How to help the terminally ill without compromising medical ethics.Robert Moffit and Abigail Slagle write:
By legalizing physician-assisted suicide, state lawmakers repudiate traditional medical ethics. The Hippocratic oath, which has governed Western medical ethics for over 2,000 years, says: “I will keep [the sick] from harm and injustice. I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect.”
If state lawmakers refuse to preserve this ancient pledge of medical morality, not only will they legalize medical killing, but they will also normalize the practice as socially acceptable. This endangers the most vulnerable members of society—the poor, the marginalized, and the mentally and physically disabled. […]
Debates over physician-assisted suicide present all policymakers, regardless of partisan affiliation, with an opportunity to promote positive policies on end-of-life care. For example:
- Publicize the option of advance directives for patients’ end-of-life care. Such directives, to be carried out by family members or trusted persons, can identify the patient’s wishes, particularly when the patient is no longer able to communicate those wishes. Federal officials can educate patients on the value of such directives through Medicare and Medicaid, but they should reflect the person’s ethical, moral, and religious convictions on life.
- Promote palliative care for the seriously ill by improving Medicare payment for team-based services. Today, that care is fragmented, and the Medicare fee-for-service payment system is disjointed. Federal policymakers should publicize palliative care as an option for the seriously ill, and rationalize Medicare payment system for palliative care episodes.
- Expand patient choice in hospice care beyond traditional Medicare. Open it up to Medicare patients who wish to get such care in Medicare Advantage, the popular and successful program of competing private health plans.
[Robert Moffit and Abigail Slagle, “How State and Federal Lawmakers Can Promote Ethical Options for the Terminally Ill,” The Daily Signal, March 20]
