Table of Cases |
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xvii | |
Table of Statutory Material |
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xxii | |
List of Abbreviations |
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xxix | |
1. Introduction |
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1 | |
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I. The Background to the Legalization Debate |
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3 | |
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4 | |
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4 | |
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5 | |
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6 | |
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D. Other medical behaviour that (potentially) shortens life |
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6 | |
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III. Criminal Prohibitions |
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6 | |
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6 | |
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6 | |
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7 | |
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3. Compassionate homicide |
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8 | |
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8 | |
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8 | |
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9 | |
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3. Absence of prohibition |
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9 | |
2. Rights to Assisted Dying |
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12 | |
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12 | |
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12 | |
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B. Constitutional challenges to criminal prohibitions on assisted suicide |
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14 | |
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C. The rights debate over assisted suicide |
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15 | |
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II. Rights in the Assisted Suicide Debate |
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16 | |
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A. Right to suicide or right to assisted suicide? |
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16 | |
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B. Different types of rights to suicide or assisted suicide |
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17 | |
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C. Rights-based arguments in favour of assisted suicide |
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20 | |
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20 | |
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2. Right to autonomy or self-determination |
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22 | |
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26 | |
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27 | |
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29 | |
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a. Using the legality of suicide |
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29 | |
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b. Using the right to refuse life-saving or life-sustaining treatment |
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30 | |
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6. Right to freedom of conscience and religion |
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31 | |
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34 | |
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D. Rights-based arguments against assisted suicide |
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35 | |
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35 | |
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2. Right to equality or equal protection |
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37 | |
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a. The impact of legalization on marginalized groups |
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37 | |
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b. The form of legalization |
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39 | |
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40 | |
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41 | |
3. The Effects of Rights |
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43 | |
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43 | |
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II. Failure to Provide Solutions to Complex Social Problems |
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45 | |
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A. Problems with rights discourse generally |
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45 | |
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1. The indeterminacy critique |
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45 | |
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a. Conflicts between competing rights |
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46 | |
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b. Conflicts between rights and their limiting features |
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47 | |
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47 | |
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d. Definitional vagueness |
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49 | |
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2. The critique of suppression and distortion |
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51 | |
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52 | |
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52 | |
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c. Transformation of duties |
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53 | |
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3. The critique of rights discourse as simplistic and conclusory |
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55 | |
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4. The absolutist critique |
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56 | |
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a. Absolutist claims on both sides of the debate |
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57 | |
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b. The difficulty of limiting rights |
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57 | |
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5. The critique of rights discourse as uncompromising |
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60 | |
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61 | |
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b. Devaluation of opposing rights or interests |
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61 | |
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B. Problems with rights discourse associated with personal rights |
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62 | |
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1. Lack of articulation of basis of personal rights |
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63 | |
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2. The problem of the slippery slope |
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65 | |
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III. Questioning the Underlying Assumptions |
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65 | |
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A. The individualist critique |
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66 | |
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B. Applying the individualist critique to assisted suicide |
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68 | |
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68 | |
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2. The problem of isolation |
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70 | |
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3. Compromise between individual and community |
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73 | |
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74 | |
4. Duties and Necessity |
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76 | |
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I. The Dutch Defence of Necessity |
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76 | |
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A. The Criminal Code provisions |
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77 | |
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B. The conflict of duties |
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78 | |
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81 | |
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II. Necessity at Common Law |
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83 | |
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A. England: cannibals and conjoined twins |
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84 | |
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B. Canada: non-voluntary euthanasia of a disabled child |
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88 | |
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C. The elements of the defence of necessity explore |
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91 | |
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91 | |
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a. Justification or excuse? |
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91 | |
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b. Classification of necessity in the presence of a proportionality requirement |
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91 | |
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92 | |
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a. No reasonable alternative |
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93 | |
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b. Imminent peril or inevitable evil |
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93 | |
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94 | |
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III. Explaining the Different Roads Taken |
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94 | |
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A. Why has the common law defence of necessity excluded euthanasia? |
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95 | |
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1. Alternatives to the use of necessity at common law |
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95 | |
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97 | |
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a. An example of the importance of consensus: existential suffering |
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99 | |
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101 | |
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B. Why did the Dutch not use constitutionally entrenched rights as the mechanism of legalization? |
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102 | |
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1. Legal and strategic arguments |
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103 | |
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105 | |
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3. The role of other arguments in the Dutch debate |
