Wednesday, May 6, 2020

Euthanasia Free Essays

Euthanasia Should Not Be Legalized I personally believed that euthanasia should not be legalized. Euthanasia is the easiest way for someone to end his or her life which can be done through drug overdose, a lethal injection or the withdrawal of medical support. In other words, it is the act of killing a patient. We will write a custom essay sample on Euthanasia or any similar topic only for you Order Now According to Luke Gormally, euthanasia is a type of killing which cannot be put up in a legal system since it is against human being. (2) Hence, it shows that euthanasia should not be legalized. The writer states that the physical suffering of terminally ill patients will come to an end if euthanasia is legalized. It is rational but according to Burke J. Balch, J. D. , and David Waters, managing and controlling the pain of the patient is better than killing them. (1) Ending the physical suffering of ill patients means that they will die. Killing a patient is not controlling the pain but it is a murder. Physical suffering of terminally ill patients should be cured instead of killed. Those who work with dying people know that majority of those patient want their pain controlled but do not want to be killed. With the advancement of technology in medical treatment, there must be some way to overcome the pain. So, there is no need for legalization of euthanasia. The writer also argues that financial burden of the patient’s families will be lessened if euthanasia is legalized. This is logically relevant since it is true that the cost of getting daily treatment is higher than the cost of ending life early. However, there are some cases where family members want their ill family to be forced to euthanasia for their personal gains like wealth inheritance. Their true motive is not to end the patient suffering or to conserve their financial crisis, but to get rid of the patient who stands in their way from getting the inheritance. Therefore, euthanasia should not be legalized for the sake of the patient. In addition, the writer claims that euthanasia will terminate mental suffering of the ill patient. This is illogically relevant since euthanasia is not the only way to terminate mental suffering of the ill patient. D. A. Munroe (2010) states that people who ask for euthanasia are not people with terminal illnesses but are depressed. A study conducted by Dr Ezekiel J. Emanuel, a bioethicist at the US National Institutes of Health, shows that psychological distress, including depression and hopelessness are a major factor in euthanasia equests. (4) The psychological distress of the patient creates unwarranted self-blame and will come up with the idea of killing themselves. The support from relatives and their friend is needed to overcome this situation. Hence, it has nothing to do with euthanasia. In conclusion, based on the reasons above, I strongly think that the disadvantages of legalizing euthanasia outweigh advantages. By legalizing euthanasia, morals that have been practiced for thousands of years are ignored. Death should be of natural occurrence, without intervention from mankind because human has the right to live longer. How to cite Euthanasia, Essay examples Euthanasia Free Essays Good day to the teacher and my fellow learners, my speech topic for today is on legalising euthanasia. Imagine yourself being unable to walk, unable to see, and can barely breathe let alone speak. You are in such unbearable pain that you can’t even cry. We will write a custom essay sample on Euthanasia or any similar topic only for you Order Now Your life was well lived all those years before but now, there is no way that you could function without assistance. You think and feel as if your life has no meaning. Although your family is there for your every step of the way you begin to think, could ending your life be the answer to the pain? Well in all reality this isn’t something anyone needs to imagine. This is a real situation for many, many people. These people should be able to make their own choices and have control of their own lives. Everyone has the right to choose how they want to live and die. First of all, deciding if you want to be alive or not is a personal decision. Neither the doctors nor the government has the power to decide if you should live or not. Since it is not their life and they are not in your situation, they cannot make that kind of decision for you. It might sound like suicide, but again, that is our problem, not theirs. They give us the liberty to decide our job, our family, our religion, and even our sex preference. Why should they not give us the right to decide if we want to live or not? That should be the first right before all the ones I have mentioned. It is not logical that we can choose in all those other decisions if we cannot first choose to live or die. It has been argued that for people on life support systems and people with long standing diseases causing much pain and distress, euthanasia is a better choice. It helps in relieving them from pain and misery. In cases like terminal cancers when the patient is in much pain and when people associated with them also are put through a lot of pain and misery, it is much more practical and humane to grant the person their wish to end their own life in a relatively painless and merciful way. Everyone has the right to choose how they want to live and die. Euthanasia is perceived by other people as the answer to their want of a quality life. Spending the rest of your life on a hospital bed, unable to walk, and unable to do the things you normally do, doesn’t define a good quality of life. After all, it is the patient who got to decide how he or she wants to live his life. Euthanasia or physician-assisted suicide is the best thing a doctor can offer to a dying patient since he or she cannot offer a patient something that’ll make his condition better. How can say that your life is not worth living anymore? No one but you can decide on this matter. Life and death is a personal decision. Your family, friends, the doctors, and even the government can’t help you decide. Death is a final decision, a final destination. Think about it, euthanasia is about giving people the right to choose how they want to live and die and it also stops the person from having a bad quality of life. Goeie dag vir die onderwyser en my mede-leerders, my toespraak onderwerp vir vandag op te wettig genadedood. Verbeel jou nie in staat is om te loop, nie in staat om te sien, en kan skaars asemhaal laat staan praat. Jy is in so ‘n ondraaglike pyn wat jy kan nie eens huil. Jou lewe was goed geleef al die jare voor, maar nou is daar geen manier wat jy kan funksioneer sonder hulp. Jy dink en voel asof jou lewe het geen betekenis nie. Hoewel jou familie is daar vir jou elke stap van die manier waarop jy begin om te dink, kan die beeindiging van jou lewe wees om die antwoord op die pyn? Wel in alle werklikheid dit is nie iets wat iemand nodig het om te dink. Dit is ‘n werklike situasie vir baie, baie mense. Hierdie mense moet in staat wees om hul eie keuses te maak en om beheer oor hul eie lewens het. Elkeen het die reg om te kies hoe hulle wil leef en sterf. Eerste van alles, besluit of jy wil om te leef of nie, is ‘n persoonlike besluit. Nog die dokters en die regering het die mag om te besluit of jy moet leef of nie. Want dit is nie hul lewe en hulle is nie in jou situasie, kan hulle nie maak dat die soort van besluit vir jou. Dit mag dalk klink soos selfmoord, maar weer, dit is ons probleem, nie hulle s’n. Hulle gee ons die vryheid om