Should Euthanasia be legalized? Discuss with specific
references.
Euthanasia
is the practice of killing a person who is suffering from an incurable disease.
The word euthanasia is taken from Greek eu thanos, meaning ‘good death’. Dr
Megan Best, a bioethicist and palliative care doctor, calls voluntary
euthanasia ‘An act where a doctor intentionally ends the life of a person, by
the administration of drugs, at that person’s voluntary and competent request,
for reasons of compassion’. (Best, 2010) Some advocates of euthanasia point out
that patients’ suffering can be unbelievable and intolerable, and that
euthanasia is a possible solution to end these hopeless situations (Battin and
Lipman, n.d.). For instance, “a survey published in the JAMA [in 1992]
indicated 64% of Americans thought physicians should be allowed by law to
respond to a request for aid in dying by a competent, terminally ill patient in
pain”(Battin and Lipman, n.d.). Rom Houben, was imprisoned in his body for 23 years. He was unable to do anything and was unable to communicate with his doctors and family. It was truly years of suffering for him, living but being presumed to be in a vegetative state. In this case, when euthanasia seems to be a considerable alternative, his recovery proved that there is always hope for recovery and that there is still hope when all seems dark. In this instance, people also begin to question, how measurable is the level of suffering for one to be considered for euthanasia? Arguments supporting euthanasia laws presuppose
a world of ideal hospitals, doctors, nurses and families. But humans don’t live
in an ideal world. People live in a fallen world where humans make mistakes and
have selfish motives. For this reason, legalisation of euthanasia holds a
number of risks such as the abuse of its practice. (Best, 2010) As such, euthanasia
should not be legalized because of religious views and legalization problems.
The abuse of euthanasia is a problem that can
arise with the legalization of euthanasia. People cannot be sure that
euthanasia, once legalised and socially accepted would remain voluntary. Vulnerable
and burdensome patients may be subtly pressured to request termination of their
lives, even though they don’t really want to. (Best, 2010) For example, “if
euthanasia [is] legalized…vulnerable patients could feel obligation to accept
it in order to reduce the burden on their families [and] their caretakers”
(Battin and Lipman, n.d.). Kate Cheney's
death, is an example that illustrates the dangers of euthanasia. A lethal dosage was authorized
by a managed care executive for Kate Cheney, an elderly cancer patient whose
daughter was aggressively pushing for her death, despite the findings of a
consulting psychiatrist that the woman's memory loss meant she lacked the
mental "capacity to weigh options about assisted suicide" and that
she did "not seem to be explicitly pushing for this". (Oregon
Newspaper, 1999) In this case, how far can it still be said that euthanasia is solely used for the patients' needs? Moreover, pressure from doctors and medical
expenses can also cause potential abuse of patients. For physicians, letting a
patient die is much easier than continuing the treatment for recalcitrant pain
and suffering (Battin and Lipman, n.d). Doctors may not be able to resist the
extension of euthanasia to those who don’t, or can’t, consent to termination of
their lives. Proponents of euthanasia have legal guidelines will prevent this
happening. However, the Dutch Government’s Remmelink Report in 1991 found that
around one in three euthanasia deaths were without patient knowledge or consent
(around 1000 each year). Government reviews showed similar results in 1995 and again
more recently, despite the fact that there are stringent guidelines in place in
Holland. One argument put forward to support euthanasia suggests that we need
to regulate what is already taking place illegally. If those doctors performing
euthanasia now are unwilling to obey the law, why do we think we could trust
them to do so after it is changed? (Best, 2010) Additionally, in the
Netherlands, euthanasia was legalised in 2002 after 20 years of widespread
practice under legal guidelines. By the time the law had passed, the courts had
already legitimized the death of patients who were not terminally ill. The
Dutch are currently debating the need to allow the elderly to be euthanized
when they are ‘tired of life’ and early in 2005 a Dutch hospital published
their guidelines on how to kill disabled new-borns. With euthanasia legalised,
would there still be a caring society ready, in times of financial constraint,
to continue to invest money and resources into attempts to improve the care of
the terminally ill? (Best, 2010) Palliative care is expensive and becoming more
so as patients survive longer and develop more complex problems. It is a very
labour intensive discipline. Public opinion can be influenced once a law is
changed. Is this what we want? Western medicine has progressed as far as it
has because we do value all human lives and continue to seek cures for the
diseases which afflict us. (Best, 2010)
Religious
views show the importance of the value of life. According to Pope John Paul II,
“Euthanasia is a grave violation of the law of God, since it is the deliberate
and morally unacceptable killing of a human person.” (Evangelium Vitae, 1995)
In Islam, there are verses on the sacredness of life found in the holy Koran.
