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Issues in Euthanasia:

  • Patient rights

  • Life and death (life as a gift of God, life as ‘priceless’, individual right over one’s own life)

  • The proper function of doctors

  • The ethics of suicide

  • The overlap between law and morality

Euthanasia: ‘good death’ (what does it mean ‘good death? Peaceful, painless, lucid, with loving ones around…)

Passive Euthanasia: withholding or withdrawing certain treatment and letting a patient die (for example, respirators or feeding tubes). It can be done at the request of the patient or of the patient’s family. In the USA is a ‘normal’ practice

Active Euthanasia: using death-causing means (for example drugs) to bring about or cause the death of a person (in the past called ‘mercy killing’). It is consider more problematic

Physician-Assisted Suicide: in this case the physician does not actually inject a patient with a death-causing drug as in active euthanasia, but rather provides patients with drugs that they will take themselves.

Passive Euthanasia

Ordinary Measures: measures or treatments with reasonable hope or benefit, or the benefits outweigh the burdens to the patient

Extraordinary Measures: measures or treatments with no reasonable hope of benefit, or the burdens outweigh the benefits to the patient

Active Euthanasia: A law has been approved in the Netherlands on November 28 2008. These are the conditions:

  1. The patient’s request must be voluntary and clearly understood and repeatedly voiced

  2. The patient must be faced with unbearable and continuing suffering (although he or she need not be terminally ill, and the suffering need not to be physical or physical only)

  3. The patient must believe that no reasonable alternative is acceptable

  4. The doctor must consult with at least one other independent physician who also has examined the patient

Voluntary Euthanasia: it is the person whose life is at issue who knowingly and freely makes the decision about what is to be done

Nonvoluntary Euthanasia: it is not the person whose life is at issue who makes the decision

Three forms of Voluntary Euthanasia:

1) Voluntary Active Euthanasia: the person who is dying (or suffering) asks to be given the ‘fatal dose’

2) Voluntary Passive Euthanasia, Withholding Ordinary Measures: don’t use life-saving or life-prolonging medical measures

3) Voluntary Passive Euthanasia, Withholding Extraordinary Measures: don’t use those medical measures because the chances of benefit

Three forms of Nonvoluntary Euthanasia:

1) Nonvoluntary Active Euthanasia: others decide to give the person the ‘fatal dose’

2) Nonvoluntary Passive Euthanasia, Withholding Ordinary Measures: others decide not to use life-saving or life-prolonging medical measures

3) Nonvoluntary Passive Euthanasia, Withholding Extraordinary Measures: others decide not to use those medical measures because the chances of benefit

Making moral judgments about Euthanasia:

Respecting people’s own choices

Every person is the best judge over what is better for herself

Problems with information: it may be that people do not know all the alternatives available

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