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CHECK #3 Bayern


Society I WANT TO DECIDE Self-determination and euthanasia Photo: Sharon McCutcheon / unsplash Bernd is in his early sixties and spends his time “getting through the day”. He actually wants to die. He has had bone cancer for two years now. The morphine partly works, but it does not remove the pain in his bones. Then there are the side effects: insomnia, constipation, permanent confusion, to name just a few. He no longer knows what the worst part of it all is anymore. Bernd knows that he is still lucky. He is financially secure and his partner has not left him. There are numerous other fates. Without relatives it can happen that you gradually disappear into the hospital or care system and are kept alive for as long as possible. Even if you don't want it. It becomes particularly difficult when you can no longer decide for yourself, for example in the case of a (waking) coma, senile dementia or a severe intellectual disability. Death connects people. Because it is an experience that is universal in all cultures at all times. But unlike, for example, at birth, when everyone agrees that it should be designed as best as possible and according to the wellbeing of mother and child, opinions are divided here. Can anyone imagine today that a mother should bring a child into the world strictly without outside interference? And for ethical reasons? No. So why is it so controversial to have a professional help us out when we die? LAW AND MORALITY The Hippocratic Oath is considered to be the first fundamental formulation of medical ethics. It is named after the Greek doctor Hippocrates of Kos (around 460 to 370 BC) and many medical professionals still refer to this moral legacy in their decision-making. The translation of the oath also contains the following sentence: "I will not administer a lethal poison to anyone, not even at their request, or even advise them to do so." Directly followed 54 CHECK BAYERN #3

Society Name Treatment Current legal situation Palliative medicine It is not intended to cure an illness, but to alleviate suffering. It is mostly used at the end of life in hospices with the aim of combating pain and symptoms such as shortness of breath, fear or nausea. Psychological, social and spiritual care are also part of it. Indirect euthanasia Passive euthanasia Assisted suicide This is understood as palliative treatment, which as a side effect could shorten the patient‘s life. This form of euthanasia must be medically indicated, i.e. recognized as necessary. Treatment to control a disease is stopped or not started at all. A lethal drug is left with or provided to the patient, which is then taken by the patient himself. Allowed and required as long as it is in accordance with the express will of the patient. Allowed and required as long as it is in accordance with the express will of the patient. Prohibited under professional law, but not punishable by law. Active euthanasia / killing on request At the patient‘s express request, lethal agents are “actively” administered. This form of euthanasia is not medically indicated, so it is not recognized as necessary. Prohibited and punishable by professional law. by this sentence is "I will never give a woman an abortion drug either." Our cultural understanding of medicine puts life above everything. However, self-determination is often neglected. There is no question that the decision to have an abortion ultimately rests with the person who is responsible for the birth. In that case the mother. And when it comes to dying, the right to decide should rest with those who die. For these and other reasons, the ban on commercial euthanasia was overturned by the German Federal Constitutional Court in February 2020. The reason: the general right of personality also includes the right to self-determined death. A new set of rules on how to implement this right has not yet been decided. NEW TIMES NEED NEW REGULATIONS As a society we are at a critical point. Unlike a hundred years ago, we largely determine how we live our own lives. We can choose our own profession, partner, life concept, and identity. At the moment, however, others decide how we die because we are in a legal gray area. Various bills are currently being examined, such as that of Renate Künast and Katja Keul (Bündnis 90 / Die Grünen). Accordingly, those willing to die should be given "controlled access" to the narcotics required for this. At the same time, a second medical opinion should be regularly obtained, procedures for ensuring self-determination should be introduced and protection against abuse should be CHECK BAYERN #3 55

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blu, hinnerk, gab, rik, Leo – die Magazine der blu Mediengruppe erscheinen monatlich in den Metropolen Deutschlands. Die nationale Reichweite der Magazine ermöglicht den reisefreudigen Lesern Zugriff auf alle Informationen immer und überall. Themenschwerpunkte sind neben der regionalen queeren Szene, Kultur, Wellness, Design, Mode und Reise. Unsere Titel sind mit der lokalen Community jahrzehntelang gewachsen und eng verbunden, was durch Medienpartnerschaften mit den CSD-Paraden in Hamburg, Berlin, München und Frankfurt sowie zahlreiche Kooperationen, wie der Christmas Avenue in Köln, seinen Ausdruck findet.