Topic 5 - Euthanasia Flashcards
what is suicide and assisted suicide?
SUICIDE = when a person dies as a direct result of their own voluntary action
ASSISTED SUICIDE = when a person dies as a direct result of their own voluntary action but with the help of another person (different to voluntary euthanasia)
what is physician aided suicide and dying?
PHYSICIAN AIDED SUICIDE = when a person dies as a direct result of their own voluntary action but with the help of a doctor or physician
PHYSICIAN AID IN DYING = when a person’s death is hastened but not directly caused by aid
what is voluntary and non-voluntary euthanasia?
VOLUNTARY = when a person’s death is directly caused by another person (such as a doctor) at their request
NON-VOLUNTARY = when a person’s life is ended without their consent but with the consent of someone who is charged with their interests
what is passive euthanasia?
when a doctor/carer withdraws life maintaining/saving treatment.
what is the 1961 suicide act?
until 1961 suicide was a criminal offence. Although, the 1961 act meant it was no longer an offence. However, it did not make it morally licit.
example of case for the right of self-determination?
diane pretty 2002, paralysed from the neck down with motor neurone disease and had asked her doctors to assist in her suicide.
the law rejected her case as they said she was not suffering from an immediately life threatening disease.
what is the slippery slope argument?
argument against self determination saying if the rule is weakened then what eventually follows is bad
e.g. netherlands there is evidence many die against their wishes.
what is the sanctity of life argument?
humans are created in god’s image and posses a ‘spark of divinity’ (genesis 1:27) which sets them apart from other animals and so killing them is bad
what is the quality of life argument?
idea that human life has to possess certain attributes in order to have value.
e.g. peter singer - if we compare a severely defected human infant and a pig, it’s likely the pig that’s more useful.
happiness as the basis of quality of life?
utilitarianism
e.g. mill liberty principle
suicide is autonomy so the only reason for stopping would be if it caused harm to others.
what is jonathon glover’s argument on euthanasia?
being alive is not sufficient, need to be conscious.
natural law view on euthanasia?
wrong based on duty to god and the duty to protect innocent life
only the doctrine of double effect would allow a patient to die in very rare circumstances as a side-effect of pain relieving treatment but the intention must never be to cause death
situation ethics view on euthanasia?
PERSONALISM - respect for person and their integrity allows it
RELATIVISM - killing innocent people cannot be an absolute wrong, as each case has to be judged according to love and compassion. Weak sanctity of life principle means life is given to us to use wisely, this may mean sacrificing one to save another from pain
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 1
sanctity of life vs quality of life (primary precepts)
• Vitalist principle – life is a gift from God, thus intrinsically valuable, “in the image of God he created them” (Genesis 1). Only God can choose when to end a life, “the Lord gave and the Lord has taken away” (Job 1) – ensures life is preserved and protected at all costs (PRIMARY PRECEPTS), in line with the Hippocratic Oath – save lives and abstain from harm.
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 1 - counter argument
quality of life (dworkin + singer)
- Ronald Dworkin, in ‘Life Dominion’, points out that life is a gift, not a burden; sanctity encompasses preservation but also a high quality – Dianne Petty 2002 Motor Neurone disease, denied the right to die thus lived a low quality of life forcing people to stay alive disrespects not only their autonomy, but the sanctity of their life, as its quality diminishes
- Peter Singer offers an instrumentalist view of the body, arguing it is useful insofar as it allows for preferences and desires to be fulfilled – no intrinsic worth and to think so leads to immoral and inhumane decision making
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 1 - counter response
slippery slope, stable society (pope paul)
• Many argue it is impossible to judge when life becomes worthless; people may be coerced into thinking their life is of a diminished quality. Pope Paul in Evangelium Vitae argued legalising euthanasia results in devaluing human life and a culture of death – Nazi eugenics programme.
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 1 - conclusive response
best interests (kushe)
- Helga Kushe, a utilitarian philosopher, has argued that in the Netherlands the slippery slope does not occur as euthanasia is regulated by legal practise – the example of Nazi eugenics would not occur in democratic societies and is an extreme case.
- By following the values commonly applied to medical ethics, Benefice (acting in the best interests of the patient) and non-maleficence (first, do no harm), one can see that Diane Petty should have been allowed the right to die – religious deontological morality jeopordises the interests of patients in favour of moral absolutes; leads to puritanism.
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 2
deontological vs consequentialist (glover)
- Better to act in a deontological way as not all patients can express their interests or of a sound mind due to an illness – Tony bland PVS, impossible to act according to his best interests
- Jonathan Glover, in ‘Causing Death and Saving Lives’ has argued that if they are making the decision in a diminished mental state then they are not truly autonomous the decision must be “properly thought out, not merely the result of a temporary emotional state. Patients may not be able to decipher their best interests as the illness may bring about confusion or depression, which could be temporary when the impact of euthanasia is permanent.
- By providing them with palliative care we avoid involuntary euthanasia, which may or may not go against the will of the patient.
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 2 - counter argument
situationism, agape love
• Clearly there are many cases of euthanasia, thus highlighting we cannot act in accordance to absolute rules – must act situationally, following the principle of agape: charitable, unconditional love. “Justice is love distributed” – tough love.
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 2 - counter response
double effect (hughes)
- Actions can have complex and unforeseen consequences, and therefore must be judged on intended effects. If a doctor attempts to treat a terminally ill patient with painkiller in order to remove their pain, yet the patient dies as a result, Aquinas would argue they had not committed an immoral act as the consequence was unintended.
- Gerard J. Hughes suggests in his book “Christian Ethics: An introduction” (1998) that Natural Law is intimately in tune with human nature and by focusing on following conscience and practical reason allows a margin for error as long as intentions were to follow good.
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 2 - conclusiveresponse
consequentialist
• Not only is DE arguably an impractical aspect of the theory (insofar as intentions can never be proven) it also seems rather contradictory to the theory’s deontological rooting Surely Double Effect highlights the issue with absolute moral principles – one should always act depending upon the situation and reject “prefabricated and prescriptive rules”
ESSAY PLAN - NATURAL LAW/SITUATION ETHICS
“How effective is Natural Law/ Situation Ethics when applied to Euthanasia? “
POINT 3
right to self determination, autonomy (mill)
- Right to die a dignified death. John Stuart Mill, in his essay ‘On Liberty’ argues that, “over himself, over his body and mind, the individual is sovereign”.
- Liberal principle – humans are the best judge of their own happiness; they should be given maximum freedom to live their lives as they consider appropriate