Comparative Study on Support Systems of Medical Aid in Dying

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Other Title
  • 尊厳死の支援体制に関する比較研究
  • 尊厳死の支援体制に関する比較研究 : 米国のオレゴン州,ワシントン州,バーモント州の事例分析
  • ソンゲンシ ノ シエン タイセイ ニ カンスル ヒカク ケンキュウ : ベイコク ノ オレゴンシュウ,ワシントンシュウ,バーモントシュウ ノ ジレイ ブンセキ
  • Case Analysis between Oregon, Washington and Vermont in the U.S.
  • 米国のオレゴン州,ワシントン州,バーモント州の事例分析

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Abstract

Death with Dignity, i.e. Medical Aid in Dying, in the U.S. is defined as a death when someone takes medications prescribed by a physician in compliance with State Law. The terminal patients decide the day and the time when they will take the lethal medications. In these cases, it is important to provide support for these patients. Since the Death with Dignity Act is enforced only in some U.S. states and is dependent on State Law, the support system is also different in each state. This paper explores the structures and conditions of these support systems and how they engage with terminal patients through a comparative investigation of the local support organizations in Oregon, Washington and Vermont. Firstly, the commonality of the above three states was that the “minimizing” of national support organizations brought difficulties for local support organizations. Without financial support from national organizations, local support organizations had to become financially independent and needed to raise funds. Thus, they felt that if they engaged in activities to educate people about the philosophy of Death with Dignity, this would get more supporters involved and will bring not only more donations but also stable management of the local support organizations, thereby creating a “Positive Cycle.” Secondly, the difference among these three states was the organizational type of the local support organizations. Specifically, Oregon has a satellite network that is divided into four areas, while Washington has a centralized organization structure that covers the whole area, and Vermont has a centralized network that covers the whole area. These kinds of differences affected the ways in which they perceived the challenges brought by the minimizing of national support organizations, and how they coped with them.

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