Below please find Margaret Dore's expert witness memorandum,
prepared for a South Africa court case, Suzanne Walter v. Ministry of
Health. See also the comment below from a South African
advocate:
A number of the points made by you are incisive and helpful. I
found your interpretation of section 27 of the Constitution particularly
useful.... The argument will, amongst others, find its way into the final legal
argument before the High Court, and the courts that follow.
To view Dore's original
memorandum, click here.
To view the memorandum's three-part appendix, click part
1, part
2 and part
3.
I. INTRODUCTION
Oregon’s
Death with Dignity Act was passed by a citizens initiative in 1994 and went
into effect in 1997.[1] The Act was promoted as limited to
physician-assisted suicide, with euthanasia prohibited.[2] The Act, in fact,
allows both practices, including on an involuntary basis.
The
Act applies to persons aged 18 and up, predicted to have less than six months
to live due to a terminal disease.[3] In practice, such persons may have years
or decades to live.
The
Act employs euphemistic language. Consider the word, “medication,” normally
meaning a substance to cure or treat a disease or condition.[4] Per the Act,
medication instead means a lethal dose to end a person’s life (kill the patient).[5]
II. DEFINITIONS
A. Physician-Assisted Suicide;
Assisted Suicide and Euthanasia
The
Act does not define physician-assisted suicide, assisted suicide or
euthanasia.[6] Per the American Medical Association, physician-assisted suicide
occurs when “a physician facilitates a patient’s death by providing the
necessary means and/or information to enable the patient to perform the
life-ending act.”[7] For example:
[T]he physician provides sleeping pills and information about the
lethal dose, while aware that the patient may commit suicide.[8]
Assisted suicide is a general term in which the assisting person
is not necessarily a physician. Euthanasia is the administration of a
lethal agent by another person.[9] Euthanasia is also known as mercy
killing.[10]
B. Withholding or Withdrawing
Treatment
Withholding or withdrawing treatment (“pulling the plug”) is not euthanasia if
the purpose is to remove burdensome treatment, as opposed to an intent to kill
the individual. More importantly, the individual will not necessarily die.
Consider this quote regarding a man removed from a ventilator:
[I]nstead of dying as expected, [he] slowly began to get
better.[11]
III. FACTUAL AND LEGAL BACKGROUND
A. Assisting
Persons Can Have an Agenda
Persons assisting a suicide or euthanasia can have an agenda. Consider Tammy
Sawyer, trustee for Thomas Middleton in Oregon. Two days after his death by
legal assisted suicide, she sold his home and deposited the proceeds into bank
accounts for her own benefit.[12] Consider also Graham Morant, convicted of
counselling his wife to kill herself in Australia, to get the life
insurance.[13] The Court found:
[Y]ou counselled and aided your wife to kill herself because you
wanted ... the 1.4 million.[14]
Medical professionals too can have an agenda. For an example
closer to home, consider US physician, Mike Swango, who worked at the Mnene
Lutheran Mission in Zimbabwe.[15] He allegedly poisoned patients to get a
thrill.[16] He was eventually convicted of killing four patients in the US.[17]
Consider also Harold Shipman, a doctor in the UK, who not only killed his
patients, but stole from them and in one case made himself a beneficiary of the
patient’s will.[18]
B. Most US States Reject Assisted
Suicide and Euthanasia
In the US, 42 states do not allow assisted suicide and/or euthanasia. In 2016,
the New Mexico Supreme Court overturned a lower court decision allowing physician
aid in dying (meaning physician-assisted suicide).[19] In the last ten years,
nine states have strengthened their laws against assisted suicide and/or
euthanasia.[20]
C. The Swiss Study: Assisted Suicide Can Be Traumatic for Family Members
A European research study addressed trauma suffered by persons who witnessed
legal physician-assisted suicide in Switzerland.[21] The study found that one
out of five family members or friends present at an assisted suicide was
traumatized. These people,
experienced full or sub-threshold PTSD (Post Traumatic Stress
Disorder) related to the loss of a close person through assisted suicide.[22]
IV. OREGON’S ACT APPLIES TO PEOPLE WITH YEARS OR DECADES TO LIVE
A. Chronic
Conditions Can Be Sufficient for Death Via the Act
Oregon’s Act applies to people with a “terminal disease,” which is defined in
terms of having less than six months to live. The Act states:
“Terminal disease” means an incurable and
irreversible disease that has been medically confirmed and will, within
reasonable medical judgment, produce death within six months.
