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2018 | OriginalPaper | Buchkapitel

4. The Oregon Paradox

verfasst von : Li Way Lee

Erschienen in: Behavioral Economics and Bioethics

Verlag: Springer International Publishing

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Abstract

When terminally ill people are given the option of legally hastening death, they often feel a sense of greater well-being and a desire to live longer. In my explanation of this paradox, a terminally ill person has two selves. The right-to-die empowers the future self to gain control of suffering at the end of life. That makes the present self, who has empathy with the future self, feel a surge in well-being and the desire to live a longer life.

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Fußnoten
1
To qualify, a resident must make three requests (two verbal and one written), have two physicians and possibly a psychiatrist certify terminal illness and mental competency, and then wait at least 15 days before getting the medicine. See Oregon’s website for detailed instructions.
 
2
Many more residents initiated the application, but did not follow through with it (Tolle et al. 2004).
 
3
These paths are based on well-known “trajectories of chronic illness” (Lynn and Adamson 2003; Gawande 2014, Chapter 2; Zitter 2017, Appendix One).
 
4
My model is similar to the one that Posner (1995, pp. 245–250) uses in his analysis of suicide. Posner also assumes that a person faces two possible future states: “the doomed state” and “the healthy state.” In the doomed state, a person’s utility is negative.
 
5
We may go even a step further. Knowing that the medicine is available at the local pharmacy for the asking, we may not bother to get it—since we know we probably would not use it.
 
Literatur
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Metadaten
Titel
The Oregon Paradox
verfasst von
Li Way Lee
Copyright-Jahr
2018
DOI
https://doi.org/10.1007/978-3-319-89779-0_4

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