CDCAN
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK
DISABILITY RIGHTS
NEWS REPORT
#0010-2006  January 17, 2006  Tuesday morning
Connecting people with disabilities & seniors to rights and unified action
1225 8th Street Suite 480 - Sacramento, CA 95814  916/446-0013  Fax: 916/446-0026
Marty Omoto - director  email: martyomoto@rcip.com    website: www.cdcan.us

 
US Supreme Court Decision:
* UPHOLDS VOTE OF 6-3 OREGON ASSISTED SUICIDE LAW
* RULING DOESN'T LEGALIZE ASSISTED SUICIDE
* IMPACT ON AB 651 BY ASSEMBLYMEMBER BERG
 

WASHINGTON DC -  The US Supreme Court in a 6-3 vote, upheld the Oregon assisted suicide state law in a ruling issued today, though the ruling does not overturn the right of states to ban such laws if they choose to. The Oregon state law, passed by voters in 1994, allows physicians to assist persons terminally ill to end their lives by prescribing medications - an act that the US Department of Justice said was in violation of federal laws to regulate doctors and controlled substances.  The case, originally filed by then US Attorney General John Ashcroft, was carried forward by current US Attorney General Alberto Gonzales.  The case is Gonzales v. Oregon, 04-623. 

The ruling backed a previous ruling by the 9th US Circuit Court of Appeals that called then Attorney General Ashcroft's ''unilateral attempt to regulate general medical practices historically entrusted to state lawmakers interferes with the democratic debate about physician-assisted suicide.''

Former Attorney General John Ashcroft, who in 2001 said that doctor-assisted suicide is not a ''legitimate medical purpose'' and that Oregon physicians would be punished for helping people die under the law.  The US Supreme Court disagreed saying that the US Department of Justice improperly tried to use a federal drug law to prosecute Oregon doctors who prescribe medications to persons who are terminally ill for the purpose of ending their lives.

The high court's decision does not legalize assisted suicide nationwide or prohibits states from banning the practice.  The ruling however has impact on legislation pending (AB 651 by Assemblymember Patty Berg) in California that is based on the Oregon law.  That bill is in the state Senate Judiciary Committee, though no hearing date has been set yet. 

How Justices Voted
The controversial issue is one where traditional liberal and conservative legislators and judges - including members of the US Supreme Court,  switch political sides in what opponents of assisted suicide say is a critical disability and human rights issue. * Conservatives, who are viewed by some disability advocates as opposing expansion of disability rights or favoring placing limits on those rights, especially in the area of access to public accommodations, side with many of those same advocates on this issue. Assemblymember Tim Leslie and Sen. Charles Poochigian, both conservative Republicans, both strongly opposed the Berg bill and efforts to legalize assisted suicide - though both have been in favor of changes to certain rights impacting access to public accommodations.  Assemblymember Ray Haynes, another conservative Republican, was also strongly against assisted suicide and the Berg bill - but also sponsored a bill that would have ended the State's contribution to In-Home Supportive Services (IHSS) worker wages.
* Meanwhile, progressive or liberals, who are viewed by some advocates as favoring protection or expansion of disability rights, have been siding with the Oregon law, or in support of the efforts to pass a similar law in California. 
* The vote on the US Supreme Court also showed how influential the vote of Judge Samuel A. Alito will be, if he is confirmed, as most people expect, to replace Justice Sandra Day O'Connor on the US Supreme Court. 
* Voting to uphold the Oregon assisted suicide state law and against the claim of the Bush Administration were Justices Stephen Breyer, Ruth Bader Ginsberg, Anthony Kennedy, Sandra Day O'Connor, who is retiring, David Souter, and John Paul Stevens.
* Voting against the Oregon state law (and in support of the claim of the US Department of Justice) was Chief Justice Roberts, and Justices Antonin Scalia, Clarence Thomas. The three justices said that the federal government has the power to regulate the medicines that doctors prescribe. 

What the Court Said and Ruled
The US Supreme Court ruled that the federal government, represented by then US Attorney General John Ashcroft improperly tried to use a federal drug law to stop further implementation of the Oregon assisted suicide law by prosecuting Oregon doctors who prescribe medications for that purpose.  The ruling did not however legalize across the nation assisted suicide or physician assisted dying) or prohibit the states from passing and enacting laws that ban that practice. 
* Justice Kennedy writing for the majority of the Court wrote that ''Congress did not have this far-reaching intent to alter the federal-state balance,'' and that
the ''authority claimed by the attorney general is both beyond his expertise and incongruous with the statutory purposes and design.''
*
''If the term legitimate medical purpose' has any meaning, it surely excludes the prescription of drugs to produce death,'' Justice Kennedy wrote.
*
Justice Scalia wrote that the ruling ''is perhaps driven by a feeling that the subject of assisted suicide is none of the federal government's business. It is easy to sympathize with that position.''

