End-of-Life Care in the Netherlands and the United States: A Comparison of Values, Justifications, and Practices
Quill, Timothy E.
Cambridge Quarterly of Healthcare Ethics. 1997 Spring; 6(2): 189-204.
Voluntary active euthanasia (VAE) and physician-assisted suicide (PAS) remain technically illegal in the Netherlands, but the practices are openly tolerated provided that physicians adhere to carefully constructed guidelines. Harsh criticism of the Dutch practice by authors in the United States and Great Britain has made achieving a balanced understanding of its clinical, moral, and policy implications very difficult. Similar practice patterns probably exist in the United States, but they are conducted in secret because of a more uncertain legal and ethical climate. In this manuscript, we plan to compare end-of-life care in the United States and the Netherlands with regard to underlying values, justifications, and practices. We will explore the risks and benefits of each system for a real patient who was faced with a common end-of-life clinical dilemma, and close with challenges for public policies in both countries.
Active Euthanasia; Allowing to Die; Assisted Suicide; Attitudes; Autonomy; Case Studies; Comparative Studies; Competence; Consensus; Decision Making; Dissent; Double Effect; Drugs; Euthanasia; Freedom; Government; Government Regulation; Guidelines; Health; Health Care; Hospices; Intention; International Aspects; Knowledge; Legal Aspects; Life; Mass Media; Obligations of Society; Palliative Care; Physician Patient Relationship; Physicians; Policy Analysis; Public Opinion; Public Policy; Regulation; Risks and Benefits; Social Control; Socioeconomic Factors; Statistics; Suffering; Suicide; Terminal Care; Values; Voluntary Euthanasia;
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