Euthanasia and Assisted Suicide
By: Carrie Gifford
Questions to Consider:
1) What is death with dignity? How does one die with dignity?
2) Is death natural or unnatural; are some deaths natural and others unnatural?
3) Is death good or bad; are some deaths good and others bad?
Points to Look for in the Talk:
1) What is the difference between euthanasia and assisted suicide?
2) In how many states and in how many countries are these medical procedures legal?
3) How are these medical procedures performed?
4) What medical and/or psychological conditions exist that would warrant euthanasia or assisted suicide?
5) What is the #1 reason people site for medically ending their lives?
Recommended Video
https://youtu.be/l0c95ZNhntw?si=SSPp-kPEu6nqvj6m
The Horrifying Reality Of Euthanasia In Canada - Kelsi Sheren
Opening Thoughts
What are names for assistance to die?
Euthanasia means good or easy death
Greek: eu = good or easy thanatos = death
What is the difference between �euthanasia and assisted suicide?
Euthanasia:
Another person, such as a doctor, does the final act, which is usually an injection
Assisted Suicide:
The person wanting to die does the final act, which is usually a pill or drink taken orally
Definitions
Definitions of Euthanasia
Active or aggressive: an intentional action is done to cause a person to die
This is legal in some countries under certain conditions
Passive: a life-saving or life-extending action is withheld or stopped to cause or quicken a person's death
This is legal in many countries under some circumstances
Examples are: a feeding tube, a hydration IV, a ventilator, a life-extending operation or drug, oxygen, food and water orally
Voluntary: a competent person gives informed consent to end their life
This is legal in some countries and US states
Non-voluntary: a person cannot consent and a surrogate decision-maker authorizes it
This is legal in some countries under certain limited conditions
Examples are: severe incapacity, unconsciousness, coma, and a vegetative state
Involuntary: a person’s life is ended against his or her wishes
This is illegal in all countries, is considered murder, and is condemned as unethical
Legality in the US
Legality in the US - Continued
https://www.ewtnnews.com/world/us/where-does-your-state-stand-on-assisted-suicide
Post-1997 South Carolina Law Excerpts
1998 Act No. 398 - Section 16-3-1090 - Assisted suicide; penalties; injunctive relief (from Title 16 - Crimes and Offenses and Chapter 3 - Offenses Against The Person - https://www.scstatehouse.gov/code/t16c003.php)
(B) It is unlawful for a person to assist another person in committing suicide.
(E) A person who violates subsection (B) is guilty of a felony and, upon conviction, must be imprisoned not more than fifteen years or fined not more than one hundred thousand dollars, or both.
(G) The licensing agency which issued a license or certification to a licensed health care professional who assists in a suicide in violation of subsection (B) shall revoke or suspend the license or certification of that person upon receipt of a copy of the record of:
Features of Assisted Suicide Laws in US States
Who Pays? - Insurance
* CA Medicare may be an exception.
There are no US protocols for organ donation after assisted suicide.
Physician Assisted Suicide The Real Effects�https://youtu.be/Ta88xWJ63xk?si=WWYstzVC8Rll8VJ5
In what and how many states is assisted suicide legal and in what years did it become legal?
Legalities around the World
Legalities around the World - Continued
In what and how many countries is euthanasia legal and in what years did it become legal?
In some other countries, it is illegal, but punishment may be less than for homicide.
In what and how many countries is assisted suicide legal and in what years did it become legal?
Examples of Laws Expanding – Slippery Slope
Canada (2016) terminal illness within six months 2021 - terminal illness requirement dropped 2027? - mental illness may qualify
https://youtu.be/yEQelq0ui78?si=Z7_63GY0fPUPbjY2 - New details in B.C.’s euthanasia of young man with mental illness - Rebel News
(0-3 and 23:45-24:30 minutes)
California (2016) 15-day waiting period 2022 - 48-hour waiting period
Belgium (2002) no mandate for doctors to refer nor institutions to provide 2020 - doctor must refer and institution cannot block a doctor from providing; (2002) 18+ eligible 2014 - all ages eligible
Suicide Tourism
Oregon and Vermont allow suicide tourism
Switzerland allows suicide tourism
Assisted suicide – a warning from Canada Christian Concern �https://www.youtube.com/live/-Pxne_bRMQM?si=vyoABJ6TELY1fNB2&t=1334 (22:14 – 23:45)
Canada's spiralling death culture: a warning not to legalise assisted suicide and euthanasia�https://youtu.be/CBpO2scBF10?si=E4myuSFjSz7giviG&t=279 (4:39 – 6:05)
World Population Review Map� �Countries Where Euthanasia is Legal 2026�
Percentage of Assisted Suicide Deaths in Various Jurisdictions Table
from https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2827640
(Most recent reporting period is 2022 I think)
Percentage of Assisted Suicide Deaths in Various Jurisdictions Chart
Rates of Use - https://en.wikipedia.org/wiki/Assisted_suicide
How is an assisted suicide procedure performed?
