A question of rights Does an individual who has no hope of recovery have the right to decide how and when

to end their life? Why euthanasia should be allowed Those in favour of euthanasia argue that a civilised society should allow people to die in dignity and without pain, and should allow others to help them do so if they cannot manage it on their own. They say that our bodies are our own, and we should be allowed to do what we want with them. So it's wrong to make anyone live longer than they want. In fact making people go on living when they don't want to violates their personal freedom and human rights.It's immoral, they say to force people to continue living in suffering and pain. They add that as suicide is not a crime, euthanasia should not be a crime. Why euthanasia should be forbidden Religious opponents of euthanasia believe that life is given by God, and only God should decide when to end it. Other opponents fear that if euthanasia was made legal, the laws regulating it would be abused, and people would be killed who didn't really want to die. The legal position Euthanasia is illegal in most countries, although doctors do sometimes carry out euthanasia even where it is illegal. Euthanasia is illegal in Britain. To kill another person deliberately is murder, even if the other person asks you to kill them. It is also a criminal offence in Britain, punishable by 14 years' imprisonment, to assist, aid or counsel somebody in relation to taking their own life. (Legal position stated at March 2002) Changing attitudes The Times (24 January 2007) reported that, according to the 2007 British Social Attitudes survey, 80% of the public said they wanted the law changed to give terminally ill patients the right to die with a doctor's help. In the same survey, 45% supported giving patients with non-terminal illnesses the option of euthanasia. "A majority" was opposed to relatives being involved in a patient's death

Euthanasia
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For mercy killings not performed on humans, see Animal euthanasia. Euthanasia is the practice of medically-assisted death. It is illegal in most countries. Euthanasia is a controversial subject, not only because there are many different moral dilemmas associated with it, but also in what constitutes its definition. At the extreme ends of disagreement, advocates say euthanasia, also known as physician aid in dying, or physician assisted suicide, is a merciful method of death. At the other end are opponents of euthanasia, who may consider this method as a form of murder. Euthanasia can be conducted in various ways. In order to distinguish certain methods, more specific terminology may be used when discussing euthanasia.

[edit] Classification of euthanasia

[edit] Euthanasia by consent
Euthanasia may be conducted with consent (voluntary euthanasia) or without consent (involuntary euthanasia). Since involuntary euthanasia is conducted without an individual's specifically given acquiescence, in the opinion of some this equates involuntary euthanasia to murder. Involuntary euthanasia may be conducted when the person is incapable of making a decision and it is thus left to a proxy. Euthanasia by proxy consent is highly controversial, especially because multiple proxies may claim the authority to decide for the patient. While voluntary euthanasia is euthanasia with the persons direct consent it is still controversial for reasons discussed below.[1]

[edit] Euthanasia by means

Euthanasia may be conducted passively, non-aggressively, and aggressively. Passive euthanasia entails the withholding of common treatments (such as antibiotics, pain medications, or surgery) or the distribution of a medication (such as morphine) to relieve pain, knowing that it may also result in death (principle of double effect). Passive euthanasia is the most accepted form, and it is a common practice in most hospitals. Nonaggressive euthanasia entails the withdrawing of life support and is more controversial. Aggressive euthanasia entails the use of lethal substances or forces to kill and is the most controversial means.

[edit] Other designations

Some important designations of euthanasia consists of mercy killing, animal euthanasia. The Canadian Council of Animal Care (CCAC) states that euthanasia is "to kill an animal painlessly, and without distress."[2] The CCAC further explains a physical euthanasia technique called Cervical dislocation and a secondary technique called Exsanguination.[2]

[edit] Arguments for and against voluntary euthanasia

Since World War II, the debate over euthanasia in Western countries has centered on voluntary euthanasia (VE) within regulated health care systems. In some cases, judicial decisions, legislation, and regulations have made VE an explicit option for patients and their guardians.[20] Proponents and critics of such VE policies offer the following reasons for and against official voluntary euthanasia policies:

[edit] Reasons given for voluntary euthanasia:

Choice: Proponents of VE emphasize that choice is a fundamental principle for liberal democracies and free market systems.[1] Quality of Life: The pain and suffering a person feels during a disease, even with pain relievers, can be incomprehensible to a person who has not gone through it. Even without considering the physical pain, it is often difficult for patients to overcome the emotional pain of losing their independence. [1] Moreover, despite modern painkillers, there is little available to deal with the problem of 'breathlessness', which makes many ailing patients feel they will suffocate.[21] Economic costs and human resources: Today in many countries there is a shortage of hospital space. The energy of doctors and hospital beds could be used for people whose lives could be saved instead of continuing the life of those who want to die which increases the general quality of care and shortens hospital waiting lists. It is a burden to keep people alive past the point they can contribute to society.[22] Pressure: All the arguments against voluntary euthanasia can be used by society to form a terrible and continuing psychological pressure on people to continue living for years against their better judgment. One example of this pressure is the risky and painful methods that those who genuinely wish to die would otherwise need to use, such as hanging. Sociobiology: Currently many if not most euthanasia proponents and laws tend to favor the dying or very unhealthy for access to euthanasia. However some highly controversial proponents claim that access should be even more widely available. For example, from a sociobiological viewpoint, genetic relatives may seek to keep an individual alive (Kin Selection), even against the individual's will. This would be especially so for individuals who are not actually dying anyway. More liberal voluntary euthanasia policies would empower the individual to counteract any such biased interest on the part of relatives.[citation needed]

