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      "body": "DISCLAIMER: This is a fact-finding essay that does not reflect the personal opinion of the author.\n\nThe debate over whether physician-assisted suicide (PAS) should be legal in America is a long-held one in which there are two diametrically opposing arguments in the public sphere. At this moment in time, most states in the U.S. prohibit patients to end their lives with assistance from medical professionals. Alongside the U.S. Capital, Washington, DC, there are currently five states in the U.S. where PAS is legal: California, Montana, Oregon, Vermont, and Washington. The legalization of PAS in those places has only occurred within the last couple of decades; the earliest legalization transpired in Oregon in 1997 and the latest law went into full effect in Washington, DC on February 18, 2017. There are many challenges to state laws coming from both sides. Proponents of laws that allow for PAS argue that a patient who is terminally ill should have the right to choose when they die; they argue that it is more dignified than dying in a hospital. Opponents of legalizing PAS often cite the value of life and the unintended consequences that arise with making it possible for physicians to give patients life-ending drugs. The crux of this debate centers on concepts regarding the value of human life, the preservation of individual liberties, and the adherence to medical ethics. \n\nIt is important to note that physician-assisted suicide or PAS is commonly misconstrued with euthanasia. Euthanasia refers to a type of assisted suicide in which a physician plays a direct role, for example—when a doctor administers a pharmaceutical drug that causes death. With PAS, a physician provides the means for a patient to commit suicide, but does not act directly in ending the patient’s life. Proponents of PAS argue that it is a matter of liberty, but also one of compassion for terminally-ill patients when there is no cure for their disease; they see it as an option for those who would otherwise experience a long and painful death. In a conversation between Jane Hagl and Lauren Aguirre for *The Liberty Project* entitled “Musings: What Do You Think About Physician-Assisted Suicide?” a common argument is highlighted among proponents of PAS about why they believe the practice should be legal. Lauren Aguirre states:\n\nIn these cases, dying is seen as a better option than suffering months or years through treatments. But I also think that if there were a treatment or a cure for their illness, death would definitely not be on the table. When you’re that ill, at that point, it’s about choosing how you want to live your last days or if you want to live them at all. And I feel that people who truly want to die will find another way without a doctor’s help. There should be a safe way, or as safe as they can make it, to end your life if you’re in that situation. (Aguirre)\n\nThis viewpoint touches on a view of liberty and medical ethics as they pertain to life in a way that is not intertwined. \n\nThose who advocate for PAS see the circumstances surrounding the issue as exceptions to the rule, that it should be safe and rare. Andrew Solomon, Professor of Psychology at Columbia University, conveys in the *NPR* debate—“Should Physician-Assisted Suicide Be Legal?”—that the choice to end one’s life centers on dignity and that because not all pain is treatable, “we need to rethink death itself” while ensuring that PAS is stringently regulated. He argues, “Because much of modern medicine prolongs not living, but dying…aid in dying needs to be tightly regulated, as any life or death matter does, but while no one should be pressed into assisted dying, no one should be categorically denied that right” (Solomon). Professor Solomon’s argument is indicative that proponents of PAS view medical ethics regarding the value of human life in a utilitarian manner.\n\nIn contrast to PAS supporters, those who oppose PAS often cite unintended consequences of legalizing the practice and reference the overarching philosophy in society—that life has meaning. Ilora Finlay, a palliative care physician and president of the British Medical Association,  expressed in the *NPR* debate, “Should Physician-Assisted Suicide Be Legal?”,  that  it is dangerous to give that much power to the medical system and caregivers over a patient’s life because prognoses are frequently inaccurate. She says, “Pressures are harder to pick up than depression. “Coercion can be subtle,” she states, [considering] “the costs of care, life insurance about to expire, or just caregiver fatigue.” She also asks, “Are they being made to feel their lives are an inconvenience to be disposed of for the sake of others” (Finlay)? This echoes the sentiments of many PAS opponents; it’s an argument that centers around philosophical notions on the intrinsic value of human