(Emphasis added).[23]
In practice, this definition applies to people with chronic
conditions such as diabetes, who are dependent on medication such as insulin to
live.[24] Oregon doctor, William Toffler, explains:
In Oregon, people with chronic conditions are
"terminal," if without their medications, they have less than six
months to live. This is significant when you consider that a typical
insulin-dependent 20 year-old will live less than a month without insulin.
(Emphasis added).[25]
Dr. Toffler adds:
Such persons, with insulin, are likely to have decades to live.
(Emphasis added).[26]
B. Doctor Predictions of Life Expectancy Can Be Wrong
Eligible persons may also have years or decades to live because predictions of
life expectancy can be wrong, sometimes way wrong. This is due to misdiagnosis
and the fact that predicting life expectancy is not an exact science.[27]
Consider
John Norton, who was diagnosed with ALS (Lou Gehrig’s disease) at age 18.[28]
He was told that he would get progressively worse (be paralyzed) and die in
three to five years.[29] Instead, the disease progression stopped on its
own.[30] In a 2012 affidavit, at age 74, he states:
If assisted suicide or euthanasia had been available to me in the
1950's, I would have missed the bulk of my life and my life yet to come.[31]
C. Treatment Can Lead to Recovery
Patients may also have years or decades to live because treatment can lead to
recovery. Consider Oregon resident, Jeanette Hall, who was diagnosed with
cancer in 2000 and made a settled decision to use the Oregon’s Act. Her doctor
convinced her to be treated for cancer instead.[32] In a 2019 declaration, she
states:
It has now been 19 years since my diagnosis. If [my doctor] had
believed in assisted suicide, I would be dead.[33]
V. HOW THE ACT WORKS
The Act has an application process to obtain the lethal dose.”[34] Once the
lethal dose is issued by the pharmacy, there is no oversight.[35] No doctor,
not even a witness, is required to be present at the death.[36]
VI. THE ACT IS STACKED AGAINST THE INDIVIDUAL
A. Even If the
Patient Struggled, Who Would Know?
The Act has no required oversight over administration of the lethal dose.[37]
The drugs used are water or alcohol soluble, allowing them to be injected into
a sleeping or restrained person without consent.[38] Alex Schadenberg,
Executive Director for the Euthanasia Prevention Coalition, puts it this way:
With assisted suicide laws in ... Washington and Oregon,
perpetrators can ... take a “legal” route, by getting an elder to sign a lethal
dose request. Once the prescription is filled, there is no supervision
over administration. Even if the patient struggled, “who would know?”
(Emphasis added).[39]
B. The
Act Allows Other People to Communicate on the Patient’s Behalf
The Act’s definition of “capable” allows other people to communicate on the
patient’s behalf during the lethal dose request process. Such persons are not
required to be the patient’s designated agent, such as a family member or
guardian. The communicating person need only be “familiar with the patient’s
manner of communicating.” The Act states:
"Capable" means that in the opinion of a
court or in the opinion of the patient’s attending physician or consulting physician,
psychiatrist or psychologist, . . . a patient has the ability to make and
communicate health care decisions to health care providers, including communication
through persons familiar with the patient’s manner of communicating if those
persons are available. (Emphasis added).[40]
Being
familiar with a patient’s manner of communicating is a minimal standard.
Consider, for example, a doctor’s assistant who is familiar with the patient’s
manner of communicating in Chinese, but the assistant herself does not
understand Chinese. That, however, would be good enough for her to communicate
(agree to the lethal dose) on the patient’s behalf. Patients are not in control
of their fate.