Previous Rulings and California Legislation
* 1990 - the Supreme Court ruled that persons who are diagnosed as terminally ill people may refuse treatment that would otherwise keep them alive.
 * 1992 - California voters rejected 46-54% in November 1992 a ballot initiative, Proposition 161, which would have allowed either the administration of lethal medications by a physician or self-administration of lethal medications by a patient.
* 1994 - Oregon's "Death with Dignity Act" initiative, Measure 16, which AB 654 is based on, passed by Oregon voters by a narrow 51-49% in November 1994.
* 1995 - two bills (AB 1080 by former Assemblymember Martinez, and AB 1310 by former Assemblymember Mazzoni) both modeled after the Oregon law, were introduced and died in committee. Neither bill was heard in committee.
* 1997 -  Implementation of the Oregon law was delayed until 1997 by an injunction, which was lifted by the US 9th Circuit Court of Appeals on October 27, 1997 (  Lee v. State of Oregon , 107 F.3d 1382).   The law was implemented later in 1997.A ballot measure in November 1997 (Measure 51) to repeal the Act failed by a vote of 60-40%.
* 1997 - the US Supreme Court  unanimously ruled that people have no constitutional right to die, upholding the right of states to ban physician-assisted suicide. However the ruling did not prohibit states from passing laws to allow it. The ruling, in an opinion, by the late Chief Justice William H. Rehnquist, allowed individual states to decide - but hinted that the Court at some future point would look at the issue.
* 1999 - Former Assemblymember Dion Aroner (D-Berkeley) carried legislation in 1999 (AB 1592) called "Death With Dignity" that was nearly identical to the Oregon law.  The Aroner bill passed out of the Assembly Judiciary Committee by a narrow 8-7 vote, but died in Assembly Appropriations Committee in 1999.
* 2004 - Assemblymember Patty Berg (D-Eureka) introduces AB 654,  similar to the 1999 Aroner bill and the Oregon law.  The bill passes out of the Assembly Judiciary and Appropriation committees, before being held up - due to opposition - on the Assembly Floor.  She later amends the contents of AB 654 into AB 651 in August 2004 to allow the issue to be heard before the Senate Judiciary Committee.  The bill (AB 651) as of 1/17, has not been set for hearing yet. 

Impact on People With Disabilities and Seniors

The issue divides the senior and disability community on religious, personal and political grounds with debate as contentious and emotional as the issue of abortion.
Assemblymember Berg, a former senior advocate, previously has stated that her bill will not apply to people with developmental disabilities - or those people who have other cognitive disabilities. Advocates opposing the bill contend that the legislation does not expressly say so or point to existing state laws that define developmental disabilities under the Lanterman Developmental Disabilities Services Act, considered the civil rights act for people with developmental disabilities. 
* Some advocates - citing past history of budget cuts and rollback of services and access to health care, do not trust the State to enforce any safeguards that any bill would put in place on the issue what they call "assisted suicide".
* Other advocates while recognizing a person's right to make end of life decisions, fear that the state - or the medical profession, would unduly influence or encourage assisted dying for a various reasons - including savings in healthcare costs. 
* Some advocates remain opposed because of the history of the euthanasia program that Nazi Germany imposed specifically on children and adults with disabilities, before the outbreak of World War II.
* Others - like the Catholic Church, have opposed previous efforts in California on religious grounds.
* Other advocates, including some senior groups, however support the concept that Berg advocates because it provides protections to a person's "ultimate right" to make a decision about their own life, in those cases where the illness is terminal.
* Some advocates cite personal cases where "death with dignity" - as Berg refers to her proposed legislation - was the option that their loved ones wanted, because their terminal illness was either too painful or too unbearable.
* Some advocates say legislation would add protections to people with disabilities and seniors, because it is already happening - but others strongly dispute that point.
* Both sides point to the Oregon statute, passed in 1997 as evidence that supports their view. 

NEXT STEPS

* The ruling by the US Supreme Court has no immediate impact in California, since the ruling does not prohibit states from having laws that prohibit or ban states from allowing physician assisted suicide.  California currently bans assisted suicide. 
* AB 651 by Assemblymember Patty Berg (D-Eureka), which would put in place in California a physician assisted suicide (or physician aid in dying for those diagnosed as terminally ill) similar to the Oregon law.  That bill - strongly opposed by a coalition of several disability and senior rights organizations, individuals, religious groups and others,  is waiting for a hearing before the State Senate Judiciary Committee.  The bill is supported by a several disability and senior groups and individuals. 
* CDCAN Townhall Telemeeting scheduled on January 30, 2006 at 1:00 PM to 2:45 PM on this issue.

How To Receive CDCAN Capitol News Reports and Alerts
The California Disability Community Action Network is a non-partisan link to thousands of Californians with developmental and other disabilities, people with traumatic brain and other injures, seniors and their families, community organizations and providers, direct care and other workers, and other advocates. These action alerts and news reports is for all of them.   If you would like to get on this distribution (and conversely, get off of  it) please send an email with that  request to:  martyomoto@rcip.com OR sign up via the NEW CDCAN website at www.cdcan.us  Sharing information is part of our organizing effort. Please feel free to forward or copy  this (attribution is nice). We're all in this together!