百萬富豪安樂死 ＢＢＣ全程轉播
中國時報【江靜玲／倫敦八日電】
英國廣播公司（ＢＢＣ）將播放英國百萬富豪彼得．史曼特利（Peter Smedley）前往瑞士尋求安樂死的「自殺」過程。這是英國有線電視首次播出安樂死的紀錄片，引發相當爭議。
彼得．史曼特利家族擁有英國著名食品公司，他自己則是旅館業大享。二○一○年十二月十日，彼得死於瑞士，享年七十一歲，除了妻子隨侍在側外，沒有任何親友知道，他是到瑞士安樂死中心Dignitas自殺的。
彼得在一九九八年罹患運動神經細胞退化症，全身逐漸癱瘓。在ＢＢＣ紀錄片《選擇死亡》（Choosing to Die）中，他在妻子和患有阿茲海默氏症、近年來全力推廣安樂死的英國作家帕爾契特（Terry Pratchett ）陪伴下，喝下摻有毒藥的飲料死亡。
自殺前一刻，彼得坐臥沙發上，妻子克斯汀娜不斷輕撫他的手。他先喝下一些飲料後跟帕爾契特握手，祝福他有個「美好的人生」，「我知道，我有個好人生。」他接著一一向在場參與拍片的員工致謝。
安樂死中心的人員隨後詢問彼得：「你準備好了嗎？」他點頭，喝下他們遞上的另一杯摻有毒藥的飲料，逐漸昏迷死亡。
彼得死亡數天後，朋友們接獲他的親筆信，表示感激並珍惜他們之間的友誼和記憶。
彼得和妻子育有一名廿歲的女兒。朋友們表示，他是一個極度重視隱私的人，大家對他最後公開自己的自殺過程，莫不感到萬分意外，但這也顯示了他執意推動安樂死在英國合法化的決心。
百萬富豪安樂死 ＢＢＣ全程轉播
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Re: 百萬富豪安樂死 ＢＢＣ全程轉播
陳副教授端容:您好!
敬謝您於前(5-3-’11)日的問卷,並將上次問卷結果以圖表呈現列入此次七個同意或不同意的情境問卷中,個人於上次問卷因情境敘述過簡,曾致函貴計畫小組,但未獲答覆,甚憾!
此次問卷依然情境描述甚簡,我想也不必如同上次問卷每題回答並詳述應情境描述再詳細點,您的此次問卷題供了調查結果數據,也說明了個人不厭其煩的說明之憂心所在
由於您此次提供了結果圖表分析,所以個人能與您計畫小組討論:
1. 七個問題除第四個問題外,,六個都是以10%為一個BAR製作圖表一般民眾 腎友與腎臟科醫師呈現明顯差距,為甚麼對安寧緩和醫療有如此大的認知不同? 唯獨第四題以1%為一個bar的圖表呈現?若以10%為一個BAR呈現也是唯一一般民眾 腎友與腎臟科醫師一致的認知(一般民眾約88% 腎臟科醫師約 86% 腎友約83%),您計畫小組想表達的意義何在?
甚盼您小組的回函,個人不勝感激!
祝 好!
Footnotes(Should the law on assisted dying be changed?Yes)
Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; no financial relationships with any organisation that might have an interest in the submitted work in the previous three years; RT is patron of Dignity in Dying. ( Raymon Tallis:bmj 2011;342:D2355)
Footnotes(Should the law on assisted dying be changed?No)
• Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; KF was commissioner for Wales on the Disability Rights Commission. He is director of Inclusion21 and associate of the Welsh Institute for Health and Social Care. He is on the board of the Welsh Ambulance Trust and Consumer Focus Wales.(Kevin Fitzpatrick:BMJ:2011;342:D1883)"
1.我為什麼上述兩篇引述Footnote,就代表公共議題的討論,需透過理性的反覆辯論,逐漸產生社會共識,也不代表需立法(?),footnotes是說明這作者的背景
2.Kevun Fitzpatrick 強烈反對自殺(suisite)非個人擁有的權利(?)
3.安樂死與加工死亡只是一線之隔
4.Effect of the Centers for Medicare & Medicaid Services Policy About Deep Sedation on Use of Propofol
Douglas K. Rex
Ann Intern Med May 3, 2011 154:622-626; doi:10.1059/0003-4819-154-9-201105030-00007
Abstract Full Text Full Text (PDF)
Centers for Medicare & Medicaid Services policy states that deep sedation can be administered only by an anesthesiologist, a certified registered nurse anesthetist, or a trained medical doctor or doctor of osteopathy not involved in the performance of the procedure requiring sedation. However, available evidence shows that nonanesthesiologists can safely administer propofol for procedural sedation. The lack of evidence supporting a need for monitored anesthesia care to deliver propofol, combined with the high cost of monitored anesthesia care, suggest that alternatives for delivering propofol merit fair and balanced evaluation.