C. Attending Physician
Responsibilities
The
Act enumerates responsibilities that the attending physician “shall” perform
prior to writing a prescription for the lethal dose.[41] These responsibilities
include making a determination as to whether the patient has a terminal
disease, is capable and has made the initial determination to obtain the lethal
dose voluntarily.[42] The Act however, also features a different message, that
the attending physician shall:
Ensure that all appropriate steps are carried out
in accordance with [the Act]. (Emphasis added) .... [43]
The Act does not define “appropriate” or “accordance.”[44]
Dictionary definitions of appropriate include “suitable or proper in the
circumstances.” Definitions of accordance include “in the spirit of,” meaning
“in thought or intention.”[45]
With
this language, the attending physician’s assessment of what is suitable or
proper, or had a thought or intention to do, is good enough.
VII. THE ACT ALLOWS EUTHANASIA AS
TRADITIONALLY DEFINED
The Act refers to the lethal dose as “medication.”[46] Generally accepted
medical practice allows doctors and family members to administer medication to
a patient.[47] When the medication administered is a lethal dose, this is
euthanasia as traditionally defined.[48]
VIII. THE AMERICANS WITH DISABILITY ACT WOULD
TRUMP ANY
PROHIBITION OF EUTHANASIA
The Americans with Disability Act (ADA) is a US federal civil rights law “that
prohibits discrimination against individuals with disabilities in every day
activities, including medical services.”[49] Here, the Oregon Act describes
prescribing the lethal dose as part of a medical practice, which renders it a
medical service.[50]
Per
the ADA, medical care providers are required “to make their services available
in an accessible manner.”[51] This includes:
reasonable modifications to policies, practices, and procedures
when necessary to make health care services fully available to individuals with
disabilities, unless the modifications would fundamentally alter the nature of
the services (i.e., alter the essential nature of the services).
(Emphasis added).[52]
Here, the fundamental nature of the service is the provision of
medication (the lethal dose) to end a patient’s life. If for the purpose of
argument, the Oregon Act could somehow be read as requiring
self-administration, the ADA would require providers to make a reasonable
modification of procedures for individuals unable to self-administer, so as to
make the service fully available, for example, by providing the assistance of
another person to administer the lethal dose. This is euthanasia as
traditionally defined.
IX. CLINICAL PROBLEMS CAN AND DO LEAD TO
EUTHANASIA
In practice, physician-assisted suicide is not always successful to kill
patients, which can lead to euthanasia. See, for example, Johanna H.
Groenewoud, MD, et. al., “Clinical Problems with the Performance of Euthanasia
and Physician-Assisted Suicide in the Netherlands,” New England Journal
of Medicine, 24 February 2000.
X. DEATHS ARE “NATURAL” AS A MATTER OF LAW
A. The Oregon
Department of Health Recommends Reporting the Death as Natural
The Oregon Department of Health recommends that deaths per the Death with
Dignity Act be reported as “natural.”[53] This result is also required as
matter of law, which is explained is in the next section.
B. The Death Must Be Reported as
Natural
Oregon’s
death certificate statute has six categories for reporting the manner of death,
five of which are substantive: (1) natural; (2) accidental; (3) suicidal; (4)
homicidal; and (5) legal intervention.[54] Legal intervention means an
execution pursuant to ORS 137.463 (death warrant hearing) and other legal uses
of force resulting in death.[55]
Per
the Death with Dignity Act, death occurring in accordance with the Act does not
constitute suicide or homicide as a matter of law.[56] The death is also not an
accident or legal intervention. This leaves natural. The manner of death is
natural as a matter of law.
XI. DR. SHIPMAN AND THE CALL FOR DEATH
CERTIFICATE REFORM
Per
a 2005 article in the UK’s Guardian newspaper, there was a public inquiry
regarding Dr. Shipman’s conduct, which determined that he had “killed at least
250 of his patients over 23 years.”[57] The inquiry also found:
that by issuing death certificates stating natural causes, the
serial killer [Shipman] was able to evade investigation by coroners.
(Emphasis added).[58]
Per a subsequent article in 2015, proposed reforms included having
a medical examiner review death certificates, so as to improve patient
safety.[59] Oregon instead has moved in the opposite direction to require that
deaths be reported as natural.
