Meier Diane E
J Clin Ethics. 1992 Spring;3(1):35-7.
...[T]here appears to be a conflation of physician-assisted suicide (the doctor makes the means of suicide available by, for example, writing a prescription for barbiturates) with active euthanasia (the doctor actively intervenes to kill the patient). I believe that these two entities are quite distinct in terms of several factors: they require very different roles for the physician, they involve distinct and disparate power relationships between physician and patient, and they would likely have a substantially different impact on the ethos of the medical profession. Thus, I would argue that it may be reasonable to support easing constraints on physician-assisted suicide while retaining them for active euthanasia, and that the distinction between the two entities should be addressed, particularly in discussions of legalization.
……医生协助自杀(例如,医生通过开具巴比妥酸盐处方来提供自杀手段)似乎与积极安乐死(医生积极干预以杀死患者)被混为一谈。我认为,这两者在几个方面截然不同:它们对医生的角色要求大不相同,它们涉及医生与患者之间截然不同且悬殊的权力关系,而且它们可能会对医学职业精神产生截然不同的重大影响。因此,我认为支持放宽对医生协助自杀的限制,同时对积极安乐死仍保留限制,这可能是合理的,而且应该明确这两者之间的区别,尤其是在关于合法化的讨论中。