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Non-voluntary euthanasia

Practice of intentionally ending a life without the subject's explicit informed consent


Practice of intentionally ending a life without the subject's explicit informed consent

Non-voluntary euthanasia is euthanasia conducted when the explicit consent of the individual concerned is unavailable, such as when the person is in a persistent vegetative state, or in the case of young children. It contrasts with involuntary euthanasia, when euthanasia is performed against the will of the patient.

The different possible situations considered non-voluntary euthanasia are when the decision to end the life of the patient is 1) based on what the incapacitated individual would have wanted if they could be asked, 2) based on what the decision maker would want if he or she were in the patient's place, and 3) made by a doctor based on their own criteria and reasoning.

Euthanasia and religions

The Islamic religion asserts that the human person and his or her life are sacred, and that only God, who gives life, has the right to take it away. Therefore, one must act in all circumstances to preserve and conserve life. Whether it concerns one's own person (suicide) or someone else's, the act of causing death is forbidden.

Verse 5:32 of the Quran states: "We ordained for the Children of Israel that whoever takes a life—unless as a punishment for murder or mischief in the land—it will be as if they killed all of humanity; and whoever saves a life, it will be as if they saved all of humanity."

The position of the Catholic Church has not changed and evolved little since the Old Testament ban. The last Roman pontiffs have all reaffirmed the ban on euthanasia. The Encyclical Evangelium vitae of Saint John Paul II, of March 25, 1995, is a clear and firm text: “euthanasia is therefore a crime that no human law can claim to legitimize. » Illness is always “a path of conversion” which “provokes a search for God, a return to him”. As for pain, it remains “an access to eternal salvation” and “it can now configure us to Him (Christ) and unite us to his redemptive passion. » (excerpts from the Catechism of the Catholic Church, promulgated by the Vatican in 1992, included in the Compendium of 2005, §1501 and 1505).

As recently as June of 2016, Pope Francis confirmed this position of the Church in an interview with the newspaper “Christian Family” where he declared that we should not “hide behind so-called compassion to justify and approve of death of a patient. »https://www.cairn.info/revue-etudes-sur-la-mort-2016-2-page-17.htm#no7.

Slippery slope debate

Main article: Euthanasia and the slippery slope

Non-voluntary euthanasia is cited as one of the possible outcomes of the slippery slope argument against euthanasia, in which it is claimed that permitting voluntary euthanasia to occur will lead to the support and legalization of non-voluntary and involuntary euthanasia, although other ethicists have contested this idea.

Non-voluntary euthanasia in the Netherlands

Main article: Euthanasia in the Netherlands, Groningen protocol

Permitted euthanasia in the Netherlands has been regulated by law since 2002. It states that euthanasia and physician-assisted suicide are not punishable if the attending physician acts in accordance with criteria of due care. Prior to the establishment of that law, euthanasia and assisted suicide in the Netherlands were already tolerated for many years, as for example described by G. van der Wal and R. J. Dillmann in 1994. In a 1994 study, of the studied 5000 requests in the Netherlands, in about 1000 of the cases, doctors prescribed drugs with the explicit goal of shortening the patient's life without the explicit request of the patient, which can be considered cases of non-voluntary euthanasia.

Since 2004, the Netherlands, also has a protocol to be followed in cases of euthanasia on children under the age of 12 (see also below), which was ratified by the Dutch National Association of Pediatricians, although the practice remains technically illegal. Together with colleagues and prosecutors, Eduard Verhagen developed the Groningen Protocol, in which cases prosecutors will refrain from pressing charges.

Non-voluntary euthanasia on children

Main article: Child euthanasia

Newborns and euthanasia

Active euthanasia on newborns is illegal throughout the world, with the de facto exception of the Netherlands mentioned above. Because a newborn child is never able to speak for themselves, euthanasia on newborns is by definition non-voluntary. An early example of documented cases of child euthanasia are those performed by the surgeon Harry J. Haiselden in Chicago in the early 20th century.

Ancient Greece

Main article: History of eugenics#Pre-Galtonian philosophies, Infant exposure

In ancient Greece, non-voluntary euthanasia of children was practiced as an early form of eugenics, the belief and practice of improving the genetic quality of the human population, usually by withdrawing care (i.e. passive euthanasia) rather than a physical extermination, an act termed as “exposure”.

References

References

  1. Perrett RW. (October 1996). "Buddhism, euthanasia and the sanctity of life". J Med Ethics.
  2. LaFollette, Hugh. (2002). "Ethics in practice: an anthology". Blackwell.
  3. (2001). "Euthanasia: Death with Dignity and the Law". Hart Publishing.
  4. {{qref. 5. 32
  5. Rachels J. (January 1975). "Active and passive euthanasia". N. Engl. J. Med..
  6. (Oct 2001). "The euthanasia debate". J R Army Med Corps.
  7. "Ending the Life of a Newborn: The Groningen Protocol,: Introduction". www.medscape.com.
  8. (7 March 2011). "India joins select nations in legalising "passive euthanasia"". The Hindu.
  9. (December 2000). "American Journal of Respiratory and Critical Care Medicine".
  10. (8 June 2006). "'Legalise euthanasia' says expert". [[BBC News Online]].
  11. Boseley, Sarah. (8 June 2006). "Call for no-consent euthanasia". [[The Guardian]].
  12. (March 29, 2010). "Voluntary Euthanasia". Stanford University.
  13. (2007). "The empirical slippery slope from voluntary to non-voluntary euthanasia.". J Law Med Ethics.
  14. (Oct 1998). "Pulling up the runaway: the effect of new evidence on euthanasia's slippery slope.". J Med Ethics.
  15. (Nov 2006). "A case for justified non-voluntary active euthanasia: exploring the ethics of the Groningen Protocol.". J Med Ethics.
  16. (2009). "Reporting of euthanasia and physician-assisted suicide in the Netherlands: descriptive study". BMC Med Ethics.
  17. (1994). "Euthanasia in the Netherlands". British Medical Journal.
  18. Fleming, John. (June 1992). "Euthanasia, The Netherlands, and Slippery Slopes". Bioethics Notes Research Occasional Paper.
  19. Patterson, Cynthia. (1985). ""Not Worth the Rearing": Causes of Infant Exposure in Ancient Greece". Transactions of the American Philological Association.
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