In US states, it is at a time and place of the person’s choosing usually with a combination of powdered drugs picked up at a pharmacy, mixed in a liquid by the person, and drunk.
How is an euthanasia procedure performed?
IV (intravenous, not intramuscular) injections of drugs via syringes into an IV port sequentially cause coma, then breathing and muscle paralysis and then, if necessary, cardiac arrest.
Oregon Reasons Given for Assisted Suicide
2025 Oregon End-of-Life Concerns
1. | Loss of autonomy | 89% |
2. | Less able to engage in activities making life enjoyable | 89% |
3. | Loss of dignity | 65% |
4. | Losing control of bodily functions | 53% |
5. | Burden on family, friends/caregivers | 40% |
6. | Inadequate pain control, or concern about it | 37% |
7. | Financial implications of treatment | 6% |
“Dignity in Dying Scotland”
https://www.dignityindyingscotland.org.uk/story/heather-black/
Heather Black was a ‘born fighter’, who spent her life campaigning for the rights of others. But her own death was stripped of dignity.
After experiencing problems with her oesophagus for some time, she was eventually diagnosed with oesophageal cancer. Her final moments are almost too disturbing to describe, but these voices must be heard if we are to have an open and honest debate.
Heather’s daughters made the difficult decision to share the details of her death because they want assisted dying to be legalised in Scotland.
“There were hours of vomiting brown foam. We cut up downie covers, towels, pillow cases, muslin squares, using them to mop up constantly.
We had never seen her cry, but she cried a lot then.”
Heather repeatedly asked her daughters to help end her life.
Those last few days took an enormous toll: on Heather, obviously, but also on the sisters whose last memories of their mother are of panic, pain and helplessness.
SOLUTIONS!
Palliative Care
A medical care model focusing on lessening pain, discomfort and stress, and helping people have the highest quality of life possible at any age and stage of a serious illness and on supporting the family and/or caregivers
Hospice – End-of-Life Palliative Care
A specialized care model providing comfort medical care, including pain medicine, to the dying person and emotional, psychosocial, and spiritual support to the person and family and/or caregivers
Dolores’ Story�https://www.nia.nih.gov/health/hospice-and-palliative-care/what-are-palliative-care-and-hospice-care
Choosing hospice does not have to be a permanent decision. For example, Dolores was 82 when she learned that her kidneys were failing. She thought that she had lived a long, good life and didn't want to go through dialysis, so Dolores began hospice care. A week later, she learned that her granddaughter was pregnant. After talking with her husband, Dolores changed her mind about using hospice care and left to begin dialysis, hoping to one day hold her first great-grandchild. Shortly after the baby was born, the doctors said Dolores' blood pressure was too low. At that point, she decided to re-enroll in hospice.
Doctrine of Double Effect and Palliative Sedation
Doctrine of Double Effect: the giving of a drug with the intent to reduce pain, though the drug could cause the patient to die sooner
Palliative Sedation, Terminal and Total Sedation and Continuous Deep Sedation (a Step beyond Hospice): the giving of a drug to reduce consciousness
1990 Supreme Court Case
Cruzan v. Director, Missouri Department of Health
This case acknowledged a competent person's right to refuse lifesaving treatment, but allowed states to require that an incompetent person's wish to discontinue life support be proven by clear and convincing evidence. It therefore accelerated the advanced directive or living will movement.
1986, 1988, 1991 South Carolina Living Will Law Excerpts
Title 44 - Health and Chapter 77 - Death With Dignity Act
(from https://www.scstatehouse.gov/code/t44c077.php)
Section 44-77-110 – “The execution and consummation of declarations made in accordance with Sections 44-77-40 and 44-77-50 do not constitute suicide for any purpose.”
Section 44-77-130 – “Nothing in this chapter may be construed to authorize or approve mercy killing, or to permit any affirmative or deliberate act or omission to end life other than to permit the natural process of dying.”
1 Legal documents must be witnessed or notarized per the laws of your state. We have included your state’s requirements in the preface to your state’s Advance Directive. In general, you must be over 18 and of sound mind to complete the document.
