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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

    http://www.bbc.co.uk/religion/ethics/euthanasia/overview/doubleeffect.shtmlhttp://www.bbc.co.uk/religion/ethics/euthanasia/overview/doubleeffect.shtmlhttp://www.bbc.co.uk/religion/ethics/euthanasia/overview/doubleeffect.shtmlhttp://www.bbc.co.uk/religion/ethics/euthanasia/overview/doubleeffect.shtmlhttp://www.bbc.co.uk/religion/ethics/euthanasia/overview/doubleeffect.shtml
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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