XII. OREGON RESIDENTS HAVE BEEN RENDERED
SITTING DUCKS TO
THEIR HEIRS AND OTHER PREDATORS
Per Oregon inheritance law, a “slayer” of the decedent is not allowed to
inherit from a person that he or she kills.[60] The rational is that a criminal
should not be allowed to benefit from his or her crime.[61] Under the
Oregon Death with Dignity Act, however, a person who intentionally kills
another person is allowed to inherit. This is due to the death being certified
as natural.
With
the passage of the Act, Oregon residents with money, meaning the middle class
and above, have been rendered sitting ducks to their heirs and other financial
predators.
XIII. ANN JACKSON’S TESTIMONY MUST BE DISALLOWED
A. No
Claimed Legal Training
I have been provided with the following documents regarding Ms. Jackson’s
opinion as to the Oregon Death with Dignity Act:
(1) Sheena Swemmer, Centre for Applied Legal
Studies’ Summary Notice in Terms of Rule 36(9)(b), 20 April 2020
(CALS 9, attached in the appendix at pages 66 to 82);
(2) Ann Jackson, M.B.A., Bio Curriculum Vitae, 19 May
2019 (CALS 3, attached in the appendix at pages at 84 to 97); and
(3) Ann Jackson, “Supporting Affidavit,”
23 February 2016, submitted in Minister of Justice and Correctional Service and
Others v Estate Late James Stransham-Ford (531/2015) (CALS 2, attached at
pages 98 to 126) (Emphasis added).
All three documents describe Ms. Jackson’s education as: (1)
“Bachelor of Science, Elementary Education,” and (2) “Master of “Business
Administration, Not-for-Profit Management.”
Per
these documents, Ms. Jackson makes no claim to legal training and/or as to
being qualified to give a legal opinion regarding Oregon’s Act.
B. Oregon’s Act Does Not Require Self-Administration
Ms. Jackson’s supporting affidavit says that the patient "must be able
to self-administer [the lethal dose]."[62]
CALS makes a similar representation, stating:
[T]he patient must be able to self-administer and
ingest the medication themselves. (Emphasis added).[63]
There
is no such requirement in Oregon’s Act.[64] Indeed, the Act does not and has
never used the term, “self-administer.” A proposal to add the term in 2019
failed.[65] Ms. Jackson’s purported expert opinion, claiming that the Act
requires self-administration, which has now been endorsed by CALS, is false and
must be disallowed.
C. The Act Is
Not Limited to Dying People
Ms. Jackson’s affidavit describes Oregon’s Act as having legalised
“physician-assisted dying.”[66] Indeed, her affidavit uses the term at
least 10 times.[67] CALS’ Summary Notice similarly describes the Act as having
to do with dying, i.e., by repeatedly using the term “medical
aid-in-dying.”[68]
The
Oregon Act, itself, does not use the word “dying.”[69] More importantly, the
Act instead has a six months to live criteria, which in practice applies to
people with years or decades to live.[70] Ms. Jackson’s affidavit and the CALS’
Summary Notice, both of which repeatedly imply that the Act is limited to dying
people, are materially misleading. For this reason also, Ms. Jackson’s opinion
and the CALS document are false and misleading and must be disallowed.
D. Misreading
the Act
Ms. Jackson’s supporting affidavit states that patients can “only” be
prescribed the lethal dose “after meeting with a number of legal safeguards,”
which include:
b. The patient must be mentally competent; and
c. The patient must be diagnosed with a terminal illness or
condition that will lead to their death within 6 months.
The Act, in fact, uses different terminology. Patients are
described as “capable,” not “competent.” Moreover, as discussed supra,
capable is a specially defined term, allowing another person to speak for the
patient during the lethal dose request process.
XIV. THE PROPOSED RIGHT TO DIE
A. Overview
The Centre for Applied Legal Studies (CALS) seeks to establish a “right to die”
in South Africa. If granted, the right will allow the non-voluntary killing of
South African persons. For this reason alone, the proposed right must be
rejected and the case dismissed.
