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Medical Anthropology Quarterly

Euthanasia as a safeguard for living: Anticipation and incurable cancer in a Colombian context

    Abstract

    This article builds on years of ethnographic conversations I sustained with my father, 89, who lives in Colombia. Soon after getting diagnosed with an incurable Multiple Myeloma—a cancer known for unleashing prolonged and painful agonies—he withdrew from oncology treatments and secured access to euthanasia (assisted-dying) on his own, bypassing medico-insurance guidelines created to regulate this medical practice and prevent abuses. Eight years after withdrawing treatments, my dad is still alive. His case shines a light on how securing access to euthanasia may have had unintended therapeutic effects on existential fears, pain perception, and quality of life on his way to dying. My storytelling also seeks to discuss the ethical and legal dimensions of assisted-dying in Colombia, especially for patients who do not consider life as biological deterioration, and who are caught between aggressive treatments and painful agonies, on the one side, and burdensome medico-insurance bureaucracy, on the other.