Argument: Euthanasia can only be performed after exhausting palliative options
Gerrit Kimsma, M.D., M.A., and Evert van Leeuwen, Ph.D.. "Assisted Death in the Netherlands: Physician at the Bedside When Help Is Requested,", a chapter in the 2004 book Physician-Assisted Dying: The Case for Palliative Care & Patient Choice - "Assisting death in no way precludes giving the best palliative care possible but rather integrates compassionate care and respect for the patient's autonomy and ultimately makes death with dignity a real option...
The evidence for the emotional impact of assisted dying on physicians shows that euthanasia and assisted suicide are a far cry from being 'easier options for the caregiver' than palliative care, as some critics of Dutch practice have suggested. We wish to take a strong stand against the separation and opposition between euthanasia and assisted suicide, on the one hand, and palliative care, on the other, that such critics have implied. There is no 'either-or' with respect to these options. Every appropriate palliative option available must be discussed with the patient and, if reasonable, tried before a request for assisted death can be accepted...
Opposing euthanasia to palliative care...neither reflects the Dutch reality that palliative medicine is incorporated within end-of-life care nor the place of the option of assisted death at the request of a patient within the overall spectrum of end-of-life care."