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COMPASSION IN DYING v THE STATE OF WASHINGTON Click to find out why . . .



Keywords & Phrases
CaseNo: CIDVTSOW231523, CourtCode: AP, CourtName: THIS COURT IS ASKED TO RULE AS A MATTER OF FIRST IMPRESSION ON THE CONSTITUTIONALITY OF, Plaintiff: COMPASSION IN DYING, State: WA Washington, UniqueCaseRef: LCD>CIDVTSOW231523, District Court, Suicide, Death, Washington, Terminally Ill, Statute, Constitution, United States, Competent, Liberty, Physician, Physician-assisted Suicide, Dying, Judgement, Mentally Competent, Constitutionality, Compassion, Life, Undue Influence, Inevitable Death, Seattle, Undue, Terminally Ill Adults, Physicians, Patients, Medical Treatment, Roe, Adults, Violates, Appellees, Circuit Judge, Amendment, Equal Protection, James Poe, Casey, Summary Judgment, Assistance, Harold Glucksberg , ContentID: 120243659

Case Documents
1   NOONAN-OPINION
[ see first page and extracted highlights below  ] ItemID: 110073
15 pages
PDF
2   DECISION
[ see first page and extracted highlights below  ] ItemID: 110072
15 pages
PDF
3   APPEAL
[ see first page and extracted highlights below  ] ItemID: 110071
22 pages
PDF
4 2000-11 ROTHSTEIN-RULING
[ see first page and extracted highlights below  ] ItemID: 110074
14 pages
PDF
Total Documents: 4 documents , 66 pages
Price: $ 34.95


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1 . NOONAN-OPINION

EXTRACTED KEY WORDS
STATUTE
SUICIDE
WASHINGTON
CONSTITUTION
PLAINTIFFS
JUDGEMENT
UNITED STATES
SEATTLE
TERMINALLY ILL
COMPASSION
PHYSICIANS
PATIENTS
DEATH
VIOLATES
LIFE
CIRCUIT JUDGE
JAMES POE
PROMOTING
MEDICAL TREATMENT
MENTALLY COMPETENT ADULTS
HAROLD GLUCKSBERG
JUDGE WRIGHT
ASSISTED SUICIDE
EQUAL PROTECTION
AMICUS CURIAE
SUFFERING
SWORN DECLARATION
CHIEF DISTRICT JUDGE
CONCLUDING

 For Publication
United States Court of Appeals for the Ninth Circuit
No. 94-35534 D.C. No. CV-94-00119 19-BJR
Opinion
 Compassion In Dying
a Washington nonprofit corporation;
JANE Roe; JOHN Doe; JAMES Poe; Harold GLUCKSBERG, M.D.,
Plaintiffs-Appellees,
v.
State of Washington;
Christine GREGOIRE, Attorney General of Washington,
Defendants-Appellants.
 Appeal from the United States District Court
for the Western District of Washington
Barbara J. Rothstein, Chief District Judge, Presiding
Argued and Submitted
December 7, 1994 - Seattle, Washington
Filed March 9, 1995
Before: Eugene A. Wright, John T. Noonan, Jr., and Diarmuid F. O'Scannlain, Circuit
Judges.
Opinion by Judge Noonan; Dissent by Judge Wright
  Summary
Individual Rights/Constitutional Rights/Privacy
The court of appeals reversed a district court judgment. The court held that there was no
basis for concluding that a Washington state statute that criminalizes promoting a suicide
attempt violates the United States Constitution.
A Washington state statute states that a person is guilty of the felony of promoting a
suicide attempt when he knowingly causes or aids another person to attempt suicide.
Appellee Compassion in Dying, three now-deceased individuals who were suffering from
diseases, and four physicians asserting their own rights and those of their patients, sued
appellant the State of Washington, seeking a declaration that the statute violated 42
U.S.C. § 1983 and the Constitution of the United States. They also asked that
enforcement of the statute be enjoined.
On motions for summary judgment, the district court denied the motion of the physicians
asserting their own claims and denied Compassion's claim on its own behalf. The court,
however, granted the motion for summary judgment of the now-deceased individuals and
the similar motion of the physicians on behalf of their "terminally ill patients." The court
declined to enjoin enforcement of the statute, but declared the statute to violate the
Constitution of the United States. The court held that the statute violated the liberty
guaranteed by the Fourteenth Amendment against deprivation by a state. The court
quoted a Supreme Court case concerning abortion, Planned Parenthood v. Casey, in






