Physician-Assisted Suicide vs.Euthanasia

The first thought that come to my mind " two topics one result, intentional death.By definition Physician assisted suicide refers to a practice in which the physician provides a patient with a letal dose of medication, upon the patient's request, which the patient intends to use to end his or her own life.In Euthanasia generally means that the physician would act directly,for instance by giving a lethal injection,to end the patient's life.As a health care provider since fourthteen years ago in a durable medical equipment industry, I had the opportunity to visit ( in hospital or home) a lot of patient with mechanical ventilators,enteral nutrition ( feeding tube),patient with quadriplegia that developed other problems and others with "terminal illness".But the intentional termination of life is not ethically justifiable.A degree of acceptance by the patient.Acceptance doesn't mean that the patient likes what is going on,and it doesn't mean that the patient has no hopes; it just mean that he can be realistic about the situation.A medical undrestanding of the patient's disease.One great physician does not equal great care,it takes a coordinated system of providers.Death is not usually an individual experience;it occurs within a social context of family,significant others, friends and caregivers.
I don't want to enter in some issues but arguments like respect for autonomy; justice; compassion and individual liberty are not ethically justifiable offer to physician assisted suicide and euthanasia.Furthermore,the physician's duty to alleviate suffering may,at times, for many people justify the act of providing assistance with suicide.Remember the traditional duty of the physician is preserve life and we have,as a health care providers a social and moral responsability .