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    Under What ConditionsEuthanasia Should Be

    Legalized?

    C & E American University

    Baakline Campus

    Submitted to the

    Department of Computer Science

    Ms Soha Riman

    By

    Rashed Abou Hadir

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    Abstract

    "Euthanasia is a combination of two Greek words Eu (easy, painless orhappy) and 'thanatos' meaning death. So the essential meaning of the term

    Euthanasia is a pain-free and happy end to life. This paper is a deeper look

    into what euthanasia is all about. Many researchers support the right of a

    terminally-ill patient to die and what will happen if the right becomes an

    obligation, but does this mean we need a "right to die" law? The researcher

    looks at the legal side, as well as the emotional pain it causes to those around

    the sufferers and argues whether euthanasia should be legalized or not.

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    Introduction

    When most people think of euthanasia, they think merely of death. Death

    usually has a negative connotation to it although often it may be beneficial.

    This understanding is fundamental to euthanasia. The root words foreuthanasia, eu and thantos, mean good and death respectively. This good

    death is often attacked by people whose ideas are shaped by religion, media,

    and misinformation. In reality, euthanasia provides a way for humans in

    unbearable and incurable situations to be relieved of their affliction. Because

    of its current illegality, many people suffer, rendering them corpse of

    humiliation that are unable to receive the treatment that the average

    household pet receives.

    Purpose of the Study

    Legalizing euthanasia would be a turn for the better. Once it was legalized,

    euthanasia would come out into the open and be an official medical

    procedure. The researcher targeted his study assuming that legalization and

    acceptance of euthanasia would benefit humanity.

    Research Questions

    1. Why societies and religions are against legalization of euthanasia?

    2. Should dying patients have the right to order their doctors not to start

    or continue medical treatment?

    3. Should doctors be protected from prosecution if they shorten a

    patients life expectancy with pain-killing drugs?

    Body

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    History

    For over 700 years, the Anglo American common law tradition has punished

    or otherwise disapproved both suicide and assisting suicide. That suicide

    remained a grievous, though no felonious, wrong is confirmed by the factthat colonial and early state legislatures and courts did not retreat from

    prohibiting assisting suicide. Swift, in his early 19th century treatise on the

    laws of Connecticut, stated that if one counsels another to commit suicide,

    and the other by reason of the advice kills himself, the advisor is guilty of

    murder as principal. This was the well established common law view, now if

    the murder of one's self is felony, the accessory is equally guilty as if he had

    aided and abetted in the murder, as was the similar principle that the consent

    of a homicide victim is "wholly immaterial to the guilt of the person who

    cause his death, The right to life and to personal security is not only sacred

    in the estimation of the common law, but it is inalienable. And the

    prohibitions against assisting suicide never contained exceptions for those

    who were near death. Rather, the life of those to whom life had become a

    burden--of those who were hopelessly diseased or fatally wounded--nay,

    even the lives of criminals condemned to death, were under the protection of

    law, equally as the lives of those who were in the full tide of life's

    enjoyment, and anxious to continue to live. The earliest American statute

    explicitly to outlaw assisting suicide was enacted in New York in 1828, and

    many of the new States and Territories followed New York's example. A

    New York commission led by Dudley Field drafted a criminal code that prohibited "aiding" a suicide and, specifically, furnishing another person

    with any deadly weapon or poisonous drug, knowing that such person

    intends to use such weapon or drug in taking his own life. Though deeply

    rooted, the States assisted suicide bans have in recent years been reexamined

    and, generally, reaffirmed. Many States of America now permit "living

    wills," surrogate health care decision making, and the withdrawal or refusal

    of life sustaining medical treatment. At the same time voters and legislators

    continue for the most part to reaffirm their States prohibitions on assisting

    suicide. In October of 1939 amid the turmoil of the outbreak of war Hitlerordered widespread "mercy killing" of the sick and disabled. The Nazi

    euthanasia program to eliminate "life unworthy of life" at first focused on

    newborns and very young children and quickly expanded to include older

    disabled children and adults. Hitler's decree of October, 1939, typed on his

    personal stationery and back dated to Sept. 1, enlarged 'the authority of

    certain physicians to be designated by name in such manner that persons

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    who, according to human judgment, are incurable can, upon a most careful

    diagnosis of their condition of sickness, be accorded a mercy death.

    Midwives and doctors were required to register children up to age three who

    showed symptoms of mental retardation, physical deformity, or other

    symptoms included on a questionnaire from the Reich Health Ministry. In

    1935 The Euthanasia Society of England was formed to promote euthanasia.

    Then Australia's Northern Territory approved a euthanasia bill and went into

    effect in 1996 and was overturned by the Australian Parliament in 1997.