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105 | |
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106 | |
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107 | |
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108 | |
5. Compassion |
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109 | |
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109 | |
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II. CCNE Opinion Number 63 |
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109 | |
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A. Incorporating the CCNE's proposal into the criminal law |
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110 | |
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B. The basis of the CCNE's proposal |
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111 | |
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113 | |
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III. The Unavailability of Other Mechanisms of Legal Change |
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114 | |
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A. A right to assisted dying in France? |
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114 | |
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B. The defence of necessity in France |
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116 | |
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117 | |
6. Comparing the Mechanisms of Legal Change |
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118 | |
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118 | |
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II. Rights as the Mechanism of Legal Change |
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118 | |
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A. The dissenting reasons of McEachern C.J.B.C. in Rodriguez |
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119 | |
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B. The dissenting reasons of Lamer C.J.C. in Rodriguez |
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121 | |
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C. The Second Circuit Decision in Quill v. Vacco 122 |
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D. The En Banc Ninth Circuit Decision in Compassion in Dying v. Washington |
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124 | |
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III. Necessity as the Mechanism of Legal Change |
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124 | |
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A. (Active voluntary) euthanasia or termination of life on request |
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124 | |
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125 | |
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2. Unbearable and hopeless suffering |
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126 | |
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3. No reasonable alternative |
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126 | |
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4. The doctorpatient relationship |
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127 | |
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B. Non-voluntary euthanasia or termination of life without request |
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127 | |
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129 | |
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132 | |
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3. Incompetent persons generally |
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133 | |
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4. No reasonable alternative |
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135 | |
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136 | |
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IV. Compassion as the Mechanism of Legal Change |
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137 | |
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V. Summarizing the Boundaries |
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138 | |
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139 | |
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1. Jurisdictions which accept proxy exercise of the incompetent person's rights |
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143 | |
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2. Jurisdictions which do not accept proxy exercise of the incompetent person's rights |
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144 | |
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3. Concerns about proxy decision-making |
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144 | |
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145 | |
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1. If necessity or compassion are the mechanisms of legal change |
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145 | |
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2. If rights are the mechanism of legal change |
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146 | |
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C. Suffering and the 'no reasonable alternative' requirement |
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146 | |
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D. Assisted suicide or assisted dying? |
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147 | |
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147 | |
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F. Restriction to doctors |
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148 | |
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149 | |
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149 | |
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150 | |
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150 | |
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2. An examination of the Oregon provisions |
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152 | |
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153 | |
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153 | |
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2. An examination of the Belgian provisions |
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154 | |
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C. The Northern Territory of Australia |
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157 | |
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158 | |
7. The Slippery Slope |
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159 | |
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|
159 | |
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A. The legal significance of the slippery slope argument |
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161 | |
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163 | |
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II. The Logical Slippery Slope Argument |
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164 | |
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164 | |
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1. An argument from consistency |
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164 | |
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2. A sorites-type argument |
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165 | |
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166 | |
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1. Necessity and compassion as mechanisms of legal change |
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167 | |
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2. Rights as the mechanism of legal change |
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167 | |
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3. Conclusion on the logical arguments in a legal context |
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167 | |
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III. The Empirical Slippery Slope Argument |
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169 | |
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171 | |
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1. A post-legalization increase in non-voluntary euthanasia |
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172 | |
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2. An increase caused by legalization |
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173 | |
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B. The comparative argument |
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175 | |
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175 | |
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a. Survey prevalence evidence |
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176 | |
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b. Beyond non-voluntary euthanasia prevalence rates |
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177 | |
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2. Difficulties associated with the comparative evidence |
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180 | |
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180 | |
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180 | |
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3. Drawing inferences from the comparative data |
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182 | |
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a. The problem of the baseline |
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182 | |
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b. Comparing jurisdictions which have legalized with those which have not |
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183 | |
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4. Beyond the rates of non-voluntary euthanasia |
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185 | |
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186 | |
Select Bibliography |
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189 | |
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189 | |
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189 | |
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189 | |
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191 | |
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191 | |
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192 | |
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193 | |
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195 | |
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195 | |
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195 | |
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198 | |
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200 | |
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202 | |
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202 | |
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202 | |
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202 | |
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203 | |
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203 | |
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205 | |
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Common Law Defence of Necessity |
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205 | |
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206 | |
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207 | |
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208 | |
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209 | |
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210 | |
Index |
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213 | |