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More Oregonians using assisted suicide law
by Sarah Skidmore, The Oregonian, 3/18/2008

PORTLAND, Ore. (AP) — The number of Oregonians who used the state's assisted suicide law rose to its highest level in 2007, its 10th year in effect.

According to a report released Tuesday by the Oregon Department of Human Services, more people are getting the lethal prescriptions allowed under the Death with Dignity Act, but as in the past, not all take them.

The report shows that 85 people got the prescriptions in 2007, up by 20 from the year before. And 49 people died under the terms of the law, up by three from the year before.

Oregon's law allows terminally ill, mentally competent adults to give themselves a life-ending medication prescribed by a physician. Oregon is the only state in the nation with such a law.

Supporters say the decade of evidence shows the law is safe and provides comfort and choices to those in need.

"It's not about the numbers," said Barbara Combs Lee, president of Compassion & Choices, the nonprofit organization that sponsored the law and works with patients. "It's about the promise of peace and comfort ... That can be the takeaway from Oregon's experience."

But opponents say the report shows a large increase in annual deaths since the law's implementation — 15 died under the law in its first year.

Opponents also criticized the fact that no psychiatric evaluations were ordered by doctors in 2007, saying anyone who wants to take their life is suffering from some form of depression.

According to the law, if a physician believes a patient's judgment is impaired by a psychiatric or psychological disorder, the patient must be referred for a psychological examination.

"I was actually pretty horrified by it (the report)," said Gayle Atteberry, executive director of Oregon Right to Life. "It's becoming assisted suicide on demand, no stops, no safeguards."

Since it went into effect, 341 patients have died under the terms of the law.

Each year, data on the law's use holds many similarities. People who use it are predominantly white, older and well-educated. Most suffer from cancer.

The most common end-of-life concerns expressed are loss of autonomy, loss of dignity and a decreasing ability to participate in activities they enjoy.

But this year, the gap between when people got a prescription and when they used it jumped significantly. The average length of time in 2007 was two weeks, compared to six days in prior years.

"Many people find comfort in the choice," Combs said. "Very few people exercise that choice."

Although other states have considered similar laws, opposition remains strong — primarily from powerful groups such as the American Medical Association and Roman Catholic Church. Even what to call it — supporters prefer "aid in dying"_ is a hot button topic.

But supporters say they've seen acceptance within Oregon grow since the law went into effect.

In the first year, only 25 physicians participated in the law and now about 750 physicians participate either as a prescribing or consulting physician, Compassion & Choices said. And the number of participating pharmacies has grown from five to more than 85, the group said.

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