    Next year the U.S. state of Oregon legalizes assisted suicide, finally in

    2000/2002 The Netherlands, and Belgium legalizes euthanasia.

    Euthanasia: Society and Religion

    The opinion that euthanasia is morally permissible goes back to Socrates,

    Plato, and the Stoics. It is rejected in traditional Christian belief, chiefly

    because it is thought to come within the prohibition of murder in the Ten

    Commandments. The arguments are usually based on the beliefs that life is

    given by God, and that human beings are made in God's image. Some

    churches also emphasize the importance of not interfering with the natural

    process of death.

    Other wise the Islam said that since we did not create ourselves we do not

    own our bodies, we are entrusted with them for care, nurture and safe

    keeping. God is the owner and giver of life and his rights in giving and in

    taking are not to be violated. Attempting to kill another person is a crime in

    Islam as well as a grave sin. The Qur'an says: "Do not kill yourselves, forverily Allah has been to you most Merciful".

    The concept of a life not worthy of living does not exist in most religions

    such as justification of taking life to escape suffering is not acceptable.There is still another dimension to the question of pain and suffering.

    Patience and endurance are highly regarded and highly rewarded values.

    When means of preventing or alleviating pain fall short, this spiritual

    dimension can be very effectively called upon to support the patient who

    believes that accepting and standing unavoidable pain will be to his/her

    credit in the hereafter, the real and enduring life. To a person who does not

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    believe in a hereafter this might sound like nonsense, but to one who does,

    euthanasia is certainly nonsense.

    Societies considered Euthanasia as is a complex matter; there are many

    different types of euthanasia, each of which has its own advantages and

    disadvantages. It can be said that all types of euthanasia have an impact onsociety - or perhaps society has an impact on them. Voluntary euthanasia is

    the type that is normally discussed, yet discussions about voluntary

    euthanasia tend to include involuntary euthanasia as well, as the boundaries

    between the two can blur. People suffering from terminal diseases are often

    faced with the prospect of experiencing great deals of pain as the disease

    progressively worsens until it kills them. This prospect may be so

    frightening for them that they would rather end their lives before they have

    to face it. The ethical question is whether people should be given assistance

    in killing themselves, or if they should be forced to suffer the pain and

    indignity caused by terminal illness. If it's only people that want to die that

    are going to be affected then why should other people be worried? The

    answer is that death rarely affects just the person that dies. We are all

    individuals; we are free to make our own choices about what we do, the way

    we live our lives and so on - within the confines of the law. Society is made

    up of individuals and groups of individuals (as in groups of different

    religious faiths). People have certain rights as individuals, but society has

    rights of it's own as well: the rights of an individual must not interfere with

    the rights of another.

    It is feared that by allowing certain individuals help in ending their lives,other groups of more vulnerable people will become at risk of feeling

    pressured into taking that option themselves. Groups that represent disabled

    people are against the legalization of euthanasia on the grounds that such

    groups of vulnerable people would feel obliged to opt for euthanasia as they

    may see themselves as a burden to society.

    Why Euthanasia should be legalized?

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    Euthanasia should be legalized to insure legal rights, to alleviate suffering

    and to provide more hospital care and beds for other patients. Someone

    should have the right to die. People have the right to choose their own death

    at their own time as an expression of free will. There should be laws

    permitting this everywhere. Euthanasia is a very humane and very good way

    to help people to end their lives. Nurses should have the right to end patients

    life, but only if they request it. They are committed to compassion and

    empathy and understand the basis of patient requests for assisted suicide.

    The law of Euthanasia will bring all assisted suicide under closer scrutiny,

    and be carried out by every hospital in the world. Many patients are

    terminally ill and in great amount of pain. If euthanasia were legalized it

    would prevent suffering. Acts of euthanasia are preformed to eliminate

    suffering and allow the patient to die with dignity. The loved ones of the

    person dying should have some say in the persons future too. The loved

    ones are the people who see the person suffer the most and if the person andtheir loved ones both decide they should have a right to carry it out. It is an

