as an independent rather than a repuke.
Sentiment here seems to be largely pro-assisted suicide. As it turns out, its opponents aren't just a bunch of fundie wingnuts after all! Here's the progressive case against it, by Marilyn Golden of the Disability Rights Education and Defense Fund, who, I can assure you, is at least as progressive as I am:
http://quartz.he.net/~beyondch/news/index.php?itemid=2474But the coalition that's formed to oppose the bill, Californians Against Assisted Suicide (http://www.ca-aas.com/) shows a diversity of political opinion that may be surprising to those who have not looked closely at the issue. In opposition are numerous disability rights organizations, generally seen as liberal-leaning; the Southern California Cancer Pain Initiative, a group associated with the American Cancer Society; the American Medical Association and the California Medical Association; and the Coalition of Concerned Medical Professionals, which does anti-poverty work in poor communities. Catholic organizations are in the mix, but no one could consider this a coalition of religious conservatives. They represent many groups coming together across the political spectrum. Why?
. MANAGED CARE AND ASSISTED SUICIDE-A DEADLY MIX.
Perhaps the most significant reason is the deadly mix between assisted suicide and profit-driven managed health care. Again and again, health maintenance organizations (HMOs) and managed care bureaucracies have overruled physicians' treatment decisions, sometimes hastening patients' deaths. The cost of the lethal medication generally used for assisted suicide is about $35 to $50, far cheaper than the cost of treatment for most long-term medical conditions. The incentive to save money by denying treatment already poses a significant danger. This danger would be far greater if assisted suicide is legal.
Though the bill would prohibit insurance companies from coercing patients, direct coercion is not necessary. If patients with limited finances are denied other treatment options, they are, in effect, being steered toward assisted death. It is no coincidence that the author of Oregon's assisted suicide law, Barbara Coombs Lee, was an HMO executive when she drafted it.
A 1998 study from Georgetown University's Center for Clinical Bioethics underscores the link between profit-driven managed health care and assisted suicide. The research found a strong link between cost-cutting pressure on physicians and their willingness to prescribe lethal drugs to patients, were it legal to do so. The study warns that there must be "a sobering degree of caution in legalizing in a medical care environment that is characterized by increasing pressure on physicians to control the cost of care."