The subtitle of the revised and updated version of my book criticizing utilitarian bioethics, Culture of Death, is, โThe Age of โDo Harmโ Medicine.โ Helping patients kill themselves by self-starvation and dehydration โ known in euthanasia parlance as VSED (for voluntary stopping eating and drinking) โ certainly fits that designation.
Two major medical associations now have endorsed doctors assisting in such suicides by palliating the painful symptoms to help patients go all the way to death. The first was the American Academy of Hospice and Palliative Medicine (AAHPM) in 2023. This is especially notable because the organization shamefully went โneutralโ on the legalization of assisted suicide, despite that action being the antithesis of the hospice philosophy enunciated by the great medical humanitarian Dame Cecily Saunders. The AAHPMโs journal also published a piece recently endorsing intentionally undernourishing dementia patients under certain conditions (MCF, or โminimal comfort feedingโ) โ VSED in slow motion, if you will.






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