By Hernandez Mario
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Extra info for La salud fragmentada en Colombia 1910-1946
Example text
Moreover, this planned and medically assisted death of ours, should it turn out to be necessary, would be far preferable to third parties, who need not run us down with the trains they drive, or find us hanging where they did not expect to, and so forth. It would also render euthanasia unnecessary in the circumstances. Side-effects So far I have concentrated on possible direct effects of a system of suicide clinics. However, much of the discussion of assisted suicide, as well as of euthanasia, has been focused on possible side-effects of the practice.
If it be vindicated at all, it must vindicated in a piecemeal manner, after a thorough examination of each part of the health care field. This would take many books to achieve. My treatment of the subject is quite extensive. I do hope to start a discussion, but I also want to confute some considerations commonly thought to weigh against the plausibility of my conjecture, and to present some strong considerations in favour of it. 21 2 SOMATIC HEALTH CARE In ordinary somatic health care circumstances, in all Western countries, the adult individual, who is capable of making an autonomous choice, is granted an absolute veto against treatment; he or she is allowed an absolute right to reject whatever kind of somatic treatment he or she may need.
But it is equally obvious that, in many cases, where these patients are being submitted to coercive care, they are being (seriously) wronged. Consequently I raise and try to answer three questions: 1 2 3 When should people with these diagnoses be submitted to coercive care? Who should decide about this? Under what legal framework should the medical personnel practising coercive care operate? If we want to hold on to the principle of respect for the autonomy of the individual in decisions about medical care and social services, there are two temptations that must be resisted.