ons werk te besluit, ons familie, ons godsdiens, en selfs ons seks voorkeur. Hoekom moet hulle nie gee ons die reg om te besluit of ons wil om te lewe of nie? Dit moet die eerste reg voor al die mense wat ek genoem het nie. Dit is nie logies dat ons kan kies om in al die ander besluite as ons kan nie eers kies om te leef of sterf. Dit is aangevoer dat vir die mense op die lewe ondersteuning stelsels en mense met ‘n lang siektes veroorsaak baie pyn en kommer, genadedood is ‘n beter keuse. Dit help met die verligting van hulle van pyn en ellende. In gevalle soos terminale kanker wanneer die pasient in baie pyn en wanneer mense wat verband hou met hulle ook gestel word deur ‘n baie pyn en ellende is, is dit baie meer praktiese en menslike aan die persoon verleen hulle hul eie lewe te eindig in ‘n relatief pynloos en barmhartige manier. Elkeen het die reg om te kies hoe hulle wil leef en sterf. Genadedood is waargeneem deur ander mense as die antwoord op hul gebrek aan ‘n kwaliteit lewe. Die besteding van die res van jou lewe op ‘n hospitaal bed, nie in staat om te loop, en nie die dinge wat jy gewoonlik doen om te doen, definieer nie ‘n goeie gehalte van die lewe. Na alles, dit is die pasient wat het om te besluit hoe hy of sy wil he dat sy lewe te lei. Genadedood of geneesheer-geassisteerde selfmoord is die beste ding wat ‘n dokter kan bied aan ‘n sterwende pasient sedert hy of sy kan nie ‘n pasient iets wat sal maak sy toestand beter te bied. Hoe kan se dat jou lewe nie die moeite werd is nie? Niemand, maar jy kan besluit oor hierdie saak. Lewe en dood is ‘n persoonlike besluit. Jou familie, vriende, die dokters, en selfs die regering kan nie help om te besluit. Die dood is ‘n finale besluit neem, ‘n finale bestemming. Dink daaroor, genadedood is oor gee mense die reg om te kies hoe hulle wil leef en sterf en dit het ook tot stilstand kom die persoon van ‘n slegte gehalte van die lewe. How to cite Euthanasia, Papers Euthanasia Free Essays TABLE OF CONTENT: * ACKNOWLEDGEMENT 2 * RESEARCH METHODOLOGY 4 * TABLE OF CASES 5 * INTRODUCTION 6 * MEANING OF EUTHANASIA 8 * CAN RIGHT TO DIE BE EQUATED WITH RIGHT TO LIFE? * DIFFERENCE BETWEEN SUICIDE AND EUTHANASIA 11 * LEGALISATION OF EUTHANASIA 12 * ARGUMENTS AGAINST EUTHANASIA 14 * ARGUMENTS FOR EUTHANASIA 16 * GLOBAL POSITION 18 * NEW DIMENSIONS IN INDIAN HISTORY: ARUNA SHANBAUG CASE 23 * CONCLUSION AND SUGGESTION 25 RESEARCH METHODOLOGY The researcher in this project has adopted the doctrinal or traditional method of research of research by way of analyzing arranging ,ordering by systematizing the existing provisions on the subject matter through reasoning power and rational deduction. The study will be mainly based on propositions and doctrines through library work and internet survey and not on the field. HYPOTHESIS Researchers seeks to learn the importance and legal perspectives of Euthanasia in present world, and thus sort the actual need of Euthanasia to made it applicable and legal. We will write a custom essay sample on Euthanasia or any similar topic only for you Order Now Whether right to life as guaranteed by the Constitution of India be equated with the right to die. TABLE OF CASES: * Chenna Jagadeeswar vs. State of AP 7 * Gain Kaur vs State of Punjab 7,20 * M. S Dubal vs. State of Maharastra 7,21 * Naresh Maratra Sakhee vs Union of India 21 * P. Rathinam v. Union of India 21 INTRODUCTION This research paper deals with one of the most debated subjects in the world, is euthanasia. The debate is regarding the legalization of euthanasia. This debate is a continuing one as some people are of the view that life is sacred and no one has got the right to end it whereas on the other hand some say that life belongs to oneself and so each person has got the right to decide what he wants to do with it even if it amounts to dying. In this materialistic world, where medical sciences have been developed and is developing to the extent that it has attained several new and dynamic dimensions which is leading to the preservance of human life i. e. preserving one’s right to life, which in earlier times was not so developed, thus resulting in the reduction in the death rate. At one hand it is proving its miraculous things that bring about a change in modern human life and at another corner it is ultimately leading to growth in population, evolution of new deadly diseases, rise in the life expectancy etc.. Thus the whole question revolves round just one thing â€Å"VALUE OF LIFE†. How is the value of life determined? Are rights to live and die equated? These are primary questions of conflict that every society has witnessed in the course of time. What is legally or morally right or what prevailed among life and death has been a debate over centuries now. The creation of rights of an individual take place with the birth of the individual and such rights extinguish with the death of the individual. Right to life is one of the basic as well as fundamental right without which all rights cannot be enjoyed. Right to life means a human being has an essential right to live, particularly that such human being has the right not to be killed by another human being. In this broad spectrum, however, where does the right to live or the right to choose to die find its place is a righteous question? If sanctity of life is of supreme and overriding value; from the very primitive times, it ought to preclude and pro-scribe all acts and omissions which may shorten it, even when the shortening of life is a mere deleterious side effect. But this is not the case. The sanctity and value of life compete with a host of other equally potent moral demands. Even the most devout pro-life ethicist accepts that certain medical decisions – for instance, to administer strong analgesics – inevitably truncate the patient’s life. Again, doctors are not given the right to terminate any individual’s life with even the consent of the patient’s relatives going by the primal morals of the society. Yet, this is considered moral because the resulting euthanasia is not the main intention of the pain-relieving doctor. Moreover, the apparent dilemma between the two values (reduce suffering or preserve life) is non-existent. The thin line of difference of why death is morally wrong or the act of causing death even with due care is right is a debacle on its own. They are contradictory when put together so how exactly good death or bad death is justifiable is equally a paradox. Looking back at arguments by famous jurists; Thomas Hobbes argued over fundamental duty to self preserve and how this is naturally a birth right. Hobbes’s social contract highlighted a theory which said that every individual hand over his rights to a person or a body they elect as their sovereign and relatively their actions are deemed to be authoritative. An exception that Hobbes pointed out was that that, as the purpose of signing the social contract was to preserve oneself, the Sovereign cannot order a subject to kill him- or herself. For instance, according to Nazi philosophy, certain people have ‘a right’ to die and, if they cannot make the choice themselves, the state and its appointed boards of experts may have to exercise this right for them. So how far does euthanasia or mercy killing conform to the basic morality standards of a society per se? Euthanasia: can be part of good terminal care. It makes no sense to discuss euthanasia in terms of being for it or against it. The basic question is whether we accept the right of human beings to decide for them how their lives will end. From the Greek and Roman era, the Stoic and Epicurean philosophers thought suicide and euthanasia an acceptable option whenever one no longer cared for life. The most famous statement of this attitude is by Epictetus: â€Å"If the room is smoky, if only moderately; I will stay. If there is too much smoke I will go. Remember this, keep a firm hold on it, the door is always open.    