
Stuart Youngner, MD (Committee Chair)
Mark Aulisio, PhD (Advisor)
157 p.

Recommended Citations

Citations

  • Frye, III, J. W. (2018). Legalized Assisted Dying in America: Improving on the Oregon Mode with Lessons from Other Countries [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1504297754801944

    APA Style (7th edition)

  • Frye, III, John. Legalized Assisted Dying in America: Improving on the Oregon Mode with Lessons from Other Countries. 2018. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1504297754801944.

    MLA Style (8th edition)

  • Frye, III, John. "Legalized Assisted Dying in America: Improving on the Oregon Mode with Lessons from Other Countries." Doctoral dissertation, Case Western Reserve University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1504297754801944

    Chicago Manual of Style (17th edition)