Los Angeles Times

Quality of life is biggest factor

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Re “Senate OKs assisted suicide bill,” June 5

Previously, I wrote in a letter published in The Times concerning the plight of the family of brain-dead teen Jahi McMath that there are “no answers that are going to please everybody” and that concerns over dignity and respect are paramount. Hotly debated SB128, California’s assisted suicide bill, presents similar bioethical issues.

Permitting terminally ill patients to end their lives with prescripti­on drugs presents a plethora of moral and ethical considerat­ions, including distinguis­hing between “sanctity of life” and “quality of life.” The notion of sanctity of life can be viewed as a basic duty to preserve life and derives from theolog-ical perspectiv­es. It considers preservati­on of life as the highest value.

In contrast, the notion of quality of life applies to circumstan­ces in which the obligation to preserve life may no longer exist. In an effort to reconcile these positions, it is necessary to consider the patient’s purposeful “meaning” and pursuit of his or her life goals.

An overriding concern, a la Jahi and Brittany Maynard, is the conditions under which people live rather than whether they live.

Richard Boudreau, MD Marina del Rey The writer is a bioethicis­t at Loyola Marymount University.

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