Although there are Religious Objections as regards death unless occurred naturally one quote that shows that there is implied faith is; â€Å"The right to a good death is a basic human freedom. The Supreme Court’s decision to uphold aid in dying allows us to view and act on death as a dignified moral and godly choice for those suffering with terminal illnesses. † John Shelby Spong, retired American bish op of the Episcopal Church. MEANING OF EUTHANASIA The term Euthanasia comes from two Ancient Greek words: ‘Eu’ means ‘Good’, and ‘thantos’ means ‘death’, so Euthanasia means good death. It is an act or practice of ending the life of an individual suffering from a terminal illness or in an incurable condition by injection or by suspending extra ordinary medical treatment in order to free him of intolerable pain or from terminal illness. Euthanasia is defined as an intentional killing by an act or omission of person whose life is felt is not to be worth living. It is also known as ‘Mercy Killing’ which is an act where the individual who, is in an irremediable condition or has no chances of survival as he is suffering from painful life, ends his life in a painless manner. It is a gentle, easy and painless death. It implies the procuring of an individual’s death, so as to avoid or end pain or suffering, especially of individuals suffering from incurable diseases. Oxford dictionary defines it as the painless killing of a person who has an incurable disease or who is in an irreversible coma. According to the House of Lords select Committee on Medical Ethics, it is â€Å"a deliberate intervention under taken with the express intention of ending life to relieve intractable suffering†. Thus it can be said that Euthanasia is the deliberated and intentional killing of a human being by a direct action, such as lethal injection, or by the failure to perform even the most basic medical care or by withdrawing life support system in order to release that human being from painful life. It is basically to bring about the death of a terminally ill patient or a disabled. It is resorted to so that the last days of a patient who has been suffering from such an illness which is terminal in nature or which has disabled him can peacefully end up his life and which can also prove to be less painful for him. Thus the basic intention behind euthanasia is to ensure a less painful death to a person who is in any case going to die after a long period of suffering. Euthanasia is practiced so that a person can live as well as die with dignity. In brief, it means putting a person to painless death in case of incurable diseases or when life become purpose less or hopeless as a result of mental or physical handicap. CAN RIGHT TO DIE BE EQUATED WITH RIGHT TO LIFE? From the moment of his birth, a person is clothed with basic human rights. Right to life is one of the basic as well as fundamental right without which all rights cannot be enjoyed. Right to life means a human being has an essential right to live, particularly that such human being has the right not to be killed by another human being. But the question arises that if a person has a right to live, whether he has a right not to live i. e whether he has a right to die? Whiling giving this answer, the Indian courts expressed different opinions. In M. S Dubal vs. State of Maharastra, the Bombay High Court held that right to life under article 21 of the Indian  Constitution  includes ‘right to die’. On the other hand in Chenna Jagadeeswar vs. State of AP, the AP High Court said that right to die is not a fundamental right under  Article  21 of the  Constitution. However in P. Rathinam’s case Supreme Court of India observed that the ‘right to live’ includes ‘right not to live’ i. e right to die or to terminate one’s life. But again in Gain Kaur vs State of Punjab, a five member bench overruled the P. Rathainam’s case and held that right to life under  Article  21 does not include Right to die or right to be killed. Right to life’ including the right to live with human dignity would mean the existence of such right up to the end of natural life. This may include the right of a dying man to die with dignity. But the ‘right to die with dignity’ is not to be confused with the ‘right to die’ an unnatural death curtailing the natural span of life. Thus the concept of right to life is central to th e debate on the issue of Euthanasia. One of the controversial issues in the recent past has been the question of legalizing the right to die or Euthanasia. Euthanasia is controversial since it involves the deliberate termination of human life. Patient suffering from terminal diseases are often faced with great deal of pain as the diseases gradually worsens until it kills them and this may be so frightening for them that they would rather end their life than suffering it. So the question is whether people should be given assistance in killing themselves, or whether they should be left to suffer the pain cause by terminal illness. In our day to day life we often come across terminally ill patients that are bedridden and are totally dependent on others. It actually hurts their sentiments. Looking at them we would say that death would be a better option for them rather than living such a painful life; which is painful physically as well as psychologically. But if on the other hand we look at the Netherlands where euthanasia is made legal, we will see that how it is abused there. So following its example, no one wants euthanasia to be legalized in India. But the question that lies before us is which will be a better option. In this paper, some basic issues regarding euthanasia are discussed and then it is left to the reader to decide which course would be better: legalizing or not legalizing euthanasia. Although the Supreme Court has already given its decision on this issue, yet some doubts persist on its execution. Euthanasia is a complex matter; there are many different types of euthanasia. Euthanasia may be classified according to consent into three types. 1. Voluntary euthanasia- it is when the person who is to be killed has requested another to kill. 2. Non-voluntary euthanasia- when the person who is killed made no request and gave no consent. In other words, it is done when the person is unable to communicate his wishes, being in coma. 3. Involuntary euthanasia- when the person who is killed made an expressed wish to the contrary. In other words, it is involuntary when the person killed gives his consent not to die. There is a debate within the medical and bioethics literature on whether or not the non-voluntary or involuntary killing of persons can be regarded as euthanasia, irrespective of consent. Some say that consent is not considered to be one of their criteria. However others see consent as essential. According to them killing of a person without the person’s consent (non-voluntary or involuntary) is not euthanasia. It is murder and hence euthanasia can be voluntary only. Euthanasia can be also divided into two types according to means of death. 