SNIPPETS:
  • United States Court of Appeals for the Ninth Circuit
  • State of Washington;
  • Appeal from the United States District Court for the Western District of Washington Barbara
  • December 7, 1994 - Seattle, Washington
  • The court of appeals reversed a district court judgment.
  • The court held that there was no basis for concluding that a Washington state statute that
  • Appellee Compassion in Dying, three now-deceased individuals who were suffering from
  • On motions for summary judgment, the district court denied the motion of the physicians
  • The court, however, granted the motion for summary judgment of the now-deceased individuals
  • The court further stated that the "total ban" on physician-assisted suicide for the
  • The court also held that the statute violated the Equal Protection Clause, seeing no
  • The district court's conclusion that the statute deprived the plaintiffs of a liberty
  • Circuit Judge Wright dissented, stating that the Washington statute violates the plaintiffs'
  • Wesley J. Smith, San Francisco, California, for amicus curiae International Anti-Euthanasia
  • James Poe was a 69-year-old patient suffering from chronic obstructive pulmonary disease; he
  • Harold Glucksberg has specialized in the care of cancer since 1985 and is a clinical
  • According to his sworn declaration, he ''occasionally'' encounters patients whom he believes
  • In her practice, according to her sworn declaration, she "occasionally" treats patients dying
  • It quoted that case's reference to "the recognition of a general liberty interest in refusing
  • The inappropriateness of the language of Casey in the situation of assisted suicide is
  • This case involves the state's power arbitrarily to deprive terminally ill, mentally

  • 2 . DECISION

    EXTRACTED KEY WORDS
    STATUTE
    SUICIDE
    WASHINGTON
    CONSTITUTION
    PLAINTIFFS
    JUDGEMENT
    UNITED STATES
    SEATTLE
    TERMINALLY ILL
    COMPASSION
    PHYSICIANS
    PATIENTS
    DEATH
    VIOLATES
    LIFE
    CIRCUIT JUDGE
    JAMES POE
    PROMOTING
    MEDICAL TREATMENT
    MENTALLY COMPETENT ADULTS
    HAROLD GLUCKSBERG
    JUDGE WRIGHT
    ASSISTED SUICIDE
    EQUAL PROTECTION
    AMICUS CURIAE
    SUFFERING
    SWORN DECLARATION
    CHIEF DISTRICT JUDGE
    CONCLUDING
    
    
    For Publication
    United States Court of Appeals for the Ninth Circuit
    No. 94-35534 D.C. No. CV-94-00119 19-BJR
    Opinion
     Compassion In Dying
    a Washington nonprofit corporation;
    JANE Roe; JOHN Doe; JAMES Poe; Harold GLUCKSBERG, M.D.,
    Plaintiffs-Appellees,
    v.
    State of Washington;
    Christine GREGOIRE, Attorney General of Washington,
    Defendants-Appellants.
     Appeal from the United States District Court
    for the Western District of Washington
    Barbara J. Rothstein, Chief District Judge, Presiding
    Argued and Submitted
    December 7, 1994 - Seattle, Washington
    Filed March 9, 1995
    Before: Eugene A. Wright, John T. Noonan, Jr., and Diarmuid F. O'Scannlain, Circuit
    Judges.
    Opinion by Judge Noonan; Dissent by Judge Wright
      Summary
    Individual Rights/Constitutional Rights/Privacy
    The court of appeals reversed a district court judgment. The court held that there was no
    basis for concluding that a Washington state statute that criminalizes promoting a suicide
    attempt violates the United States Constitution.
    A Washington state statute states that a person is guilty of the felony of promoting a
    suicide attempt when he knowingly causes or aids another person to attempt suicide.
    Appellee Compassion in Dying, three now-deceased individuals who were suffering from
    diseases, and four physicians asserting their own rights and those of their patients, sued
    appellant the State of Washington, seeking a declaration that the statute violated 42
    U.S.C. § 1983 and the Constitution of the United States. They also asked that
    enforcement of the statute be enjoined.
    On motions for summary judgment, the district court denied the motion of the physicians
    asserting their own claims and denied Compassion's claim on its own behalf. The court,
    however, granted the motion for summary judgment of the now-deceased individuals and
    the similar motion of the physicians on behalf of their "terminally ill patients." The court
    declined to enjoin enforcement of the statute, but declared the statute to violate the
    Constitution of the United States. The court held that the statute violated the liberty
    guaranteed by the Fourteenth Amendment against deprivation by a state. The court
    quoted a Supreme Court case concerning abortion, Planned Parenthood v. Casey, in
    which the Court stated that "choices central to personal dignity and autonomy" are
    
