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"Death talk": debating euthanasia and physician-assisted suicide in Australia

Margaret A Somerville
Med J Aust 2003; 178 (4): . || doi: 10.5694/j.1326-5377.2003.tb05135.x
Published online: 17 February 2003

Imprecise language and deliberate confusion of important ethical and legal concepts are clouding our understanding of controversial end-of-life issues. This could affect our decision about whether or not to legalise euthanasia.

In postmodern societies, the euthanasia and physician-assisted suicide debate is an important forum for the "death talk" through which we accommodate — with as much comfort as possible — the reality of death into the living of our lives.1 Recently, I debated Dr Philip Nitschke, at the Australian Medical Association's Annual General Meeting in Canberra, 24–26 May 2002, on whether euthanasia and physician-assisted suicide should be legalised. Dr Nitschke advocates such legalisation; I oppose it.


  • McGill Centre for Medicine, Ethics and Law, McGill University, Montreal, Quebec, Canada.


Correspondence: 

Competing interests:

None identified.

  • 1. Somerville M. Death talk: the case against euthanasia and physician-assisted suicide. Montreal: McGill Queen's University Press, 2001: xiii.
  • 2. Metherell M. Doctors cleared to 'hasten death'. Euthanasia backers seize on AMA's policy switch. Sydney Morning Herald 2002; May 27: 1.
  • 3. Callahan D. When self-determination runs amok. Hastings Center Report 1992; 22(2): 52-55.
  • 4. House of Lords. Report of the Select Committee on Medical Ethics. London: HMSO, 1994.
  • 5. Foley K, Hendin H, editors. The case against assisted suicide: for the right to end-of-life care. Baltimore: The Johns Hopkins University Press, 2002.
  • 6. Nuland SB. The principle of hope. The New Republic OnLine 2002: May 22.
  • 7. Kuhse H, Singer P, Baume P, et al. End-of-life decisions in Australian medical practice. Med J Aust 1997; 166: 191-196. <eMJA full text>
  • 8. Kissane DW. Deadly days in Darwin. In: Foley K, Hendin H, editors. The case against assisted suicide: for the right to end-of-life care. Baltimore: The Johns Hopkins University Press, 2002: 192-209.
  • 9. Gaylin W, Kass L, Pellegrino ED, Siegler M. Doctors must not kill. JAMA 1988; 259: 2139-2140.
  • 10. Katz J. The silent world of doctor and patient. New York: Free Press, 1984.
  • 11. Foley K, Hendin H. The Oregon Experiment. In: Foley K, Hendin H, editors. The case against assisted suicide: for the right to end-of-life care. Baltimore: The Johns Hopkins University Press, 2002: 269.

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