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What Is Needed Prior to Respect for Self-determination: Reflections on Physician-assisted Suicide and the Withholding or Withdrawal of Life-sustaining Treatment

  • Korean Journal of Medical Ethics
  • Abbr : 의료윤리
  • 2022, 25(4), pp.387-403
  • DOI : 10.35301/ksme.2022.25.4.387
  • Publisher : The Korean Society For Medical Ethics
  • Research Area : Medicine and Pharmacy > General Medicine
  • Received : November 21, 2022
  • Accepted : January 9, 2023
  • Published : December 31, 2022

Kyungsuk Choi ORD ID 1

1이화여자대학교

Accredited

ABSTRACT

In this article I review Koh YS’s recent article concerning the legalization of physician-assisted suicide and provide additional support for the arguments he advances. Koh argues against the legalization of physican-assisted suicide and for an extension of the period in which the withhold-ing or withdrawal of life-sustaining treatment is carried out following a patient’s request. I claim that the very arguments Koh presents against the legalization of physician-assisted suicide may be arguments against the extension. In particular, the extension presupposes a new social consensus just as the current performance period for withholding or withdrawing life-sustaining treatment was based on the social consensus that existed at the time that legislation was passed. Additionally, I argue that certain safeguards must be established or implemented to respect the right to self-de-termination in our society. For example, the monitoring and service of end-of-life care must be enhanced in order to prevent any coercion or abuse in individual decisions on life-sustaining treat-ment.

Citation status

* References for papers published after 2023 are currently being built.