1. Active euthanasia- it is also known as ‘Positive Euthanasia’ or ‘Aggressive Euthanasia’. It refers to causing intentional death of a human being by direct intervention. It is a direct action performed to end useless life and a meaningless existence. For example, by giving lethal dose of a drug or by giving a lethal injection. Active euthanasia is usually a quicker means of causing death and all forms of active euthanasia are illegal. . Passive euthanasia- it is also known as ‘Negative Euthanasia’ or ‘Non-Aggressive Euthanasia’. It is intentionally causing death by not providing essential, necessary and ordinary care or food and water. It implies to discontinuing, withdrawing or removing artificial life support system. Passive euthanasia is usually slower and more uncomfortable than active. Most forms of voluntary, passive and some instance of non-voluntary, passive euthanasia are legal. There is no euthanasia unless the death is intentionally caused by what was done or not done. Thus, some medical actions often levelled as ‘Passive Euthanasia’ are no form of euthanasia, since intention to take life is lacking. These acts include not commencing treatment that would not provide a benefit to the patient, withdrawing treatment that has been shown to be ineffective, too burdensome or is unwanted, and the giving of high doses of pain-killers that may endanger life, when they have been shown to be necessary. All those are part of good medical practice, endorsed by law, when they are properly carried out. DIFFERENCE BETWEEN SUICIDE AND EUTHANASIA: There is a conceptual distinction between suicide and euthanasia. In a suicide a man voluntarily kills himself by stabbing, poisoning or by any other way. No doubt in suicide one intentionally attempts to take his life. It is an act or instance of intentionally killing oneself mostly due to depression or various reasons such as frustration in love, failure in examinations or in getting a good job etc. on the other hand, in euthanasia there is an action of some other person to bring to an end the life of a third person. In euthanasia, a third person is either actively or passively involved i. he aids or abets the killing of another person. It is important to mention in this context that there is also a difference between ‘assisted suicide’ and ‘euthanasia’. Assisted suicide is an act which intentionally helps another to commit suicide, for example by providing him with the means to do so. When it is a doctor who helps a patient to kill himself (by providing a prescription for lethal medication) it is a ‘physician assisted suicide’. Thus, in assisted suicide the patient is in complete control of the process that leads to death because he/she is the person who performs the act of suicide. The other person simply helps (for example, providing the means for carrying out the action). On the other hand euthanasia may be active such as when a doctor gives a lethal injection to a patient or passive such as when a doctor removes life support system of the patient. LEGALISATION OF EUTHANASIA Legalization of euthanasia simply means granting an individual his natural right to die or terminate his life owing to non-normalcy of life or bad quality of life due to medical reasons. Attempt to suicide under mental coercion is punishable under law, but asking for granting of death due to perpetual suffering of an individual is not punishable. In most of the cases when an individual suffers with Persistent Vegetative State (PVS), the court grants physician assisting suicide with a standing consent from the patient showing his willingness to die and there is no undue influence while deciding so. The willingness should be out of the ground fact that there is no hope in improvement in quality of life in the future. Why should euthanasia be legalized? Moral Objectives: It is morally incorrect to keep a person fighting for no cause when all hope is lost. The sufferer and his fraternity go through mental trauma for a long period of time. The society is obligated to acknowledge the rights of patients and to respect the decisions of those who elect euthanasia. Every individual’s right to self-determination or his right of privacy needs to be respected. Interference to such rights can be justified if it is to protect values, which is not the case where patients suffering unbearably at the end of their lives request euthanasia leaving them with no alternatives. People can’t suffer against their will. It is plain cruelty on them and cessation of their human rights and dignity. Individual’s right to exercise his choice: Firstly deciding if one wants to live or die is a personal decision. Every individual has his/her own rights over their body. When the birth of an individual is not questioned by anyone naturally death as well should not be a speculative debate. A painless death is better than a painful life. The increase in patients of Cancer, AIDS and other dreadful and irreparable diseases has sparked a world-wide need of euthanasia or mercy killing. Especially in the final stages of such diseases which are incurable the want of euthanasia is justified. Economic Factor: Economic concern in a country like India is of primary importance. The medical charges are unaffordable for the needed medical care; unsure if the patient is going to improve in any possible way or remain as he is. And every irreparable disease attracts a big amount of risk and money which can’t be ignored. Moreover, there is increasing pressure on hospital and medical facilities; it is argued that the same facilities should be used for the benefit of other patients who have a better chance of recovery and to whom these facilities provided by the hospital would be of greater value. Thus, the argument runs, when one has to choose between a patient beyond recovery and one who may be saved, the latter should be preferred as the former will die in any case. Euthanasia, both in active and passive form, should be allowed in every society. It should be legalized owing to the amount of pain an individual goes through due to the fatal disease or disorder for a long period of time. Having a patient suffer endlessly is not giving him a better quality of life. The kind of quality of life is defined by the patient, not the doctor or government. Consequently, when the patient feels he is not getting the quality of life he wants the doctors can insist upon Physician Assisted Death (PAD). Supporters of active euthanasia contend that since society has acknowledged a patient’s right to passive euthanasia (for example, by legally recognizing refusal of life-sustaining treatment), active euthanasia should similarly be permitted. Court needs to lay reasonable grounds as to why there is a refusal in the first place to grant euthanasia; be it active or passive. When arguing on behalf of legalizing active euthanasia, proponents emphasize circumstances in which a condition has become overwhelmingly burdensome for the patient, pain management for the patient is inadequate, and only death seems capable of bringing relief. In a liberal democracy like India where Fundamental Rights are given highest significance over any other substantial law, right to die should be treated at par with the fundamentals of the constitution. ARGUMENTS AGAINST EUTHANASIA The followings are the arguments against euthanasia: . The human life is gift of God and taking life is wrong and immoral human beings cannot be given the right to play the part of God. The one who suffers pain is only due to one’s karma. Thus euthanasia devalues human life. 2. It is totally against the medical ethics, morals and public policy. Medical ethics call for nursing, care giving and healing and not ending the life of the patient. In the present time, medical science is advancing at a great pace. Thus even the most incurable diseases are becoming curable today. Thus instead of encouraging a patient to end his life, the medical practitioners should encourage the patients to lead their painful life with strength which should be moral as well as physical. The decision to ask for euthanasia is not made solely by the patient. Even the relatives of the patient pay an important role in doing that. Hence, it is probable that the patient comes under pressure and takes such a drastic step of ending his life. Of course in such cases the pressure is not physical, it is rather moral and psychological which proves to be much stronger. The patient himself starts to feel that he is a burden on the relatives when they take such a decision for him and finally he also succumbs to it. 3. It is feared that if euthanasia is legalised then other groups of more vulnerable people will become at risk of feeling into taking that option themselves. Groups that represent disabled people are against the legalisation of euthanasia on the ground that such groups of vulnerable people would feel obliged to opt for euthanasia as they may see themselves as a burden to society. 