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Supreme Court upholds Oregon’s physician-assisted
suicide law, rejects Bush Administration stand

(Compiled from wire stories)

The U.S. Supreme Court Tuesday upheld Oregon’s one-of-a-kind physician-assisted suicide law Tuesday, rejecting a Bush administration attempt to punish doctors who help terminally ill patients die.

While the vote might not have been a surprise, the lopsided majority almost certainly was. The justices voted 6-3 that the 1997 Oregon law which was cited in ending the lives of more than 200 seriously ill people trumped federal authority to regulate doctors. But new Chief Justice John Roberts showed where his loyalties lie, backing the Bush Administration, dissenting with the majority for the first time.

The court held that the administration exceeded its authority when it tried to use a federal drug law to prosecute Oregon doctors who prescribed overdoses to patients who chose to end their lives. 

 

The then-Attorney General John Ashcroft said in 2001 that doctor-assisted suicide is not a “legitimate medical purpose.”

In their opinions, Justic Anthony Kennedy, who wrote for the majority of soon-to-be-outgoing Justice Sandra Day O’Connor and Justices John Paul Stevens, David Souter, Ruth Bader Ginsburg and Stephen Breyer noted that  “Congress did not have this far-reaching intent to alter the federal-state balance,”

In a ruling that would come as no surprise to Missouri voters or people who opposed Ashcroft as attorney general, Kennedy said the “authority claimed by the attorney general is both beyond his expertise and incongruous with the statutory purposes and design.”

Ashcroft, had said that doctor-assisted suicide is not a “legitimate medical purpose” and that Oregon physicians would be punished for helping people die under the law.

The ruling backed a decision by the 9th U.S. Circuit Court of Appeals, which said Ashcroft’s “unilateral attempt to regulate general medical practices historically entrusted to state lawmakers interferes with the democratic debate about physician-assisted suicide.”

Ashcroft brought the case before the Supreme Court on the day his resignation was announced by the White House in 2004.  .

Chief Justic Roberts and Justices Clarence Thomas and Antonin Scalia dissented.

Scalia, writing the dissent, said that federal officials have the power to regulate the doling out of medicine.

“If the term ‘legitimate medical purpose’ has any meaning, it surely excludes the prescription of drugs to produce death,” he wrote.

Scalia said the court’s ruling “is perhaps driven by a feeling that the subject of assisted suicide is none of the federal government’s business. It is easy to sympathize with that position.”

Oregon’s law covers only extremely sick people — those with incurable diseases, whom at least two doctors agree have six months or less to live and are of sound mind.

Thomas wrote his own dissent as well, complaining that the court’s reasoning was puzzling. Roberts did not write separately.

Reaction from sidelines
The court’s ruling was not a final say on federal authority to override state doctor-assisted suicide laws — only a declaration that the current federal scheme did not permit that. However, it could still have ramifications outside of Oregon.

“This is a disappointing decision that is likely to result in a troubling movement by states to pass their own assisted-suicide laws,” said Jay Sekulow, chief counsel of the American Center for Law and Justice, which backed the administration.

According to press reports, Sen. Ron Wyden, D-Ore., a supporter of the law, said the ruling “has stopped, for now, the administration’s attempts to wrest control of decisions rightfully left to the states and individuals.”

Background to the issue
Justices have dealt with end-of-life cases before. In 1990, the Supreme Court ruled that terminally ill people may refuse treatment that would otherwise keep them alive. Then, justices in 1997 unanimously ruled that people have no constitutional right to die, upholding state bans on physician-assisted suicide. That opinion, by then-Chief Justice William H. Rehnquist, said individual states could decide to allow the practice.

Roberts strongly hinted in October when the case was argued that he would back the administration. O’Connor had seemed ready to support Oregon’s law, but her vote would not have counted if the ruling was handed down after she left the court.

The case is Gonzales v. Oregon, 04-623.

 

 

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