{"title":"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。","authors":"Camilo Sanz","doi":"10.1111/maq.70012","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47649,"journal":{"name":"Medical Anthropology Quarterly","volume":" ","pages":"e70012"},"PeriodicalIF":1.9000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Euthanasia as a safeguard for living: Anticipation and incurable cancer in a Colombian context.\",\"authors\":\"Camilo Sanz\",\"doi\":\"10.1111/maq.70012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":47649,\"journal\":{\"name\":\"Medical Anthropology Quarterly\",\"volume\":\" \",\"pages\":\"e70012\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-06-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Anthropology Quarterly\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1111/maq.70012\",\"RegionNum\":2,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ANTHROPOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Anthropology Quarterly","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1111/maq.70012","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
Euthanasia as a safeguard for living: Anticipation and incurable cancer in a Colombian context.
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.
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.