B. The
Proposed Right to Die must Be Rejected
1. Establishing a right to die
will lead to involuntary
killing, which is unconstitutional
The Constitution of the Republic of South Africa, Chapter 2, sets forth a Bill
of Rights, including Section 11, titled “Life.” The section simply
states: “Everyone has the right to life.”
Consistent
therewith, the Republic of South Africa supports suicide prevention efforts, to
preserve life.[71] Indeed, the South Africa Mental Health Care Act allows the
non-voluntary commitment of suicidal individuals, to prevent their
suicides.[72] CALS instead wants to establish a right to die. In 2016, the
Supreme Court of New Mexico (USA) addressed the practical consequence of such a
right, that it would lead to involuntary euthanasia. The Court stated:
[W]e agree with the legitimate concern that recognizing a right to
physician aid in dying [meaning physician-assisted suicide] will lead to
voluntary or involuntary euthanasia because if it is a right, it must be made
available to everyone, even when a duly appointed surrogate makes the decision,
and even when the patient is unable to self-administer the life-ending
medication... (Emphasis added).[73]
For this reason alone, the proposed right to die must be rejected.
2. Section 27 of the South Africa
Constitution, providing a right to health care services, does not support a right to die
Z v Commissioner for the South African Revenue Service (13472) [2014] ZATC 2
(18 November 2014), states:
The rule of construction known as the ejusdem generis-rule is
sometimes expressed by the maxim noscitur a sociis, that is the measuring of a
word may be ascertained by reference to those associated with it.
In other words, where two or more words which are susceptible of analogous
meaning are coupled noscitur a sociis, they are understood to be used in their cognate
sense. They take, as it were, their colour from each other, that is,
the more general is restricted to a sense analogous to the less general.
(Emphasis Added, Spacing Changed).
CALS
argues that denial of the right to die is an unjustifiable limitation on the
right to health set forth in Section 27 of the South Africa Constitution,
titled “Health Care, Food, Water and Social Security.”[74] Section 27(1)
states:
(1) Everyone has the right to have access to—
(a) health care services,
including reproductive health care;
(b) sufficient food and water;
and
(c) social security, including,
if they are unable to support themselves and their
dependents, appropriate social assistance (Emphasis added).[75]
Per the above rule of construction, the general phrase in
subsection (a), “health care services, including reproductive health care,”
must be restricted to a sense analogous to the less general terms in
subsections (b) and (c), both of which support life, i.e., through “sufficient
food and water” and “social security, including ... appropriate social
assistance.”
More
to the point, Section 27 is concerned with promoting life, not death. For this
reason, Section 27 cannot somehow be read as promoting the claimed right to
die. For this reason also, the proposed right to die must fail.
XV. CONCLUSION
In the event this court recognizes the proposed right to die, the right will
necessarily include involuntary euthanasia. This will similarly be true in the
event this court would order the adoption of an Oregon-style Death with Dignity
Act.
Assisting
persons, including doctors and family members, can have an agenda, with the
more obvious reasons being inheritance and life insurance, but also, as in the
case of Dr. Swango, the thrill of seeing someone die.
I
urge you to reject the proposed right to die.
Dated this 29th day of January
2021,
Margaret Dore, Esq., MBA
Endnotes:
To
view original memo, click here.
To view the memo's appendix, click Part
1 pages 1-43, Part
2 to page 84 and Part 3 to page
126.
[1] “Oregon’s Death with Dignity Act: The First Year’s
Experience,” 18 February 1999, excerpts attached at appendix pages 1 to
3. Information about the initiative is attached at page 3.
[2] Appendix page 3, third paragraph, last sentence.
[3] Appendix pages 4 to 13.
[4] See “What is Medication?,” appendix page 14.
[5] See the Act: “Written Request for Medication to End
One’s Life ....,” at appendix page 5.
[6] See the Act in its entirety, appendix pages 4 to 13.
[7] The AMA Code of Medical Ethics, Opinion 5.7, appendix
page 15.
[8] Id.
[9] The AMA Code of Medical Ethics, Opinion 5.8, appendix
page 16.
[10] See mercy killing definition, appendix page 17.