Advance Directives
An Advance Directive =
A Living Will or Will to Live +
A Healthcare Power of Attorney
(aka Healthcare Agent, Surrogate, Proxy, Attorney-in-Fact, or Representative)
A Physician Orders for Life-Sustaining Treatment (POLST, POST, MOLST, MOST) provides medical orders for seriously ill and frail people and is completed with a healthcare provider.
A Do Not Resuscitate (DNR) is a person’s medical order to not receive CPR.
A HIPAA Right of Access to Healthcare Information can be filled out for others to have access to a person’s medical records.
https://www.caringinfo.org/blog/types-of-documents-to-make-healthcare-wishes-known/
Advance Directive Pro-Life Alternatives
https://nrlc.org/medethics/willtolive/states/
https://nrlc.org/wp-content/uploads/2025/08/southcarolina.pdf
The wording in living wills seems to encourage refusal of feeding and other life-sustaining treatments. Terms in living wills, like artificial means, heroic measures and terminal, are open to a wide range of interpretations.
The Will to Live
favors preserving life
It documents a will to live rather than a will to die.
Advance Directive Pro-Life Alternatives
The Five Wishes
“a living will with a heart and soul”
Coma vs Vegetative State �(from https://www.planningmyway.org/en/resource-center)
Coma – a person looks like he or she is sleeping. The person doesn’t move much.
Vegetative State – a person may open his or her eyes, may make movements, and may look like he or she is watching something.
According to expert medical opinion, a person who is in a coma or a vegetative state:
These verses seem to indicate being in a coma is not Biblical death:
Luke 23:46 Jesus called out with a loud voice, “Father, into your hands I commit my spirit.” When he had said this, he breathed his last.
John 19:30 When he had received the drink, Jesus said, “It is finished.” With that, he bowed his head and gave up his spirit.
Mattew 27:50 And when Jesus had cried out again in a loud voice, he gave up his spirit.
Why is legalized euthanasia and assisted suicide wrong and not a “good” death?
From the Euthanasia and Assisted Suicide booklet
by Christian Concern
1. It is unnecessary – alternative treatments are available.
2. It is dangerous – putting weak and vulnerable people at risk.
3. It is wrong – contrary to all historical codes of ethics.
It Is Unnecessary
It Is Dangerous – page 1 of 6
It Is Dangerous – page 2 of 6
It Is Dangerous – page 3 of 6
It Is Dangerous – page 4 of 6
It Is Dangerous – page 5 of 6
It Is Dangerous – page 6 of 6
It Is Unethical and Immoral
It Is Unethical and Immoral (continued)
Bible Scriptures
Bible Scriptures
What are action items to take on this topic?
1. Educate yourself on this topic, including on the way language is used for this topic, as you have done tonight, and continue mulling it over.
2. Educate others. Be able to explain and defend alternatives to euthanasia and assisted suicide. Be able to counter the talking points based in emotionalism and personal autonomy with true compassion and help for people who are suffering and/or dying and solid reasons against legalized suicide.
3. Stay abreast of the legislative landscape and the lobby groups for and against euthanasia and assisted suicide.
What are action items to take on this topic?�- continued
4. Ensure that you and your loved ones have thought this issue through, including available medical technologies, shared your wishes with each other, and legally executed clearly-worded advance directives, such as The Will to Live or The Five Wishes.
5. Work on being emotionally, mentally, spiritually, and relationally prepared for your and your loved ones’ deaths and potential suffering en route to death. We can never be completely prepared, but we can work to be as prepared as possible.
6. Pray about all of this, including prayer about the nature of your own death as you are led - such as praying for God’s will and timing, praying for grace in suffering, praying for little suffering, praying for a peaceful death, etc.
Additional Recommended Resources
The false gospel of assisted suicide
https://christianconcern.com/comment/the-false-gospel-of-assisted-suicide/
Liz Carr’s Better Off Dead – 58 minutes
https://youtu.be/-G_xF4dvS-U?si=QuTHnzDeiaSAMUDw
How Should a Christian View Physician Assisted Suicide? Joni Eareckson Tada – 9 minutes
Back cover of Euthanasia and Assisted Suicide booklet �by Christian Concern�https://christianconcern.com/wp-content/uploads/2018/10/CC-Resource-Booklet-Euthanasia-and-Assisted-Suicide-200828.pdf �
Let’s “help cultivate
a culture of assisted living,
rather than
assisted dying.”