4. It has a slippery slope effect, for example firstly it can be legalised only for terminally ill people but later on laws can be changed and then it may allow for non- voluntary or involuntary. 5. Acceptance of euthanasia as an option could exercise a detrimental effect a societal attitudes and on the doctor patient relationship. The doctor patient relationship is based on mutual trust, it is feared this trust may be lost if euthanasia is legalised. 6. When suicide is not allowed then euthanasia should also not be allowed. A person commits suicide when he goes into a state of depression and has no hope from the life. Similar is the situation when a person asks for euthanasia. But such tendency can be lessened by proper care of such patients and showing hope in them. 7. Patient would not be able to trust either doctors or their relatives as many of them were taking about patient’s painless dignified death and it became a euphemism for assisted murder. 8. Miracles do happen in our society especially when it is a matter of life and death, there are examples of patients coming out of coma after years and we should not forget human life is all about hope. ARGUMENTS FOR EUTHANASIA Followings are the reasons to legalize euthanasia; 1. Euthanasia means ending the life of a person who is suffering from some terminal illness which is making his life painful as well as miserable or in other words ending a life which is not worth living. But the problem is that how should one decide whether his life is any longer worth living or not. Thus, the term euthanasia is rather too ambiguous. This has been a topic for debate since a long time i. e. whether euthanasia should be allowed or not. At present, the debate is mainly regarding active euthanasia rather than passive euthanasia. The dispute is regarding the conflicts of interests: the interest of the society and that of the individual. Which out of these should prevail over the other? According to the supporters of euthanasia the decision of the patients should be accepted. If on the other hand we weigh the social values with the individual interest then we will clearly see that here the interest of the individual will outweigh the interest of the society. The society aims at interest of the individuals rather it is made with the purpose of assuring a dignified and a peaceful life to all. Now if the individual who is under unbearable pain is not able to decide for himself then it surely will hamper his interest. In that case it will surely be a negation of his dignity and human rights. 2. Euthanasia provides a way to relieve the intolerably extreme pain and suffering of an individual. It relieves the terminally ill people from a lingering death. 3. The essence of human life is to live a dignified life and to force a person to live in an undignified way is against the person’s choice. Thus it expresses the choice f a person which is a fundamental principle. 4. In many developing and under developed countries like India, there is lack of funds. There is shortage of hospital space. So, the energy of doctors and hospital beds can be used for those people whose life can be saved instead of continuing the life of those who want to die. Another important point on which the supporters of euthanasia emphasize is that a lot of medical facilities which amount a lot are be ing spent on these patients who are in any case going to die. Thus, they argue that rather than spending those on such patients, it will be much better to use such facilities for those who have even fair chances of recovery. 5. Article  21 of the Indian  Constitution  clearly provides for living with dignity. A person has a right to live a life with at least minimum dignity and if that standard is falling below that minimum level then a person should be given a right to end his life. Supporters of euthanasia also point out to the fact that as passive euthanasia has been allowed, similarly active euthanasia must also be allowed. A patient will wish to end his life only in cases of excessive agony and would prefer to die a painless death rather than living a miserable life with that agony and suffering. Thus, from a moral point of view it will be better to allow the patient die painlessly when in any case he knows that he is going to die because of that terminal illness. 6. Its aim is altruistic and beneficial as it is an act of painlessly putting to death to those persons who are suffering from painful and incurable diseases. So, the motive behind this is to help rather than harm. . It not only relives the unbearable pain of a patient but also relieves the relatives of a patient from the mental agony. 8. A point which is often raised against the supporters of euthanasia is that if such right will be granted to the terminally ill patients then there will be chances of abusing it. But the supporters argue that every right involves a risk of being abused but that doesn’t mean that the right itself should be denied to the people. We should rather look at the brighter side of it than thinking of it being abused. GLOBAL POSITION In England, following a series of decisions of the House of Laws relating to euthanasia vary greatly and are constantly subject to changes as cultural values shift and better ‘Palliative care’ or treatments become available. In some countries it is legalized or in others, it is criminalized. AUSTRALIA The Northern Territory of Australia became the first country to legalize euthanasia by passing the Rights of the Terminally ILL Act, 1996. It was held to be legal in the case of Wake v. Northern Territory of Australia by the Supreme Court of Northern Territory of Australia. Subsequently the Euthanasia Laws Act, 1997 legalized it. Although it is a crime in most Australian states to assist euthanasia, prosecution have been rare. In 2002, the matter that the relatives and friends who provided moral support to an elder women to commit suicide was extensively investigated by police, but no charges were made. In Tasmania in 2005, a nurse was convicted of assisting in the death of her mother and father who were both suffering from incurable illnesses. She was sentenced to two and half years in jail but the judge later suspended the conviction because he believed the community did not want the woman put behind bars. This sparked debate about decriminalization of euthanasia. ALBANIA Euthanasia was legalized in Albania in 1999, it was stated that any form of voluntary euthanasia was legal under the