euthanasia, agama
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What is Euthanasia?
Euthanasia is the deliberate killing of a person forthe benefit of that person.
In most cases euthanasia is carried out because the
person who dies asks for it, but there are casescalled euthanasia where a person can't make such
a request.
A person who undergoes euthanasia is usually
terminally ill, but there are other situations inwhich some people want euthanasia.
The ethics of Euthanasia
Euthanasia raises agonising moral questions likethese:
is it ever right for another person to end the
life of a terminally ill patient who is in severe pain or
enduring other suffering
if euthanasia is sometimes right, under what
circumstances is it right is there any moral difference between killing
someone and letting them die
At the heart of the ethical and religious arguments
over euthanasia are the different ideas that peoplehave of the meaning and value of human
e!istence, and of whether human beings have the
right to decide issues of life and death forthemselves.
"here are also a number of arguments based on
practical issues.
#ome people think that euthanasia shouldn't be
allowed even if it was morally right, because itwould be abused and used as a cover for murder.
Killing or letting die
Euthanasia can be carried out either by doingsomething, such as giving a lethal in$ection, or by
not to do something necessary to keep the person
alive %for e!ample failing to keep their feedingtube going&.
'Extraordinary' medical care
It is not euthanasia if a patient dies as a result ofrefusing e!traordinary or burdensome medical
treatment.
Euthanasia and pain reliefIt's not euthanasia to give a drug in order to reduce
pain, even though the drug causes the patient to
die sooner. "his is because the doctor's intention
was to relieve the pain, not to kill the patient. "hisargument is sometimes known as theDoctrine of
Double Effect.
Mercy killing
ery often people call euthanasia 'mercy killing',
perhaps thinking of it for someone who is
terminally ill and suffering prolonged, unbearablepain. "he word euthanasia comes from the (reek
and means easy death.
Why people ant euthanasia
)ost people think unbearable pain is the main
reason people seek euthanasia, but some surveys
in the *#A and the +etherlands showed that lessthan a third of requests for euthanasia were
because of severe pain.
"erminally ill people can have their quality of life
severely damaged by physical conditions such asincontinence, nausea and vomiting,
breathlessness, paralysis, difficulty in
swallowing...
sychological factors that cause people to think of
euthanasia include depression, fear of loss of
control or of dignity, feeling a burden, or dislikeof being dependent.
Euthanasia and suicide in !slam
)uslims are against euthanasia. "hey believe thatall human life is sacred because it is given by
Allah, and that Allah chooses how long each
person will live. -uman beings should notinterfere in this.
"ife is sacred
Euthanasia and suicide are not included among thereasons allowed for killing in Islam.
o not take life, which Allah made sacred, other thanin the course of $ustice.Qur'an 17:33If anyone kills a person / unless it be for murder or
spreading mischief in the land / it would be as if he
killed the whole people.Qur'an 5:32
#llah decides ho long each of us ill li$e
0hen their time comes they cannot delay it for a
single hour nor can they bring it forward by a single
hour.Qur'an 16:61And no person can ever die e!cept by Allah's leave
and at an appointed term.Qur'an 3:145
%uicide and euthanasia are explicitly forbidden
estroy not yourselves. #urely Allah is ever merciful
to you.Qur'an 4:29
"he rophet said: 1Amongst the nations before youthere was a man who got a wound, and growing
impatient %with its pain&, he took a knife and cut his
hand with it and the blood did not stop till he died.Allah said, ')y #lave hurried to bring death upon
himself so I have forbidden him %to enter& aradise.'
1Sahih Bukhari 4.56.669
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therefore they say that we should try to
avoid harming living things
this rules out killing people, even if they
want to die
The sanctity of life
4eligious people often refer to the sanctity of life,or say that human life is sacred. "hey usuallymean something like this:
(od gives people life, so only (od has the right to
take it away.7ou can look at that sentence in several ways.
-ere are three:
(od gave us our lives
we owe our lives to (od
(od is the final authority over our lives
we must not interfere in the ending of our
lives
(od is intimately involved in our lives
(od was intimately involved in our births
(od will be intimately involved in our
deaths
it would be wrong to try and shut (od out of
our dying
we should not interfere in the way (od has
chosen for our lives to end
(od gave us our lives
we are only stewards of our bodies, and are
responsible to (od for them
we must use our bodies as (od intended us
to
we must allow our lives %our stewardship& to
end at the time and in the way (od wants
(uddhism0 euthanasia and suicide
6uddhists are not unanimous in their view of
euthanasia, and the teachings of the 6uddha don'te!plicitly deal with it.