[edit] Reasons given against voluntary euthanasia:

Professional role: Critics argue that voluntary euthanasia could unduly compromise the professional roles of health care employees, especially doctors. They point out that European physicians of previous centuries traditionally swore some variation of the Hippocratic Oath, which in its ancient form excluded euthanasia: "To please no one will I prescribe a deadly drug nor give advice which may cause his death.." However, since the 1970s, this oath has largely fallen out of use.

Moral: Some people consider euthanasia of some or all types to be morally unacceptable.[1] This view usually treats euthanasia to be a type of murder and voluntary euthanasia as a type of suicide, the morality of which is the subject of active debate. Theological: Voluntary euthanasia has often been rejected as a violation of the sanctity of human life. Specifically, some Christians argue that human life ultimately belongs to God, so that humans should not be the ones to make the choice to end life. Orthodox Judaism takes basically the same approach, however, it is more open minded, and does, given certain circumstances, allow for euthanasia to be exercised under passive or non-aggressive means. Accordingly, some theologians and other religious thinkers consider voluntary euthanasia (and suicide generally) as sinful acts, i.e. unjustified killings.[23] Feasibility of implementation: Euthanasia can only be considered "voluntary" if a patient is mentally competent to make the decision, i.e., has a rational understanding of options and consequences. Competence can be difficult to determine or even define.[1] Necessity: If there is some reason to believe the cause of a patient's illness or suffering is or will soon be curable, the correct action is sometimes considered to attempt to bring about a cure or engage in palliative care.[1] Wishes of Family: Family members often desire to spend as much time with their loved ones as possible before they die. Consent under pressure: Given the economic grounds for voluntary euthanasia (VE), critics of VE are concerned that patients may experience psychological pressure to consent to voluntary euthanasia rather than be a financial burden on their families. [24] Even where health costs are mostly covered by public money, as in various European countries, VE critics are concerned that hospital personnel would have an economic incentive to advise or pressure people toward euthanasia consent.[25]

[edit] Euthanasia and the Law

Main article: Euthanasia and the Law During the 20th Century, efforts to change government policies on euthanasia have met limited success in Western countries. Country policies are described here in alphabetical order, followed by the exceptional case of The Netherlands. Euthanasia policies have also been developed by a variety of NGOs, most notably medical associations and advocacy organizations.

[edit] Euthanasia and religion

[edit] Catholic policy
The policy of the Catholic Church on euthanasia rests on several core principles of Catholic ethics, including the sanctity of human life, the dignity of the human person,

concomitant human rights, due proportionality in casuistic remedies, the unavoidability of death, and the importance of charity.[26] The Church's official position is the 1980 Declaration on Euthanasia issued by the Sacred Congregation for the Doctrine of the Faith.[26] In Catholic medical ethics official pronouncements strongly oppose active euthanasia, whether voluntary or not[27], while allowing dying to proceed without medical interventions that would be considered "extraordinary" or "disproportionate." The Declaration on Euthanasia states that:
"When inevitable death is imminent... it is permitted in conscience to take the decision to refuse forms of treatment that would only secure a precarious and burdensome prolongation of life, so long as the normal care due to a sick person in similar cases is not interrupted."

The Declaration concludes that doctors, beyond providing medical skill, must above all provide patients "with the comfort of boundless kindness and heartfelt charity". Although the Declaration allows people to decline heroic medical treatment when death is imminently inevitable, it unequivocably prohibits the hastening of death and restates Vatican II's unqualified condemnantion of "crimes against life 'such as any type of murder, genocide, abortion, euthanasia, or willful suicide'". [28] [Emphasis added.]

[edit] Protestant policies

Protestant denominations vary widely on their approach to euthanasia and physician assisted death. Since the 1970s, Evangelical churches have worked with Roman Catholics on a sanctity of life approach, though the Evangelicals may be adopting a more exceptionless opposition. While liberal Protestant denominations have largely eschewed euthanasia, many individual advocates (e.g., Joseph Fletcher) and euthanasia society activists have been Protestant clergy and laity. As physician assisted dying has obtained greater legal support, some liberal Protestant denominations have offered religious arguments and support for limited forms of euthanasia. People such as Lutherans are taught euthanasia is wrong and that it is God who has the right over life and death[citation
needed]

[edit] Jewish policies

Like the trend among Protestants, Jewish medical ethics have become divided, partly on denominational lines, over euthanasia and end of life treatment since the 1970s. Generally, Orthodox Jewish thinkers oppose voluntary euthanasia, often vigorously,[29] though there is some backing for voluntary passive euthanasia in limited circumstances. [30] Likewise, within the Conservative Judaism movement, there has been increasing support for passive euthanasia (PAD)[31] In Reform Judaism responsa, the preponderance of anti-euthanasia sentiment has shifted in recent years to increasing support for certain passive euthanasia (PAD) options.[citation needed]