rights of the Terminally ILL act of 1995. Passive euthanasia is considered legal if three or more family members consent to the decisions. BELGIUM Euthanasia was made legal 2002. The Belgian Parliament had enacted the ‘Belgium Act on Euthanasia’ in September 2002, which defines euthanasia as â€Å"intentionally terminating life by someone other than the person concerned at the latter’s request†. Requirements for allowing euthanasia are very strict which includes the patient must be major, has made the request voluntary, well considered and repeated and he/she must be in a condition of consent and unbearable physical or mental suffering that can be alleviated. All these acts must be referred to the authorities before allowing in order to satisfying essential requirements. NETHARLANDS Netherlands is the first country in the world to legalise both euthanasia and assisted suicide in 2002. According to the penal code of the Netherlands killing a person on his request is punishable with twelve years of imprisonment or fine and also a assisting a person to commit suicide is also punishable by imprisonment up to three years or fine. In spite of this provision, the courts of Netherlands have come to interpret the law as providing a defence to charges of voluntary euthanasia and assisted suicide. The defence allowed is that of necessity. The criteria laid down by the courts to determine whether the defence of necessity applies in a given case of euthanasia, have been summarized by Mrs. Borst-Eilers as follows; 1. The request for euthanasia must come only from the patient and must be entirely free and voluntary. 2. The patient’s request must be well considered, durable and persistent. 3. The patient must be experiencing intolerable (not necessarily physical) suffering, with no prospect of improvement. 4. Euthanasia must be the last resort. Other alternatives to alleviate the patient’s situation must be considered and found wanting. . Euthanasia must be performed by a physician. 6. The physician must consult with an independent physician colleague who has experience in this field. Thus, though active euthanasia is technically unlawful in the Netherlands, it is considered justified (not legally punishable) if the physician follows the guidelines. In 2002, Netherlands legalised euthanasia. The law codified a 20 years old convention of not prosecuting doctors who have committed euthanasia in very specific cases, under very specific circumstances. It allows a doctor to end the life of a patient suffering unbearable pain from an incurable condition, if the patient so requests. The law requires a long standing doctor patient relationship, patient’s awareness of other available medical options and that the patient must have obtained a second professional opinion. CANADA In Canada, patients have the right to refuse life sustaining treatments but they do not have the right to demand for euthanasia or assisted suicide. The Supreme Court of Canada in Rodriguez vs. Attorney, 1994 General for British Columbia said that in the case of assisted suicide the interest of the state ill prevail over individual’s interest. U. S. A There is a distinction between passive euthanasia and active euthanasia. While active euthanasia is prohibited but physicians are not held liable if they withhold or withdraw the life sustaining treatment of the patient either on his request or at the request of patient’s authorized representativ e. Euthanasia has been made totally illegal by the United States Supreme Court in the cases Washington v. Glucksberg and Vacco v. Quill. Only in Oregon, a state in America, physician assisted suicide has been legalized in 1994 under Death and Dignity Act. In April 2005, California State legislative committee approved a bill and has become 2nd state to legalise assisted suicide. ENGLAND Lords it is now settled that a person has a right to refuse life sustaining treatment as part of his rights of autonomy and self- determination. The House of Lords also permitted non voluntary euthanasia in case of patients in a persistent vegetative state. Moreover in a recent case, a British High Court has granted a woman, paralyzed from neck, the right to die by having life support system switched off. THE UNITED KINGDOM Euthanasia is illegal in United Kingdom but on November 5, 2006 Britain Royal College of obstructions and gynecologists submitted a proposal to the Nuffield Counsel of Bioethics calling for consideration of permitting the euthanasia of disabled new-born. SWITZERLAND According to  Article  115 of Swiss Penal Code, suicide is not a crime and assisting suicide is a crime if only if the motive is selfish. It does not require the involvement of physician nor is that the patient terminally ill. It only requires that the motive must be unselfish. In Switzerland, euthanasia is illegal but physician assisted suicide has been made legal. However decriminalizing euthanasia was tried in 1997 but it recommended where a non- physician helper would have to be prosecuted whereas the physician would not. Death is not a right, it is the end of all rights and a fate that none of us can escape. The ultimate right we have as human beings is the right to life, an inalienable right not even the person who possesses it can never take that away. It is similar to the fact that our right to liberty does not give us the freedom to sell ourselves into slavery. In addition, this right to die does not equal a right to ‘die with dignity. Dying in a dignified manner relates to how one confronts death, not the manner in which one dies since history recounts many situations of individuals facing degrading deaths in a dignified way. Of course, what this objection really relates to is the supposed lack of dignity of forcing someone to endure suffering rather than allowing them to end their life. However better pain alleviation techniques are a more moral solution to this problem than killing those who are suffering. The question whether  Article  21 includes right to die or not first came into consideration in the case State of Maharashtra v. Maruti Shripathi Dubal. It was held in this case by the Bombay High Court that ‘right to life’ also includes ‘right to die’ and Section 309 was struck down. The court clearly said in this case that right to die is not unnatural; it is just uncommon and abnormal. Also the court mentioned about many instances in which a person may want to end his life. This was upheld by the Supreme Court in the case P. Rathinam v. Union of India. However in the case Gian Kaur v. State of Punjab it was held by the five judge bench of the Supreme Court that the â€Å"right to life† guaranteed by  Article  21 of the  Constitution  does not include the â€Å"right to die†. The court clearly mentioned in this case that  Article  21 only guarantees right to life and personal liberty and in no case can the right to die be included in it. In India, like almost in other countries, euthanasia has no legal aspect. In India there is no difference between active and passive euthanasia and no penal law yet introduced in I. P. C, which specifically deals with euthanasia? The every act of aiding and abetting the commission of suicide are punished under the section 306 of the I. P. C. Distinguishing euthanasia from suicide, Justice Lodha in Naresh Maratra Sakhee vs Union of India, observed that, â€Å"suicide by its nature is an act of self-killing or self-destruction, an act of terminating one’s own act and without the aid or assistance of any other human agency. Euthanasia or Mercy killing on the other hand means implies the intervention of other human