)ost 6uddhists %like almost everyone else& are
against involuntary euthanasia. "heir position on
voluntary euthanasia is less clear.
%tates of mind
"he most common position is that voluntary
euthanasia is wrong, because it demonstrates that
one's mind is in a bad state and that one hasallowed physical suffering to cause mental
suffering.
)editation and the proper use of pain killingdrugs should enable a person to attain a state
where they are not in mental pain, and so nolonger contemplate euthanasia or suicide.
6uddhists might also argue that helping to end
someone's life is likely to put the helper into a badmental state, and this too should be avoided.
#$oiding harm
6uddhism places great stress on non/harm, and onavoiding the ending of life. "he reference is to life/ any life / so the intentional ending of life seems
against 6uddhist teaching and voluntary
euthanasia should be forbidden. 5ertain codes of6uddhist monastic law e!plicitly forbid it.
8ay/people do not have a code of 6uddhist law, so
the strongest that can be said of a lay person whotakes part in euthanasia is that they have made an
error of $udgement.
Karma
6uddhists regard death as a transition. "hedeceased person will be reborn to a new life,
whose quality will be the result of their karma.
"his produces two problems. 0e don't know whatthe ne!t life is going to be like. If the ne!t life is
going to be even worse than the life that the sick
person is presently enduring it would clearly bewrong on a utilitarian basis to permit euthanasia,
as that shortens the present bad state of affairs in
favour of an even worse one.
"he second problem is that shortening lifeinterferes with the working out of karma, and
alters the karmic balance resulting from theshortened life.
Euthanasia as suicide
Another difficulty comes if we look at voluntary
euthanasia as a form of suicide.
"he 6uddha himself showed tolerance of suicideby monks in two cases. "he 9apanese 6uddhist
tradition includes many stories of suicide by
monks, and suicide was used as a political weaponby 6uddhist monks during the ietnam war.
6ut these were monks, and that makes a
difference. In 6uddhism, the way life ends has aprofound impact on the way the new life will
begin.
#o a person's state of mind at the time of death is
important / their thoughts should be selfless andenlightened, free of anger, hate or fear.
"his suggests that suicide %and so euthanasia& is
only approved for people who have achievedenlightenment and that the rest of us should avoid
it.
The %amurai tradition
#uicide was a significant part of the 9apanesesamurai tradition.
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"he samurai ritual ofseppukucame very close toeuthanasia indeed / an assistant would behead the
suicide after the suicide had fatally stabbed
themselves in order to bring death swiftly andreduce the time the suicide was in pain.
"he samurai motivation for suicide was similar tothat of the person seeking euthanasia: either they
had lost a battle and would be killed by theirenemies %the analogy is that the patient has losttheir battle against the disease, and it will kill
them& or they had been so badly wounded that
they could no longer be useful members of society%the patient could be in a similar position&.
In line with 6uddhist thinking, the seppuku ritual
laid great emphasis on the suicide having a
peaceful mind during the action.
Euthanasia / the )hristian $ie
5hristians are mostly against euthanasia. "he
arguments are usually based on the beliefs that lifeis given by (od, and that human beings are made
in (od's image. #ome churches also emphasise
the importance of not interfering with the naturalprocess of death.
"ife is a gift from ,od
all life is (od/given
birth and death are part of the life processes
which (od has created, so we should respect them
therefore no human being has the authority
to take the life of any innocent person, even if that
person wants to die
*uman beings are $aluable because they are made
in ,od's image
human life possesses an intrinsic dignity and
value because it is created by (od in his own image
for the distinctive destiny of sharing in (od's own life
o saying that (od created
humankind in his own image doesn't meant thatpeople actually look like (od, but that people have a
unique capacity for rational e!istence that enables
them to see what is good and to want what is goodo as people develop these abilities
they live a life that is as close as possible to (od's life
of loveo
this is a good thing, and lifeshould be preserved so that people can go on doing
this
to propose euthanasia for an individual is to
$udge that the current life of that individual is not
worthwhile
such a $udgement is incompatible with
recognising the worth and dignity of the person to be
killed
therefore arguements based on the quality of
life are completely irrelevant
nor should anyone ask for euthanasia for
themselves because no/one has the right to valueanyone, even themselves, as worthless
The process of dying is spiritually important0 andshould not be disrupted
)any churches believe that the period $ust
before death is a profoundly spiritual time
"hey think it is wrong to interfere with the
process of dying, as this would interrupt the process ofthe spirit moving towards (od
#ll human li$es are e1ually $aluable
5hristians believe that the intrinsic dignity andvalue of human lives means that the value of each
human life is identical. "hey don't think that
human dignity and value are measured bymobility, intelligence, or any achievements in life.
