Euthanasia as a safeguard for living: Anticipation and incurable cancer in a Colombian context.

IF 1.9 2区 社会学 Q1 ANTHROPOLOGY
Camilo Sanz
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引用次数: 0

Abstract

This article builds on years of ethnographic conversations I sustained with my father, 89, who lives in Colombia. Soon after getting diagnosed with an incurable Multiple Myeloma-a cancer known for unleashing prolonged and painful agonies-he withdrew from oncology treatments and secured access to euthanasia (assisted-dying) on his own, bypassing medico-insurance guidelines created to regulate this medical practice and prevent abuses. Eight years after withdrawing treatments, my dad is still alive. His case shines a light on how securing access to euthanasia may have had unintended therapeutic effects on existential fears, pain perception, and quality of life on his way to dying. My storytelling also seeks to discuss the ethical and legal dimensions of assisted-dying in Colombia, especially for patients who do not consider life as biological deterioration, and who are caught between aggressive treatments and painful agonies, on the one side, and burdensome medico-insurance bureaucracy, on the other.

作为生存保障的安乐死:哥伦比亚背景下的预期和无法治愈的癌症。
这篇文章建立在我和我89岁的父亲多年的民族志对话基础上,他住在哥伦比亚。在被诊断出患有无法治愈的多发性骨髓瘤(一种以释放长期痛苦而闻名的癌症)后不久,他退出了肿瘤治疗,并绕过了为规范这种医疗行为和防止滥用而制定的医疗保险准则,自行获得了安乐死(协助死亡)的许可。在停止治疗八年后,我父亲仍然活着。他的案例揭示了获得安乐死是如何在他走向死亡的道路上对存在的恐惧、疼痛感知和生活质量产生意想不到的治疗效果的。我的故事也试图讨论哥伦比亚协助死亡的伦理和法律层面,尤其是对那些不认为生命是生物退化的病人,以及那些一边是积极的治疗和痛苦的痛苦,另一边是负担沉重的医疗保险官僚主义的病人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
56
期刊介绍: Medical Anthropology Quarterly: International Journal for the Analysis of Health publishes research and theory in the field of medical anthropology. This broad field views all inquiries into health and disease in human individuals and populations from the holistic and cross-cultural perspective distinctive of anthropology as a discipline -- that is, with an awareness of species" biological, cultural, linguistic, and historical uniformity and variation. It encompasses studies of ethnomedicine, epidemiology, maternal and child health, population, nutrition, human development in relation to health and disease, health-care providers and services, public health, health policy, and the language and speech of health and health care.
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