agency to end the life. Mercy killing is thus not suicide and the provision of section 309 does not cover an attempt at mercy killing. The two concepts are both factually and legally distinct. Euthanasia or Mercy illing is nothing best homicide whatever the circumstances in which it is affected. † In case of physicians, there is an intention to cause death of patient, hence he can be charged under clause (1) of section 300 of I. P. C but where there is valid consent of the deceased, exception 5of section 300 is attracted and thus the act of the physician is considered as culpable homicide not amounti ng to murder under Part I of section 304. In case of non-voluntary and involuntary euthanasia, the act of physician can be fall under section 88 and 92 of IPC as there is an intention to causing death of a patient for his benefit. And other relatives who are aware of such intention either of the patient or of the physician can be charged under section 202 of IPC. The Supreme Court explained the position of Indian law on euthanasia in M. S. Dabal vs state of Maharashtra as under: â€Å"Mercy killing is nothing but homicide, whatever the circumstances in which it is affected. Unless it is specifically accepted it cannot be offences. Indian Penal Code further punishes not only abetment of homicide, but also abetment of suicide†. NEW DIMENSION IN INDIAN HISTORY- ARUNA’s CASE Aruna Shanbaug, who was working as a nurse at KEM Hospital, was assaulted on the night of November 27, 1973 by a ward boy. He sodomised Aruna after strangling her with a dog chain. The attack left Aruna blind, paralysed and speechless and she went into a coma from which she has never come out. She is cared for by KEM hospital nurses and doctors. The woman does not want to live any more. The doctors have told her that there is no chance of any improvement in her state. Her next friend (a legal term used for a person speaking on behalf of someone who is incapacitated) describes Shanbaug: â€Å"her bones are brittle. Her skin is like ‘Paper Mache’ stretched over a skeleton. Her wrists are twisted inwards; her fingers are bent and fisted towards her palms, resulting in growing nails tearing into the flesh very often. Her teeth are decayed and giving her immense pain. Food is completely mashed and given to her in semisolid form. She chokes on liquids and is in a persistent vegetative state. † So, she, through her ‘next friend’ Pinki Virani, decided to move the SC with a plea to direct the KEM Hospital not to force feed her. And on 16th December 2009, the Supreme Court of India admitted the woman’s plea to end her life. The Supreme Court bench compromising Chief Justice K G Balakrishnan and Justices A K Ganguly and B S Chauhan agreed to examine the merits of the petition and sought responses from the Union Government, Commissioner of Mumbai Police and Dean of KEM Hospital. On 24th January 2011, the Supreme Court of India responded to the plea for euthanasia filed by Aruna’s friend journalist Pinki Virani, by setting up a medical panel to examine her. The three-member medical committee subsequently set up under the Supreme Court’s directive, checked upon Aruna and concluded that she met â€Å"most of the criteria of being in a permanent vegetative state†. However, it turned down the mercy killing petition on 7th March, 2011. The court, in its landmark judgement, however allowed passive euthanasia in India. While rejecting Pinki Virani’s plea for Aruna Shanbaug’s euthanasia, the court laid out guidelines for passive euthanasia. According to these guidelines, passive euthanasia involves the withdrawing of treatment or food that would allow the patient to live. Ms Shanbaug has, however, changed forever India’s approach to the contentious issue of euthanasia. The verdict on her case today allows passive euthanasia contingent upon circumstances. So other Indians can now argue in court for the right to withhold medical treatment – take a patient off a ventilator, for example, in the case of an irreversible coma. Today’s judgement makes it clear that passive euthanasia will â€Å"only be allowed in cases where the person is in persistent vegetative state or terminally ill. † Recently in November 2007, a member of Indian parliament who belongs to the Communist Party of India introduced a bill to legalize euthanasia to the Lok Sabha, the lower house of representatives in the Indian parliament. C. K. Chandrappan, a representative from Trichur, Kerala, introduced a Euthanasia Permission and Regulation Bill that would allow the legal killing of any patient who is bedridden or deemed incurable. The legislation would also permit any person who cannot carry out daily chores without assistance to be euthanized. â€Å"If there is no hope of recovery for a patient, it is only humane to allow him to put an end to his pain and agony in a dignified manner,† said Dr. B. K. Rao, chairman of Sir Ganga Ram Hospital in New Delhi. If it is established that the treatment is proving to be futile, euthanasia is a practical option for lessening the misery of patients. † Euthanasia is totally different from suicide and homicide. Under the Indian penal code, attempt to commit suicide is punishable under section 309 of IPC and also abetment to suicide is punishable under section 306 of IPC. A person commits suicide for various reasons like marital discord, dejection of love, failure i n the examination, unemployment etc. but in euthanasia these reasons are not present. Euthanasia means putting a person to painless death in case of incurable diseases or when life became purposeless or hopeless as a result of mental or physical handicap. It is also differs from homicide. In murder, the murderer has the intention to cause harm or cause death in his mind. But in euthanasia although there is an intention to cause death, such intention is in good faith. A doctor apply euthanasia when the patient, suffering from a terminal disease, is in an irremediable conditions or has no chance to recover or survival as he suffering from painful life or the patient has been in coma for 20/30 years like Aruna Shanbaug. CONCLUSION AND SUGGESTION Therefore it is suggested that penal provision regarding attempts to commit suicide and abetment to suicide should be preserved in the interests of the society as a general rule but euthanasia (voluntary) should be permitted in certain circumstances as an exception to the general rule. Thus Indian Parliament should enact a law regarding euthanasia which enables a doctor to end the painful life of a patient suffering from an incurable disease with the consent of the patient. Parliament should lay down some circumstances under which euthanasia will be lawful as bellow; 1) Consent of the patient must be obtained, 2) Failure of all medical treatments or when the patient, suffering from a terminal disease, is in an irremediable conditions or has no chance to recover or survival as he suffering from a painful life or the patient has been in coma for 20/30 years, 3) The economic or financial condition of the patient or his family is very low, 4) Intention of the doctor must not be to cause harm, ) Proper safeguard must be taken to avoid abuse of it by doctors, 6) Any other circumstances relevant to the particular case. Thus, Euthanasia could be legalized, but the laws would have to be very stringent. Every case will have to be carefully monitored taking into consideration the point of views of the patient, the relatives and the doctors. But whether Indian society is mature enough to face this, as it is a matter of life and death, is yet to be seen. If we carefully examine the