Human Exceptionalism

Anesthesiologists Instructed Not to Participate in Executions–But Silence on Euthanasia/Assisted Suicide

The American Board of Anesthesiologists has determined that any member who participates in a legal execution faces expulsion. From the official notice:

The majority of states in the United States authorize capital punishment, and nearly all states utilize lethal injection as the means of execution. However, this method of execution is not always straightforward (1), and, therefore, some states have sought the assistance of anesthesiologists (2).

This puts anesthesiologists in an untenable position. They can assuredly provide effective anesthesia, but doing so in order to cause a patient’s death is a violation of their fundamental duty as physicians to do no harm.

For decades the American Medical Association (AMA) has been opposed to physician involvement in capital punishment on the grounds that physicians are members of a profession dedicated to preserving life when there is hope of doing so (3). Effective February 15, 2010, the American Board of Anesthesiology (ABA) has incorporated the AMA’s position on capital punishment into its professional standing requirements for all anesthesiologists who are candidates for or diplomates of the ABA (4). Thus, anesthesiologists may not participate in capital punishment if they wish to be certified by the ABA.

I have absolutely no objection to kicking out a doctor that violates his association’s ethical rules.  But it is curious.  If doctors should not kill as part of their professional capacity- -and that’s certainly a reasonable maxim–they should not kill in any context.  The directive should also be applied by the ABA–and the AMA, for that matter–to kick out any doctor assisting suicides or engaging in euthanasia.  Otherwise, all I see is cowardice, posturing, and hypocrisy in this. After all, the Hippocratic Oath explicitly bans participating in assisted suicide but is silent about executions.

The assisted suicide laws in Oregon and Washington prohibit such professional sanctions.  But in my view, since these groups are voluntary associations, such prohibitions are profoundly unconstitutional as they eviscerate the right of free association.  I just wish affected medical associations had the guts to drive that point home.

Most Popular

PC Culture

Warren Is a Fraud

Senator Elizabeth Warren (D., Mass.) has been telling a story for years. It’s a deeply romantic story about her parents and their young love, fraught with the familial bigotry of an earlier time. Here’s how she told it this week in a video she released in preparation for her 2020 run: My daddy always said he ... Read More

Two Minnesota Republican Candidates Assaulted

Two Republican candidates for state office in Minnesota have been physically assaulted in recent days, leading prominent Republican lawmakers to caution their Democratic colleagues against employing inflammatory rhetoric. Republican state representative Sarah Anderson was punched in the arm last week after ... Read More