A Right to "Self Preservation"
A Court of Appeals has ruled that terminally ill people have the right to access experimental drug treatments that might save their lives. Ruling that dying patients have a basic "right of self-preservation," the court held that experimental drugs that have passed the first phase of FDA review -- which determines whether a product is safe -- should be made available to a dying patient if the drug might save their life.
This is interesting. Supporters of futile care theory claim that dying patients don't necessarily have the right to non experimental life-sustaining treatment if the bioethicists or doctors determine that their quality of life is not worth living. Much of this is based on money and on an ideologically belief in at least an implied duty to die when a patient reaches a certain level of impairment. Yet the fundamental premise underlying the court's ruling--a right to self preservation--would seem to point the law in the exact opposite direction.
I believe strongly that the time has come to stomp on futile care theory in legislation and the courts. This case (ignoring for the moment the important issue of whether this is an example of judicial overreach) shows where the benefits of the doubt should lie.


2 Comments:
I was struck by today's Washington Post editorial on this ruling. There was great consternation over the finding of a constitutional right to preserve one's life with experimental drugs. Interestingly, there are not similar objections from the WaPo over judiciary rulings finding a constitutional right to abortion or assisted suicide. I do share the editor's concern that this ruling has the potential to severely undermine the FDA's regulation of drug safety. However, his indignation over the court's presumption to legislate from the bench was almost comical.
Well, I am concerned about that aspect of the case, e.g., it might be overreaching. The Supreme Court 9-0 in 1997 that there is no constitutional right to assisted suicide.
Thanks for your continued participation here at Secondhand Smoke.
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