    
    
    
    
    
    SNIPPETS:
  • United States Court of Appeals for the Ninth Circuit
  • State of Washington;
  • Appeal from the United States District Court for the Western District of Washington Barbara
  • December 7, 1994 - Seattle, Washington
  • The court of appeals reversed a district court judgment.
  • The court held that there was no basis for concluding that a Washington state statute that
  • Appellee Compassion in Dying, three now-deceased individuals who were suffering from
  • On motions for summary judgment, the district court denied the motion of the physicians
  • The court, however, granted the motion for summary judgment of the now-deceased individuals
  • The court further stated that the "total ban" on physician-assisted suicide for the
  • The court also held that the statute violated the Equal Protection Clause, seeing no
  • The district court's conclusion that the statute deprived the plaintiffs of a liberty
  • Circuit Judge Wright dissented, stating that the Washington statute violates the plaintiffs'
  • Wesley J. Smith, San Francisco, California, for amicus curiae International Anti-Euthanasia
  • James Poe was a 69-year-old patient suffering from chronic obstructive pulmonary disease; he
  • Harold Glucksberg has specialized in the care of cancer since 1985 and is a clinical
  • According to his sworn declaration, he ''occasionally'' encounters patients whom he believes
  • In her practice, according to her sworn declaration, she "occasionally" treats patients dying
  • It quoted that case's reference to "the recognition of a general liberty interest in refusing
  • The inappropriateness of the language of Casey in the situation of assisted suicide is
  • This case involves the state's power arbitrarily to deprive terminally ill, mentally

  • 3 . APPEAL

    EXTRACTED KEY WORDS
    DISTRICT COURT
    TERMINALLY ILL
    COMPETENT
    LIBERTY
    PHYSICIAN
    INEVITABLE DEATH
    WASHINGTON
    UNDUE
    DYING
    TERMINALLY ILL ADULTS
    ROE
    APPELLEES
    PLAINTIFFS
    LIFE
    CASEY
    CONSTITUTION
    UNITED STATES
    PHYSICIAN-PRESCRIBED MEDICATIONS
    GOVERNMENT INTERFERENCE
    ASSISTANCE
    END-OF-LIFE
    MEDICAL TREATMENT
    MENTALLY COMPETENT
    LIFE SUPPORT
    EQUAL PROTECTION
    APPELLANTS
    REGULATION
    BURMAN THOMAS
    RCW
    
