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Right-to-die advocates claim that many people would prefer euthanasia rather than become a burden on their loved ones. • Opponents to euthanasia claim that the provision of adequate pain management and hospice (palliative) care could improve quality of life and eliminate the demand for euthanasia. • Healthcare funding allocations, shortages of beds and nursing staff will influence policy makers and doctors in the future. • The media have largely ignored the futile-care issue. • Due to the cost-effective nature of euthanasia, in the future, more and more people will be led to believe this is their best or only option.
• In Oregon, assisted suicide is referred to as 'comfort care.' 'Right-to-die' advocates claim that the elderly and those with disabilities fear becoming a financial burden on their loved ones and would rather chose death. They state that next to pain and suffering this is the second most important reason people want to die by euthanasia. A survey in Oregon, U.S.A., one of the few places where 'assisted dying' is legal, showed, however, that in 66% of cases the reason for patients' requests was because they did not want to be a burden.
Obviously no one wants to be an encumbrance to their families and friends, and organisations such as the California Foundation For Independent Living Centers, Inc (CFFILC) claim the solution lies in the provision of adequate care for those who cannot manage on their own. This provision of 'life with dignity' is a key issue in the euthanasia controversy for it is in essence 'the price of life'. Opponents to euthanasia claim further. 'Elected leaders must address the many environmental barriers to disability that might encourage despondent elderly and disabled populations to choose death for unsound reasons.' 'The inadequate funding for palliative care and pain management, and governments' intransigent reliance on nursing homes, all contribute to the despair felt by many who reach old-age, endure frustrating physical limitations, or are afflicted with debilitating conditions.
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'Elected leaders must address the many environmental barriers to disability that might encourage despondent elderly and disabled populations to choose death for unsound reasons. Attention to such problems as the monopoly of low-quality nursing care, low pay of personal assistants, the current inadequacy of pain management and unavailability of hospice care could improve quality of life for the severely disabled and terminally ill eliminating the demand for euthanasia'. () We live today in a society that places increasing value on money, multinational corporations exert ever-increasing power over a fragile network of political systems and to ensure these are not corroded means a thorough investigation of the issues at stake. Before euthanasia became legal in The Netherlands doctors were provided with a booklet that listed the cost of all treatments.
In the 1960's a British physician wrote: 'A decision concerning the senile may have to be taken within the next twenty years. The number of old people are increasing by leaps and bounds. Pneumonia, 'the old man's friend,' is now checked by antibiotics. The effects of hardship, exposure, starvation and accident are now minimised. Where is this leading us?What of the drooling, helpless, disorientated old man or the doubly incontinent old woman lying log-like in bed? Is it here that the real need for euthanasia exists?'