aluing human beings as equal $ust because they
are human beings has clear implications forthinking about euthanasia:
patients in a persistent vegetative state,
although seriously damaged, remain living human
beings, and so their intrinsic value remains the same asanyone else's
so it would be wrong to treat their lives as
worthless and to conclude that they 'would be betteroff dead'
patients who are old or sick, and who are
near the end of earthly life have the same value as anyother human being
people who have mental or physical
handicaps have the same value as any other humanbeing
Exceptions and omissions
#ome features of 5hristianity suggest that thereare some obligations that go against the general
view that euthanasia is a bad thing:
5hristianity requires us to respect every
human being
If we respect a person we should respect
their decisions about the end of their life
0e should accept their rational decisions to
refuse burdensome and futile treatment
erhaps we should accept their rational
decision to refuse e!cessively burdensome treatment
even it may provide several weeks more of life
End of life care
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"he 5hristian faith leads those who follow it tosome clear/cut views about the way terminally ill
patients should be treated:
the community should care for people who
are dying, and for those who are close to them
the community should provide the best
possible palliative care
the community should face death and dying
with honesty and support
the community should recognise that when
people suffer death on earth they entrust their future to
the risen 5hrist
religious people, both lay and professional,
should help the terminally ill to prepare for death
they should be open to their hopes and fears
they should be open to discussion
Euthanasia / the &oman )atholic $ie
Euthanasia is a grave violation of the law of (od,
since it is the deliberate and morally unacceptable
killing of a human person.Pope John Paul II,Ean!eliu" #i$ae, 1995
"he 4oman 5atholic church regards euthanasia asmorally wrong. It has always taught the absolute
and unchanging value of the commandment 17ou
shall not kill1.
"he church has said that:
nothing and no one can in any way permit the killing
of an innocent human being, whether a foetus or an
embryo, an infant or an adult, an old person, or onesuffering from an incurable disease, or a person who is
dying.
ope 9ohn aul II has spoken out against what hecalls a 'culture of death' in modern society, and
said that human beings should always prefer theway of life to the way of death.
"he church regards any law permitting euthanasia
as an intrinsically un$ust law.
The $alue of life
8ife is a thing of value in itself2 it's value doesn'tdepend on the e!tent that it brings pleasure and
well/being.
"his means that suffering and pain do not stop lifebeing valuable, and are not a reason for ending
life.
"he church believes that each person should enter
the dying process with all its mysteries with trustin (od and in solidarity with their fellow human
beings2 they should die with the dignity of letting
themselves be loved unconditionally.
As 5atholic leaders and moral teachers, we believethat life is the most basic gift of a loving (od//a gift
over which we have stewardship but not absolute
dominion.%a$ional &oneren(e o &a$holi(Bi)hop) *+S-, 1991
The right to die
"he 4oman 5atholic church does not accept thathuman beings have a right to die.
-uman beings are free agents, but their freedom
does not e!tend to the ending of their own lives.
Euthanasia and suicide are both a re$ection of(od's absolute sovereignty over life and death.
"he church believes that each human life is a
manifestation of (od in the world, a sign of his
presence, a trace of his glory. 1"he life which (odoffers to man is a gift by which (od shares
something of himself with his creature.1
A human being who insists that they have the'right to die' is denying the truth of their
fundamental relationship with (od.
&efusing aggressi$e medical treatment
"he church regards it as morally acceptable torefuse e!traordinary and aggressive medical
means to preserve life. 4efusing such treatment isnot euthanasia but a proper acceptance of the
human condition in the face of death.
