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Ethical dilemmas with euthanasia
Ethical, moral and legal implications of euthanasia
Medical ethics and euthanasia
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When we hear the phrase voluntary euthanasia people generally think of one of two things: the active termination of life at the patient's or the Nazi extermination program of murder. Many people have beliefs about whether euthanasia is right or wrong, often without being able to define it clearly. Some people take an extreme view, while many fall somewhere between the two camps. The derivation means gentle and easy death coming from the Greek words, eu - thanatos. Euthanasia was formerly called "mercy killing," euthanasia means intentionally making someone die, rather than allowing that person to die naturally. Put bluntly, euthanasia means killing in the name of compassion.
Euthanasia is often confused with physician-assisted suicide. Euthanasia is when one person does something that directly kills another. For example, a doctor gives a lethal injection to a patient. In assisted suicide, a non-suicidal person knowingly and intentionally provides the means or acts in some way to help a suicidal person kill himself or herself. For example, a doctor writes a prescription for poison, or someone hooks up a face mask and tubing to a canister of carbon monoxide and then instructs the suicidal person on how to push a lever so that she'll be gassed to death. For all practical purposes, any distinction between euthanasia and assisted suicide has been abandoned today.
Euthanasia in Australia (pre-1995)
In the last decade or so several Australian states and territories have taken action aimed at guaranteeing the right of adult patients of sound mind to direct that extraordinary measures to prolong life be stopped. South Australia passed the Natural Death Act in 1983, Victoria the Medical Treatment Act in 1988, the Northern Territory the Natural Death Act in 1988 and the Australian Capital Territory passed the Medical Treatment Act in 1994. NSW issued "interim guidelines" in 1993.
The afore-mentioned legislation covers the following: 1) Refusal or withdrawal of current treatment. 2) Issuing a direction for refusal of certain treatment in the event that the patient becomes incompetent to make decisions. 3) Appointing an agent to make decisions on refusal of treatment in the event that the patient becomes incompetent to make decisions.
Though these legislative guidelines deal with the rights of a patient to refuse current medical treatment, ...
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... feelings" for being a burden or too costly to those of the community who are in difficult circumstances, may become such that they perceive a subtle duty on them to exercise the euthanasia option. The choice may well become a perceived duty. This is especially so when considered in the context of comments by those such as former Governor General, Hon Bill Hayden's comments that “there is a point when the succeeding generations deserve to be disencumbered -to coin a clumsy word - of some unproductive burdens”.
Conclusion In recent years euthanasia has become a very contentious topic. The Greek means easy death, yet the controversy surrounding it is just the opposite. Whether the issue is refusing to prolong life mechanically, assisting suicide or active euthanasia, we eventually have to confront societies’ fears towards death itself. Above all culture cultivates fear against ageing, death, and dying, and it is not easy for people to except that it is an inevitable part of life. However, the issues that surround euthanasia are not only about death and dying but are also about rights, liberty, privacy and control over one’s body. So the question remains: who has the right?
In this context, new emphasis is being placed on the rights of patients. Recent federal legislation, for example, requires all health care facilities receiving Medicare or Medicaid monies to inform patients of their right to make medical treatment decisions. This includes the right to specify "advance directives," [1] which state what patients wish to be done in case they are no longer able to communicate adequately.
Physician assisted suicide (PAS) is a very important issue. It is also important tounderstand the terms and distinction between the varying degrees to which a person can be involved in hastening the death of a terminally ill individual. Euthanasia, a word that is often associated with physician assisted suicide, means the act or practice of killing for reasons of mercy. Assisted suicide takes place when a dying person who wishes to precipitate death, requests help in carrying out the act. In euthanasia, the dying patients may or may not be aware of what is happening to them and may or may not have requested to die. In an assisted suicide, the terminally ill person wants to die and has specifically asked for help. Physician-assisted suicide occurs when the individual assisting in the suicide is a doctor rather than a friend or family member. Because doctors are the people most familiar with their patients’ medical condition and have knowledge of and access to the necessary means to cause certain death, terminally ill patients who have made
Informed consent is the basis for all legal and moral aspects of a patient’s autonomy. Implied consent is when you and your physician interact in which the consent is assumed, such as in a physical exam by your doctor. Written consent is a more extensive form in which it mostly applies when there is testing or experiments involved over a period of time. The long process is making sure the patient properly understands the risk and benefits that could possible happen during and after the treatment. As a physician, he must respect the patient’s autonomy. For a patient to be an autonomous agent, he must have legitimate moral values. The patient has all the rights to his medical health and conditions that arise. When considering informed consent, the patient must be aware and should be able to give a voluntary consent for the treatment and testing without being coerced, even if coercion is very little. Being coerced into giving consent is not voluntary because others people’s opinions account for part of his decision. Prisoners and the poor population are two areas where coercion is found the most when giving consent. Terminally ill patients also give consent in hope of recovering from their illness. Although the possibilities are slim of having a successful recovery, they proceed with the research with the expectation of having a positive outcome. As stated by Raab, “informed consent process flows naturally from the ‘partnership’ between physician and patient” (Raab). Despite the fact that informed consent is supposed to educate the patients, it is now more of an avoidance of liability for physicians (Raab). Although the physician provides adequate information to his patient, how can he ensure that his patient properly ...
The autonomy of a competent patient is an issue not often debated in medical ethics. Refusal of unwanted treatment is a basic right, likened to the common law of battery, available to all people capable of a competent choice. These fundamental rules of medical ethics entered a completely new forum as medical technology developed highly effective life-sustaining care during the 20th century. Several watershed cases elucidated these emerging issues in the 1960’s and 70’s, none more effectively than that of Karen Ann Quinlan. Fundamentally, this case established that a once-competent patient without the possibility of recovery could have their autonomy exercised by a surrogate in regard to the refusal of life-sustaining treatment. This decision had a profound effect on medical ethics, including treatment of incompetent patients in end-of-life situations, creation of advance directives, physician-assisted suicide (PAS) and active euthanasia.
