Killing and Allowing to Die: Insights from Augustine

2021 ◽  
Author(s):  
Daniel P Sulmasy
Keyword(s):  
Assisted Suicide ◽  
Rational Basis ◽  
Physician Assisted Suicide ◽  
Major Argument

Abstract One major argument against prohibiting euthanasia and physician-assisted suicide (PAS) is that there is no rational basis for distinguishing between killing and allowing to die: if we permit patients to die by forgoing life-sustaining treatments, then we also ought to permit euthanasia and PAS. In this paper, the author argues, contra this claim, that it is in fact coherent to differentiate between killing and allowing to die. To develop this argument, the author provides an analysis of Saint Augustine’s distinction between martyrdom and suicide, highlighting the relevance of intention in the assessment of an agent’s actions. As a general matter of ethics, the intentions of agents, not just the outcomes of their actions, matter enormously for drawing distinctions between what is permissible and what is impermissible. Constructing an Augustinian account of this distinction between killing and allowing to die, the author argues that it is coherent to hold that assisted suicide is wrong, while also accepting that it is permissible to withhold or withdraw life-sustaining treatments.

Euthanasia and Related Practices Worldwide

Crisis ◽  
1998 ◽  
Vol 19 (3) ◽  
pp. 109-115 ◽  
Author(s):  
Michael J Kelleher † ◽  
Derek Chambers ◽  
Paul Corcoran ◽  
Helen S Keeley ◽  
Eileen Williamson
Keyword(s):  
Assisted Suicide ◽  
International Association ◽  
Active Euthanasia ◽  
Physician Assisted Suicide ◽  
Passive Euthanasia ◽  
Medical Practitioners ◽  
General Acceptance ◽  
International Importance ◽  
Controversial Area ◽  
Active And Passive Euthanasia

The present paper examines the occurrence of matters relating to the ending of life, including active euthanasia, which is, technically speaking, illegal worldwide. Interest in this most controversial area is drawn from many varied sources, from legal and medical practitioners to religious and moral ethicists. In some countries, public interest has been mobilized into organizations that attempt to influence legislation relating to euthanasia. Despite the obvious international importance of euthanasia, very little is known about the extent of its practice, whether passive or active, voluntary or involuntary. This examination is based on questionnaires completed by 49 national representatives of the International Association for Suicide Prevention (IASP), dealing with legal and religious aspects of euthanasia and physician-assisted suicide, as well as suicide. A dichotomy between the law and medical practices relating to the end of life was uncovered by the results of the survey. In 12 of the 49 countries active euthanasia is said to occur while a general acceptance of passive euthanasia was reported to be widespread. Clearly, definition is crucial in making the distinction between active and passive euthanasia; otherwise, the entire concept may become distorted, and legal acceptance may become more widespread with the effect of broadening the category of individuals to whom euthanasia becomes an available option. The “slippery slope” argument is briefly considered.

Dignity and the Case in Favor of Assisted Suicide

2017 ◽  
Author(s):  
Ralf Stoecker
Keyword(s):  
Human Dignity ◽  
Assisted Suicide ◽  
Physician Assisted Suicide ◽  
Ethical Perspective ◽  
Commit Suicide

Advocates of legalization of physician-assisted suicide usually argue that it is as matter of respect for human dignity that people get help in ending their lives (1) because the prohibition interferes with a fundamental liberty to conduct life according to one’s own preferences and (2) because sometimes suicide is an appropriate measure to avoid living an undignified life. In this chapter, it is argued that although the first argument is strong, the second argument is misguided. Hence, from an ethical perspective, society should not legally prohibit physician-assisted suicide. Yet, the person him- or herself should not commit suicide either. In particularly, the person should not regard such a suicide as a demand of his or her dignity.

Rights Discourse and Assisted Suicide

2001 ◽  
Vol 27 (1) ◽  
pp. 45-99
Author(s):  
Penney Lewis
Keyword(s):  
United States ◽  
Assisted Suicide ◽  
Public Awareness ◽  
The United States ◽  
Medical Professionals ◽  
Physician Assisted Suicide ◽  
Criminal Trials ◽  
Supreme Courts ◽  
Rights Discourse ◽  
Law Professors

The debate surrounding the legalization of assisted suicide has been galvanized in recent years by reports of specific cases of assisted suicide, primarily involving physicians such as Kevorkian and Quill, and by impassioned pleas for legalization and assistance in suicide from individuals suffering in the throes of terminal or agonizing diseases, such as Sue Rodriguez. Media attention on criminal trials of individuals accused of assisting in a suicide has heightened public awareness of the issue. The constitutionality of criminal prohibitions on assisted suicide has been tested in various jurisdictions, and has recently been considered by the Supreme Courts of both the United States and Canada. Following two narrowly unsuccessful attempts to enact dignified death provisions by referenda in Washington and California, Oregon voters passed the first of such proposed laws in November 1994, providing for physician-assisted suicide under certain specified conditions. Attempts to introduce legislation to legalize assisted suicide in other jurisdictions have been galvanized by the success in Oregon. A model statute has been drafted by a group of law professors, philosophers and medical professionals.

Lessons from the Departed: A Planned Behavior Approach to Understand Travelers’ Actual Physician-Assisted Suicide Behavior

2021 ◽  
pp. 109634802098762
Author(s):  
Edmund Goh ◽  
Jun Wen ◽  
Chung-En Yu
Keyword(s):  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Assisted Suicide ◽  
Social Groups ◽  
Actual Behavior ◽  
Physician Assisted Suicide ◽  
Reference Groups ◽  
Suicide Behavior ◽  
Research Gap ◽  
Perceived Constraints

Traveling to die in another country is a morbid, but pertinent, topic that remains underresearched in tourism. This project aims to address this research gap by examining the underlying motivations of actual individual travelers who have travelled to Switzerland as their final life destination to commit physician-assisted suicide (PAS). Using documentaries from major news channels, content analysis was conducted to systematically examine interviews conducted with actual PAS travelers ( n = 26) before they ended their life legally through PAS in Switzerland. An extension of the theory of planned behavior with anticipated guilt was commissioned as the theoretical lens to investigate the actual behavior of travelers who have committed PAS. A total of three key attitudes, three social groups, and four perceived constraints were identified. Results identified putting an end to suffering and to die with dignity as key attitudinal items influencing PAS behavior. The reference groups of family and relatives emerged as key salient normative groups. With regard to perceived difficulties, lack of access to facilities and high financial costs were key constraints in the decision to commit PAS. A key contribution of this research found evidence of anticipated guilt as an additional theory of planned behavior variable in actual PAS behavior.

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