PY 1103 Moral Problems, Topic 3: Euthanasia

 

 

Definition: death that is good for the person who dies.

 

Passive euthanasia: the person is allowed to die, by suspending medical treatment.

 

Active euthanasia: the person is actively killed.

 

 

3 kinds of euthanasia:

 

Voluntary euthanasia: the personŐs death is at that personŐs request.

 

Non-voluntary euthanasia: the person is not capable of making a rational decision about their own fate (eg,new-born infants, people suffering senile dementia) and the decision to let them die or to end their life is taken on their own behalf because it is judged to be in their best interests.

 

Involuntary euthanasia: the person is allowed to die or killed against their will. 

 

For all practical purposes, involuntary euthanasia is ruled out.  The debate over legalising euthanasia focuses on voluntary and non-voluntary euthanasia.

 

 

 

Argument against euthanasia:

 

A. Direct: Euthanasia would be wrong in itself. 

 

1. The sanctity of life (applies to voluntary and non-voluntary passive and active euthanasia)

 

Being alive is intrinsically valuable for every human being.  There can therefore be no such thing as a death that is good for the person who dies. 

 

   Two moral judgements follow from the belief that human life is valuable in itself:

 

1. Taking human life is intrinsically wrong, under any circumstances.

 

            2. Failing to preserve a human life is intrinsically wrong, under any circumstances.

 

On one interpretation of the principle, when someone is irreversibly unconsciousness, their life is

   still intrinsically valuable.  It follows that the respirator should not be turned off.

Objection: from someoneŐs subjective point of view, there is no difference between

irreversible unconsciousness and death.  They therefore cannot be harmed by being allowed to die.

 

On an alternative interpretation, the life of every conscious human being is intrinsically valuable,

   whatever the level of that consciousness, and whatever the circumstances.

            Objections:

            1. Mere awareness of the environment is not valuable.

            2. Speceisist: it justifies the claim that human lives are more valuable than the lives of 

other animals purely on the basis of membership of the species homo sapiens, which is a

morally arbitrary category.

 

Kantian view: the lives of persons (i.e. rational autonomous agents) have a special value, that the

   lives of animals lack.  (Not all human beings are persons).

 

Utilitarian view: normally the lives of persons are especially valuable, because of the joys that are

   distinctive of personhood, such as self-awareness, deep personal relationships, etc.  It is 

   therefore normally (equally) wrong to destroy or fail to save a personŐs life.  But human

   beings with very severe brain damage are incapable of these experiences of  personhood.

   Moreover, when positive experiences are not possible, then being alive ceases to be of value,

   and may become disvaluable. 

 

 

2. The claim that it is intrinsically wrong to kill another human being.  (This argument is based on the view that there is a sharp moral distinction between killing and letting die, and applies only to active euthanasia.)

 

 

B. Indirect: Euthanasia would have dangerous side effects.

 

In principle, individual cases of euthanasia might be morally justified; but in practice, adopting a policy of euthanasia would lead to the unjustified killing of worthwhile lives.

 

1. Pressure from family members.

 

2. Slippery slope.

 

   A: Logical: it is impossible to discriminate between unjustified and justified cases of

   euthanasia.

 

   B: Psychological: a policy of euthanasia could lead to unjustified killings, by eroding the

   psychological barriers against killing.

 

 

 

Arguments in favour of euthanasia:

 

1. The argument from mercy (applies to active and passive voluntary and non-voluntary

   euthanasia)

   When someone is enduring unbearable pain which can only be ended by death, death may be in

   their best interests.

 

2. The argument from autonomy (only applies to voluntary euthanasia)

   We should respect personsŐ capacity to make rational decisions on their own behalf. 

 

3. The argument from the Golden Rule (applies to active and passive voluntary and non-voluntary

   euthanasia).