The Public Policy And Advocacy Office Of The Catholic Church In Connecticut
Assisted Suicide2019-10-18T13:14:24+00:00

Assisted Suicide

Current Articles and Reflections on Physician-Assisted Suicide

A Palliative Care Doctor in California reflects on efforts to adopt physician-assisted suicide. California eventually legalized physician-assisted suicide, but the points made in this article are still relevant.  “We should think twice about ‘death with dignity’”

Words from a person who had ALS  “How Assisted Suicide Advocacy Hurts the Sick”  

Usccb Approves Statement Opposing Physician-assisted Suicide; Call On Catholics To Give Support To The Dying, Ensure Their Legal Protection June 16, 2011 Read more

Organizations That Oppose Physician-Assisted Suicide

American College of Physicians
American Medical Association
American Nurses Association
Connecticut Medical Society
Connecticut Council on Developmental Disabilities
Center for Hospice Care
Regional Hospice and Home Care of Western Connecticut
Middlesex Hospital, Hospice and Palliative CareDay
Kimball Healthcare, Hospice and Palliative Care
Connecticut Hospice, Inc.
Office of Protection and Advocacy for Persons with Disability
Connecticut Association of Healthcare at Home
Second Thoughts (disability organization)
Not Dead Yet (disability organization)
Disability Rights Education and Defense Fund

Current Status

Physician-assisted suicide in the United States is legal in:

Oregon (1994), Washington (2008), Vermont (2013), California (2015), Colorado (2016), Washington, D.C. (2017), Hawaii (2018)

In Montana, the Baxter v. Montana (2009) court decision created a defense for a physician who is prosecuted should the physician be charged in assisting a suicide, although prosecutions and convictions for assisted suicide remain possible in Montana.

Since Oregon legalized assisted suicide in 1994, many states have rejected assisted-suicide measures, some multiple times. Since January 1994, there have been more than 200 legislative proposals in more than 35 states. [1]

2018 Physician-Assisted Suicide State Legislation

All efforts to legalize and regulate physician-assisted suicide via state legislation failed in 2018, with the exception of Hawaii.  The following list details the bill numbers for proposed legislation in favor of physician-assisted suicide in each state during 2018 legislative sessions.

State Bill No.
Arizona HB 2102
Connecticut HB 5417
Hawaii SB 2727 (Adopted)
New Jersey A 1504, S 1072
Ohio SB 249
Oklahoma HB 2585
Rhode Island H 7297
Utah HB 210

[1] http://www.patientsrightscouncil.org/site/failed-attempts-usa/

Frequently Asked Questions

What is the solution to difficult end-of-life situations?2019-10-18T13:07:38+00:00

Most people facing a devastating illness are usually seeking true compassion, loving care, family support and quality pain control. Instead of enacting a law that opens up a Pandora’s box of possible abuses, we as a society should work on refining the existing system of medical care to reflect the 1993 statement of the American Medical Association when they took a position against physician-assisted suicide.

“Physician-assisted suicide is fundamentally incompatible with the physician’s role as healer, would be difficult or impossible to control, and would pose serious societal risks. Instead of participating in assisted suicide, physicians must aggressively respond to the needs of patients at the end of life. Patients should not be abandoned once it is determined that cure is impossible. Multidisciplinary interventions should be sought including specialty consultation, hospice care, pastoral support, family counseling, and other modalities. Patients near the end of life must continue to receive emotional support, comfort care, adequate pain control, respect for patient autonomy, and good communication.” [2]

Is physician-assisted suicide good public policy?2019-10-18T12:48:59+00:00

Many proponents of physician-assisted suicide believe that this procedure is a private personal matter and the state should allow individuals to end their lives if they so desire. The only problem with this thought process is that once a legislature enacts a physician-assisted suicide law, it impacts everyone. It now places the option of suicide on the “table of options” to be considered when a person is facing a serious illness. It presents opportunities for the ill, the elderly and the disabled to be manipulated by those around them who would benefit from their death. It may even effect the options for medical care that people will be provided. In Oregon, the state’s Public Health Plan informed patients that the insurance will cover the costs of medication for physician-assisted suicide, but not the cancer treatment they requested. The right of an individual is far overshadowed by the potential negative impact on our society. The right to die may soon become the responsibility to die for the sick, the elderly and the disabled. The passage of physician-assisted suicide would create a terrible public policy.

