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	<title>Comments on: Analysis:  My Thoughts On The Assisted Suicide Argument</title>
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	<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/</link>
	<description>The Supreme Court of the United States blog</description>
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		<title>By: logicnazi</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8116</link>
		<dc:creator>logicnazi</dc:creator>
		<pubDate>Mon, 10 Oct 2005 00:45:16 +0000</pubDate>
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		<description>Unless I&#039;m radically mistaked Thomas voted for the states in Raich.  Given such a vote and his general reluctance to follow precedent I don&#039;t see how a vote for the federal government in this case is plausible.
</description>
		<content:encoded><![CDATA[<p>Unless I&#8217;m radically mistaked Thomas voted for the states in Raich.  Given such a vote and his general reluctance to follow precedent I don&#8217;t see how a vote for the federal government in this case is plausible.</p>
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		<title>By: Kent Scheidegger</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8115</link>
		<dc:creator>Kent Scheidegger</dc:creator>
		<pubDate>Sun, 09 Oct 2005 23:46:36 +0000</pubDate>
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		<description>Crazybaldman,
The conferences and their votes are super secret.  You can&#039;t find out (and neither can the rest of us), unless you have some major espionage resources.
We will all know when the Court announces its opinion, sometime between now and June.
Normally, I would expect it in a few months, but they might hurry this one up to get it out before Justice O&#039;Connor leave the Court, for the reasons discussed above.
</description>
		<content:encoded><![CDATA[<p>Crazybaldman,</p>
<p>The conferences and their votes are super secret.  You can&#8217;t find out (and neither can the rest of us), unless you have some major espionage resources.</p>
<p>We will all know when the Court announces its opinion, sometime between now and June.</p>
<p>Normally, I would expect it in a few months, but they might hurry this one up to get it out before Justice O&#8217;Connor leave the Court, for the reasons discussed above.</p>
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		<title>By: crazybaldman</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8114</link>
		<dc:creator>crazybaldman</dc:creator>
		<pubDate>Sat, 08 Oct 2005 01:51:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.scotusblog.com/wp/uncategorized/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8114</guid>
		<description>you said they vote &#039;on friday&#039;. where can i find how the vote went on the web[question mark]. sorry - my shift key&#039;s on strike.
</description>
		<content:encoded><![CDATA[<p>you said they vote &#8216;on friday&#8217;. where can i find how the vote went on the web[question mark]. sorry &#8211; my shift key&#8217;s on strike.</p>
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		<title>By: MJD</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8113</link>
		<dc:creator>MJD</dc:creator>
		<pubDate>Fri, 07 Oct 2005 17:21:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.scotusblog.com/wp/uncategorized/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8113</guid>
		<description>Human Rights Watch and Physicians for Human Rights did a report in 1994 about doctors and the death penalty.  Obviously the research needs to be updated, but back then HRW found that:&lt;br /&gt;&lt;br /&gt;
&quot;The language in statutes about lethal injection clearly expresses a desire to set it apart from other medical procedures. Currently, twenty-five states use lethal injection (fourteen as the sole method and eleven as an option). Eleven of these statutes declare outright that lethal injection is not a medical procedure. Seven also authorize pharmacists to dispense lethal drugs to the Commissioner (or designee) without a prescription.&quot;  &lt;br /&gt;&lt;br /&gt;
HRW also found that in practice, doctors were directly involved in executions.  For example, in Nevada, the prison&#039;s Medical Director is required prescribe and procure the drugs for the lethal injection.