    act of love to stop this suffering. Doctors feel that euthanasia is sometimes

    very necessary to relieve the patients of all there suffering. The doctors and

    nurses at the hospital also have to see the patient suffer day after day and if

    the person wants it and the doctor feels its right, it should be done. Out of

    852 nurses surveyed sixteen percent were said to have preformed euthanasia

    or help terminally ill patients commit suicide. Euthanasia should be

    legalized because it would help many sick and dying patients end their lives

    peacefully. If euthanasia were legalized it would provide more care and

    hospital beds for many patients. 3,000 patients die each year after

    specifically requesting that their lives be terminated. By legalizing

    euthanasia more patients would choose it to help them deal with their pain

    and there would begin to be less and less hospital overcrowding. It would

    also provide more care for patients. Usually patients who request euthanasia

    are the ones who need the most 24 hours hospital care and if these patients

    want to end there life they should be able to, because it would provide more

    care to other people. Also, hospitals spend tremendous amounts of money

    each year on terminally ill patients. Money spent on hopeless intensive care

    treatment could be used better toward a package of benefits for all those inthe Medicaid programs well as for other social good. To insure legal rights,

    to alleviate suffering and to provide more hospital beds and care, euthanasia

    should be legalized. Many people choose to die each year. If this is what that

    is how they choose to end there lives, it should be carried out. Freedom of

    choice is a basic right to all people, yet today people are unable to choose to

    have their unendurable life terminated. The choice to continue to live in pain

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    or to die and end the suffering will be available with the legalizing of

    euthanasia.

    Doctors and Euthanasia

    A doctor's role would be limited to writing out a prescription or providing an

    oral barbiturate for a patient to self administers and die a peaceful death.

    Such help would be restricted to patients who are terminally ill with six

    months or less to live; suffering from unbearable pain; who are mentally

    competent; and have made persistent and well-informed requests to die. The

    bill includes 20 safeguards to protect vulnerable people, including an

    assessment by two independent doctors as well as consultation with apalliative care expert to explore alternatives. Doctors opposed to the right to

    die would be allowed to opt out of helping terminally ill patients end their

    lives. The medical profession is split on the issue. Traditionally doctors have

    been vocal opponents of assisted suicide, but last year many associations

    dropped its opposition and switched to a neutral stance on assisted dying,

    while maintaining its rejection of euthanasia. Others has swung the other

    way, and exchanged its previous position of neutrality for outright

    opposition following a survey of members. In any case, evidence suggests

    that doctors are already helping thousands of patients to die. Extrapolating

    from a poll of 870 doctors, suggested doctors in the UK were responsible for3,000 deaths through euthanasia last year. In addition, more than 170,000

    patients, almost a third of all deaths, had treatment withdrawn or withheld

    which hastened their demise. Some doctors do risk prosecution by helping

    their patients to die. More controversially, only a small proportion of deaths

    were attributable to voluntary euthanasia, where patients made a request of

    their doctor. In a further 1,930 cases doctors said they ended life "without an

    explicit request from the patient", which some call "non-voluntary

    euthanasia. Some of these doctors are acting compassionately on their

    patients' wishes, but some clearly act without consent cannot be safe.

    Ethical Issue

    The specificity of my case study meant that my research is limited, but my

    concern was from the beginning to provide detailed discussion in order to

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    facilitate the future research. The study can be used for further studies to test

    the hypothesis raised by the research to confirm or contradict the findings or

    to build future research of similar interest.

    Evaluation and Conclusion

    We need to recognize that requests for voluntary euthanasia are extremely

    rare in situations where the physical, emotional and spiritual needs of

    terminally ill patients are properly met. As the symptoms which prompt the

    request for euthanasia can be almost always managed with therapies

    currently available, our highest priority must be to ensure that top quality

    terminal care is readily available. While recognizing the importance of

    individual patient autonomy, history has clearly demonstrated that legalizedeuthanasia poses serious risks to society as a whole. Patients can be coerced

    and exploited, the search for better therapies is compromised and

    involuntary euthanasia inevitably follows. Legislation allowing voluntary

    euthanasia should be firmly resisted on the grounds that it sidesteps true

    compassionate care and ultimately undermines rather than protects patient

    autonomy.

    I can understand at the individual level that in some cases you wish it was all

    over with, but the problem is as a society you have to choose what's going to

    be your norm. We have this idea that what happens to me is nobody's

    business. The problem with euthanasia is it requires another person to do it,

    and it requires a complicit society to authorize it. People will still differ in

    their opinions toward euthanasia, I said that we all must die one day, and

    most people hope for a quick and painless death. But sometimes life isn't so

    easy. Some people suffer unbelievable pain from cancer or other diseases.

    Others may lie in a permanently unconscious state due to an accident or

    some other cause. Euthanasia is the practice of kindly and painlessly putting

    a patient suffering from an incurable and painful disease or extreme oldness

    to a supposedly peaceful death.