Is physician-assisted suicide a recipe for abuse of the elderly?2019-10-18T12:49:05+00:00

The supporters would have you believe that there have been no complaints, but clearly the Washington and Oregon laws are a recipe for elder abuse.  The most obvious reason is due to a lack of oversight when the lethal dose is administered. For example, the law does not require a witness at the time of death; the death occurs in private. With this situation, the opportunity is created for an heir, or for another person who will benefit from the patient’s death, to administer the lethal dose to the patient without their consent. Even if the patient struggled, who would know? We note that the state health departments in Oregon and Washington do not ask about abuse, monitor for abuse or issue any reports on abuse.

Does opposition to physician-assisted suicide laws come primarily from religious groups?2019-10-18T12:49:08+00:00

No. Supporters of physician-assisted suicide argue that religious groups are its strongest opponents. This also is not true. Although religious groups, such as the Catholic Church and other denominations strongly oppose this type of legislation and have been known to actively fund efforts to defeat it, many other groups have spoken out loudly against physician-assisted suicide in state after state. Organizations representing the medical, hospice, disability and elderly communities are all strong opponents of this type of legislation. Physician-assisted suicide legislation is also strongly opposed by the American Medical Association. Any effort to call this a religious issue is clearly an attempt to detract from the serious problems relating to the legalization of physician-assisted suicide.

Is uncontrollable pain the biggest concern of patients who participate in physician-assisted suicide?2019-10-18T12:49:11+00:00

Again the answer is “no”. Actual pain, combined with concern about possible pain in the future, is only a motivating factor in the minority of cases. Although advocates for physician-assisted suicide would like one to believe that uncontrollable pain is the primary reason that individuals seek to end their lives; this is simply not supported by the facts.  In the words of the Oregon Public Health Division concerning physician-assisted suicides in 2017, “ similar to previous years, the three most frequently reported end-of-life concerns were: decreasing ability to participate in activities that made life enjoyable (88.1%), loss of autonomy (87.4%), and loss of dignity (67.1%).”  Fear of being a burden on family and friends was a concern in 55.2% of the cases, while fear of pain was a concern in only 21%. [1]

How prevalent are physician-assisted suicide laws?2019-10-18T12:49:14+00:00

Currently, only six states, Oregon (1994), Washington (2008), Vermont (2013), California (2015), Colorado (2016), and Hawaii (2018), along with Washington, D.C. (2017), have statutes providing for physician-assisted suicide.  Over 200 legislative proposals in various states – and numerous referendums – have consistently failed to enact physician-assisted suicide laws.

Montana allows physician-assisted suicide through a court decision.  Montana’s Supreme Court, in Baxter v. State of Montana, 354 Mont. 234, (2009), ruled that the affirmative defense of consent (given by a patient) to assisted suicide was available to protect doctors from a homicide charge. It also did not invalidate Montana law that classifies any acts of assisted suicide as a homicide.

Is there a difference between “aid in dying”, “death with dignity” and physician-assisted suicide?2019-10-18T12:49:17+00:00

No. “aid in dying” or “death with dignity” are more socially tolerable terms for physician-assisted suicide. These terms are used by advocates of physician-assisted suicide in order to  avoid the use of the word “suicide”, which most people find objectionable. Webster’s dictionary defines suicide as the “act or an instance of taking one’s own life voluntarily and intentionally especially by a person of years of discretion and of sound mind”.  Therefore, these terms mean nothing more than having a physician provide lethal medication to a patient who wishes to commit suicide.

What is physician-assisted suicide?2019-10-18T12:49:21+00:00

Physician-assisted suicide occurs when a doctor writes a prescription for a patient who has a terminal illness and is told they have only six months to live. The patient then must have the prescription filled at a local pharmacy and self-administer the drug, which in most cases occurs at home.  The physician is almost never present at the patient’s suicide.  The physician or another health care professional cannot administer the drug. The patient must consume the medication, which may number around 100 pills, to themselves. The physician’s role basically ends once they provide the prescription to the patient. Physician-assisted suicide is not related to the withdrawal of feeding tubes, intravenous fluids, breathing tubes, etc. The withdrawal of these devices is already allowed under law and under Catholic medical directives.

[1] “State of Oregon Death with Dignity Report 2017”, Oregon Public Health Division

[2] “Opinion 2.211 – Physician-Assisted Suicide”, American Medical Society, adopted 1993, updated June 1996