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1 . 2023

The patient's right to voluntary choose euthanasia and assisted suicide: why palliative care should be equated with obstetric care in terms of funding priority


The relevance of the study is due to the growing number of elderly and hopelessly ill patients, the population's demand for practices that, in the event of a severe incurable health disorder, do not become a hostage to the process of dying, painful for the patient and ruinous for his family, artificially prolonged by the healthcare system, as well as the high price of life-supporting medical technologies: up to 20% of national health spending in developed countries goes to pay for medical services to citizens during the last 3 years of their lives. The authors review the economic and ethical aspects of the practices of continuous deep sedation, euthanasia, and assisted suicide permitted in a number of countries. A conclusion is made about the economic feasibility and ethical acceptability of these practices, provided that the voluntariness and freedom of their choice by the patient is ensured by the availability of guaranteed palliative care. It is proposed to equalize the priority of financing palliative care with obstetric care for ensure such guarantees.

Keywords:terminally ill; healthcare costs; palliative care; euthanasia; assisted suicide; continuous deep sedation

Funding. The article was prepared based on the results of research carried out at the expense of budgetary funds under the state assignment of the Financial University under the Government of the Russian Federation.

Conflict of interest. The authors declare no conflict of interest.

For citation: Ragozin A.V., Grishin V.V., Sivodedov A.A. The patient's right to voluntary choose euthanasia and assisted suicide: why palliative care should be equated with obstetric care in terms of funding priority. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2023; 9 (1): 26-40. DOI: (in Russian)


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Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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