Too much safety? Safeguards and equal access in the context of voluntary assisted dying legislation

Journal article

McDougall, Rosalind and Pratt, Bridget. (2020). Too much safety? Safeguards and equal access in the context of voluntary assisted dying legislation. BMC Medical Ethics. 21, p. Article 38. https://doi.org/10.1186/s12910-020-00483-5
AuthorsMcDougall, Rosalind and Pratt, Bridget
Abstract

Background
In June 2019, the Australian state of Victoria joined the growing number of jurisdictions around the world to have legalised some form of voluntary assisted dying. A discourse of safety was prominent during the implementation of the Victorian legislation.

Main text
In this paper, we analyse the ethical relationship between legislative “safeguards” and equal access. Drawing primarily on Ruger’s model of equal access to health care services, we analyse the Victorian approach to voluntary assisted dying in terms of four dimensions: horizontal equity, patient agency, high quality care, and supportive social norms. We argue that some provisions framed as safeguards in the legislation create significant barriers to equal access for eligible patients.

Conclusions
While safety is undoubtedly ethically important, we caution against an overemphasis on safeguarding in voluntary assisted dying legislation given the implications for equal access.

Keywordsvoluntary assisted dying; medical assistance in dying; equal access; equity
Year2020
JournalBMC Medical Ethics
Journal citation21, p. Article 38
PublisherBiomed Central Ltd
ISSN1472-6939
Digital Object Identifier (DOI)https://doi.org/10.1186/s12910-020-00483-5
Scopus EID2-s2.0-85084627877
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-10
FunderAustralian Research Council (ARC)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online13 May 2020
Publication process dates
Accepted05 May 2020
Deposited28 Oct 2021
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant IDARC/DE170100414
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