[11] Nina Shapiro, “Terminal Uncertainty — Washington's new 'Death
with Dignity' law allows doctors to help people commit suicide — once they've
determined that the patient has only six months to live. But what if
they're wrong?,” The Seattle Weekly, 13 January 2009; in the appendix,
beginning at page 18; quote at appendix page 20.
[12] "Sawyer Arraigned on State Fraud Charges," KTVZ.COM, 07 September 2011, appendix page 22.
[13] R v Morant [2018] QSC 251, Order, 2 November 2018, excerpts
available at appendix pages 23 and 24. Full opinion available here: https://archive.sclqld.org.au/qjudgment/2018/QSC18-251.pdf
[14] Id. at appendix page 24, ¶ 78.
[15] Joseph Geringer, “Michael Swango: Doctor of Death,” Crime
Library on truTV.com, 27 June 1997, posted https://www.davidcoltart.com/1997/06/michael-swango-doctor-of-death
[16] Id.
[17] Cf. Charlie Leduff, “Prosecutors Say Doctor Killed to Feel a
Thrill,” The New York Times, 7 Sept 2000, appendix pages 25 to 27, https://choiceisanillusion.files.wordpress.com/2019/03/ny-times-killed-to-feel-a-thrill-1.pdf (“Basically,
Dr. Swango liked to kill people. By his own admission in his diary, he
killed because it thrilled him.”)
[18] David Batty, “Q & A: Harold Shipman,” The Guardian, 25
August 2005, at https://www.theguardian.com/society/2005/aug/25/health.shipman and
appendix pages 28 to 30.
[19] Morris v, Brandenburg, 376 P.3d 836 (2016).
[20] Margaret Dore, “U.S. States Strengthen Their Laws Against
Assisted Suicide, April 2, 2019, appendix page 31.
[21] “Death by request in Switzerland: Posttraumatic stress
disorder and complicated grief after witnessing assisted suicide,” B. Wagner,
J. Muller, A. Maercker; European Psychiatry 27 (2012) 542-546, available at http://choiceisanillusion.files.wordpress.com/2012/10/family-members-traumatized-eur-psych-2012.pdf
[22] Id.
[23] Or. Rev. Stat. 127.800 §1.01(12), appendix page 5.
[24] See excerpt from Oregon’s annual report for year 2019
(listing “diabetes” as an underlying illness sufficient for death via the Act).
Available at appendix page 34.
[25] Declaration of William Toffler, MD, 20 April 2017, appendix
pages 35 to 39; the quote is set forth at appendix page 36, ¶ 5.
[26] Id., ¶ 6.
[27] Cf. Jessica Firger, “12 million Americans misdiagnosed each
year,” CBS NEWS, 17 April 2014, attached hereto at appendix page-40; and Nina
Shapiro, “Terminal Uncertainty — Washington's new 'Death with Dignity' law
allows doctors to help people commit suicide — once they've determined that the
patient has only six months to live. But what if they're wrong?,” The Seattle
Weekly, 14 January 2009. (Excerpts available at appendix pages 18 to 21).
[28] Affidavit of John Norton, ¶ 1 (Attached hereto at appendix
pages 41-43).
[29] Id., ¶ 1.
[30] Id., ¶ 4.
[31] Id., ¶ 5.
[32] Declaration of Kenneth Stevens, MD, appendix pages 44 to 46;
Jeanette Hall discussed at 44 and 45. Hall declaration available at
appendix page 47.
[33] Attached hereto at appendix page 47.
[34] The Act, 127.805 § 201 to 127.860 § 310, at appendix pages 5
through 8.
[35] See the Act in its entirety, at appendix pages 4 to 13.
[36] Id.
[37] See the Act in its entirety, at appendix pages 4 through 13.
[38] See Oregon report excerpt at appendix page 48 (listing
Secobarbital and Phenobarbital as drugs used to kill patients in Oregon). Per
Drugs.com, Secobarbital is both water and alcohol soluble, while Phenobarbital
is soluble in alcohol. Supporting documentation in appendix pages 49 and 50.
[39] Alex Schadenberg, Letter to the Editor, “Elder abuse a
growing problem,” The Advocate, Official Publication of the Idaho State Bar,
October 2010.
