Log in with your email address username.

×

Attention doctorportal newsletter subscribers,

After December 2018, we will be moving elements from the doctorportal newsletter to MJA InSight newsletter and rebranding it to Insight+. If you’d like to continue to receive a newsletter covering the latest on research and perspectives in the medical industry, please subscribe to the Insight+ newsletter here.

As of January 2019, we will no longer be sending out the doctorportal email newsletter. The final issue of this newsletter will be distributed on 13 December 2018. Articles from this issue will be available to view online until 31 December 2018.

Doctors in support of law reform for voluntary euthanasia

- Featured Image

To the Editor: The perspective of the Doctors for Voluntary Euthanasia Choice needs to be challenged.1 Firstly, irrespective of one’s views on the matter, it does not seem reasonable for euthanasia to be legalised so that doctors can avoid the scrutiny of the law. Secondly, the authors point out that “pain may not be a prominent symptom, making death by morphine legally unjustifiable”, therefore implying that morphine has a “double effect” of sedation and hastening death.

The claim that morphine has efficacy in causing death is erroneous. The principle of “double effect” was first expounded in a trial in 1957, where prosecution and defence expert witnesses differed as to the excess or otherwise of the amount of opioids delivered by a doctor in unrecorded doses to a patient.2

The prevailing medical view then was that morphine in high enough doses caused respiratory depression and consequent death, implying that morphine influences its timing and causation. However, experience over the past 5 decades has shown that the safe and effective use of morphine, other analgesics and sedatives relieves pain and distress but does not cause death.3

email