I acknowledge Parker’s letter on my article.1 First, there are considerable data showing that the public support for euthanasia and physician-assisted suicide (PAS) is less well defined than the numbers cited by proponents. The support is very susceptible to the framing effect, that is, when the cases are described differently, support varies widely. Public support is highest for patients in pain — precisely those patients who do not want or use euthanasia. However, support drops below 50% when the cases involve patients who want euthanasia or PAS because of loss of dignity or autonomy or fear of being a burden2 — which are the reasons motivating most patients who request euthanasia or PAS. The proponents are the ones who manipulate the data, citing the strong public support statistics, but never acknowledging that this support is for the rare cases.
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
- 1. Emanuel E. Euthanasia and physician-assisted suicide: focus on the data. Med J Aust 2017; 206: 339-340. <MJA full text>
- 2. Pew Research Center. Views on end-of-life medical treatments. Washington, DC: Pew Research Center 2013; 21 November. http://www.pewforum.org/2013/11/21/views-on-end-of-life-medical-treatments (accessed Oct 2017).
- 3. Oregon Public Health Division. Oregon Death with Dignity Act annual reports, 1999–2016. Oregon Health Authority; 2016. https://public.health.oregon.gov/ProviderPartnerResources/EvaluationResearch/DeathwithDignityAct/Pages/ar-index.aspx (accessed Mar 2017).
I am a stock holder at Nuna, a venture partner at Oak HC/FT, a contributor at Fox News and a speaker at Leigh Bureau.