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The Blame and Cure

The Conclusion and APA References

Grading

Meeting the requirements of the assignment

Strength and sophistication of analysis

Thoroughness of research

Communicative competence

Additional information:

Oral citations are worth 3 points each.

Source quality will also be taken into account.

Common questions/Concerns:

Will I present this speech this semester?

No. A video speech presentation is not required.

Does my topic have to be policy-based?

Yes, you can’t analyze a topic of value or fact using stock issues analysis.

Can I choose my own topic?

Yes, but I must approve topic first.

Please use this outline template throughout speech. Word count on final outline is 1000. You may find it necessary to add additional subpoints to the body of your speech.

Week 4: The Blame and Cure

For this section, I ask that you analyze the following. Note: I want to simplify this section of the outline into three subpoints.

II. Blame: Insert topic sentence

A. Identify the inherency. Is your issue attitudinal, structural, or existential? Provide a clear and concise explanation as to why.

B. Identify the policy in question (existing policy)

C. Explain the deficiencies in the existing policy. In other words, explain why the current policy is failing.

Note

: if your issue is existential, your analysis will be slightly different – shorter even. Since there is no policy to dissect, you will have to explain why no such policy has been implemented. It could be a variety of reasons – not a priority, ignored/overlooked, or some perverse reason – see example below:

Existential policy example from text: (Chapter 5):

The United States failure to acknowledge the Armenian Genocide is an example of an existential inherency. For years the US Government ignored this horrific event to avoid tarnishing their relationship with Turkey. Reason? Some say a combination US denialism and pragmatism.

Essentially, you will be responsible for subpoints A and B.

III. The Cure: Insert topic sentence

A. Solvency. Choose the best solution: Pilot study, Expert Opinion, Foreign Analogy, or Return to Previous State.

B. Efficacy – Why it will work.

***My proposition statement is “The Federal Government should create a comprehensive immigration policy to end the immigration crisis currently at our southern borders”Wee

