- This is the first book that systematically describes and compares the practice of assisted death in the four jurisdictions where it has been legal for many years.
- The book presents the unique cultural, political and legal context that has brought about the legalization of assisted dying.
- Lewy incorporates the latest official data as well as on the internal publications of right-to-die organizations not previously accessible to any researcher.
Advances in medical treatment now enable physicians to prolong life to a previously
unknown extent, however in many instances these new techniques mean not the
saving of life but prolonging the act of dying. In the eyes of many, medical
technology has run out of control and contributes to unnecessary suffering.
Hence the demand has arisen that patients should be entitled to choose death
when pain and physical and mental deterioration have destroyed the possibility
of a dignified and meaningful life and that their doctors should help them to
realize this endeavor.
At the present time there are seven jurisdictions in the world that, with various restrictions, have legalized the practice of assisted death -- physician-assisted suicide and/or voluntary euthanasia - to wit, the Netherlands, Belgium, Luxembourg, Switzerland in Europe and the states of Oregon, Washington and Montana in the United States. Four of these regimes - in the Netherlands, Belgium, Switzerland and the state of Oregon -- have been functioning for many years, and we have for them a substantial body of data as well as much observational research. This book is based upon this material.
The literature dealing with the moral, legal and social aspects of assisted death is voluminous, but there is a paucity of writing that provides a detailed account of the way these four regimes are actually working. Many partisans, on both sides of the issue, cite existing data selectively or, at times, willfully distort the empirical evidence in order to strengthen their case. Based on the documentary record and interviews with officials and scholars, this book seeks to give the specialist as well as the general interested reader a reliable picture of the way assisted death functions and to draw relevant lessons. While accurate factual information cannot settle a moral debate, it nevertheless is a precondition of any well-founded argument.
'The author speaks authoritatively about the issues he addresses. I think this book does make an important contribution to the field. It will be of interest to students and scholars of PAS as a source of information and reference. I definitely recommend publication.' Stuart Youngner, Department of Bioethics, Case Western Reserve University School of Medicine
'The information collected here makes an important contribution to the literature on PAS because it collects a broad array of relevant information into a single volume. It is interesting and enlightening. This will make the book a valuable resource for anyone interested in the subject and an especially useful resource for academics who study or teach about the issues.' Rosamond Rhodes, Director, Bioethics Education, Mt Sinai School of Medicine
Readership: Professors and students of medical ethics in general and those working on assisted death in particular.
Guenter Lewy, Professor Emeritus of Political Science, University of Massachusetts/Amherst