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Euthanasia - to Live and Let Die

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INTRODUCTION

Euthanasia is defined as the intentional killing, by act or omission, of a human being for his or her purported benefit. This definition is quite wide-ranging and a number of types of euthanasia and related activities have been defined. These include physician-assisted suicide and involuntary/non-voluntary euthanasia. While participation in the death of another—desired or otherwise—is usually defined in terms of a criminal act, a number of jurisdictions have established lawful protocols permitting such outcomes. By the same token, other jurisdictions, the Netherlands, have adopted what amount to non-punitive protocols in the face of existing legislation to the contrary when certain medical procedures are undertaken by licensed physicians. All of these acts have created considerable debate, extending to such issues as physician responsibility, duty of care, extent of individual responsibility, and personal integrity, to name just a few. This paper considers aspects of euthanasia and the moral factors that pertain. At the conclusion, this paper will recommend that certain types of euthanasia be permitted under the general supervision of a trained physician.

EUTHANASIA AND PHYSICIAN-ASSISTED SUICIDE

Physician-assisted suicide (PAS), like euthanasia, has been forbidden since the creation of the Hippocratic Oath. However, as a practical matter, physicians have had a measure of latitude in the specific application. For example, a fatal dose of an opium based drug might be administered to counteract intractable pain in a terminal patient, with an expected resulting death. Unlike euthanasia, PAS involves the physician as a facilitator of patient termination, one in which the patient still participates, in a limited fashion, as an active participant. In much of northern Europe PAS has been legislated with varying limitations on both

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