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医疗协助死亡、滑坡谬误与医疗可及性:对科赫的回应

Medical Assistance in Dying, Slippery Slopes, and Availability of Care: A Reply to Koch.

作者信息

Merrell Don A

机构信息

Northwest Arkansas Community College, Bentonville, AR, 72712, USA.

出版信息

HEC Forum. 2025 Sep;37(3):373-377. doi: 10.1007/s10730-024-09543-4. Epub 2024 Dec 9.

Abstract

In 2021, Canada revised its Medical Assistance in Dying (MAID) law, removing the "reasonably foreseeable death" requirement. Opponents of MAID voiced concerns about a "slippery slope" leading to broader access, with some arguing the line has already been crossed. I examine the arguments against expanded eligibility, particularly those presented by Tom Koch (2023). Koch's reasoning, I submit, is flawed, lacking nuance in its understanding of the slippery slope and relying on a problematic argument about healthcare access.

摘要

2021年,加拿大修订了其临终医疗协助(MAID)法律,取消了“合理可预见死亡”的要求。MAID的反对者对导致更广泛适用的“滑坡效应”表示担忧,一些人认为界限已经被突破。我审视了反对扩大资格范围的论点,特别是汤姆·科赫(2023年)提出的那些论点。我认为,科赫的推理存在缺陷,在对滑坡效应的理解上缺乏细微差别,并且依赖于一个关于医疗保健获取的有问题的论点。

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