After Ballot Defeat, What’s Next For Assisted Suicide Supporters?

BOSTON — The ballot question asking Massachusetts voters to legalize doctor-assisted suicide went down in defeat Tuesday.

It would have let terminally ill patients with less than six months to live get a fatal prescription from a doctor so they could end their lives at a time of their choosing. But it lost at the polls, 51 percent to 49 percent.

To find out what supporters of the initiative plan to do next, WBUR’s All Things Considered host Sacha Pfeiffer spoke with the lead backer of the measure, former New England Journal of Medicine editor Dr. Marcia Angell of Harvard Medical School.

Marcia Angell: Well, it’s not clear what will happen now. I think we have to regroup and think about that. The bad news is that we lost, but the good news is that the margin was razor-thin. And what this tells us is that people know that we’re ready for this, that this is the decent thing to do. So I don’t think that this is going to go away. But, by law, we can’t do another ballot initiative for another five years, I think.

What I’m looking for is what’s happening nearby. I would suspect that we would see a ballot initiative like this in perhaps Maine, maybe New Jersey, maybe Vermont. And we also can look north to Canada and see what’s happening there. The supreme court of British Columbia overturned a Canadian law against assisted dying, and that’s pending appeal. If the decision in British Columbia stands up to the appeal, then all of Canada will permit assisted dying.

Sacha Pfeiffer: You make me think of a gay marriage parallel here: that the more time passes, the more we see other states approving same-sex marriage. So are you hoping there’s a strategy of acceptance, and if you come back in a few years the state will be more accepting?

Oh yes. I have no doubt about that. We have had long experience now in Oregon and quite a bit of experience in Washington. We know that this law works. It works exactly as intended. And I think this is just a matter of state by state and maybe even country by country coming to accept this as just a good part of medical practice.

Of course, there were also opponents who simply had very deep religious convictions that taking someone’s life, even if you’re taking your own life, is just wrong — that, in their view, it’s God’s decision. Do you think there’s anything you could do to try to win over those people?

No, no. They cannot be won over. And they would often say that there was something about this particular law they didn’t like — either it had too few safeguards or it was too restrictive. Or, on the other hand, they would say that it was too loose, that doctors didn’t have to be present. So you saw a lot of often inconsistent argumentation about the safeguards. But I think this is a fig leaf for people who would not have approved of it in any case.

The Massachusetts Medical Society was also an opponent. You, of course, are a doctor. There are many doctors who do support it, but many don’t. Do you think there’s anything you need to do to win over more of your medical colleagues?

That, I think, could happen. The doctors in Oregon opposed it at first, and there are a lot of doctors there who now say, “We were wrong. This has worked well and exactly as intended.” But, you know, we don’t really know how many doctors either support it or oppose it in Massachusetts because there’s been no poll of doctors here.

You said you can’t bring another ballot initiative for about five years. Would there be another avenue besides a ballot initiative?

There are two avenues in addition to the ballot initiative. One is the Legislature, and I think that’s very unlikely to approve such a law in Massachusetts.

Why do you think that?

Well, the Legislature, I think, is more concerned about the ideology of the church and the Massachusetts Medical Society than the general public.

So you think legislators may not want to cast an unpopular vote?

With powerful institutions, yes. But it’s possible as time passes. And then the other way would be through the courts. Massachusetts does not have a law prohibiting physician-assisted dying, and so it’s conceivable that it could go through the courts.

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  • http://twitter.com/PoloPersonGwen Po’sMom

    I’m saddend to look at this razor thin defeat. For me it is a matter for personal choice, along with ones Doctor. If those that are against the ability to end suffering, they have the right to not choose any assistance. For me, I would choose to end an ongoing, but certain death when I felt it was the right time.

    I watched the airwaves flooded by inaccurate and fear mongering ads.

    The most powerful advocate for me was a Doctor connected to the “New England Journal of Medicne”, and what she had to say about this, on a Greater Boston evening broadcast. She gave a compelling explanation, that confirmed my deep convictions, that this is a choice that should be available to everyone.

  • TeriD

    I was surprised by the wording of the ballot question and understand why the question was defeated.  It talked about a dr being able to end a person’s life.  That is not my understanding of what physician assisted suicide is in other states.  The question as written on tuesday seemed to leave a person with an image of a dr holding a pillow over someone’s face.  I don’t think the ballot question was written to garner support for the proposal.

  • west5thst

    I think the difference was in the television and radio advertising. I saw and heard mostly ads in opposition, and very few ads favoring the law. I am a proponent of the law, but I can see how the anti-law bombardment could affect those on the fence.

  • http://www.facebook.com/saul.monella.7 Saul Monella

    We can only hope they’ll try their own solution!

  • http://www.facebook.com/saul.monella.7 Saul Monella

    Can you abort adults??

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