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It is believed that euthanasia started in ancient Greece and Rome around the fifth century B.C.
They did this by abortions and every now and then performed a mercy killing. Even though
doctors were supposed to follow the Hippocratic Oath, many did not and therefore would end up
giving patients poison if they asked them to. During the Middle Ages, euthanasia was pretty
much out of the question. If one committed suicide, the law in Europe was for the body to be
dragged through the streets or nailed to a barrel and left to drift downriver (procon.org).
During the Seventeenth and Eighteenth centuries euthanasia was a topic of discussion. However,
people continued to reject euthanasia and assisted suicide. It wasnt until 1828, for the first
American law to make assisted suicide illegal. Although America outlawed euthanasia and
assisted suicide, some states were still trying to get a law passed at the state level. During the
1930s, euthanasia started to gain support in the US and societies who were in favor of it started
to pop up not only in the US, but in England as well. However, World War Two would change
euthanasia forever. Hitler and the Nazis killed hundreds of thousands of people using euthanasia.
Hitler and company did this by gassing, drugs, and starving the people. This put a halt on the
euthanasia movement as Americans grew less fond of euthanasia. A poll asked Americans in
1950 whether euthanasia was okay and only 36 percent answered yes approximately 10
percent less than in the late 1930s (procon.org). The late 20th and early 21st century would be the
time for euthanasia. The Netherlands would be the first country in the world to legalize
euthanasia, and Belgium would legalize it soon after the Netherlands did. Australia did allow
euthanasia for a brief time in the mid-90s as well. In 1998, Oregon would be the first US state to
allow euthanasia and Washington and Montana would follow.
Euthanasia: The practice of intentionally ending a life in order to relievepain and suffering. The word
"euthanasia" comes straight out of the Greek -- "eu", goodly or well + "thanatos", death = the good
death.
It refers to the situation when a doctor induces the death with a lethalinjection, of a patient who is
suffering unrelievably and has persistently requested the doctor to do so.
The Netherlands is the only country in the world where euthanasia is openly practiced. It is not
specifically allowed by statute, but Dutch law accepts a standard defense from doctors who have
adhered to official guidelines. These guidelines hinge on the voluntariness of the request and the
unrelievable-ness of the suffering. Euthanasia and assisted suicide are defined by the State
Commission on Euthanasia. Euthanasia is the intentional termination of life by somebody other than
the person concerned at his or her request. Assisted suicide means intentionally helping a patient to
terminate his or her life at his or her request.
Under Dutch law euthanasia is the termination of life by a doctor at the express wish of a patient.
The request to the doctor must be voluntary, explicit and carefully considered and it must have been
made repeatedly. Moreover, the patient's suffering must be unbearable and without any prospect of
improvement.
Pain relief administered by a Dutch doctor may shorten a patient's life. As is the case in other
countries, in this is seen as a normal medical decision in terminal care and not as euthanasia.
Methods of Euthanasia
There are many ways of initiating euthanasia, and each method can have different outcomes, some very
painful. Regulating methods will not deter users from using plastic bags; it will merely legitimise their use.
Dehydration
Competent adult patients have the right to refuse medical treatment. Such refusals of treatments are morally
and ethically different from euthanasia, and should remain legally different.
Dr Tricia Briscoe said at the 2004 Medical Law Conference:
"The right to refuse treatment flows from a right to inviolability - a right not to be touched, including by
continuing treatment, without one's consent - not from a right to die. Withdrawal of treatment will mean death,
but it will result from the patient's underlying illness."
When, however, an action or medication is withheld from a patient for the primary purpose of causing or
hastening death, this is passive, or indirect, euthanasia. These measures may include the with-holding or
withdrawal of ordinary measures such as food, water (hydration) and oxygen.