    
    IN THE UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
     COMPASSION IN DYING, a Washington nonprofit corporation, JANE ROE, JOHN
    DOE,JAMES POE, HAROLD GLUCKSBERG, M.D., ABIGAIL HALPERIN, M.D.,
    THOMAS A. PRESTON, M.D., and PETER SHALIT, M.D., Ph.D.,
    Plaintiffs/Appellees
    v.
    STATE OF WASHINGTON and
    CHRISTINE GREGOIRE, Attorney General of Washington,
    Defendants/Appellants
     On Appeal from the United States District Court
    Western District of Washington
     BRIEF OF APPELLEES
    Kathryn L. Tucker
    David J. Burman
    Thomas L. Boeder
    Kari Anne Smith
    PERKINS COIE
    1201 Third Avenue, 40th Floor
    Seattle, Washington 98101
    (206) 583-8888
    Attorneys for Appellees
     CONTENTS
    I. STATEMENT OF JURISDICTION
    II. STATEMENT OF ISSUES
    III. STATEMENT OF THE CASE
    IV. SUMMARY OF ARGUMENT
    V. ARGUMENT
    A. THE DISTRICT COURT WAS CORRECT IN FINDING THAT COMPETENT,
    TERMINALLY ILL ADULTS HAVE THE RIGHT TO CHOOSE TO HASTEN
    INEVITABLE DEATH WITH PHYSICIAN-PRESCRIBED MEDICATIONS
    1. Competent, Terminally Ill Adults Have a Liberty Interest in Making End-of-Life
    Decisions Free of Undue Government Interference
    2. Reproductive Rights Jurisprudence Supports AppelleesÌ Liberty Claim
    3. Legitimate State Interests Can Be Protected Through State Regulation
    a. The StateÌs Interest in the Prevention of Suicide Can Be Adequately Protected by
    Regulation Ensuring That Assistance Is Only Provided to Mentally Competent
    Individuals
    b. The StateÌs Interest in Preservation of Life Can Be Adequately Protected by
    Regulation Ensuring That Assistance Is Only Provided to Terminally Ill Patients
    4. The Liberty Interest in Refusing Medical Treatment in Order to Hasten Death Is No
    Greater Than That in Choosing to Hasten Inevitable Death With Medical Assistance
    
    
    
    
    
    
    
    SNIPPETS:
  • IN THE UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
  • STATE OF WASHINGTON and CHRISTINE GREGOIRE, Attorney General of Washington,
  • Kathryn L. Tucker David J. Burman Thomas L. Boeder
  • Attorneys for Appellees
  • ARGUMENT A. THE DISTRICT COURT WAS CORRECT IN FINDING THAT COMPETENT, TERMINALLY ILL ADULTS
  • Competent, Terminally Ill Adults Have a Liberty Interest in Making End-of-Life Decisions Free
  • The StateÌs Interest in the Prevention of Suicide Can Be Adequately Protected by Regulation
  • The StateÌs Interest in Preservation of Life Can Be Adequately Protected by Regulation
  • The Liberty Interest in Refusing Medical Treatment in Order to Hasten Death Is No Greater
  • Appellees agree with appellantsÌ statement of jurisdiction.
  • Whether a state that permits patients to direct the termination of life support with the
  • This case is about the limits that the United States Constitution places on a stateÌs power
  • The record in this case establishes the following undisputed1 facts: At the time this case
  • Each occasionally encounters mentally competent, terminally ill patients who understand their
  • The physicians, however, know that prescribing drugs for this purpose exposes them to
  • Casey reiterated that the liberty protected by the Due Process Clause encompasses more than
  • Plaintiffs here were dying.

  • 4 . ROTHSTEIN-RULING

    EXTRACTED KEY WORDS
    COURT
    PHYSICIAN-ASSISTED SUICIDE
    TERMINALLY ILL
    CONSTITUTIONALITY
    PLAINTIFFS
    UNDUE INFLUENCE
    MENTALLY COMPETENT
    WASHINGTON
    DEATH
    DEFENDANTS
    DYING
    ADULTS
    AMENDMENT
    COMPASSION
    SUMMARY JUDGMENT
    PROHIBITING
    UNITED STATES
    PLAINTIFFS ASSERT
    PLAINTIFFSí MOTION
    MEDICAL TREATMENT
    COMMIT PHYSICIAN-ASSISTED SUICIDE
    HAROLD GLUCKSBERG
    ASSISTED SUICIDE
    RCW
    LIFE SUPPORT
    ASSISTANCE
    EQUAL PROTECTION
    ABIGAIL HALPERIN
    PETER SHALIT
    