INTRODUCTION
Attention Getter: In an article in the Times written on March 6, 2018, health journalist Jonel
Aleccia states, “On the last morning of their lives, Charlie and Francie Emerick held hands. The
Portland, Ore., couple, married for 66 years and both terminally ill, died together in their bed
April 20, 2017, after taking lethal doses of medication obtained under the state’s Death with
Dignity law.” Only nine out of our fifty states allow a various type of Euthanasia for men and
women in America. In the remaining states patients have no other options but rely on
medications and family for however long they have left.
Commented [DS1]: STRONG ATTENTION GETTER.
EXCELLENT USE OF PATHOS
Proposition statement: Resolved: The Federal government should legalize Euthanasia in the
remaining 41 states.
Commented [DS2]: FORMALLY STATED
PROPOSITION.
Audience Relevance and Speaker Credibility: In an article written by Esther B. De’La Torre
in Capstone Healthcare last accessed March 3, 2020 she provides, “a law which does not make
anybody do anything, that gives people the right to decide, and prevents the state from
prosecuting you for exercising your freedom not to suffer, violates somebody else’s
constitutional rights is insane.” Terminally ill patients should be allowed to die with dignity.
Choosing the right to assisted suicide would be a final exercise of autonomy for the dying.”
Commented [DS3]: NOTE: STUDENT DOES NOT
DESCRIBE WHY THEY’RE QUALIFIED TO SPEAK ON
BEHALF OF THIS TOPIC. RATHER THEY PROVIDE
EVIDENCE AND URGENCY OF TOPIC.
Preview Statement: Today I will be talking about the problems that are occurring because of the
lack of access to Euthanasia, the inherency of the problem, and what we can do to solve the
predicament.
Commented [DS5]: CLEAR AND CONCISE PREVIEW
STATEMENT.
Commented [DS4R3]: REMEMBER TO CITE A
SOURCE HERE REVEALING THE IMPORTANCE OF
YOUR TOPIC.
Connective/Signpost: Now that I have introduced my topic, next I will talk further about the
problem at hand.
BODY
I.
The lack of access to euthanasia leaves terminally ill individuals throughout the states
with a lack of options regarding their treatments.
A. Through the years, people have actively sought out legalization of the process, but
have continuously been denied access.
1. According to an article entitle Patient’s Rights Council last accessed
March 2013, “since Oregon legalized assisted suicide in 1994, many
states have rejected assisted-suicide measures, some multiple
times. Between January 1994 and the end of January 2019, there have
been 269 legislative proposals in more than 39 states and the District of
Columbia.”
2. The number of rejected proposals represent individuals who actively
sought out the legalization of euthanasia and were stripped of the
opportunity of it. This forces families to uproot themselves and move to
states that legalized it. More often than not, patients feel their only
option is to leave their home and families to end their life which is
devastating to those who cannot pass in the company of their loved ones.
Commented [DS6]: THE ILL SHOULD PRESENT
BOTH QUALITATIVE AND QUANTITATIVE
EVIDENCE THAT ILLUSTRATE THE ISSUE AT HAND.
Commented [DS7]: QUANTITATIVE EVIDENCE
SHOULD BE NUMERCAL DATA. HOW MANY PEOPLE
ARE AFFECTED BY THIS? CASES? STATISTICS?
DEMOGRAPHICS?
B. Restricting a patient from the possibility of a peaceful approach to their inevitable
demise can cause emotional distress and lead them to finding other, significantly
more dangerous methods.
1. In an article by Megan McCarthy- Alafano published on April 2, 2019
she states, “In 2018, one quarter of U.S. adults reported that cost was the
nation’s most pressing health care issue, and 61 percent noted that
paying higher premiums or a greater portion of medical expenses was a
“major concern.” Roughly half of U.S. adults worried that they would
not have enough money to afford care. The burden of health care costs
is heavy and growing.”
2. End of life care and hospice is a financial burden that is placed on
patients and families. In many cases patients who cannot afford
healthcare stop taking their medications that aim at alleviating pain and
symptoms. In extreme situations some even stop eating with every
intention to end their own life which can cause tremendous emotional
distress to patients and their family.
Commented [DS8]: QUALITATIVE EVIDENCE
ILLUSTRATE HOW PEOPLE ARE AFFECTED BY THIS
PROBLEM.
Commented [DS9R8]: SEE THE HIGHLIGHED
BELOW
External Summary and Internal Preview: Now that I have talked about the problem, next I will
talk about the inherency of it.
II.
The largest opposition of euthanasia is an attitudinal inherency deriving from the
question of medical morality and lack of specificity in cemented rulings.
A. Euthanasia has long been a controversial topic in the medical field because many
have questioned the ethics of its outcome.
1. An article written by Allison Hanley on September 12, 2016 describes
the most dominant argument as being, “The opposing side says
the Hippocratic Oath taken by doctors means they have a moral
responsibility to keep patients alive.” However, she also provides, “only
14 percent of modern oaths prohibit euthanasia explicitly
2. The Hippocratic oath is only a method of deflection because it allows
for doctors to manipulate its wording and allow their biases to become
