C&Cとポウプらが緩和ケア医学会誌に“AID”臨床基準＆ガイドラインを発表

まるでどこかで国際的な統一でも図られたのかと勘繰りたくなるくらい、
ある時期からどこの国でもPAS推進派が
PAS（physician-assisted suicide)をAID（Aid in Dying）と称するようになり、

何度もこのブログで書いてきたように
PASは自殺ではない、むしろ緩和ケアの一端だという新たな位置づけが
狙われていることを懸念していたのだけれど、

なんと、C&CとThaddeus Popeその他が
Journal of Palliative Medicineに、
「AIDの臨床基準」をガイドライン添付にて発表。

Clinical Criteria for Physician Aid in Dying
David Orentlicher, MD, JD, Thaddeus Mason Pope, JD, PhD, and Ben A. Rich, JD, PhD; Physician Aid-in-Dying Clinical Criteria Committee
Journal of Palliative Medicine.
Online Ahead of Print: November 5, 2015

全文が上のリンク先から読めますが（私はまだ読んでいません）、
アブストラクトは以下。

それによると、
ここでAIDと称されているものは明らかにPAS。

More than 20 years ago, even before voters in Oregon had enacted the first aid in dying (AID) statute in the United States, Timothy Quill and colleagues proposed clinical criteria AID. Their proposal was carefully considered and temperate, but there were little data on the practice of AID at the time. (With AID, a physician writes a prescription for life-ending medication for a terminally ill, mentally capacitated adult.) With the passage of time, a substantial body of data on AID has developed from the states of Oregon and Washington. For more than 17 years, physicians in Oregon have been authorized to provide a prescription for AID. Accordingly, we have updated the clinical criteria of Quill, et al., based on the many years of experience with AID. With more jurisdictions authorizing AID, it is critical that physicians can turn to reliable clinical criteria. As with any medical practice, AID must be provided in a safe and effective manner. Physicians need to know (1) how to respond to a patient's inquiry about AID, (2) how to assess patient decision making capacity, and (3) how to address a range of other issues that may arise. To ensure that physicians have the guidance they need, Compassion & Choices convened the Physician Aid-in-Dying Clinical Criteria Committee, in July 2012, to create clinical criteria for physicians who are willing to provide AID to patients who request it. The committee includes experts in medicine, law, bioethics, hospice, nursing, social work, and pharmacy. Using an iterative consensus process, the Committee drafted the criteria over a one-year period.

OR州がPASを合法化するよりも前に
Thimothy Quill医師らがAIDの臨床基準を提案したことがあったが、
当時はAIDのデータを欠いていた。

その後、OR州、WA州からデータも集まってきたので、
著者らがQuillらの基準をアップデートした。

医師らが知っているべきこととして、
(1) how to respond to a patient's inquiry about AID,
(2) how to assess patient decision making capacity,
(3) how to address a range of other issues that may arise.

またC&Cは2012年7月にAID臨床基準委員会を立ち上げて
1年かけて、AIDを実践する医師向けに基準草稿を作った。

つまり、著者の中のPhysician Aid-in-Dying Clinical Criteria Committeeが
そのC&Cが立ち上げた委員会ということでしょう。

そして、その草稿が今回も生かされているということ？