    
    The full text of Judge Rothstein's ruling:
    United States District Court
    No. C94-119R
    Western District of Washington at Seattle
     Order Granting in Part and Denying In Part Plaintiffsí Motion for Summary Judgment
    and Denying Defendantsí Cross-Motion for Summary Judgment.
    Compassion In Dying, a Washington nonprofit corporation, Jane Roe, John Doe, James
    Poe, Harold Glucksberg, M.D., Abigail Halperin, M.D., Thomas A. Preston, M.D., and
    Peter Shalit, M.D., Ph.D.,
    Plaintiffs,
    v.
    The State of Washington and
    Christine Gregoire, Attorney General of Washington,
    Defendants
     I. INTRODUCTION
    THIS COURT is asked to rule as a matter of first impression on the constitutionality of
    the State of Washingtonís criminal prohibition against physician-assisted suicide.
    Specifically, the plaintiffs assert that the Fourteenth Amendment to the United States
    Constitution guarantees adults who are mentally competent, terminally ill, and acting
    under no undue influence the right to voluntarily hasten their death by taking a lethal
    dose of physician-prescribed drugs. Plaintiffs accordingly challenge the constitutionality
    of RCW 9A.36.060, which makes it a felony to knowingly aid another person in
    committing suicide. Plaintiffs challenge the statute only insofar as it bans physician-
    assisted suicide by mentally competent, terminally ill adults who knowingly and
    voluntarily choose to hasten their death.
    The plaintiffs seek both a declaratory judgment striking down the statute as
    unconstitutional and injunctive relief barring defendants State of Washington and the
    Washington Attorney General from enforcing the statute. Both plaintiffs and defendants
    now move for summary judgment.
     Description of Plantiffs
    The plaintiffs are a coalition of three terminally ill patients, five physicians who treat
    terminally ill patients, and Compassion in Dying, an organization which provides
    support, counseling and assistance to mentally competent, terminally ill adults
    considering suicide.
    1. The patients
    Jane Roe is a 69-year old retired pediatrician who has suffered since 1988 from cancer
    which has now metastasized throughout her skeleton. Although she tried and benefited
    temporarily from various treatments including chemotherapy and radiation, she is now in
    the terminal phase of her disease. In November of 1993, her doctor referred her to
    hospice care. Only patients with a life expectancy of less than six months are eligible for
    such care.
    Jane Roe has been almost completely bedridden since June of 1993 and experiences
    constant pain, which becomes especially sharp and severe when she moves. The only
    
    
    
    
    
    SNIPPETS:
  • Western District of Washington at Seattle
  • Order Granting in Part and Denying In Part Plaintiffsí Motion for Summary Judgment and
  • THIS COURT is asked to rule as a matter of first impression on the constitutionality of the
  • Specifically, the plaintiffs assert that the Fourteenth Amendment to the United States
  • Plaintiffs accordingly challenge the constitutionality of RCW 9A.36.060, which makes it a
  • The plaintiffs seek both a declaratory judgment striking down the statute as unconstitutional
  • The plaintiffs are a coalition of three terminally ill patients, five physicians who treat
  • Dr. Harold Glucksberg is an assistant professor of medicine at the University of Washington
  • Dr. Abigail Halperin practices family medicine and occasionally treats patients with terminal
  • Dr. Peter Shalit practices general internal medicine; a substantial number of his patients
  • A request for assisted suicide must not be the result of inadequate comfort care, nor can it
  • All of the plaintiffs assert a facial challenge to the constitutionality of RCW 9A.36.060
  • Jane Roe, John Doe and James Poe allege that they, as mentally competent, terminally ill
  • In Cruzan, the Supreme Court considered whether a competent person has a constitutionally
  • The potential risk of abuse and undue influence is often just as great and may be greater in
  • Equal Protection Plaintiffs also assert that RCW 9A.36.060 denies them equal protection of
  • The physician plaintiffsí motion for summary judgment is GRANTED insofar as the physicians
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