Assisted dying is a highly controversial moral issue incorporating both physician-assisted dying (PAD) and voluntary active euthanasia. End-of-life practices are debated in many countries, with assisted dying receiving different consideration across various jurisdictions. In this paper, we provide an analytic framework of the current position and the main arguments related to the rights and moral principles concerning assisted dying. Assisted dying proponents focus on the respect of autonomy, self-determination and forestalling suffering. On the other hand, concerns are raised regarding the interpretation of the constitutional right to life and balancing this with the premise of assisted dying, alongside the impacts of assisted dying on the doctor-patient relationship, which is fundamentally based on trust, mutual respect and the premise of 'first do no harm'. Our review is underpinning the interpretation of constitutional rights and the Hippocratic Oath with the premise of assisted dying, alongside the impacts of assisted dying on the doctor-patient relationship. Most clinicians remain untrained in such decision making, with fears against crossing key ethical divides. Due to the increasing number of cases of assisted dying and lack of consensus, our review enables the integration of ethical and legal aspects and facilitates decision making.

译文

:辅助死亡是一个备受争议的道德问题,其中包括医师辅助死亡(PAD)和自愿性主动安乐死。在许多国家中,有关报废方法的争论很多,在各个司法管辖区,协助死者得到了不同的考虑。在本文中,我们提供了一个分析框架,分析了当前位置以及与辅助死亡的权利和道德原则有关的主要论点。垂死的支持者着重于尊重自治,自决和预防遭受的苦难。另一方面,人们对宪法生命权的解释以及在以辅助死亡为前提的平衡生活权的同时,以及以辅助死亡对医患关系的影响提出了关切,这种影响基本上是建立在信任,相互尊重和相互依存的基础上的。 “先不伤害”的前提。我们的审查是在辅助死亡的前提下,对宪法权利和希波克拉底誓言的解释,以及辅助死亡对医患关系的影响,奠定了基础。大多数临床医生仍未接受此类决策的培训,他们担心会跨越关键的道德鸿沟。由于辅助死亡的案例数量不断增加且缺乏共识,因此我们的审查使道德和法律方面的整合成为可能,并促进了决策制定。

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