form an argument against Euthanasia. When in fact the oath respects
patients and their ability to choose whatever is in their best interest.
B. Like the Hippocratic Oath there are many disparities in the official ruling of the
legalities surrounding Euthanasia from the Supreme Court.
1. Another issue of policy is explained in Ezekiel J. Emanuel’s, MD, PhD
paper, “In June 1997, the US Supreme Court unanimously ruled that
there is neither a constitutional right nor a constitutional prohibition to
euthanasia.”
2. With this vague and indefinite declaration, too much option for personal
bias and opinion is what grants the rejection of euthanasia. This states
Commented [DS10]: THE BLAME (THE CAUSE)
IDENTIFIED THE BARRIERS THAT PREVENTS THE
PROBLEM TO BE RESOLVED.
Commented [DS11R10]: IN THIS CASE, THE
STUDENT HAS IDENTIFIED EUTHANSIA AS AN
ATTITUDINAL INHERENCY – HIPPOCRATIC OATH.
OATH OF ETHICS CREATES A BARRIER BETWEEN
EUTHANASIA AND LEGALITY.
Commented [DS12R10]:
Commented [DS13]: STUDENT GOES ON TO
IDENTIFY THE DEFICIENCES IN THE EXISITING
“LAW” OR PRACTICE.
outright that euthanasia is not neither a right, nor is it unconstitutional.
Therefore, those in opposition have the ability to argue that it is against
the Hippocratic oath, when in fact it nowhere states outright that
providing a terminally ill patient with the medication to speed up the
inevitable is out of the question. In other words, the language used in
both the ruling and the oath are vague and leave too much for
interpretation which is putting too much power in the hands of those
who oppose it.
External Summary and Internal Preview: Now that I have talked about the inherency of the
problem, next I will talk about a possible solution.
III.
The process of legalizing euthanasia has been fought repeatedly. However, to ensure
its legalization we could propose a similar process that may appear less sinister to
those who oppose it and remove the stigma behind it.
A. We could follow in the footsteps of Oregon’s Death with Dignity Act which
legalizes physician assisted suicide. In a study by Ronald A. Lindsay in February
2009, he analyzes the effects of the act and concludes, “Since November 1997,
Oregon has had in place a statute that authorizes physicians, under certain
conditions, to provide terminally ill patients with a prescription for medication the
patients can take to hasten their deaths… the most reasonable conclusion is that
the risks of abuse do not outweigh the benefits of legalization. To the extent
projected harmful consequences are relevant to the debate over legalization,
Oregon’s experience argues in favor of legalization of assistance in dying.”
B. Physician Assisted Suicide. Like euthanasia, it involves a prescribed medication
that will cause death, but PAS is administered by the patient themselves instead of
a doctor. With PAS a patient has the opportunity to choose how they will end
their life, and a doctor is not actively doing it for them.
Commented [DS14]: STUDENT MUST PRESENT A
CURE. CHOOSING FROM 1. PILOT RUN 2. EXPERT
OPINION 3. FOREIGN ANALOGY 4. GO BACK TO
PREVIOUS STATE.
Commented [DS15R14]: STUDENT DECIDED TO
IMPLEMENT A PILOT RUN THAT STARTED IN THE
STATE OF OREGON. STUDENT ARGUES IT SHOULD
BE EXPLANDED IT NATIONWIDE.
Commented [DS16]: STUDENT EXPLAINS WHY AND
HOW THIS WILL WORK
Commented [DS17R16]:
Connective/Signpost: In conclusion I proposed a possible solution, and now I will conclude my
speech.
CONCLUSION
Restate Proposition: Resolved: The Federal government should legalize Euthanasia in the
remaining 41 states.
Summary: Today I discussed the problems, inherencies, and possible solutions in regard to
Euthanasia and other related policies.
Closing Statement: It is no secret that death is closely associated with its morbid connotations,
but we can look at stories like the Emerick couple’s and find solace in the idea that it can be a
tranquil and prepared process. While I hope that none of you will ever need to be put in the
situation to have to make this choice, we owe it to those who do to make sure it is an available
option in all of our 50 states
Commented [DS18]: STRONG CONCLUSION
References
Aleccia, J. (2018, March 6). This Couple Died By Assisted Suicide Together. Here’s Their Story.
Retrieved from https://time.com/5179977/assisted-suicide-couple-death/
Attempts to Legalize. (n.d.). Retrieved from http://www.patientsrightscouncil.org/site/failedattempts-usa/
De ‘La Torre, E. B. (n.d.). Retrieved from http://www.lonestar.edu/rightto-assist-suicide.htm
Emanuel, E. J. (2002, January 28). Euthanasia and Physician-Assisted Suicide. Retrieved from
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/214736
Hanley, A. (2016, September 12). The “Right-To-Die” in America: New Trends Explained.
Retrieved from https://camd.northeastern.edu/rugglesmedia/2016/04/20/right-to-die-inamerica/
Lindsay, R. A. (2009, February 26). Oregon’s Experience: Evaluating the Record. Retrieved
from https://www.tandfonline.com/doi/full/10.1080/15265160802654137
McCarthy-Alfano, Megan. “Measuring The Burden Of Health Care Costs For Working
Families.” Measuring The Burden Of Health Care Costs For Working Families | Health
Affairs, 2 Apr. 2019, www.healthaffairs.org/do/10.1377/hblog20190327.999531/full/.
Commented [DS19]: PROPER APA CITATIONS

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