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Friday, June 12, 2015

 2015 Jun;36(3):197-213. doi: 10.1007/s11017-015-9329-5.

Palliative sedation, foregoing life-sustaining treatment, and aid-in-dying: what is the difference?

Abstract

After a review of terminology, I identify-in addition to Margaret Battin's list of five primary arguments for and against aid-in-dying-the argument from functional equivalence as another primary argument. 

I introduce a novel way to approach this argument based on Bernard Lonergan's generalized empirical method (GEM). 

Then I proceed on the basis of GEM to distinguish palliative sedationpalliative sedation to unconsciousness when prognosis is less than two weeks, and foregoing life-sustaining treatment from aid-in-dying. 

I conclude 
(1) that aid-in-dying must be justified on its own merits and not on the basis of these well-established palliative care practices; and 

(2) that societies must decide, in weighing the merits of aid-in-dying, whether or not to make the judgment that no life is better than life-like-this (however this is specified) part of their operative value structure

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