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Active Euthenasia

– A Kantian Perspective Essay, Research Paper


Euthanasia is one of society’s 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 person’s death.”1 Passive euthanasia,


defined as; “Stopping (or not starting) some treatment, which allows a


person to die, the person’s condition causes his or her death,”2 seems


not to be as debated, perhaps not as recognized, as it’s 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,3 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

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on better pain management techniques.


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 person’s 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 person’s 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.126, 1998


2. Barbara MacKinnon, “Euthanasia,” Ethics


Theory and Contemporary Issues, second edition, p.126, 1998


3. TTI Market Explorers, Poll of 603 Adults


in British Colombia, Euthanasia Prevention Coalition, 1997


4. Clarendon Press, “Concise Oxford Dictionary”,


p. 895, 1995


5. Pieter Admiraal, “Euthanasia in the


Netherlands – A Dutch Doctor’s Perspective,” (speech presented at the national


convention of the Hemlock Society, Arlington VA, 1986


6. Brown, Henteleff, Barakat and Rowe,


“Is It Normal for Terminally Ill Patients to Desire Death?,” American Journal


of Psychiatry, Vol. 143, No. 2, 1986


7. Flora Johnson Skelly, “Don’t Miss Depression,


Physicians say,” American Medical News, p. 28, 1992


8. Dahlgren, “Suicide and Life Threatening


Behaviour,” (Stengel, supra note 4, p. 113), Attempted Suicides 35 Years


Afterward, 1977

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