THE PROBLEM OF INADEQUATELY RELIEVED SUFFERING

A request for euthanasia or assistance in suicide usually derives from severe patient distress and indicates significant suffering. Although the Hippocratic purview of medicine requires that suffering be acknow ledged, its causes be identified, and that steps be taken to provide a dequate relief, an appreciation of the diversity of factors that may c ontribute to suffering underscores the need for methodical assessment and familiarity with a range of therapeutic strategies, It may be argu ed that when other options to effectively relieve suffering are availa ble, euthanasia and assisted suicide fall outside of the purview of Hi ppocratic medicine, Given the existence of other options, the capacity for human maleficence, and the lack of resources currently allocated to the relief of suffering, this paper presents a number of reservatio ns regarding the legalization of euthanasia and assisted suicide. In a ddition, it is suggested that the current community focus on the issue of inadequately relieved suffering should be harnessed to work toward the provision of care that would diminish the impression that electiv e death is necessary to ensure adequate relief.