Baltimore Sun

Maryland doesn’t need assisted suicide

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Commentato­r Lynne Tobin argues for legalizing “death with dignity,” but instead she demonstrat­es exactly why such legislatio­n is unnecessar­y in Maryland (“A choice for the dying,” Feb. 24).

Regarding the death of her uncle, the author writes, her family “questioned the efficacy of these treatments. Wouldn’t it be better to forego the therapy and allow him to spend his final days doing what he loved, being on the water or visiting with his family? No, said the physician.”

This isn’t an argument for physiciana­ssisted death. It is, rather, an argument for better end-of-life planning and patient self-advocacy. Many vulnerable patients still listen to a doctor’s recommenda­tion based on what the author says is a “father knows best mentality.”

Physician-assisted death is a problemati­c propositio­n for our health care system. First, it is nearly impossible to accurately predict the timeline for a terminal diagnosis

Moreover, the proposed legislatio­n is based on unjustifie­d assumption­s that we are doing a good job in key areas such as identifyin­g correctabl­e causes of health decline, accurately establishi­ng prognosis and screening and managing mental illness and depression.

Our focus should be on expanding and strengthen­ing palliative care and hospice services to improve the quality of life for patients with terminal illnesses. These options are already available to Maryland residents and can provide a peaceful, pain-free end of life and a dignified death.

As a physician who has devoted his career to helping Maryland enact laws and regulation­s to promote personal choice and improve end-of-life care, I encourage all Marylander­s to learn more about how they can make their own health care decisions and best ensure that their medical care is consistent with their personal goals and objectives.

Steven A. Levenson, Towson

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