&lt;br /&gt;&lt;br /&gt;
You can find the report at http://www.hrw.org/reports/pdfs/g/general/general943.pdf
</description>
		<content:encoded><![CDATA[<p>Human Rights Watch and Physicians for Human Rights did a report in 1994 about doctors and the death penalty.  Obviously the research needs to be updated, but back then HRW found that:</p>
<p>&#8220;The language in statutes about lethal injection clearly expresses a desire to set it apart from other medical procedures. Currently, twenty-five states use lethal injection (fourteen as the sole method and eleven as an option). Eleven of these statutes declare outright that lethal injection is not a medical procedure. Seven also authorize pharmacists to dispense lethal drugs to the Commissioner (or designee) without a prescription.&#8221;  </p>
<p>HRW also found that in practice, doctors were directly involved in executions.  For example, in Nevada, the prison&#8217;s Medical Director is required prescribe and procure the drugs for the lethal injection.</p>
<p>You can find the report at <a href="http://www.hrw.org/reports/pdfs/g/general/general943.pdf" rel="nofollow">http://www.hrw.org/reports/pdfs/g/general/general943.pdf</a></p>
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		<title>By: NathanNewman.org</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8117</link>
		<dc:creator>NathanNewman.org</dc:creator>
		<pubDate>Fri, 07 Oct 2005 03:23:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.scotusblog.com/wp/uncategorized/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8117</guid>
		<description>&lt;strong&gt;Federalism Revolution Over&lt;/strong&gt;
Based on John Roberts&#039; questions during the oral arguments over assisted suicide, Tom Goldstein of SCOTUSblog has declared &quot;Note to...
</description>
		<content:encoded><![CDATA[<p><strong>Federalism Revolution Over</strong></p>
<p>Based on John Roberts&#8217; questions during the oral arguments over assisted suicide, Tom Goldstein of SCOTUSblog has declared &#8220;Note to&#8230;</p>
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		<title>By: Michael Wasserman</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8112</link>
		<dc:creator>Michael Wasserman</dc:creator>
		<pubDate>Thu, 06 Oct 2005 23:25:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.scotusblog.com/wp/uncategorized/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8112</guid>
		<description>&lt;p&gt;
If state-authorized &quot;executioners&quot; can use CSA-scheduled drugs to kill people against their will with the AG&#039;s blessing, then I cannot see how it could be that the AG can withhold that blessing from state-authorized doctors assisting a patient to kill himself.
&lt;/p&gt;
&lt;p&gt;
The AG himself has framed the question presented without referring to doctors at all:
&lt;/p&gt;
&lt;blockquote&gt;
Whether the Attorney General has permissibly construed
the Controlled Substances Act, 21 U.S.C. 801 et seq., and its
implementing regulations to prohibit the distribution of federally
controlled substances for the purpose of facilitating an
individualâ€™s suicide, regardless of any state law purporting to
authorize such distribution.
&lt;/blockquote&gt;
&lt;p&gt;
As I understand it, the AG&#039;s argument turns on the phrase &quot;legitimate medical purpose&quot; in the regulations. The AG claims it was reasonable for Ashcroft to reverse previous administration policy and rule that assisted suicide is not a &quot;legitimate medical purpose&quot;. If so, it is clearly no &quot;legitimate medical purpose&quot; to administer drugs to kill a prisoner against his will.
&lt;/p&gt;
&lt;p&gt;
If the distinction were truly between whether a doctor or an executioner is prescribing or administering the lethal dose, then that leaves an easy out for the State: simply designate an official to do the administering.
&lt;/p&gt;
&lt;p&gt;
Of course, the distinction cannot be drawn, because the statute defines &quot;practitioner&quot; to &lt;i&gt;include&lt;/i&gt; persons, such as executioners, who are legally authorized to administer controlled substances, 21 U.S.C. sec. 802(21) (emphases added):
&lt;/p&gt;
&lt;blockquote&gt;
The term &quot;practitioner&quot; means a physician, dentist,
veterinarian, scientific investigator, pharmacy,
hospital, &lt;i&gt;or other person&lt;/i&gt; licensed, registered, &lt;i&gt;or otherwise
permitted&lt;/i&gt;, by the United States &lt;i&gt;or the jurisdiction
in which he practices&lt;/i&gt; or does research, to distribute,
dispense, conduct research with respect to, &lt;i&gt;administer&lt;/i&gt;,
or use in teaching or chemical analysis, &lt;i&gt;a controlled
substance in the course of professional practice&lt;/i&gt; or
research.
