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Record W4405313878 · doi:10.7202/1114959ar

Voluntary Assisted Dying: The Impasse and a Way Forward

2024· article· en· W4405313878 on OpenAlexvenueno aff
Juergen Dankwort

Bibliographic record

VenueCanadian Journal of Bioethics · 2024
Typearticle
Languageen
FieldPsychology
TopicGrief, Bereavement, and Mental Health
Canadian institutionsnot available
Fundersnot available
KeywordsDenialTypologyOpposition (politics)Assisted suicideCriminologyPolitical scienceLawPsychologySociologyPoliticsPsychotherapist

Abstract

fetched live from OpenAlex

The project to provide voluntary assisted dying (VAD) has grown significantly and at an accelerating rate over the past two decades in over 30 countries on four continents. Yet, concomitant with this rise is an increasing opposition to it based on legal, medical, and ethical grounds advanced by a wide range of detractors, giving pause to projects already underway, and bringing its enlargement to a halt. Simultaneously, persons seeking relief from suffering continue to be denied VAD access or are forced to wait for it by decreed compulsory living. Those assisting beyond the legislated parameters of a VAD regime are facing criminal prosecution. The contraposition to VAD has raised the risk of desperate persons seeking relief by committing violent suicide, endangering family, friends, and first responders. In light of this concerning development, I identify how the prevailing legislated approach at the source of these issues is both paradigmatic and problematic. Amendments to existing prohibitions for assisted dying or homicide become the foundation of an assisted dying regime that codifies its essential features, including client typology, life quality for service access or its denial, who is authorized to provide VAD, and when and how it can be administered. While this approach continues to be replicated extensively and has provided some relief to unbearable living, I show how an alternative, time-tested, evidence-based approach for VAD offers an optional pathway that could avoid many of the most challenging aspects of the prevalent model.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.373
Threshold uncertainty score0.980

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.081
GPT teacher head0.373
Teacher spread0.291 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractyes

Explore more

Same venueCanadian Journal of BioethicsSame topicGrief, Bereavement, and Mental HealthFrench-language works237,207