Research suggests doctor-assisted suicide wouldn't undermine patient trust

December 02, 2005

WINSTON-SALEM, N.C. - There is little evidence to support the argument that legalizing physician-assisted death would reduce patients' trust in their doctors, according to a researcher from Wake Forest University Baptist Medical Center and colleagues.

"Overall, three times as many people disagree as agree that legalizing physician-assisted death would cause them to trust their personal doctors less," said Mark Hall, J.D., professor of public health sciences at Wake Forest Baptist and Fred D. and Elizabeth L. Turnage Professor of Law at Wake Forest University.

Hall and colleagues designed a random telephone survey of 1,117 adults in the United States to measure attitudes about physician aid in dying. The results are reported in the current issue of the Journal of Medical Ethics.

Survey participants were asked to use a five-point scale to state their agreement or disagreement with this statement: "Assume for the purpose of this question that euthanasia were legal. If doctors were allowed to help patients die, you would trust your doctor less." The question did not distinguish between physician-assisted suicide, where the physician helps a patient take his or her own life, and euthanasia, where the physician directly administers the lethal dosage, because prior studies found that attitudes are essentially the same for both.

A majority (58 percent) of participants disagreed with the statement. Only 20 percent said that legalizing euthanasia would cause them to trust their personal physician less. These attitudes were the same in men and women.

Older adults (age 65 or older) and blacks were more likely than other groups to say physician aid in dying would lower trust, but this view was still in the minority. Only 27 percent of older participants and 32 percent of blacks said euthanasia would lower trust.

"Despite the widespread concern that legalizing physician-assisted death would seriously threaten or undermine trust in physicians, the weight of the evidence in the United Sates is to the contrary, although views vary significantly," said Hall.

The debate over physician-assisted death often includes assertions about the impact on patient trust, yet there has been little data on the subject, Hall said. There are two prior studies on the topic, but they were confined to residents of Massachusetts and Iowa, and they were generally consistent with the findings from this study.

Hall said that public policy advocates often overstate their case when they argue that particular legal or ethical rules are necessary to support trust. Even the U.S. Supreme Court has noted that physician-assisted suicide could "undermine the trust that is essential to the doctor-patient relationship by blurring the time-honored line between healing and harming."

Hall said that evidence for this argument is weak.

"Our study shows that only about 20 percent of people believe they would trust their physician less if euthanasia were legalized," he said. "The empirical support is weak for those who confidently assert that legalizing physician-assisted death would undermine trust in physicians for most people in the United States."

The researchers said, however, that the research doesn't necessarily support the opposing side, either.

"We should not be cavalier about potential threats to trust because, once it is lost, it is far harder to rebuild than to sustain," write the authors. Banning physician-assisted suicide or euthanasia could thus still be justified as a measure to avoid any diminution in trust."

Hall's co-researchers are Felicia Trachtenberg, Ph.D., from the New England Research Institutes and Elizabeth Dugan, Ph.D., from the University of Massachusetts Medical School. The research was funded by the Robert Wood Johnson Foundation.
Media Contacts: Karen Richardson,; Shannon Koontz,; at 336-716-4587

Wake Forest University Baptist Medical Center is an academic health system comprised of North Carolina Baptist Hospital and Wake Forest University Health Sciences, which operates the university's School of Medicine. The system comprises 1,187 acute care, psychiatric, rehabilitation and long-term care beds and is consistently ranked as one of "America's Best Hospitals" by U.S. News & World Report.

Wake Forest Baptist Medical Center

Related Euthanasia Articles from Brightsurf:

Scientists invent animal-free testing of lethal neurotoxins
Animal testing will no longer be required to assess a group of deadly neurotoxins, thanks to University of Queensland-led research.

Science wages a battle against the swine sector's costliest virus
A research team at the University of Córdoba has compared the behavior of two different strains of the Porcine Reproductive and Respiratory Syndrome Virus, to expedite the production of an effective vaccine in the future.

New scientific model can predict moral and political development
A study from a Swedish team of researchers recently published in the social science journal Nature Human Behaviour answers several critical questions on how public opinion changes on moral issues.

When working with animals can hurt your mental health
While it might sound like fun to work around pets every day, veterinarians and people who volunteer at animal shelters face particular stressors that can place them at risk for depression, anxiety and even suicide, according to research presented at the annual convention of the American Psychological Association.

Law backs doctors who prescribe opioids to the dying
Some doctors fear litigation and professional ruin if they are seen to have overprescribed opioids to terminally ill patients, according to a University of Queensland researcher.

African mole-rats immune to 'wasabi pain'
A new report in Science provides the first evidence of a mammal -- the highveld mole-rat -- being immune to pain from exposure to allyl isothiocyanate, or AITC, the active ingredient of wasabi.

Otago ethicist shines light on lack of discussion about body donation after euthanasia
As New Zealand considers a bill looking to legalise euthanasia, an Otago University ethicist considers it's time to shine the light on the ethical complications surrounding body donation and assisted dying.

Ethical questions raised on body donation after medically assisted death
There are issues about the appropriateness of accepting or using MAID body donations; communication with donors including consenting processes, and the transparency surrounding MAID donation with staff, faculty and students.

No room for pollies' personal views in euthanasia debate
Whatever the opinion of the public, academics or medical professionals, QUT researchers say it will be politicians who decide on whether laws on euthanasia, or voluntary assisted dying, are changed.

Study examines aspects of conscientious objection among nurses
One-on-one interviews with eight nurses in Ontario revealed that nurses making conscientious objections to ethically relevant policies lack concrete supports and need protection in healthcare practice settings.

Read More: Euthanasia News and Euthanasia Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to