Examples of passive euthanasia are:
when food and water is withheld from sick or disabled newborn babies who might otherwise have lived
with-holding or withdrawing food and water from someone who is diagnosed as being in a 'persistent
vegetative state,' has dementia, or who is not improving fast enough (e.g. from a stroke)
Drugs
In Oregon, a doctor can write a prescription for drugs that are intended to kill the patient. When the prescription
is filled, directions centre around making certain that the patient understands about taking all the pills in a single
dose, dies after taking the prescription.
The lethal drugs are covered by some Oregon health insurance plans. They are paid for by the state Medicaid
program under a funding category called "comfort care."
Research into euthanasia in the Netherlands claimed people awake from comas after taking supposedly fatal
drug doses and suffer side effects such as vomiting and gasping.
To reduce the chances of the euthanasia drugs being vomited up, an anti-emetic must be given.
The study showed that when patients tried to kill themselves using drugs prescribed by a doctor, the medication
did not work as expected in 16% of cases. In a further 7% of cases there were technical problems or
unexpected side effects.
Problems surface so often that doctors felt compelled to intervene in 18% of cases, according to a report in the
New England Journal of Medicine. Even when the doctor directly performed euthanasia, complications
developed in 3% of the attempts. Patients either took longer to die than expected or woke from a drug-induced
coma that was supposed to be fatal in 6% of cases.
Injections
In the Netherlands, the practice is an injection to render the patient comatose, followed by a second injection to
stop the heart.
First a coma is induced by intravenous administration of barbiturates, followed by a muscle relaxant. The
patient usually dies as the result of anoxemia caused by the muscle relaxant. When death is delayed,
intravenous potassium chloride is also given to hasten cardiac arrest.
Starvation and Dehydration
Right-to-die activists often advocate the withdrawal of food and water in order to hasten death. This means of
death is frequently approved when application is made to the courts. Proponents of euthanasia recommend the
use of what is known as Terminal Sedation in combination with the withdrawal of food and water.
Terminal sedation allows for the measured use of sedatives and analgesics for the necessary control of
symptoms such as intolerable pain, agitation, and anxiety, in order to relieve the distress of the patient and of
family members.
If all food and fluids (nutrition and hydration) are removed from a person -- whether that person is a healthy
Olympic athlete who takes food and fluids by mouth or a frail, disabled person who receives them by a feeding
tube -- death is inevitable. That death will occur because of dehydration.
Dr. Helga Kuhse, a leading campaigner for euthanasia, said in 1984: "If we can get people to accept the
removal of all treatment and care - especially the removal of food and fluids - they will see what a painful way
this is to die and then, in the patient's best interest, they will accept the lethal injection."
Derek Humphry and Dr Philip Nitschke. In Humphry's book Final Exit describes the method and has been
found in the possession of people who have used the method to commit suicide.
Dr Nitschke developed what he calls the 'CO Genie' - an apparatus that turns out lethal carbon monoxide that
can be made at home. Nitschke has held workshops in Australia and New Zealand teaching people how to
manufacture such devices for themselves.
Dr Nitschke's latest initiative is a barbiturate-based 'peaceful pill.' Nitschke's Peanut Project (named for an old
street term for "Barbiturate") intends holding workshops for small groups of elderly and seriously ill Exit
members from different countries to make their own Peaceful Pill.
Euthanasia: The intentional killing by act or omission of a dependent human being for
his or her alleged benefit. (If death is not intended, it is not an act of euthanasia)
Arguments For Euthanasia:
It provides a way to relieve extreme pain
It provides a way of relief when a person's quality of life is low
Frees up medical funds to help other people
It is another case of freedom of choice
Arguments Against Euthanasia:
Euthanasia devalues human life
Euthanasia can become a means of health care cost containment
Physicians and other medical care people should not be involved in directly causing death
There is a "slippery slope" effect that has occurred where euthanasia has been first been
legalized for only
the terminally ill and later laws are changed to allow it for other people or to be done
non-voluntarily.
1. Right to Die
9. Religious Concerns
CON: "Activists often claim that laws against euthanasia and assisted
suicide are government mandated suffering. But this claim would be
similar to saying that laws against selling contaminated food are
government mandated starvation.
