Debates about the ethics of euthanasia and physician-assisted suicide
date from ancient Greece and Pome. After the development of ether, phy
sicians began advocating the use of anesthetics to relieve the pains o
f death. In 1870, Samuel Williams first proposed using anesthetics and
morphine to intentionally end a patient's life. Over the next 35 year
s, debates about the ethics of euthanasia raged in the United States a
nd Britain,culminating in 1906 in an Ohio bill to legalize euthanasia,
a bill that was ultimately defeated. The arguments propounded for and
against euthanasia in the 19th century are identical to contemporary
arguments. Such similarities suggest four conclusions: Public interest
in euthanasia 1) is not linked with advances in biomedical technology
; 2) it flourishes in times of economic recession, in which individual
ism and social Darwinism are invoked to justify public policy; 3) it a
rises when physician authority over medical decision making is challen
ged; and 4) it occurs when terminating life-sustaining medical interve
ntions become standard medical practice and interest develops in exten
ding such practices to include euthanasia.