Life Without Us?
By Jane Patton, Guest Columnist
It is not new that some people say that they do not want to bring children into the world. And, as far as the do’s and don’ts of being environmentally responsible, the carbon footprint of a single human being tops the list of avoidable behaviors. One presidential candidate even advocates abortion as a way to combat climate change. So, it may be okay to have one or two children. Any more than that and parents might be called selfish.
But, a growing movement is taking the idea of limiting births to the next level—preventing all births. Who ...read more
When Can Others Help Themselves to Our Organs?
D. Joy Riley, M.D., M.A. Executive Director
We have an opt-in organ donation system in the United States. That is, you have to say, “Yes,” to organ donation in order to donate. Opting in is very easy, and you can usually do that through your local Department of Motor Vehicles (DMV). Even those too young to vote can opt-in for organ donation. Why is this service available through the DMV? A few moments’ thought can yield an answer.
England has recently changed its law governing organ donation. The new “opt-out” law takes effect in 2020:
Everyone in England over the age of 18 will ...read moreAMA Resists Embracing “Neutrality” on Physician-Assisted Suicide
D. Joy Riley, M.D., M.A. Executive Director
Yesterday, the American Medical Association (AMA) House of Delegates voted to retain the current position of the AMA RE physician-assisted suicide. That was the recommendation of the AMA’s Council on Ethical and Judicial Affairs (CEJA), and the CEJA report was accepted by a 65:35 majority, according to the National Right to Life News.
CEJA is responsible for maintaining and updating the AMA’s Medical Code of Ethics, and promoting “adherence to the Code’s professional ethical standards.” Last year, CEJA recommended maintaining the long-held AMA stance against physician-assisted suicide, but the House of Delegates rejected that recommendation. Further ...read more
The Rubicon
D. Joy Riley, M.D., M.A. Executive Director
The law in the Roman Republic in 49 B.C. was very clear about an army crossing a small stream outside Rome: it was considered an act of war. Julius Caesar knew this, and led his 13th Legion across that stream, declaring, in the historian Suetonius’ words, “The die is cast!” Caesar and his army did not turn back, but continued on to war, and ultimately defeated Pompey the Great. This turning point in history is referenced whenever we talk about approaching a point of no return and utter the phrase, “crossing the Rubicon.”
“The Rubicon” sculpture ...read more
The ACP Releases a Position Paper on Physician-Assisted Suicide
D. Joy Riley, M.D., M.A. Executive Director
On 19 September 2017, the Ethics, Professionalism and Human Rights Committee of the American College of Physicians released their position paper on physician-assisted suicide (P-AS). A brief synopsis of it follows…
Re: Ethics and the Legalization of Physician-Assisted Suicide: An American College of Physicians Position PaperThe statement released last week builds on previous work:
1997 report by the Institute of Medicine (IOM), Approaching Death: Improving Care at the End of Life, which cited “inadequate end-of-life care” in the U.S. 2001 statement by the American College of Physicians, in which the ACP did not support the legalization of P-AS. ...read moreWhat’s Happening with Physician-Assisted Suicide?
Mrs. Jane Patton is a Vanderbilt University graduate, a nurse, and worked most recently in clinical research. Her interest in bioethics began in college with thinking through Roe v. Wade and the inherent value of human life. She has done further work in bioethics, and now volunteers with The Tennessee CBC. Below, Jane Patton addresses recent developments in physician-assisted suicide.
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Here we are in 2017, loaded with the benefits of technological innovation. In healthcare the movement is at warp speed such that we can be like frogs in the proverbial frying pan, not taking to heart the implications of such rapid and ...read more
Taking stock: Where are we now?
D. Joy Riley, M.D., M.A.
Taking stock of where one is at the beginning of a new project or a new year is a good idea. Where we are in the entire realm of bioethics is beyond the scope of one blog post, but what follows are some landmarks discernible in January 2016…
Physician-Assisted SuicideOn Sunday, 24 January, John Jay Hooker, Tennessee lawyer, politician, and activist, died. Mr. Hooker had most recently championed “death with dignity” — physician-assisted suicide — in a proposed bill and in the courts. By the time of his death, neither the legislature nor the courts had provided ...read more
Shifting Gears on Physician-Assisted Suicide?
D. Joy Riley, M.D., M.A.
How “neutral” can one be regarding assisted suicide? How about a medical organization? This past week, The Tennessee Center for Bioethics & Culture sent a letter of concern to the National Hospice and Palliative Care Organization:
Date: Wed, 26 Aug 2015 12:52:22 -0500
Subject: Physician-assisted suicide
Dear Board Members and Staff of the National Hospice and Palliative Care Organization:
It has come to my attention that you, the National Hospice and Palliative Care Organization (NHPCO), are now considering changing your position statement from “opposing” physician-assisted suicide (P-AS) to taking a “neutral” ...read more