Laws against euthanasia and assisted suicide are in place to prevent
be considered as much of a crime to make someone abuse and to protect people from unscrupulous doctors and others. They
live who with justification does not wish to continue
are not, and never have been, intended to make anyone suffer."
as it is to take life without consent."
-- Rita Marker, JD
-- Faye Girsh, EdD
Executive Director
Senior Adviser, Final Exit Network,
Kathi Hamlon
"How Shall We Die," Free Inquiry
Policy Analyst
Winter 2001
International Task Force on Euthanasia and Assisted Suicide
"Euthanasia and Assisted Suicide: Frequently Asked Questions,"
www.internationaltaskforce.org
Jan. 2010
3. Slippery Slope to Legalized Murder
PRO: "Especially with regard to taking life, slippery
slope arguments have long been a feature of the
ethical landscape, used to question the moral
permissibility of all kinds of acts... The situation is
not unlike that of a doomsday cult that predicts time
and again the end of the world, only for followers to
discover the next day that things are pretty much as
they were...
CON: "In a society as obsessed with the costs of health care and the
principle of utility, the dangers of the slippery slope... are far from
fantasy...
June 5, 2001
-- Wesley J. Smith, JD
Senior Fellow in Human Rights and Bioethics, Discovery Institute
Forced Exit
1997
CON: "It must be recognized that assisted suicide and euthanasia will be
practiced through the prism of social inequality and prejudice that
characterizes the delivery of services in all segments of society,
including health care. Those who will be most vulnerable to abuse, error,
or indifference are the poor, minorities, and those who are least
educated and least empowered. This risk does not reflect a judgment
that physicians are more prejudiced or influenced by race and class than
the rest of society - only that they are not exempt from the prejudices
manifest in other areas of our collective life.
While our society aspires to eradicate discrimination and the most
punishing effects of poverty in employment practices, housing,
education, and law enforcement, we consistently fall short of our goals.
The costs of this failure with assisted suicide and euthanasia would be
extreme. Nor is there any reason to believe that the practices, whatever
safeguards are erected, will be unaffected by the broader social and
medical context in which they will be operating. This assumption is naive
and unsupportable."
-- Linda Ganzini, MD, MPH
Professor of Psychiatry and Medicine Senior
Scholar, Center for Ethics in Health Care at Oregon
-- New York State Task Force on Life and the Law
Health & Science University "When Death Is Sought: Assisted Suicide and Euthanasia in the Medical
"The Oregon Experience," Physician-Assisted
Context," newyorkhealth.gov
Dying: The Case for Palliative Care and Patient
1994
Choice
2004
9. Religious Concerns
PRO: "Guided by our belief as Unitarian
Universalists that human life has inherent dignity,
which may be compromised when life is extended
beyond the will or ability of a person to sustain that
dignity; and believing that it is every person's
inviolable right to determine in advance the course of
action to be taken in the event that there is no
reasonable expectation of recovery from extreme
physical or mental disability...
CON: "As Catholic leaders and moral teachers, we believe that life is the
most basic gift of a loving God- a gift over which we have stewardship
but not absolute dominion. Our tradition, declaring a moral obligation to
care for our own life and health and to seek such care from others,
recognizes that we are not morally obligated to use all available medical
procedures in every set of circumstances. But that tradition clearly and
strongly affirms that as a responsible steward of life one must never
directly intend to cause one's own death, or the death of an innocent
victim, by action or omission...
CON: "Not only are we awash in evidence that the prerequisites for a
successful living wills policy are unachievable, but there is direct
evidence that living wills regularly fail to have their intended effect...
When we reviewed the five conditions for a successful program of living
wills, we encountered evidence that not one condition has been
achieved or, we think, can be. First, despite the millions of dollars
lavished on propaganda, most people do not have living wills... Second,
people who sign living wills have generally not thought through its
instructions in a way we should want for life-and-death decisions... Third,
drafters of living wills have failed to offer people the means to articulate
their preferences accurately... Fourth, living wills too often do not reach