Baxter V. Montana
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''Baxter v. Montana'', is a
Montana Supreme Court The Montana Supreme Court is the supreme court, highest court of the state court system in the U.S. state of Montana. It is established and its powers defined by Article VII of the 1972 Montana Constitution. It is primarily an appellate court wh ...
case, argued on September 2, 2009, and decided on December 31, 2009, that addressed the question of whether the state's constitution guaranteed terminally ill patients a right to lethal prescription medication from their physicians. The Montana Supreme Court sidestepped the question of if medical aid in dying is guaranteed under Montana State Constitution, but it instead ruled, on narrower grounds, that neither legal precedent nor the state's statute deem such assistance to be against public policy or illegal. Montana is one of ten states in which aid in dying is authorized. The others are California, Colorado, Hawaii, Maine, New Jersey, New Mexico, Oregon, Vermont, and Washington; it is authorized in the District of Columbia as well.


Background of the case

The original lawsuit was brought by four Montana physicians (Stephen Speckart, C. Paul Loehnen, Lar Autio, and George Risi, Jr., M.D.s),
Compassion & Choices Compassion & Choices is a nonprofit organization in the United States working to improve patient autonomy and individual choice at the end of life, including access to medical aid in dying. Its primary function is advocating for and ensuring acc ...
and Robert Baxter, a seventy-six-year-old truck driver from
Billings, Montana Billings is the largest city in the U.S. state of Montana, with a population of 117,116 as of the 2020 census. Located in the south-central portion of the state, it is the seat of Yellowstone County and the principal city of the Billings Metrop ...
, who was dying of
lymphocytic leukemia Lymphoid leukemias are a group of leukemias affecting circulating lymphocytes, a type of white blood cell. The lymphocytic leukemias are closely related to lymphomas of the lymphocytes, to the point that some of them are unitary disease entities t ...
. The plaintiffs asked the court to confirm a constitutional right "to receive and provide aid in dying". The state argued that "the Constitution confers no right to aid in ending one’s life." Judge Dorothy McCarter, of Montana's First Judicial District Court, ruled in favor of the plaintiffs on December 5, 2008, stating that the "constitutional rights of individual privacy and human dignity, taken together, encompass the right of a competent terminally-ill patient to
die with dignity Dignified death, death with dignity, dying with dignity or dignity in dying is an ethical concept that refers to the end-of-life process avoiding suffering and maintaining control and autonomy. In general, it is usually treated as an extension of t ...
." Baxter died that same day. The Montana Attorney General appealed the case to the state supreme court. Oral arguments were heard on September 2, 2009.
Amicus briefs An ''amicus curiae'' (; ) is an individual or organization who is not a party to a legal case, but who is permitted to assist a court by offering information, expertise, or insight that has a bearing on the issues in the case. The decision on ...
filed on behalf of those asking the court to grant the constitutional right to receive/provide aid in dying include human rights groups, women's rights groups, The American Medical Women's Association/American Medical Students Association, clergy, legal scholars, thirty-one Montana state legislators and bioethicists, among others. Among the groups filing
amicus briefs An ''amicus curiae'' (; ) is an individual or organization who is not a party to a legal case, but who is permitted to assist a court by offering information, expertise, or insight that has a bearing on the issues in the case. The decision on ...
on behalf of the state were the Alliance Defense Fund on behalf of the
Family Research Council The Family Research Council (FRC) is an American evangelical activist group and think-tank with an affiliated lobbying organization. FRC promotes what it considers to be family values. It opposes and lobbies against: access to pornography, emb ...
,
Americans United for Life Americans United for Life (AUL) is an American anti-abortion law firm and advocacy group based in Washington, D.C. Founded in 1971, the group opposes abortion, euthanasia, assisted suicide, embryonic stem cell research, and certain contraceptiv ...
, the American Association of Pro-Life Obstetricians and Gynecologists, disability rights group
Not Dead Yet Not Dead Yet (NDY) is a United States disability rights group that opposes assisted suicide and euthanasia for disabled people. Diane Coleman, JD, is the founder and president of this national group. Stephen Drake, a research analyst with NDY ...
, and the
Catholic Medical Association The Catholic Medical Association (CMA) is an organization of Catholic physicians, dentists, and health care professionals in the United States and Canada. it had about 900 members. Until 1997, it was known as the National Federation of Catholic ...
. The Montana Medical Association issued a statement opposing physician-assisted suicide, but refused to file an ''
amicus brief An ''amicus curiae'' (; ) is an individual or organization who is not a party to a legal case, but who is permitted to assist a court by offering information, expertise, or insight that has a bearing on the issues in the case. The decision on ...
'' in the appeal.


Verdict

On Dec. 31, 2009, the
Montana Supreme Court The Montana Supreme Court is the supreme court, highest court of the state court system in the U.S. state of Montana. It is established and its powers defined by Article VII of the 1972 Montana Constitution. It is primarily an appellate court wh ...
ruled in favor of Baxter. Although they did not address the constitutional question, they ruled on narrower grounds saying that "nothing in Montana Supreme Court precedent or Montana statutes indicating that physician aid in dying is against public policy."


After Baxter

Since the Montana Supreme Court chose only to rule on statutory grounds, groups opposed to medical aid in dying have since tried to overturn the decision at the legislature. Likewise proponents of aid in dying have sought to have the detailed provisions found in other states codified. In 2013, Montana Doctor Eric Kress, M.D. became the first physician to speak publicly about providing aid in dying for qualified patients who request the medication. In 2015, Erwin Byrnes became the first patient to speak publicly about his plans to take the medication, saying “We have to be kind of the driver of our own bus.” In 2015, The Journal of Palliative Medicine published the article "Clinical Criteria for Physician Aid in Dying" for doctors to use as guidance in states like Montana, where provisions are not detailed in statute.


See also

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California End of Life Option Act California End of Life Option Act is a law enacted in June 2016 by the California State Legislature which allows terminally ill adult residents in the state of California to access medical aid in dying by self-administering lethal drugs, provide ...
*
Compassion & Choices Compassion & Choices is a nonprofit organization in the United States working to improve patient autonomy and individual choice at the end of life, including access to medical aid in dying. Its primary function is advocating for and ensuring acc ...
*
Death with Dignity National Center Death with Dignity National Center is a 501(c)(3) nonpartisan nonprofit organization, headquartered in Portland, Oregon, that has led the legal defense of and education about Death with Dignity laws throughout the United States for more than ...


References

{{DEFAULTSORT:Baxter V. Montana Montana state case law 2009 in United States case law 2009 in Montana Euthanasia in the United States Assisted suicide in the United States Euthanasia law