[40] The Act, Section 1, 127.800 § 1.01(3), at appendix page 4.
[41] See the Act, Section 3, attached at appendix page 6.
[42] Id., 127.815 § 3.01(1)(a)
[43] The Act, Section 3, 127.815 § 3.01 (1)(k), appendix page
6.
[44] See the Act in its entirety, appendix pages 4 to 13.
[45] Definitions attached at appendix pages 51 and 52.
[46] See, for example, the Act, 127.805 § 2.01 (describing
“medication” as being “for the purpose of ending [the patient’s] life”).
Appendix page 5.
[47] Declaration of Kenneth Stevens, MD, 6 January 2016, ¶¶ 9-10,
appendix page 46.
[48] Cf. AMA Code of Medical Ethics, Opinion 5.8, appendix page 16
(“Euthanasia is the administration of a lethal agent by another person”).
[49] U.S. Department of Justice, Civil Rights Division, Disability
Rights Section and the U.S. Department of Health and Human Services, Office for
Civil Rights, “Americans with Disabilities Act: Access to Medical Care for
Individuals with Mobility Disabilities,” July 2010, excerpts at appendix pages
53 and 54. Also available at https://www.ada.gov/medcare_mobility_ta/medcare_ta.htm
[50] See the Oregon Act, located at appendix pages 4 to 13.
[51] U.S. Department of Justice, supra, attached hereto at
appendix page 54.
[52] Id.
[53] See Oregon Health Authority website FAQ, as of 24/01/21
(stating: “The Oregon Health Authority, Center for Health Statistics recommends
that physicians record the underlying terminal disease as the cause of death
and mark the manner of death ‘natural.’”), available at https://www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EVALUATIONRESEARCH/DEATHWITHDIGNITYACT/Pages/faqs.aspx#deathcert
[54] OR Rev Stat § 146.003, appendix page 57.
[55] Id.
[56] The Act, 127.880 § 3.14 states:
Actions taken in accordance with [the
Act] shall not, for any
purpose, constitute suicide, assisted suicide, mercy killing
or homicide, under the
law. (Emphasis added)
[57] David Batty, “Q & A: Harold Shipman,” The Guardian,
08/25/05, at https://www.theguardian.com/society/2005/aug/25/health.shipman.
(Attached hereto in the appendix at pages 58 to 60).
[58] Id., appendix page 60.
[59] Press Association, “Death Certificate Reform Delays
‘Incomprehensible,” The Guardian, 21 January 2015, appendix pages 61 and 62.
[60] ORS 112.465, “Slayer or abuser considered to predecease
decedent,” copy available at appendix page 63.
[61] Cf. Ilene S. Cooper and Jaclene D'Agostino, "Forfeiture
and New York's 'Slayer Rule', NYSBA Journal, March/April 2015
[62] CALS 2, appendix pages 105 to 106, paragraph 23.
[63] CALS 9 Summary Notice, page 9, ¶ 3.3.6.7
[64] See Oregon’s Act in its entirety
[65] Oregon House Bill 2232 (2019), available at https://olis.oregonlegislature.gov/liz/2019R1/Downloads/MeasureDocument/HB2232/Introduced
[66] Supporting Affidavit of Ann Jackson, pp 1 to 15, appendix
page 98 through page 112.
[67] Id.
[68] See CALS Summary Notice at pp. 2-5.
[69] Do a word search, it’s not there.
[70] See Dore Memo submitted herewith.
[71] See e.g., South Africa Government Newsroom Release, promoting
“World Suicide Prevention Day,” issued 10 September 2020.
[72] https://www.justice.gov.za/legislation/acts/2002-017_mentalhealthcare.pdf
[73] Morris v. Brandenburg, 376 P.3d 836, 838-839 (2016)
[74] Sheena Justine Swemmer, CALS, Founding Affidavit Application
to Adduce Evidence, ¶¶ 15.5 to 15.8.
[75] The Constitution can be viewed in its entirety, at this link: https://justice.gov.za/legislation/constitution/SAConstitution-web-eng.pdf
