By: MARY ANN M. REYES
Divine Word College of Laoag
Abstract:
Euthanasia is
undeniably one of the most pressing social issues of our times. It is a topic
that has been the subject of debate and arguments. Euthanasia is a relevant
concern in human rights discussions as it not only touches ethical but also practical,
religious, and legal issues about a patient's right to end his life. To provide
background, this paper aims to define euthanasia and its four types. It also
presents the arguments of proponents for both the opposing and supporting sides
as every
individual or group has a different viewpoint regarding euthanasia. Every individual or group has a different
viewpoint regarding euthanasia. This paper hopes
that the following articles will provide insight into these issues.
Keywords:
euthanasia, types of euthanasia, anti-euthanasia, pro-euthanasia
The
marvels brought about by the expanding availability of fast-pacing medical
technology not only bring extraordinary opportunities to save human lives. By
prolonging the agonizing journey of a terminally-ill patient, they can also be
a source of significant weight in terms of suffering and medical expenses.
The word “Euthanasia” comes from the Greek words “Eu” meaning good and “Thanatos” meaning death. Put together it means good death. Euthanasia, also called mercy killing, then, is an act or practice of painlessly putting to death persons who are suffering from a painful and incurable disease or incapacitating physical disorder or allowing them to die by withholding treatment or withdrawing artificial life-support measures. The idea is that instead of condemning someone to a slow, painful, or undignified death, euthanasia would allow the patient to experience a relatively “good death”.
Euthanasia is executed at an individual’s consent most especially if someone is suffering from a terminal illness. Moreover, the decision to administer euthanasia can also be made by the patient’s family or doctors. However, it must be noted that only if the patient is critically ill such that he or she cannot reasonably decide or think, can a decision by the family or doctors be arrived at.
Euthanasia has given way to unprecedented debates in society because it involves several considerations and arguments. The most significant of these are practical, religious, and ethical issues. Besides, euthanasia is seen as a challenge to doctors since it veers away from medical ethics. In some countries, it is considered illegal. Therefore, approaches towards euthanasia require caution since it can lead to legal repercussions (Nicholson, 2000).
Types of Euthanasia
There are four types of euthanasia –
active, passive, voluntary, and nonvoluntary. Healthline.com lists these different
types of euthanasia when they're used, and what type is chosen depends on a
variety of factors, including someone's outlook and level of consciousness.
Passive euthanasia is sometimes described as withholding or limiting life-sustaining treatments and support such as a ventilator or feeding tube so that a person passes more quickly. A doctor may also prescribe increasingly high doses of pain-killing medication. Over time, the doses may become toxic.
If someone makes a conscious decision to seek help with ending their life, it’s considered voluntary euthanasia. The person must give their full consent and demonstrate that they fully understand what will happen.
Nonvoluntary euthanasia involves someone else deciding to end someone's life. A close family member usually makes the decision. This is generally done when someone is completely unconscious or permanently incapacitated. It usually involves passive euthanasia, such as withdrawing life support from someone who's showing no signs of brain activity.
In general, arguments
over euthanasia are primarily based on practical, religious, and ethical, and
legal issues. The following presents arguments of both opponents
and proponents surrounding euthanasia.
Individuals and groups opposing
euthanasia support the following arguments (BBC, n.d):
Euthanasia is against the word and will of God. Religious people don’t argue that we cannot kill ourselves or get others to do it. They know that we can do it because God has provided us with free will. They argue that while it is true that we can do it, it would be wrong to do so. To kill oneself or to get someone to do it for us, is to deny God.
Euthanasia weakens society’s respect for the sanctity of life. Anti-euthanasia arguments posit that euthanasia is bad because of the sanctity of human life. They argue that euthanasia devalues life because it interferes with the fundamental processes of human life. They claim that death should be perceived as a natural phenomenon like birth and life as a whole. Religious people hold that birth and death constitute the fundamental life processes that were created by God, and they are ought to be respected because they are sacred. They further claim that life is a sacred gift from God that has to be treated with dignity (Shiflett & Carroll, 2002).
Suffering may have value. Religious
people sometimes argue against euthanasia because they see positive value in
suffering. Christianity teaches that suffering allows the sufferer to share in
Christ’s agony and his redeeming sacrifice. Suffering draws a person interiorly
close to Christ. Pope John Paul II said that "It is suffering, more than
anything else, which clears the way for the grace which transforms human
souls."