#ssisting suicide
#ince it is morally wrong to commit suicide it ismorally wrong to help someone commit suicide.
"rue compassion leads to sharing another's pain2 it
does not kill the person whose suffering we cannot
bear.Pope John Paul II, Ean!eliu" #i$ae,1995
Euthanasia and suicide
"here are several -indu points of view on
euthanasia.
)ost -indus would say that a doctor should notaccept a patient's request for euthanasia since this
will cause the soul and body to be separated at an
unnatural time. "he result will damage the karmaof both doctor and patient.
ther -indus believe that euthanasia cannot be
allowed because it breaches the teaching of
ahimsa %doing no harm&.
-owever, some -indus say that by helping to end
a painful life a person is performing a good deed
and so fulfilling their moral obligations.
(ackground
-induism is less interested than western
philosophers in abstract ideas of right or wrong.4ather it focuses on the consequences of our
actions.
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3or -indus, culture and faith are ine!tricable. #oalthough many moral decisions taken by -indus
seem more influenced by their particular culture
than by the ideas of their faith, this distinctionmay not be as clear as it seems.
;arma: -indus believe in the reincarnation of the
soul %or atman& through many lives / notnecessarily all human. "he ultimate aim of life is
to achieve moksha, liberation from the cycle of
death and rebirth.
A soul's ne!t life is decided by karma, as theconsequence of its own good or bad actions in
previous lives. 7ou could regard a soul's karma as
somehow representing the net worth of its goodand bad actions.
A soul cannot achieve moksha without good
karma.
+on/violence: Another important principle isahimsa, not being violent or causing harm to other
beings.
harma: -indus live their lives according to theirdharma / their moral duties and responsibilities.
"he dharma requires a -indu to take care of the
older members of their community.
Killing
;illing %euthanasia, murder, suicide& interfereswith the killed soul's progress towards liberation.
It also brings bad karma to the killer, because ofthe violation of the principle of non/violence.
0hen the soul is reincarnated in another physical
body it will suffer as it did before because the
same karma is still present.
eath: "he doctrine of karma means that a -indutries to get their life in a good state before they
die, making sure that there is no unfinishedbusiness, or unhappinesses. "hey try to enter the
state of asannyasin/ one who has renounced
everything."he ideal death is a conscious death, and this
means that palliative treatments will be a problem
if they reduce mental alertness.
"he state of mind that leads a person to chooseeuthanasia may affect the process of reincarnation,
since one's final thoughts are relevant to the
process.
Euthanasia
"here are two -indu views on euthanasia:
6y helping to end a painful life a person is
performing a good deed and so fulfilling their moralobligations
6y helping to end a life, even one filled with
suffering, a person is disturbing the timing of the cycle
of death and rebirth. "his is a bad thing to do, andthose involved in the euthanasia will take on the
remaining karma of the patient.
"he same argument suggests that keeping a
person artificially alive on a life/support machines
would also be a bad thing to do
-owever the use of a life/support machine
as part of a temporary attempt at healing would not bea bad thing
%uicide
Prayopavesa, or fasting to death, is an acceptable
way for a -indu to end their life in certain
circumstances.rayopavesa is very different from what most
people mean by suicide:
it's non/violent and uses natural means2
it's only used when it's the right time for this
life to end / when this body has served its purpose and
become a burden2 unlike the suddenness of suicide,
prayopavesa is a gradual process, giving ample time
for the patient to prepare himself and those aroundhim for his death2
while suicide is often associated with
feelings of frustration, depression, or anger,prayopavesa is associated with feelings of serenity
rayopavesa is only for people who are fulfilled,
who have no desire or ambition left, and noresponsibilities remaining in this life. It is really
only suitable for elderly ascetics.
-indu law lays down conditions for prayopavesa:
inability to perform normal bodily
purification
death appears imminent or the condition is
so bad that life's pleasures are nil
the decision is publicly declared
the action must be done under community
regulation
#n example of prayopa$esa
#atguru #ivaya #ubramuniyaswami, a -indu
leader born in 5alifornia, took his own life by
prayopavesa in +ovember .
After finding that he had untreatable intestinal
cancer the #atguru meditated for several days and
then announced that he would accept pain/killingtreatment only and would undertake prayopavesa /
taking water, but no food.
-e died on the ?