In the retelling of his trial by his associate, Plato, entitled “The Apology”; Socrates claims in his defense that he only wishes to do good for the polis. I believe that Socrates was innocent of the accusations that were made against him, but he possessed contempt for the court and displayed that in his conceitedness and these actions led to his death.
The ethical debate regarding euthanasia dates back to ancient Greece and Rome. It was the Hippocratic School (c. 400B.C.) that eliminated the practice of euthanasia and assisted suicide from medical practice. Euthanasia in itself raises many ethical dilemmas – such as, is it ethical for a doctor to assist a terminally ill patient in ending his life? Under what circumstances, if any, is euthanasia considered ethically appropriate for a doctor? More so, euthanasia raises the argument of the different ideas that people have about the value of the human experience.
Any discussion that pertains to the topic of euthanasia must first include a clear definition of the key terms and issues. With this in mind, it should be noted that euthanasia includes both what has been called physician-assisted "suicide" and voluntary active euthanasia. Physician-assisted suicide involves providing lethal medication(s) available to the patient to be used at a time of the patient’s own choosing (Boudreau, p.2, 2014). Indifferently, voluntary active euthanasia involves the physician taking an active role in carrying out the patient’s request, and usually involves intravenous delivery of a lethal substance. Physician-assisted suicide is felt to be easier psychologically for the physician and patient than euthanasia because
Whose life is it, anyway? Euthanasia is a word that means good death. Euthanasia normally implies that the act must be initiated by the person who wishes to commit suicide. But, some people define euthanasia to include both voluntary and involuntary termination of life. Physician assisted suicide is when a physician supplies information and/or the means of committing suicide (lethal dose of sleeping pills or carbon monoxide gas) to a person, so that they can easily terminate their own life.
There are two methods of carrying out euthanasia, the first one is active and the second one is passive. Active euthanasia means the physicians deliberately take actions which cause the death of the patients, for example, the injection of sedatives in excess amount. Passive euthanasia is that the doctors do not take any further therapies to keep the ill patients alive such as switching off the life supporting machines [1]. This essay argues that the legalization of the euthanasia should not be proposed nowadays. It begins by analyzing the problem that may cause in relation to the following aspects: ‘slippery slope’ argument, religious view, vulnerable people and a rebuttal against the fair distribution of medical resources. This essay concludes that the legalization of the voluntary euthanasia brings more harm than good.
Since numerous years the debate on legalizing euthanasia has been lurking within the medical profession worldwide. However, the implications of legalizing euthanasia has been contested on different levels, be it on moral, cultural, ethical, religious, philosophical, legal or even on human rights grounds. In this paper, we will expound on crucial aspects such as the relevance of human rights in the euthanasia debate. Particular attention will be also drawn as to how despite the fact that the Universal Declaration of Human Rights (UDHR) stipulates that we have a ‘right to life’ but still says nothing
Today, medical interventions have made it possible to save or prolong lives, but should the process of dying be left to nature? (Brogden, 2001). Phrases such as, “killing is always considered murder,” and “while life is present, so is hope” are not enough to contract with the present medical knowledge in the Canadian health care system, which is proficient of giving injured patients a chance to live, which in the past would not have been possible (Brogden, 2001). According to Brogden, a number of economic and ethical questions arise concerning the increasing elderly population. This is the reason why the Canadian society ought to endeavor to come to a decision on what is right and ethical when it comes to facing death. Uhlmann (1998) mentions that individuals’ attitudes towards euthanasia differ. From a utilitarianism point of view – holding that an action is judged as good or bad in relation to the consequence, outcome, or end result that is derived from it, and people choosing actions that will, in a given circumstance, increase the overall good (Lum, 2010) - euthanasia could become a means of health care cost containment, and also, with specific safeguards and in certain circumstances the taking of a human life is merciful and that all of us are entitled to end our lives when we see fit.
Leadership is defined as the action of guiding an individual or group of people. Effective leaders shape the behavior and thought process of the individuals around them. As a result, the success of an organization is often impacted by the leadership style and approach of its leaders. Even when engaging with multiple people, impactful leaders maintain their own style of leadership but occasionally change their approach based on the motivational needs of each individual. However, regardless of the style, leadership within an organization is designed to drive the performance of their employees and it is done through proficient communication. This guidance influences the culture of an organization, which subsequently, helps to shape its leaders.
More than likely, a good majority of people have heard about euthanasia at least once in their lifetime. For those out there who have been living under a rock their entire lives, euthanasia “is generally understood to mean the bringing about of a good death – ‘mercy killing’, where one person, ‘A’, ends the life of another person, ‘B’, for the sake of ‘B’.” (Kuhse 294). There are people who believe this is a completely logical scenario that should be allowed, and there are others that oppose this view. For the purpose of this essay, I will be defending those who are suffering from euthanasia.
”Leadership involves the exhibition of style or behavior by managers or supervisors while dealing with subordinates; leadership is a critical determinant of the employees ' actions toward the achievement of the organizational goals” (Saeed, Almas, Anis-ul-Haq, & Niazi, 2014). Leadership is a strength that initiates, inspires, and guides the cooperation and attitudes of others on the way to set vision. Leadership is influential and involves several styles of approaches that involve trust, accomplishment and focus to reach a projected result. Using and implementing the ideas of others motivates new thinking and gains the confidence to build the trust and encourage everyone to work to the same goals (Northouse,