One of which is, “Do not take life, which Allah made sacred, other than in the
course of justice.” (Quran 17.33) and another which states that “If anyone
kills a person - unless it is for murder or spreading mischief in the land - it
would be as if he killed the whole people.”(Qur'an 5:32) Life is sacred and in
the case of euthanasia, it is seen as wrong to take a life. In addition, death
is the exclusive action of God and “When their time comes they cannot delay it
for a single hour nor can they bring it forward by a single hour.”(Qur’an 16:61)
and “no person can ever die except by Allah's leave and at an appointed term.”
(Quran 3.145) Hence, what right does a doctor have to take a life that is not
his to take? Similarly, Christians recognise that all humans are made in the
image of God and thus have value that is not dependent on their state of health
or abilities. It also means that they are creatures, and so their autonomy will
operate within the parameters given to them by their creator, God. “Our bodies
are not our own” (1 Cor 6:19-20). While Christians would say their bodies are
not their own, legally, a man is free to end his life when he chooses. But that does not mean he has a right to do
so, and he certainly does not have the right to compel someone else to kill
him. (Best, 2010) “Be not overly wicked, neither be a fool. Why should you die
before your time?” (Ecclesiastes 3:1-2)
In
conclusion, euthanasia should not be allowed because of the problems that may
arise with its practice and the common views of different religions which see
life as sacred. The public debate is about whether we should change the law to
allow euthanasia, not about whether euthanasia is right or wrong for individual
cases. Euthanasia is legal in the Netherlands, Belgium and Luxembourg.
Physician Assisted Suicide (PAS) is legal in Oregon and Washington State in the
US. There are serious discussions going on in Montana, Singapore and Spain. In
The UK, over 100 Brits have died under the arrangements in Switzerland, and the
government is developing guidelines for prosecution of those who assist in such
suicides. The Swiss authorities are having a similar debate themselves, with
the final outcome far from clear. (Best, 2010) The question is, why are there
debates in Western countries at a time when there are more medical cures than
ever before in human history? What is going on? Is ending life the best
solution when there is hope more than ever? “Euthanasia is a long,
smooth-sounding word, and it conceals its danger as long, smooth words do, but
the danger is there, never the less.” (Buck, n.d)
References
Best, M.
(2010). The Ethical Dilemmas Of Euthanasia. Retrieved from http://www.case.edu.au/images/uploads/Best_article__2_.pdf.
Brock, D. W. (1992). Voluntary Active Euthanasia. The Hastings Center Report, 22(2), 10-22. Retrieved from http://philosophyfaculty.ucsd.edu/faculty/rarneson/Courses/DanBrockVolactEuth.pdf.
Euthanasia
quotes. (n.d.). In Famous Quotes, Love
Quotes, Life Quotes | Quotations at Dictionary.com. Retrieved January 9 ,
2013, from http://quotes.dictionary.com/subject/euthanasia?page=1
Ishimaru, Y.
Legalization of Euthanasia. Retrieved from http://faculty.tru.ca/jhu/Legalization%20of%20Euthanasia.pdf.
Kate Cheney's Oregon Death Illustrates Dangers. (n.d.). National Right to Life. Retrieved January 10, 2013, from http://www.nrlc.org/news/1999/NRL1199/kate.html
Kate Cheney's Oregon Death Illustrates Dangers. (n.d.). National Right to Life. Retrieved January 10, 2013, from http://www.nrlc.org/news/1999/NRL1199/kate.html
Shadi, H.,
& Aramesh, K. (2007). Euthanasia: An Islamic Ethical Perspective. Iranian Journal Of Allergy, Asthma And
Immunology, 6(5), 35-38. Retrieved from http://www.iaari.hbi.ir/journal/archive/articles/v6s5ar3.pdf.