life. \n\nOpponents of PAS cite the Hippocratic Oath, a cornerstone of medical ethics that serves as a guide to prevent medical malpractice, in which doctors promise to avoid “therapeutic nihilism” and to do no harm (Mamede and Schmidt). For opponents of PAS, this oath conflicts with giving a physician the ability to directly or indirectly assist in a patient’s suicide. Doctors who oppose PAS often argue that a law allowing the practice removes “critical protections from terminally-ill patients” (*Associated Press*). This reflects an objection that opponents of PAS raise on how the legalization may unintendedly limit a patient’s choices. They mention that, if legalized, PAS will then become economically desirable to insurance carriers which may result in patients being denied coverage for life-saving treatments that are more expensive. For people who object to PAS, life and liberty are inextricably linked. Ira Byock, director of palliative care at Dartmouth-Hitchcock Medical Center in Lebanon, N.H., represents this viewpoint with his reaction to the *PBS Frontline* film “The Suicide Plan” as reported in the *PBS Frontline* article entitled “The Shadow Side of Assisted Suicide” by Jason M. Breslow: \n\nThe admonition against killing other people is the bedrock of civilization. Our earliest ancestors decided to collaborate, protecting and looking after one another as an alternative to competition and individual conflict over resources. An obligation to protect and care for one another is an integral part of social compacts. You will not find a “right to die” in the Magna Carta, Declaration of Independence or Constitution. Instead, society exists in service of life, liberty and the pursuit of happiness. (Byock)\n\nWith this, it is clear that opponents of PAS view liberty and medical ethics and their application to life in a much different light than those who support PAS legalization.\n\nA conclusion that can be made from examining the facts surrounding this issue: the argument over whether physician-assisted suicide should be legalized will not be over soon. Since the 1997 Supreme Court decisions in the cases of *Vacco v. Quill* and *Washington v. Glucksberg* where it was ruled that there is no Constitutional right to physician-assisted suicide, the matter has been turned over to each state to decide if it is legal. What this means for the foreseeable future is most states will not allow for this method of dying; a handful of states will allow it but with varying regulations.\n\n<center>Works Cited</center>\n\nAguirre, Lauren, and Jane Hagl. “Musings: What Do You Think About Physician-Assisted Suicide?” *The Liberty Project*, www.libertyproject.com/well-being/musings-what-do-you-think-about-physician-assisted/.  Accessed 22 June 2017. \n\nBreslow, Jason. “The Shadow Side of Assisted Suicide.” *PBS*, Frontline, 13 Nov. 2012, www.pbs.org/wgbh/frontline/article/the-shadow-side-of-assisted-suicide/. Accessed 22 June 2017. \n\n“Debate: Should Physician-Assisted Suicide Be Legal?” Intelligence Squared U.S. *NPR*. NPR Staff. WNYC, Ney York City. 20 Nov. 2014. Web. www.npr.org/2014/11/20/365509889/debate-should-physician-assisted-suicide-be-legal. Accessed 22 June 2017. \n\nMamede, Silvia, and Henk Schmidt. “The Twin Traps of Overtreatment and Therapeutic Nihilism in Clinical Practice.” *Medical Education*, vol. 48, no. 1, 2014, pp. 34-43, www.onlinelibrary.wiley.com/doi/10.1111/medu.12264/abstract. Accessed 22 June 2017. \n\n“The Latest: Suit Over California Life-Ending Drugs Law Ok’d.” *Associated Press*, 16 June 2017, www.apnewsarchive.com/2017/Judge-allows-legal-challenge-to-proceed-against-California-s-law-allowing-terminally-ill-people-to-seek-prescriptions-for-life-ending-drugs/id-35dc244cc3a949eab7e6018689361262. Accessed 22 June 2017. \n\n![Empire-pic-Assisted-Suicide.jpg](https://steemitimages.com/DQmPKfJ24zg32cYQZPgDfq6AAUgXqYNd8ux4QN8gZ13kSa6/Empire-pic-Assisted-Suicide.jpg)",
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      "author": "justinf",
      "body": "Welcome to Steem and thanks for such a thoughtful first post.  21st century lens.",
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      "author": "sbrightstar",
      "body": "Sometimes, I feel like I'm an alien and somehow ended up on the wrong planet!",
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      "author": "sbrightstar",
      "body": "...Thank you so much! I am following you now. I will remember you when I'm rich! <3",
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      "body": "Hi, David. I'm loving it already. Thank you. <3",
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      "body": "@@ -2804,8 +2804,86 @@\n Men.jpg)\n+%0A%0AP.S. Don%E2%80%99t think I wasn%E2%80%99t tempted to label this %E2%80%9COld Sexist Covfefe Ad%E2%80%9D. ;-)\n",
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      "title": "Old Sexist Coffee Ad?"