Accepting euthanasia accepts that some
lives, especially those of the disabled and sick, are worth less than others. Some
people fear that allowing euthanasia sends the message that it's better to be
dead than sick or disabled. The connotation is that some lives are not worth
living. This belief not only exposes the sick or disabled to risk, but it also downgrades
their status as human beings while they are still alive. But from a disabled
person's perspective, all people regardless of capacities have equal rights and
opportunities to lead good lives. Many persons with disabilities enjoy living
despite the obstacles. On one hand, many individuals who do not have
disabilities don’t enjoy life, but no one is threatening them. In a disabled
person’s eyes, the proper approach is to provide them with appropriate support
and not to kill them because the quality of a person’s life should not be
assessed by others, more so, that the quality of a disabled person’s life
should not be assessed without providing the proper support and treatments
first.
Voluntary euthanasia is the start of a slippery slope that leads to nonvoluntary euthanasia and the killing of people who are thought undesirable. Many people worry that if voluntary euthanasia were to become legal, it would not be long before nonvoluntary euthanasia would start to happen. This is called the slippery slope argument. Simply put, it says that if we allow something relatively harmless today, we may unwittingly start a trend that results in something currently unthinkable becoming accepted.
Proper palliative care makes euthanasia unnecessary. Good palliative care is the alternative to euthanasia. If it is
available to every patient, it would certainly reduce the desire for death to
be brought about sooner. Anti-euthanasia groups believe that the introduction
of euthanasia will reduce the availability of palliative care in the community
because health systems will want to choose the most cost-effective ways of
dealing with dying patients. Allowing euthanasia will lead to less good
palliative care for the terminally ill because it undermines the commitment of
doctors and nurses to saving lives, it will discourage the search for new cures
and treatments for the terminally ill and it undermines the motivation to
provide good care for the dying and good pain relief
There is no way of properly regulating euthanasia. Euthanasia opponents don't believe that it is possible to create a regulated system for euthanasia that will prevent the abuse of euthanasia. Opponents of euthanasia have raised fears over the regulation of the issue, since it may compromise medical ethics (Nicholson, 2000). For instance, approval of euthanasia as part of the medical procedures may compromise the performance of healthcare professionals (Dobson & Galbraith, 2000).
Euthanasia gives too much power to doctors. Doctors should not be allowed to decide when people die. This argument often appears as 'doctors should not be allowed to play God'. Since doctors give patients the information on which they will base their decisions about euthanasia, any legalization of euthanasia, no matter how strictly regulated, puts doctors in an unacceptable position of power.
Individuals and groups supporting
euthanasia set out the following arguments (http://www.bbc.co.uk):
A separate right to die is not necessary, because other human rights imply the right to die. Without creating or acknowledging a specific right to die, it is possible to argue that other human rights ought to be taken to include this right. Individuals and groups that support euthanasia argue that the right to life includes the right to die. The right to life is not a right simply to exist; it is a right to life with a minimum quality and value. For them, death is the opposite of life, but the process of dying is one of the most important events in human life. Therefore, people have the right to try and make their life events as good as possible and being so, they have the right to try to make their dying also as good as possible.
Death is a private matter and if there is no harm to others, the state and other people have no right to interfere. If an action promotes the best interests of everyone concerned without violating their rights then that action is morally acceptable. Persons in favor of euthanasia argue that in some cases, euthanasia promotes this belief and therefore is morally acceptable.
Allowing people to die may free up scarce health resources. Euthanasia may be necessary for the fair distribution of health resources. This argument has not been put forward publicly or seriously by any government or health authority. In most countries, health resources are scarce. As a result, some people who are ill and could be cured are not able to get prompt access to the facilities they need for treatment. At the same time, health resources are being used on people who cannot be cured, and who, for their reasons, would prefer not to continue living. Allowing such people to resort to euthanasia will not only let them have what they want, but it will also free valuable resources to treat people who want to live.
Euthanasia
has indeed raised some ethical concerns in our society and these concerns not
only delved upon ethics but also on practical and religious issues. With the huge
differences in viewpoints and perceptions, euthanasia encompasses enormous uncertainties. Therefore, different individuals and groups
view it from varied differing perspectives giving way to the emergence of two opposing
sides, the anti-euthanasia, and the pro-euthanasia. However, whatever their
concerns and arguments are, as listed in this paper, there exists no universal
concurrence over whether euthanasia is right or wrong. Euthanasia has indeed
put mankind into some kind of ethical dilemma.
BBC (n.d). Anti-euthanasia arguments. Retrieved from http://www.bbc.co.uk
Dobson, K., & Galbraith, K. (2000). The Role of the Psychologist in Determining Competence for Assisted Suicide/euthanasia in the Terminally Ill. Canadian Psychology,41, 7-23.
Euthanasia: Understanding the Facts. Retrieved from https://www.healthline.com
Nicholson, R. (2000). No Painless Death yet for European Euthanasia Debate. The Hastings Center Report, May-June 2000
Shiflett, D., &
Carroll, V. (2002). Christianity on Trial: Arguments against
Anti-Religious Bigotry. San Francisco, CA: Encounter Books.