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Euthanasia is one of societys more widely, and hotly debated moral issues of our time. More directly, active euthanasia, which by definition, is; Doing something, such as administering a lethal drug, or using other means that cause a persons death.1 Passive euthanasia, defined as; Stopping (or not starting) some treatment, which allows a person to die, the persons condition causes his or her death, seems not to be as debated, perhaps not as recognized, as its counterpart. I have chosen to look more closely at the issue of active euthanasia, and whether or not it would be considered ethical, by Kantian standards.
Those who support the practice of active euthanasia might argue that helping the terminally ill to bring about their own deaths, allowing them to determine the how and when, is not only humane, but also allows the person, who is simply living to die, to maintain dignity by orchestrating their own end, thus letting them die at peace, rather than suffer to the end, preceiving themselves to be a burden and/or disgrace, to those they love. According to recent polls, many Canadians would agree, but the question is, have they taken a close look at the ethical debate? Those who are against active euthanasia would say not, and would argue that by participating in the practice of active euthanasia, one is playing God, or perhaps, even worse, that they are not acting out of mercy, but rather out of selfishness, attempting to lessen their own burden, and that therefore, the act is nothing less than cold-blooded murder. Murder is defined as; The unlawful, premeditated killing of one human being by another.4 Euthanasia, in Canada, remains unlawful as of today, and the act of euthanasia is premeditated, thus whether for the purpose of mercy or not, euthanasia is, by definition, murder. According to Kantian perspective and the Holy Bible, murder is both a sin and a crime, therefore we ought not participate in the practice of euthanasia, because it is murder, and it is the wrong thing to do.
The euthanasia debate raises many questions. Questions such as; For whose benefit is the murder actually taking place? Ought we allow family members to make a life-or-death decision on behalf of a loved one who may never have expressed a desire to die, simply because they could not vocalize a will to live? (As was the case of Robert Latimer). If a person should be suffering with an illness of which there seems no hope of recovery, yet they are unable to make a choice for themselves how do we know what that person would voluntarily choose? Is it our right to decide whether or not they have a desire to live? If we ourselves are not in the position of the individual whose life and/or death is being decided, we cannot possibly know or understand what their will is, what they would opt for personally, or even whether or not they can comprehend what is happening, thus the decisions we are making find us playing God, and assuming that our decisions are always in the best intrests of another. Without knowing for sure what the individual would have chosen, we may well have gone against their will, and thus have committed murder.
Some would argue that the practice of euthanasia is used as a last resort, when the individual can no longer manage the pain of their illness. However, that arguement can be rebutted by an observation made by a proponent of a movement similar to Right to Die. Dr Pieter Admiraal, a leader of a movement to legalize assisted suicide in the Netherlands, stated pubicly that pain is never justification for euthanasia considering the advanced medical techniques currently available to manage pain in almost every circumstance.5 Thus the pain does not justify death, but rather it justifies the need for more money to educate health care professionals on better pain management techniques.
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Ought we not look into a suicidal persons emotional and psychological background before we conclude that his or her suicide is acceptable because they are going to die anyway? We ought to take into consideration, the statistics which tell us that fewer than one in four people with terminal illness have a desire to die, and that all of those who did wish to die had previously suffered with clinically diagnosable depression.6 If we choose to overlook these statistics, and others that tell us that psychotheraputic treatments are not only available, but equally successful among people with terminal illness, as among people without7 then we are indeed cutting that persons life short, and thus one again, commiting murder.
If a physically healthy person who suffered with depression were to approach us with thoughts of suicide, we would comfort them, seek treatment for them, and provide as much as we were able, to see that they got the reassurance and the psychological and/or emotional help that they needed. Certainly we would not tell them that the choice was theirs and hand them a gun. Why then do we not do the same for those suffering with a physical illness? Further statistics tell us that the chances for living a happy life are often greater for a person who has attempted suicide, but are stopped, and provided with the help they need, than for individuals suffering with similar problems, who have never attempted suicide.8 It would serve us well to take notice of these statistics. We ought to be making every effort to find alternatives to euthanasia, and help people with theire problems, instead of helping them to end what very well could be a happy life.
One must also ask why some doctors would fight so vigorously to leagalize the practice of killing the terminally ill, while others maintain that there are many alternatives available that may offer a satisfactory and comfortable quality of life for those suffering from severe illness. Is it possible that some doctors are selling death for reasons other than compassion? If the possibility exists for this to be the case, than we ought to expect some doctors to abuse the system, as well as the rights and best intrests of the patient, in order to better themselves financially, or otherwise.
I personally believe that it would be extremely difficult, perhaps impossible, to legislate a point of illness or disability where euthanasia would be considered legally or ethically acceptable. To do so would be saying that all disabled or terminally ill patients have no chance for a happy and fulfilling life. I believe that we are taking quite a risk when we bring about another persons death wilfully, thus assuming that we have the ability to look into the future and deem their life unlivable.
Footnotes
1. Barbara MacKinnon, Euthanasia, Ethics Theory and Contemporary Issues, second edition, p.16, 18
. Barbara MacKinnon, Euthanasia, Ethics Theory and Contemporary Issues, second edition, p.16, 18
. TTI Market Explorers, Poll of 60 Adults in British Colombia, Euthanasia Prevention Coalition, 17
4. Clarendon Press, Concise Oxford Dictionary, p. 85, 15
5. Pieter Admiraal, Euthanasia in the Netherlands - A Dutch Doctors Perspective, (speech presented at the national convention of the Hemlock Society, Arlington VA, 186
6. Brown, Henteleff, Barakat and Rowe, Is It Normal for Terminally Ill Patients to Desire Death?, American Journal of Psychiatry, Vol. 14, No. , 186
7. Flora Johnson Skelly, Dont Miss Depression, Physicians say, American Medical News, p. 8, 1
8. Dahlgren, Suicide and Life Threatening Behaviour, (Stengel, supra note 4, p. 11), Attempted Suicides 5 Years Afterward, 177
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