Bioethics Euthanasia

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    BY: BSN-II

    AQUINOCO

    UMILIN

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    Means easy death

    From the Greek word

    eu-easy and thanatos-death

    More strictly, it means painless, peaceful death

    It is the deliberate putting to death, in an easy,

    painless way, of an individual suffering from anincurable and agonizing disease.

    Popularly known as mercy killing

    Some call it the art or practice of painlessly putting

    to death a person suffering from a marked

    deformity or from an unbearable and distressing

    disease.

    Means easy death

    From the Greek word

    eu-easy and thanatos-death

    More strictly, it means painless, peaceful death

    It is the deliberate putting to death, in an easy,

    painless way, of an individual suffering from anincurable and agonizing disease.

    Popularly known as mercy killing

    Some call it the art or practice of painlessly putting

    to death a person suffering from a marked

    deformity or from an unbearable and distressing

    disease.

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    - it may be either active (positive) euthanasia, which

    in a terminally ill patient will deliberately, directly

    terminate his life by employing painless methods-it isan act of commission insofar as it is voluntary and

    deliberate

    - or passive (negative) euthanasia, which one allows

    oneself to die without taking any medicine or by

    refusing medical treatment.-it is an act of omission

    insofar as one simply refuses to take anything to

    sustain life.

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    Active and voluntary euthanasia- is one in which either a physician,spouse, or a friend of the patient will terminate the life upon his

    request.

    Passive and Voluntary euthanasia- one in which a terminally ill patient

    is simply allowed to die by the physician, spouse or an immediate

    relative, upon the patients request.

    Active and nonvoluntary euthanasia- occurs when it is the physician,

    spouse or relative, who decides that the life of the terminally ill patient

    should be terminated.

    Passive and nonvoluntary euthanasia- one in which a terminally ill

    patient is simply allowed to die, as requested by the immediate family

    members.

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    The Problem of Human Dignity

    The moral issue of euthanasia revolves around the

    preservation of human dignity in death even to the

    individuals last breath.

    It states that euthanasia aims to preserve human dignity

    until death, not only does one have a duty to preserve life,

    but has also the duty to die with dignity.

    To die with dignity means that one should be able to make

    the decision to die when dying would be better than to go

    on living with an incurable and distressing sickness.

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    The negative side, declares thateuthanasia erodes human dignity.

    This is the crossroads of a moral issue:

    1) Whereas the positive side insists thatmercy killing preserves human dignity

    2) The negative side claims the opposite

    since this acts hastens the death of anindividual.

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    T. Gary Williams

    1. Considers euthanasia to be morally wrong, firstly

    because it is an intentional killing and opposes thenatural moral law, or the natural inclination to preservelife.

    2. Secondly, euthanasia may be performed for purposes of

    self-interest or other consequences. A mistaken diagnosis is always possible, but one may

    justify such mistakes through mercy killing once it isconsidered a legitimate practice.

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    Recovery from a serious illness requiresthat we fight for our life, so the very

    possibility of euthanasia may keep us from

    doing just that (Williams calls this the

    argument from self-interest).

    3. Thirdly, doctors and other health care

    professionals may be tempted not to do their

    best to save the patient; they may resort to

    euthanasia as an easy way out and simplydisregard any other alternatives.

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    James Rachel, opts for euthanasia, believing it to be humane

    insofar as it allows suffering to be brought to a speedy end.

    In his view, whether killing of any kind is right or wrong depends

    on the motives and circumstances under which it takes place.

    If the intentions and situations are of a certain kind, then active

    euthanasia can be deemed morally right.

    Similarly, if you simply allow a patient to die when you have some

    motive in mind, your act is omission (passive euthanasia)

    becomes morally reprehensible.

    For Rachel's, both cases (active and passive euthanasia) your

    evil intentions have rendered your decisions or actions morally

    wrong.

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    Philippa Foot endorses both active and passiveeuthanasia, in which patient explicitly gives

    consent.

    In her view, everyone has the right to life; hence it

    is what a person wants that counts.

    It is only when a person has decided after battling

    some incurable disease, that life is no longer

    worth living that both active and passive voluntary

    euthanasia can be endorsed and regarded aslegitimate and justified.

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    Richard Brandt applies Rosss notion of prima

    facie duty not to injure others in his analysis of

    the issue.

    If someone is in an irreversible coma, all types

    of diagnoses have been made to confirm the

    hopelessness of the case, the patient is

    considered to be beyond injury.

    In such a situation, if instructions have been left

    for the patients life to be ended painlessly, it

    becomes our prima facie obligation to do so

    (active and voluntary euthanasia).

    Not to follow such a wish would be remiss in

    our prima facie obligation to keep others from

    further harm or more pain.

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    Natural law ethics condemns mercy killing. Euthanasia

    is intrinsically wrong because it implies the direct,

    deliberate killing of an individual- hence it is murder.

    Even though the motive is good, the good does notjustify the evil means in this case. The principle of

    stewardship and the inviolability of life may be

    appealed to in this connection.

    The principle of double effect may be legitimate under

    certain circumstances.

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    There is no moral obligation to continue medical

    treatment if and when a terminally ill patientbecomes hopeless. Even if ones life might be

    lengthened through extraordinary measures which

    are already useless anyway, it is legitimate to allow

    the patient to die as a result of his/her own illness or

    injury.

    Kants ethics speaks of the human dignity of an

    autonomous rational being. As such, we have a

    bounden duty to preserve life. Furthermore, a

    terminally ill patient in a vegetative state is no

    longer an autonomous person with a self-regulatingwill. Hence, by Kantian principles, our duty to

    preserve life no longer holds.

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    Depending upon how one interprets the utilitarian

    principle of utility, it seems that its formulation about the

    greatest happiness and benefits for the greatest numberof persons may render euthanasia legitimate.

    The Pragmatic Theory of the good and the truth seems

    to justify euthanasia in general. It can be argued that

    when an individual has been in agony for a long time,and it has become unbearable to go on living in misery

    and pain, the most pragmatic moral decision to make is

    to put such a useless life to end.

    In the light ofRosss ethical principles, under certainconditions or circumstances, one may find it a stringent

    prima facie duty to put a comatose patient to an easy

    death, depending upon a good motive-e.g. to put an end

    to the prolonged suffering of the patient.

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    Rawls concept of justice, argues that no

    amount of social good or welfare can overridethe inviolability of the individual, it appears as

    if euthanasia would be illicit or unacceptable.

    However, a persons inviolability demandsthat his dignity be preserved and justice be

    served if and when his death would be as

    painless and nonviolent as possible.

    To let him live and suffer needless pain and

    agony would be doing him more injustice

    than justice, more harm than good.

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    THE END