|Not Dead Yet activists|
And “Terminally ill” certainly has an interesting definition in LD 347, one that states that a person qualifies for a terminal prescription if the condition is “an incurable and irreversible disease that will, within reasonable medical judgment, result in death in six months.” There is no mention of whether the condition can be controlled by medication, nor any exclusion for an individual whose condition can be controlled by medication. People who have epilepsy, . . . or even have diabetes could be theoretically allowed to die under the proposed language in LD 347. Additionally, in the [Oregon state Death With Dignity Act] report . . . diabetes was given as an underlying terminal condition that, in Oregon, made the patient eligible for a lethal prescription. These two laws undermine the basic values of community and inclusion in our state.
In 2016, Oregon Public Health Division, “Oregon Death with Dignity Act: 2015 Data Summary,” a state publication that provides detailed analysis of how the state’s law is used year to year, published that less than 4% of patients who received a lethal dose of medication were referred to a psychological evaluation, making the risks of allowing someone with uncontrolled mental illness or depression are not only potential fears, they are actual realities in states where “choice” for “terminally ill” individuals have been law for twenty years. Additionally since 2000, the suicide rate for Oregon is 41 percent above the national average, according to Oregon Health Department.(1) In 2013, Portland, OR suicides were three times the national average, according to information reported by the Oregonian.(2)
Our state has one of the best Hospice networks in the nation. Maine people have fought to give access to much needed palliative care and therapy [through] . . . Maine Hospice providers, including the use of Medical Cannabis in Hospice facilities. The Maine Medical Cannabis program has helped an untold number of thousands of Maine individuals, from children to adults, receive locally grown, safely grown and regulated medical marijuana from nearly two thousand caregivers or eight dispensaries. Maine has the highest rated medical marijuana program in the country according to Americans for Safe Access, a pro-cannabis national nonprofit.
Interestingly, the people who are pushing for passage of this law point to control and compassion as reasons to support this law, yet the reality is much more complex than that. Under both proposed laws, as soon as the prescription is filled, the law is remarkably silent about the administration of the lethal medication. There is no exception for a pharmacist who may feel uncomfortable filling a lethal prescription for ethical or religious convictions. For anyone who thinks this will be simply taking a few pills and drifting off to sleep, that’s not how the process works. According to the Oregon Public Health Division . . . Secobarbital [is] the default drug to “die with dignity.” The therapeutic dosage of Secobarbital is 100 to 200 mg or one to two capsules taken orally. When a patient is given a lethal prescription of Secobarbital they are given 90-100 capsules, told to empty the contents of the capsule in a sweet tasting liquid, like ginger ale and then, drink the liquid. . . . The lethal dose of Secobarbital can cost anywhere from 1,500 to 2,300 dollars. The cocktail can take anywhere from 2 hours to four and a half days to kill a patient (3), the drug does not always work; people have had to be revived after vomiting the solution.
Finally given the past few weeks in which people have been concerned about their health care and with real issues affecting access to health care, and even critical treatments such as organ transplants becoming a political issue, now is not the time for this law.