&lt;/blockquote&gt;
&lt;p&gt;
Essentially, the Administration is doing no different than the Iraqi Parliament did in construing &quot;voters&quot; two different ways, when it ruled that &quot;two-thirds of the voters&quot; meant two-thirds of &lt;i&gt;registered&lt;/i&gt; voters and &quot;majority of the voters&quot; meant majority of voters &lt;i&gt;casting ballots&lt;/i&gt;. The words mean exactly what they want them to mean, and when they want them to have that meaning.
&lt;/p&gt;
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		<content:encoded><![CDATA[<p>
If state-authorized &#8220;executioners&#8221; can use CSA-scheduled drugs to kill people against their will with the AG&#8217;s blessing, then I cannot see how it could be that the AG can withhold that blessing from state-authorized doctors assisting a patient to kill himself.
</p>
<p>
The AG himself has framed the question presented without referring to doctors at all:
</p>
<blockquote><p>
Whether the Attorney General has permissibly construed<br />
the Controlled Substances Act, 21 U.S.C. 801 et seq., and its<br />
implementing regulations to prohibit the distribution of federally<br />
controlled substances for the purpose of facilitating an<br />
individualâ€™s suicide, regardless of any state law purporting to<br />
authorize such distribution.
</p></blockquote>
<p>
As I understand it, the AG&#8217;s argument turns on the phrase &#8220;legitimate medical purpose&#8221; in the regulations. The AG claims it was reasonable for Ashcroft to reverse previous administration policy and rule that assisted suicide is not a &#8220;legitimate medical purpose&#8221;. If so, it is clearly no &#8220;legitimate medical purpose&#8221; to administer drugs to kill a prisoner against his will.
</p>
<p>
If the distinction were truly between whether a doctor or an executioner is prescribing or administering the lethal dose, then that leaves an easy out for the State: simply designate an official to do the administering.
</p>
<p>
Of course, the distinction cannot be drawn, because the statute defines &#8220;practitioner&#8221; to <i>include</i> persons, such as executioners, who are legally authorized to administer controlled substances, 21 U.S.C. sec. 802(21) (emphases added):
</p>
<blockquote><p>
The term &#8220;practitioner&#8221; means a physician, dentist,<br />
veterinarian, scientific investigator, pharmacy,<br />
hospital, <i>or other person</i> licensed, registered, <i>or otherwise<br />
permitted</i>, by the United States <i>or the jurisdiction<br />
in which he practices</i> or does research, to distribute,<br />
dispense, conduct research with respect to, <i>administer</i>,<br />
or use in teaching or chemical analysis, <i>a controlled<br />
substance in the course of professional practice</i> or<br />
research.
</p></blockquote>
<p>
Essentially, the Administration is doing no different than the Iraqi Parliament did in construing &#8220;voters&#8221; two different ways, when it ruled that &#8220;two-thirds of the voters&#8221; meant two-thirds of <i>registered</i> voters and &#8220;majority of the voters&#8221; meant majority of voters <i>casting ballots</i>. The words mean exactly what they want them to mean, and when they want them to have that meaning.</p>
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		<title>By: Marc Shepherd</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8111</link>
		<dc:creator>Marc Shepherd</dc:creator>
		<pubDate>Thu, 06 Oct 2005 20:52:17 +0000</pubDate>
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		<description>Stella, I think you&#039;ve misread the case. The regulation in question is a limit on doctors, not executioners. Hence, there is no legal contradiction that the rule prevents doctor-assisted suicide while permitting capital punishment using the very same drugs. There may well be a *moral* contradiction, but but it isn&#039;t the Court&#039;s job to solve that problem.
The case is indeed about states&#039; rights, but as others have noted, the Rehnquist Court&#039;s federalism revolution is now over.