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+udaism0 euthanasia and suicide
..."he message of 9udaism is that one must struggle
until the last breath of life. *ntil the last moment, one
has to live and re$oice and give thanks to the
5reator...r /a(ha"i" 0ela"e&ohen,Je)eek, 0ar(h, 22
"he 9ewish tradition regards the preservation of
human life as one of its supreme moral values andforbids doing anything that might shorten life.
-owever, it does not require doctors to makedying last longer than it naturally would.
9ewish law and tradition regard human life
as sacred, and say that it is wrong for anyone toshorten a human life
o this is because our lives are not
ours to dispose of as we feel like
all life is of infinite value, regardless of its
duration or quality, because all human beings are
made in the image of (od
saving someone from pain is not a reason tokill them
nor is it lawful to kill oneself to save oneself
from pain
but there is a limit to the duty to keep people
aliveo if someone's life is ending and
they are in serious pain, doctors have no duty to make
that person suffer more by artificially e!tending theirdying moments
it is also acceptable to ask (od in prayer to
remove a person from their pain and suffering
#cti$e euthanasia
9ewish law forbids active euthanasia and regards itas murder. "here are no e!ceptions to this rule and
it makes no difference if the person concernedwants to die.
%hortening life
It is wrong to shorten a life even if it would endvery soon, because every moment of human life is
considered equal in value to many years of life.
"he value of human life is infinite and beyond
measure, so that any part of life / even if only an houror a second / is of precisely the same worth as seventy
years of it, $ust as any fraction of infinity, being
indivisible, remains infinite.or Jakooi$),
or"er + &hie /ai#o even if a person is agoses%this word meanssomeone who has started to die and will die within
@< hours&, any action that might hasten their death
/ for e!ample closing the eyes or moving a limb /is prohibited.
2assi$e euthanasia
9ewish law says that doctors %and patients& have aduty to preserve life, and a doctor must do
everything heshe can to save a patient's life / evenif the patient doesn't want them to.
6ut this isn't the end of it. "here is some freedom
for doctors in cases where a patient is terminallyill.
Although a doctor cannot do anything that hastens
death, 1if there is something which is preventingthe soul from departing1 a doctor can removewhatever is preventing the dying person's soul
from departing.
In more modern language this means that ifsomething is an impediment to the natural process
of death and the patient only survives because of
it, it is permitted under 9ewish law to withdrawthat thing.
#o if a patient is certain to die, and is only being
kept alive by a ventilator, it is permissable to
switch off the ventilator since it is impeding thenatural process of death.
The rele$ance of pain
4abbi )oshe 3einstein and 4abbi #hlomo BalmanAuerbach have ruled that a dying patient should
not be kept alive by artificial means where the
treatment does not cure the illness but merelyprolongs the patient's life temporarily and the
patient is suffering great pain.
ain relief medicine can be given even though it
may hasten death, as long as the dose is notcertain to kill, and the intention is not to kill but to
relieve pain.
*astening one's on death
-uman beings don't have the right to kill
themselves, so someone who is terminally ill and
in great pain cannot take action to speed their owndeath. Even if they are mentally fit to make that
choice, the rule that life is sacred prevents them
from shortening their life.
A passage in the "almud tells the story of 4abbi5hanina ben "eradion, who was being burned
alive by the 4omans. -is pupils urged him to endhis suffering quickly by opening his mouth and
inhaling the flames. -e replied, 1It is better that
-e who gave Cme my soulD should take it ratherthan I should cause in$ury to myself.1
It's also against 9ewish law to help someone to kill
themselves, since one is not allowed to enableanother person to break 9ewish law.
Does the rule ban treatment that may kill?
octors are commanded to do their best to heal
the sick and prevent suffering. #o it's ; for adoctor to put a patient through life/endangering
treatment if that is likely to e!tend the patient's
life or reduce their pain.
(iblical precedents
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"he first e!ample of 9ewish euthanasia comes inthe 6ible:
And a certain woman threw an upper millstone upon
Abim'elech's head, and crushed his skull.
"hen he called hastily to the young man his armor/bearer, and said to him, 1raw your sword and kill
me, lest men say of me, 'A woman killed him.'1 Andhis young man thrust him through, and he died.
Ju!e) 9:5354"here's a more famous case at the start of