オランダの安楽死 改定行為準則で「理性的自殺」可能に
http://thefederalist.com/2018/06/22/netherlands-now-requires-no-terminal-illness-elderly-people-legally-kill/
2015年に地域委員会によって作られたCode of Practiceがこのほど改定されて、
昨年、議会で合法化に至らなかった高齢者の理性的自殺のケースでも実施可能となっている、との指摘。
ある苦痛を耐えがたいと感じるかどうかはあくまでも主観的なものであり、
老化に伴う小さな問題が重なっている状態であっても
改善の見込みなく耐えがたい苦痛と感じる人もいるので、
医師は患者の身になって検討すべき、と。
“If a patient wants to receive euthanasia his suffering must be of a medical nature. But he is not required to have a life-threatening condition. An accumulation of old-age complains—such as sight problems, hearing problems, osteoporosis, arthritis, balance problems, cognitive decline— can cause unbearable suffering with no prospect of improvement,” says the code of practice. “It is the sum of one or more of these conditions and the accompanying complaints that can cause a suffering that—together with the medical history, biography, personality, values, and pain threshold of the patient—can be experienced by that patient as unbearable with no prospect for improvement.”
昨年、地域委員会は6,585 のケースの報告書を検証し、
12件で医師の怠慢を指摘。その5件には犯罪の可能性ありとして法務省が調査を開始。
安楽死クリニックで、出会って半年後に84歳の女性に安楽死を行った医師など。
“The unbearability of the suffering is sometimes difficult to determine because the experience of suffering is deeply personal. What one patient can still find bearable is unbearable for another patient. The primary consideration is the experience of the individual patient, in light of his personal and medical history, personality, values, and physical and emotional strength,” says the code of practice. “The doctor should place himself not only in the situation but also in the perspective of the patient.”
2015年に地域委員会によって作られたCode of Practiceがこのほど改定されて、
昨年、議会で合法化に至らなかった高齢者の理性的自殺のケースでも実施可能となっている、との指摘。
ある苦痛を耐えがたいと感じるかどうかはあくまでも主観的なものであり、
老化に伴う小さな問題が重なっている状態であっても
改善の見込みなく耐えがたい苦痛と感じる人もいるので、
医師は患者の身になって検討すべき、と。
“If a patient wants to receive euthanasia his suffering must be of a medical nature. But he is not required to have a life-threatening condition. An accumulation of old-age complains—such as sight problems, hearing problems, osteoporosis, arthritis, balance problems, cognitive decline— can cause unbearable suffering with no prospect of improvement,” says the code of practice. “It is the sum of one or more of these conditions and the accompanying complaints that can cause a suffering that—together with the medical history, biography, personality, values, and pain threshold of the patient—can be experienced by that patient as unbearable with no prospect for improvement.”
昨年、地域委員会は6,585 のケースの報告書を検証し、
12件で医師の怠慢を指摘。その5件には犯罪の可能性ありとして法務省が調査を開始。
安楽死クリニックで、出会って半年後に84歳の女性に安楽死を行った医師など。
“The unbearability of the suffering is sometimes difficult to determine because the experience of suffering is deeply personal. What one patient can still find bearable is unbearable for another patient. The primary consideration is the experience of the individual patient, in light of his personal and medical history, personality, values, and physical and emotional strength,” says the code of practice. “The doctor should place himself not only in the situation but also in the perspective of the patient.”
