| Titre : | The Pain Relief Promotion Act of 1999 : A serious threat to palliative care. (2000) |
| Auteurs : | D. ORENTLICHER ; A. CAPLAN |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 283, n° 2, 2000) |
| Pagination : | 255-258 |
| Langues: | Anglais |
| Mots-clés : | Soins palliatifs ; Douleur ; Thérapeutique ; Réglementation ; Politique santé ; Homme |
| Résumé : | [BDSP. Notice produite par INIST OyQDR0xl. Diffusion soumise à autorisation]. Recent educational efforts in the US medical community have begun to address the critical issue of palliative care for terminally ill patients. However, a newly introduced bill in Congress, the Pain Relief Promotion Act of 1999 (PRPA), could dramatically hinder these efforts if enacted. The act criminally punishes the use of controlled substances to cause-or assist in causing-a patient's death. The primary purposes of PRPA are to override the physician-assisted suicide law currently in effect in Oregon and prohibit other states from enacting similar laws. The act also includes valuable provisions for better research and education in palliative care, but the benefits of those provisions are outweighed by the punitive sections of the act. Under PRPA, the quality of palliative care in the United States could be compromised when physicians, fearing criminal prosecution, err on the side of caution rather than risk their patients'deaths by using highly aggressive pain treatments. Furthermore. PRPA would put Drug Enforcement Administration officials, who have no medical expertise, in the position of regulating medical decisions. The act also would interfere with individual states'long-standing authority over medical practice. Finally, PRPA would discourage physicians from engaging in experimentation and innovation in palliative care, again out of concern for crossing the line between relief of suffering and physician-assisted suicide. (...) |
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