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97 N.C. L. Rev. Addendum 1 (2019)

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97 N.C. L. REV. ADDENDUM 1 (2019)


       AID IN DYING IN NORTH CAROLINA*

                       KATHRYN L. TUCKER**



IN TR O D U C TIO N   ........................................................................................... 1
I.    WHY AID DID NOT EVOLVE ORGANICALLY AND WHAT
      THIS HAS MEANT FOR THIS MEDICAL PRACTICE ..................... 2
II.   RESPONDING TO UNCERTAINTY WITH LEGISLATION ................ 3
III.  END-OF-LIFE CARE LANDSCAPE AND THE STATUS OF
      AID IN NORTH CAROLINA ......................................................... 6
      A. North Carolina Law Empowers Patients to Make
          Autonomous End-of-Life Treatment Decisions ................ 8
      B. Criminal Prohibitions Pertinent to End-of-Life Care .......... 11
IV. AID SHOULD BE GOVERNED BY THE STANDARD OF
      C A R E ............................................................................................  14
V.    STANDARD OF CARE FOR AID .................................................... 17
C O N C L U SIO N   .............................................................................................. 20


                           INTRODUCTION
     Modern medicine can extend the dying process so long that a
patient dying of a terminal illness may feel trapped in a torturously
slow, lingering decline. Some patients will want to achieve a swifter,
gentler end by ingesting medications prescribed to precipitate a




    * © 2019 Kathryn L. Tucker.
    ** Ms. Tucker is founder and director of the End of Life Liberty Project, an
advocacy organization dedicated to protecting and expanding the rights of the terminally
ill. The Project was launched as a program of the Disability Rights Legal Center (DRLC)
in 2015, during Tucker's tenure as Executive Director of the DRLC. In 2017, Tucker
moved the Project to the UCSF/UC Hastings Consortium on Law, Science & Health
Policy. Tucker previously served as Director of Advocacy and Legal Affairs for another
national nonprofit focused on end-of-life advocacy. She began her career as a litigation
associate with Perkins Coie in Seattle, WA. She teaches Law, Medicine and Ethics at the
End of Life and Advocacy to Protect and Expand the Rights of the Terminally Ill at
law schools; with faculty appointments at the University of Washington, Seattle
University, Lewis & Clark, and Loyola/Los Angeles. She is a graduate of Georgetown
University Law Center. The author wishes to thank the North Carolina Law Review staff
for their work in preparing this Article and the many distinguished members of the North
Carolina Bar who reviewed and commented on drafts.