opposition to the legalization of euthanasia, we can conclude that the most important point that the opponents raise is that it will lead to its misuse by the doctors. Thus, it is submitted that when a patient or his relatives can willingly put his life in the hands of the doctor trusting him, then why can’t a doctor be given such discretion to decide what will be in favour of his patient. Another doubt that is often raised is that if the doctors will be given discretion to practice voluntary euthanasia then surely it will gradually lead to asking for involuntary or non-voluntary euthanasia. But it is humbly submitted that a separate legislation should be made allowing only voluntary euthanasia and not involuntary or non-voluntary euthanasia. As has already been pointed out earlier, we also have to keep in mind the limited medical facilities available in India and the number of patients. This question still lies open that who should be provided with those facilities; a terminally ill patient or to the patient who has fair chances of recovery. As the patient himself out of his pain and agony is asking for death, doctor should not increasing that pain of his should allow euthanasia. It has been ruled in the Gian Kaur case that  Article  21 does not include right to die by the Supreme Court. But one may try to read it as is evident in the rights ofthe request of the patient and the steps taken by the doctor. To make it more full proof some two or three assistant officials including one from the legal field can also be appointed. This will avoid any abuse of this right granted to the terminally ill patients. Here, we have to regard the painful situation in which the patient is and top priority should be lessening his pain. Now when we already know that the patient is anyways going to die today or tomorrow and he himself is asking for death, there is no point that he should be denied with this right of at least leading a life with minimum dignity and willingly. Otherwise his life will be no better in that situation. Thus, considering the financial and medical facilities also, the question still lies open that what will be better-allowing euthanasia or not How to cite Euthanasia, Papers Euthanasia Free Essays Topic: Euthanasia General Purpose: To Persuade Specific Purpose: I want to persuade my audience to be against euthanasia. Thesis: Legalizing Euthanasia Central Idea In Hippocratic Oath, Hippocrates as a father of medicine swears, â€Å"I will not give a lethal drug to anyone if I am asked, nor will I advise such a plan† (National Library of Medicine, p. 6). We will write a custom essay sample on Euthanasia or any similar topic only for you Order Now In other words, Hippocrates was against euthanasia. According to the Dictionary. om the definition of euthanasia is â€Å"the act of putting to death painlessly or allowing to die, as by withholding extreme medical measures, a person or animal suffering from an incurable, especially painful, disease or condition† (Dictionary. com, p. 1). It is also called a mercy killing, some people think that this is a good decision and some don’t. I personally, believe that this is not right; an individual should go into the afterlife naturally. 1. On one side there are people that justify this act as helping a terminally ill individual end his/her sufferings. For example, when an individual was in a house fire and burnt sixty percent of his skin and is going to die but he chooses euthanasia in order to stop the pain. In that case he will die eventually and there are many painkillers that can soothe his pain and help him spend more time with his family. Another case is when a person has been in vegetative state for a long time and eventually the relatives decide to turn the machines off and let the individual die. This is a very sensitive case because if a person didn’t want to die but didn’t have a living will, legally their spouse can pull the plugs off even if the person’s parents would be against it. And let’s not forget that technically if a brain shows a minimum of activity, the person is still considered alive. I consider turning off the machine is same as giving up on a person. 2. On the other side, there are people that are against it, including me, I consider it as manslaughter, even though an ill person is agreed to die. It is also against my religion, all humans are made in God’s image and God gave us life so we should respect it. At this moment, euthanasia is illegal in every state in the U. S. , not counting two states like Oregon and Washington. In Oregon they have an act called Oregon Death with Dignity Act and in Washington State they have the same act, except it is called the Washington Death with Dignity Act. (Wikipedia, p. 19). I am against legalizing euthanasia because there are some people that are not in sound mind, they may have suicidal thoughts and they will ask their doctor or people around them to help them stop their pain. If euthanasia will be legal some people will be forced to sign their consent to death, when he/she doesn’t know what he/she is signing; for example, a man in a nursing home that cannot read, or hear anymore is asked to sign the consent to his death, he will do it because he will trust people around him, people that take care of him. He will go along the process because he wouldn’t even understand what is going on. The reason why people would do that is when they are tired of him or they spend too much money on him so they will try get rid of him, I know it sounds awful but you will be surprised what people are capable of doing because of the money. Also, like I mentioned before, euthanasia is against Hippocratic Oath that every doctor takes before they get their license, in other words, it is against doctor’s moral responsibilities. When we think about euthanasia being legal in every state there would be many horrible cases that we cannot even think of. 3. You probably have a question on where it started. Well according to the History. com Adolf Hitler came up with this idea (History. com, p. 1). He ordered to kill all handicapped and mentally ill children. In addition, after that he moved on to adults and senior population. Hitler called it mercy killing because supposedly he was helping people to get out of their â€Å"misery† but it was a way of saving money. I believe that euthanasia is not right, no matter from what angles you look at it, it is manslaughter and as a human being I would not follow Hitler’s way of dealing with sick and dependant people. We should respect life that was given to us by God and end it in a natural way because this is how we were made. Reference Page North, Michael. â€Å"Greek Medicine | Hippocrates | The Oath. †Ã‚  National Library of Medicine – National Institutes of Health. 24 June 2010. Web. 14 Nov. 2011. lt;http://www. nlm. nih. gov/hmd/greek/greek_oath. htmlgt; â€Å"Euthanasia | Define Euthanasia at Dictionary. com. Dictionary. com | Find the Meanings and Definitions of Words at Dictionary. com. Web. 14 Nov. 2011. lt;http://dictionary. reference. com/browse/euthanasiagt;. â€Å"Hitler Suspends Euthanasia Program — History. com This Day in History — 8/18/1941. â€Å"History. com — History Made Every Day — American amp; World History. Aamp;E Television Network. Web. 14 Nov. 2011. lt;http://www. history. com/this-day-in-history/hitler-suspends-euthanasia-programgt;. â€Å"Suicide Legislation. †Ã‚  Wikipedia, the Free Encyclopedia. 4 Nov. 2011. Web. 14 Nov. 2011. lt;http://en. wikipedia. org/wiki/Suicide_legislationgt;. How to cite Euthanasia, Papers

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.