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      "author": "bottymcbotface",
      "body": "Welcome to Steem @sbrightstar I have upvoted and sent you a tip",
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      "author": "sbrightstar",
      "body": "Thank you, @chrisx! :-)",
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      "author": "davidzack",
      "body": "Hello @sbrightstar. Welcome to Steemit. I am David. I wish you have a happy journey here.",
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      "author": "chrisx",
      "body": "Let me welcome you to Steemit @Sbrightstar . I'm @chrisx and if you need any help feel free to contact or follow me :-)\r",
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      "body": "Watch this Folgers “Mountain Grown” commercial labeled as an “Old Sexist Coffee Ad” to understand what I write below: https://www.youtube.com/v/wOlDXx4_0DE?fs=1&hl=en_US \n\nWhile watching various television ads and labeling them with my impression of whether or not they are manipulative, informative, effective, or not effective, there is something that has been bothering me for the past week. This disconcerting feeling started when I viewed the video labeled “Old Sexist Coffee Ad”. The first time I watched it, I said, “What’s sexist about this?” I thought that maybe there was something wrong with me because I was unable to see it, so I watched it again. Then I noticed how close the husband’s pointer finger is to his wife’s face (How rude!), and I thought maybe that had something to do with it because it does appear supercilious. Still, I found him saying, “Then you admit it, your coffee really is murder!” more hilarious than anything else. Spouses often make fun of their significant others who cannot cook, so I didn’t find this inherently sexist. I watched the video a few more times (eight more times, to be honest). The only other thing I could come up with is that the coffee was referred to as “her” coffee as if she’s the only one in the home who makes coffee.\n\nThis is where I try not to superimpose my 21st-century lens onto the past. This ad was made in an era where there were set gender roles. I say this knowing what I have inherited from my mother and grandmother’s generations. I’m glad that I have more options than being relegated to the kitchen, after all, I grew up in an era where Beyoncé sings about “Independent Women”, yet I’m sad to report that I also live in a time where ads and political conversations are far more sexist than this old coffee commercial. Today’s sexist ads make the “Old Sexist Coffee Ad” seem rather quaint. Commercials today would have people believe that women over the age of 22 don’t exist and that it is proper etiquette to expose a significant amount of skin in a restaurant or other public venue! Women are exploited in many ways, both inside and outside the home nowadays. I would also like to point out that advertisers have been harsh on men as well, particularly in how they portray the modern dad as some hapless boob. In this way, we’ve hardly made any progress. I’m reminded of that old saying by Jean-Baptiste Alphonse Karr, “The more things change, the more they stay the same.”\n\nTo see some sexist vintage print ads in comparison to modern ones, check out the following link from Business Insider: http://www.businessinsider.com/these-modern-ads-are-even-more-sexist-than-their-mad-men-era-counterparts-2012-4# \n\n![thumbnail_Mad Men.jpg](https://steemitimages.com/DQmZxYq5LGgeFABxADLtF8HwzMSNkLHweWVDKnSEamakWi5/thumbnail_Mad%20Men.jpg)",
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      "body": "Since the beginning of human history, humans (like most mammals) have been omnivores; they have historically consumed what is available in order to survive. Even so, there are some who argue that it is not necessary to eat meat in a post-industrial society and that it would be far healthier for humans to only consume vegetation. For instance, when comparing meat-consumption to the health hazard of cigarette smoking, Satguru Sivaya Subramuniyaswami states in an article entitled “How to Win an Argument with a Meat Eater, “Now, another, even more devastating problem is under scrutiny. Its threat to health and the environment is being realized based on overwhelming evidence amassed over the past fifty years” (Subramuniyaswami). It is a faulty analogy to declare that eating meat is a more devastating problem than smoking, as “cigarette smoking is the No. 1 risk factor for lung cancer”, whereas eating meat is not a primary risk for any type of cancer and increased risk only pertains to how much and what type of meat is being consumed rather than it being a significant risk to consume at all (Hall).\n\nWhile it is true certain types of meat increase one’s risk for cancer, as in the case of highly processed meats containing nitrites, “a bacon sandwich is not as bad as smoking” (Gallagher). Dr. David Gerber, associate professor of internal medicine and clinical sciences at UT Southwestern Medical Center, states, “About 85 percent of lung cancer diagnoses are in current and former smokers”—the same cannot be said of meat-eaters and correlation with any type of cancer in existence. Only 21% of cancers have a link to consuming processed meats. A report by the World Health Organization indicates that processed meats contribute to a greater “chance of developing colorectal cancer by 18%” (Gallagher). However, of those diagnosed with colorectal cancer, it is clear that the majority of cases do not relate to the consumption of meat. Because the consumption of meat also has health benefits, such as being a significant source of vitamin B12, protein, zinc, and iron, meat cannot be accurately compared to cigarette smoking, which has zero health benefits. It is in weighing both the benefits and the risks of meat consumption that it becomes evident that eating an omnivorous diet “rich in fibre, from fruit and vegetables” along with a moderate amount of meat is an optimal diet for humans to live healthy lives (Gallagher). \n\n<center>Works Cited</center>\n\nGallagher, James. “Processed meats do cause cancer – WHO.” *BBC*, www.bbc.com/news/health-34615621. Accessed 27 June 2017.  \n\nHall, Kathleen. “How Smoking Causes Lung Cancer.” *U.S. News & World Report*, health.usnews.com/health-care/patient-advice/articles/2017-06-13/how-smoking-causes-lung-cancer. Accessed 27 June 2017. \n\nSubramuniyaswami, Satguru Sivaya. \"How to Win an Argument with a Meat Eater.\" *International Vegetarian Union*, www.ivu.org/religion/articles/argument3.html.  Accessed 27 June 2017. \n\n![bear omnivore.JPG](https://steemitimages.com/DQmPq1B9TbznZukTSuHaLziLmeugvGnLUaAL2hmaD7CUzgy/bear%20omnivore.JPG)",
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