[edit] Islamic policies

Islam categorically forbids all forms of suicide and any action that may help another to kill himself[32] [33]. It is forbidden for a Muslim to plan, or come to know through self-will, the time of his own death in advance[34]. All this is stated, for example, in Fredrick Forsyth's novel, The Afghan. In fact, a Muslim who commits suicide is not even given burial rites. The precedent for all of this thinking comes from the Islamic prophet Muhammad having absolutely refused to bless the body of a person who had committed suicide, despite the fact that the person killed himself to relieve severe pain from incurable disease. If an individual is suffering from a terminal illness, it is permissible for the individual to refuse medication and/or resuscitation. Other examples include individuals suffering from kidney failure - who refuse dialysis treatments and cancer patients who refuse chemotherapy.

[edit] Buddhism
There are many different views among Buddhists on the issue of euthanasia. Here are a few: In Theravada Buddhism a lay person daily recites the simple formula: "I undertake the precept to abstain from destroying living beings."[35] For Buddhist monastics (bhikkhu) however the rules are more explicitly spelled out. For example, in the monastic code (Patimokkha), it states: "Should any bhikkhu intentionally deprive a human being of life, or search for an assassin for him, or praise the advantages of death, or incite him to die (thus): 'My good man, what use is this wretched, miserable life to you? Death would be better for you than life,' or with such an idea in mind, such a purpose in mind, should in various ways praise the advantages of death or incite him to die, he also is defeated and no longer in communion."[36] In other words, such a monk or nun would be expelled irrevocably from the Buddhist monastic community (sangha).[37] The prohibition against assisting another in their death includes circumstances when a monastic is caring for the terminally ill and extends to a prohibition against a monastic's purposively hastening another's death through word, action or treatment.[36] American Buddhist monk Thanissaro Bhikkhu wrote: Thus, from the Buddha's perspective, encouraging a sick person to relax her grip on life or to give up the will to live would not count as an act of compassion. Instead of trying to ease the patient's transition to death, the Buddha focused on easing his or her insight into suffering and its end.[38]

The Dalai Lama was cited by the Agence-France Presse in a 18 September 1996 article entitled "Dalai Lama Backs Euthanasia in Exceptional Circumstances" regarding his position on legal euthanasia: Asked his view on euthanasia, the Dalai Lama said Buddhists believed every life was precious and none more so than human life, adding: 'I think it's better to avoid it.' 'But at the same time I think with abortion, (which) Buddhism considers an act of killing ... the Buddhist way is to judge the right and wrong or the pros and cons.' He cited the case of a person in a coma with no possibility of recovery or a woman whose pregnancy threatened her life or that of the child or both where the harm caused by not taking action might be greater. "These are, I think from the Buddhist viewpoint, exceptional cases," he said. "So it's best to be judged on a case by case basis."

[edit] Euthanasia protocol

See also: Lethal injection#Euthanasia protocol

Buddhism A now-unused machine that facilitated euthanasia through heavy doses of drugs. The laptop screen led the user through a series of steps and questions to ensure he or she was fully prepared. The machine is pictured on display in a museum. Euthanasia can be accomplished either through an oral, intravenous, or intramuscular administration of drugs. In individuals who are incapable of swallowing lethal doses of medication, an intravenous route is preferred. The following is a Dutch protocol for parenteral (intravenous) administration to obtain euthanasia: Intravenous administration is the most reliable and rapid way to accomplish euthanasia and therefore can be safely recommended. A coma is first induced by intravenous administration of 20 mg/kg sodium thiopental (Nesdonal) in a small volume (10 ml physiological saline). Then a triple intravenous dose of a non-depolarizing neuromuscular muscle relaxant is given, such as 20 mg pancuronium bromide (Pavulon) or 20 mg vecuronium bromide (Norcuron). The muscle relaxant should preferably be given intravenously, in order to ensure optimal availability. Only for pancuronium bromide (Pavulon) are there substantial indications that the agent may also be given intramuscularly in a dosage of 40 mg.[39]

With regards to nonvoluntary euthanasia, the cases where the person could consent but was not asked are often viewed differently from those where the person could not consent. Some people raise issues regarding stereotypes of disability that can lead to nondisabled or less disabled people overestimating the person's suffering, or assuming it to be unchangeable when it could be changed. For example, many disability rights advocates responded to Tracy Latimer's murder by pointing out that her parents had refused a hip surgery that could have greatly reduced or eliminated the physical pain Tracy experienced. Also, they point out that a severely disabled person need not be in emotional pain at their situation, and claim that the emotional pain, if present, is due to societal prejudice rather than the disability, analogous to a person of a particular ethnicity wanting to die because they have internalized negative stereotypes about their ethnic background. Another example of this is Keith McCormick, a New Zealander Paralympian who was "mercy-killed" by his caregiver, and Matthew Sutton.[40][41] With regards to voluntary euthanasia, many people argue that 'equal access' should apply to access to suicide as well, so therefore disabled people who cannot kill themselves should have access to voluntary euthanasia.