放寬sedative使用,不代表一定是Assisted dying,但其結果必定增加可能性
P.S.:1.附上上次個人函
" 2.本月(May,2011)Mayo clinic proceedings雜誌有一篇文章:--Ethics and Values in Clinical Practice:Whom Do They Help ?(Stewart Gabel. MD) 甚引人深思,上月NEMJ也有一篇關於Specialty subspecialty and subsubspecialty文,引人深思 Footnotes(Should the law on assisted dying be changed?Yes)
• Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; no financial relationships with any organisation that might have an interest in the submitted work in the previous three years; RT is patron of Dignity in Dying. ( Raymon Tallis:bmj 2011;342:D2355)
Footnotes(Should the law on assisted dying be changed?No)
• Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; KF was commissioner for Wales on the Disability Rights Commission. He is director of Inclusion21 and associate of the Welsh Institute for Health and Social Care. He is on the board of the Welsh Ambulance Trust and Consumer Focus Wales.(Kevin Fitzpatrick:BMJ:2011;342:D1883)"
• Fiona Godles:Cost is an ethical issue BMJ:2011;342:d2813
• Christopher M. Burkle:The Misissippi decision exchanging parole for Kidney Donation:Mayo Clinical Proceedings May,2011
• “I’m not Not Ready for Hospice”:Strategies for Timely and Effective Hospice discussions
Am.Int.J.med.,D.J.Casarette et al.;20,Mar.,2007
……”Health economics-what the nepgrologist should know” Nephrol.Dial.Trans 20(6):2005
敬謝您於前(5-3-’11)日的問卷,並將上次問卷結果以圖表呈現列入此次七個同意或不同意的情境問卷中,個人於上次問卷因情境敘述過簡,曾致函貴計畫小組,但未獲答覆,甚憾!
此次問卷依然情境描述甚簡,我想也不必如同上次問卷每題回答並詳述應情境描述再詳細點,您的此次問卷題供了調查結果數據,也說明了個人不厭其煩的說明之憂心所在
由於您此次提供了結果圖表分析,所以個人能與您計畫小組討論:
1. 七個問題除第四個問題外,,六個都是以10%為一個BAR製作圖表一般民眾 腎友與腎臟科醫師呈現明顯差距,為甚麼對安寧緩和醫療有如此大的認知不同? 唯獨第四題以1%為一個bar的圖表呈現?若以10%為一個BAR呈現也是唯一一般民眾 腎友與腎臟科醫師一致的認知(一般民眾約88% 腎臟科醫師約 86% 腎友約83%),您計畫小組想表達的意義何在?
甚盼您小組的回函,個人不勝感激!
祝 好!
Footnotes(Should the law on assisted dying be changed?Yes)
Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; no financial relationships with any organisation that might have an interest in the submitted work in the previous three years; RT is patron of Dignity in Dying. ( Raymon Tallis:bmj 2011;342:D2355)
Footnotes(Should the law on assisted dying be changed?No)
• Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; KF was commissioner for Wales on the Disability Rights Commission. He is director of Inclusion21 and associate of the Welsh Institute for Health and Social Care. He is on the board of the Welsh Ambulance Trust and Consumer Focus Wales.(Kevin Fitzpatrick:BMJ:2011;342:D1883)"
1.我為什麼上述兩篇引述Footnote,就代表公共議題的討論,需透過理性的反覆辯論,逐漸產生社會共識,也不代表需立法(?),footnotes是說明這作者的背景
2.Kevun Fitzpatrick 強烈反對自殺(suisite)非個人擁有的權利(?)
3.安樂死與加工死亡只是一線之隔
4.Effect of the Centers for Medicare & Medicaid Services Policy About Deep Sedation on Use of Propofol
Douglas K. Rex
Ann Intern Med May 3, 2011 154:622-626; doi:10.1059/0003-4819-154-9-201105030-00007
Abstract Full Text Full Text (PDF)
Centers for Medicare & Medicaid Services policy states that deep sedation can be administered only by an anesthesiologist, a certified registered nurse anesthetist, or a trained medical doctor or doctor of osteopathy not involved in the performance of the procedure requiring sedation. However, available evidence shows that nonanesthesiologists can safely administer propofol for procedural sedation. The lack of evidence supporting a need for monitored anesthesia care to deliver propofol, combined with the high cost of monitored anesthesia care, suggest that alternatives for delivering propofol merit fair and balanced evaluation.
放寬sedative使用,不代表一定是Assisted dying,但其結果必定增加可能性
P.S.:1.附上上次個人函
" 2.本月(May,2011)Mayo clinic proceedings雜誌有一篇文章:--Ethics and Values in Clinical Practice:Whom Do They Help ?(Stewart Gabel. MD) 甚引人深思,上月NEMJ也有一篇關於Specialty subspecialty and subsubspecialty文,引人深思 Footnotes(Should the law on assisted dying be changed?Yes)
• Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; no financial relationships with any organisation that might have an interest in the submitted work in the previous three years; RT is patron of Dignity in Dying. ( Raymon Tallis:bmj 2011;342:D2355)
Footnotes(Should the law on assisted dying be changed?No)
• Competing interests: The author has completed the unified competing interest form at www.icmje.org/coi_disclosure.pdf (available on request from him) and declares no support from any organisation for the submitted work; KF was commissioner for Wales on the Disability Rights Commission. He is director of Inclusion21 and associate of the Welsh Institute for Health and Social Care. He is on the board of the Welsh Ambulance Trust and Consumer Focus Wales.(Kevin Fitzpatrick:BMJ:2011;342:D1883)"
• Fiona Godles:Cost is an ethical issue BMJ:2011;342:d2813
• Christopher M. Burkle:The Misissippi decision exchanging parole for Kidney Donation:Mayo Clinical Proceedings May,2011
• “I’m not Not Ready for Hospice”:Strategies for Timely and Effective Hospice discussions
Am.Int.J.med.,D.J.Casarette et al.;20,Mar.,2007
……”Health economics-what the nepgrologist should know” Nephrol.Dial.Trans 20(6):2005