</description>
		<content:encoded><![CDATA[<p>Stella, I think you&#8217;ve misread the case. The regulation in question is a limit on doctors, not executioners. Hence, there is no legal contradiction that the rule prevents doctor-assisted suicide while permitting capital punishment using the very same drugs. There may well be a *moral* contradiction, but but it isn&#8217;t the Court&#8217;s job to solve that problem.</p>
<p>The case is indeed about states&#8217; rights, but as others have noted, the Rehnquist Court&#8217;s federalism revolution is now over.</p>
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		<title>By: commentator</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8110</link>
		<dc:creator>commentator</dc:creator>
		<pubDate>Thu, 06 Oct 2005 19:59:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.scotusblog.com/wp/uncategorized/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8110</guid>
		<description>Having attended the argument, and with no other knowledge, it appears to me that there are two issues at play:  (1) does the Controlled Substances Act authorize the AG to define what is, and what is not, a medical practice, such that he can ban the use of controlled substances in instances where he has unilaterally determined that the purpose of the prescription does not comport with his notion of a medical practice; and (2) could Congress proscribe assisted suicide, and did they do so here?  The former question, I predict, will be answered in the negative.  Contrary to popular belief, physicians CAN and DO prescribe drugs to make people feel better.  Congress can make this practice illegal in certain defined circumstances, but it must be manifest in the terms of the statute, and the statute must be constitutional.
The Court will not, because it need not, address the constitutional question.  If there is the political will, Congress can pass a new statute banning the use of controlled substances for the purpose of assisting suicide.  The Court will then likely uphold it under the commerce clause, unless the interstitial privacy right should rear its head yet again.  But that is not this case.  My read is that Congress did not intend to make the AG the arbiter of what is, and what is not, a medical practice, and that should end the case.
</description>
		<content:encoded><![CDATA[<p>Having attended the argument, and with no other knowledge, it appears to me that there are two issues at play:  (1) does the Controlled Substances Act authorize the AG to define what is, and what is not, a medical practice, such that he can ban the use of controlled substances in instances where he has unilaterally determined that the purpose of the prescription does not comport with his notion of a medical practice; and (2) could Congress proscribe assisted suicide, and did they do so here?  The former question, I predict, will be answered in the negative.  Contrary to popular belief, physicians CAN and DO prescribe drugs to make people feel better.  Congress can make this practice illegal in certain defined circumstances, but it must be manifest in the terms of the statute, and the statute must be constitutional.</p>
<p>The Court will not, because it need not, address the constitutional question.  If there is the political will, Congress can pass a new statute banning the use of controlled substances for the purpose of assisting suicide.  The Court will then likely uphold it under the commerce clause, unless the interstitial privacy right should rear its head yet again.  But that is not this case.  My read is that Congress did not intend to make the AG the arbiter of what is, and what is not, a medical practice, and that should end the case.</p>
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		<title>By: Stella</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8109</link>
		<dc:creator>Stella</dc:creator>
		<pubDate>Thu, 06 Oct 2005 18:03:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.scotusblog.com/wp/uncategorized/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8109</guid>
		<description>Marc,
I think the argument over lethal injection is one over state&#039;s rights though, isn&#039;t it?  The state can distribute lethal doses of medication to end life as a punishment, but not to alleviate terminal pain and suffering? Justice O&#039;Conner posed similar questioning early in arguments.
</description>
		<content:encoded><![CDATA[<p>Marc,<br />
I think the argument over lethal injection is one over state&#8217;s rights though, isn&#8217;t it?  The state can distribute lethal doses of medication to end life as a punishment, but not to alleviate terminal pain and suffering? Justice O&#8217;Conner posed similar questioning early in arguments.</p>
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		<title>By: Kent Scheidegger</title>
		<link>http://www.scotusblog.com/2005/10/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8108</link>
		<dc:creator>Kent Scheidegger</dc:creator>
		<pubDate>Thu, 06 Oct 2005 16:50:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.scotusblog.com/wp/uncategorized/analysis-my-thoughts-on-the-assisted-suicide-argument/#comment-8108</guid>
		<description>Predicting Justice Kennedy&#039;s vote from oral argument is dicey.  I left the argument in &lt;em&gt;Roper&lt;/em&gt; v. &lt;em&gt;Simmons&lt;/em&gt; thinking he was in the state&#039;s camp.  Wrong.
</description>
		<content:encoded><![CDATA[<p>Predicting Justice Kennedy&#8217;s vote from oral argument is dicey.  I left the argument in <em>Roper</em> v. <em>Simmons</em> thinking he was in the state&#8217;s camp.  Wrong.</p>
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