    In conclusion then, euthanasia is a complex issue. There are many problems

    and conclusions towards legalizing euthanasia. It would give people greater

    autonomy over their own lives and give terminally-ill people a chance to

    avoid great pain and emotional distress. However, it begins the degradation

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    of the prohibition of murder, and opens up the possibility of further erosion

    of the system. The death of a person affects the lives of others, often in ways

    and to an extent which cannot be foreseen. We believe that the issue of

    euthanasia is one in which the interest of the individual cannot be separated

    from the interest of society as a whole. Personally, I agree with legalization

    and acceptance of euthanasia for it would benefit humanity and would be a

    turn for the better. In reality, euthanasia provides a way for humans in

    unbearable and incurable situations to be relieved of their afflictions.

    Finally, all what can I say for all who are against. Let them die in peace.

    Findings

    World: Morale - Euthanasia

    http://micpohling.wordpress.com/2007/06/12/world-morale-euthanasia/http://micpohling.wordpress.com/2007/06/12/world-morale-euthanasia/
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    Justifiable: Euthanasia

    The answer in the scale form was given, running from 1-10, 1 being never

    justifiable and 10 being always justifiable. The mean score given from allthe participants in the respective country is shown in the graphs below:

    1) Developed countries:

    People in Netherlands, Denmark, Japan, New Zealand, Switzerland,

    Australia, France and Sweden scored more than 6 points out of 10 on the

    issue of euthanasia: most of them agreed that euthanasia is justifiable. On

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    the other hand, people in Ireland, Mexico, Portugal, South Africa and

    Hungary think the otherwise, thus their score is low, around 3.

    2) Selected Asia countries:

    Among the selected Asia countries, Japan is the only country scored such a

    high point (agreeing towards that euthanasia is justifiable). Perhaps it was

    due to the society aging pressure? On the other hand, Islamic countries like

    Bangladesh, Egypt, Indonesia and Saudi Arabia are strongly disagree that

    euthanasia is justifiable. Their scores are less than 2.

    Although it is not completely legalized in all countries it should offer some

    defense against a prosecution.

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    This is the Living Will of me (Full Name) of (Address), (Town) in the County

    of (County) made this day of (Date), two thousand and (Year).

    I hereby revoke all former Living Wills made by me and declare this to be my

    last Living Will.

    In the event of my sustaining mental incapacity so that I am unable to express

    my will, it is my final wish that my life should be ended without delay by any

    painless means, irrespective of any law forbidding this.

    As witness my hand the day and year first above written.

    Testators signature

    Signed by the said testator in the presence of us, present at the same time,who at his request and in his presence and in the presence of each other have

    subscribed our names as witnesses?

    Witness signature...

    Witness name......

    of (Address)

    Witness signature...

    Witness name......of (Address)

    Prisoner of Conscience - Dr..

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    Bibliography

    BBC Religion & Ethics: Euthanasia The Christian View

    Whipp, M. (2000). Boundaries of Autonomy. InEuthanasia - a Good Death? , pp18-19. Cambridge: Grovebooks.

    http://www.gopubmed.org/GoMeshPubMed/gomeshpubmed/TermStatistics/TermStatic_mesh_33101

    Greenberg, S. I. (1997).Euthanasia and Assisted Suicide. Springfield, IL: Charles C. Thomas.

    Kaplan, K. J., ed. (2000).Right to Die Versus Sacredness ofLife. Amityville, NY: Baywood.

    Scherer, J. M., and Simon, R. J. (1999).Euthanasia and the Right to Die. Lanham, MD: Rowman &

    Littlefield.

    Dutch doctors pushed on to 'slippery slope' over euthanasia. The Independent Wednesday 17 February

    1993 p8.

    Whipp, M. (2000).Euthanasia - a Good Death? Cambridge: Grove books.

    Wilcockson, S.A. (1981).Last rights: Christian perspectives on euthanasia. Cambridge: Grove books.

    Ogden, R. (1986). Discussion and Policy Implications; The difficulties of euthanasia. InEuthanasia,

    Assisted Suicide and AIDS. New Westminster, British Columbia, Canada: Peroglyphics Publishing.

    Rachels, J. (1986). The End of Life, Euthanasia and Morality. Oxford: Oxford University Press.

    (1997).Last Rights? Assisted Suicide and Euthanasia Debated. (ed. M. Uhlmann). Washington D.C. :

    William B.Eerdmans Publishing Company.

    http://www.fratfiles.com/topics/history+of+euthanasia/0

    http://www.bbc.co.uk/religion/ethics/sanctity_life/euthach.shtmlhttp://www.bbc.co.uk/religion/ethics/sanctity_life/euthach.shtml