Sunday, 9 September 2012

Should euthanasia be legalized? Discuss.


Euthanasia has, for a long time, been a controversial issue in many parts of the world. So what is euthanasia exactly? According to Medical News Today, euthanasia, also known as assisted suicide, is loosely named mercy killing which basically involves the action of deliberately or with the expression of interest to end a person’s life to relieve persistent or intractable killing. ("What Is Euthanasia (assisted Suicide)? What Is The Definition Of Assisted Suicide Or Euthanasia?", n.d., p. 1) As of now, there are only three countries; Netherlands, Belgium and Luxemburg, that have legalized euthanasia. This indicates that most people still stand by the fact that it is illegal for someone to help a person commit suicide regardless the situation. Euthanasia can be performed in two various ways. The first being passive, the second being active euthanasia.

According to Pregnant Pause, passive euthanasia is usually defined as withdrawing medical treatment with the deliberate intention of causing the patient's death. Normally if a patient has a heart attack or similar sudden interruption in life functions, medical staff will attempt to revive them. If they make no such effort but simply stand and watch as the patient dies, this is passive euthanasia. Active euthanasia on the other hand, refers to taking specific steps to cause the patient's death, such as injecting the patient with poison. During the course of this I will be referring to active euthanasia which causes more debate amongst opposing extremists. People who are against euthanasia call themselves the “Pro-Life” whereas people who are want to legalize euthanasia, have formed a society called The Voluntary Euthanasia Society. ("What Is Euthanasia (assisted Suicide)? What Is The Definition Of Assisted Suicide Or Euthanasia?", n.d., p. 1) In this essay, I will be discussing the stands of both parties and finally take my own personal stand on whether I feel euthanasia should be legalized.

Euthanasia should not be legalized because once people are given such freedom; family members are likely to abuse such power for their own personal and selfish reasons. For example, an extremely jealous brother might influence or bribe the physicians to kill his terminally ill sister so as to be able to inherit his father’s established empire and all the wealth that comes with it. Or perhaps, the cost of paying for a life time stay at the hospital might be costing the family a huge sum of money and therefore, they might force the patient to undergo mercy killing. Both cases show that euthanasia should not be legalized because no one can ever really be certain if the decision made to perform mercy killing was voluntary or, if it was manipulated by the patient’s family members with malicious intents.

It is not right to put doctors and nurses under such immense pressure of being involved in someone’s suicide. This is mainly because a doctor’s job is to prolong or improve life. Hence, by asking them to perform euthanasia; it would undeniably be breaking their Hippocratic Oath which firmly states that it is not right to not take away another person’s life. In fact, the modern Hippocratic Oath specifically says, “I will neither prescribe nor administer a lethal dose of medicine to any patient even if asked. Nor will I counsel any such thing or perform it, for I have the utmost respect for every human life from its fertilization to natural death.” ("The Hippocratic Oath", n.d., p. 1) Physicians believe that by it’s a very nature; a human’s body is sacred. Thus the underlying ethical concern here is not only that it is against a physician’s sworn oath but also, it is going against their belief of human dignity and sanctity of life.

Another reason as to why assisted suicide should not be legalized is because the patient might not be in the proper state of mind to make such a critical decision. Which person would not be depressed immediately after being informed of having a fatal illness? According to medical research conducted in the United Sates, the incidence of major depression in terminally ill patients ranges up to 77%. A person diagnosed with depression, will find themselves being flooded with suicidal thoughts and feelings of extreme anxiety. Hence, since they experience an altered state of mind, their actions are very unpredictable which result to attempted suicide and self-loath. A 35-year-old man with AIDS met with his primary care physician added that the patient had just been lying around in his pyjamas, did not seem to be interested in anything, and was not taking his medications on schedule. “What's the point?” the patient asked. He said that he didn't care anymore, that he was going to die regardless of what he did. ("Depression, anxiety, and delirium in the terminally ill patient", n.d., p.1) Such feeling of helplessness will definitely deter a patient from making a uniformed decision on wonder he or she should undergo euthanasia. 

Fortunately depression, although serious, can be treated with help of proper counselling and medication. With proper guidance, a patient will be in a better state of mind to make such a decision. Therefore, I believe that a patient should only be given the choice of euthanasia under the proper guidance of a counsellor and physicist. So that, the decision will not be made when the patient is feeling depressed and the patient will be given the opportunity discuss family related issues or how he/she genuinely feels about the subject. Once the counsellor, the patient and the patient’s physician believe that the decision is truly a voluntary one then, euthanasia should be performed on the patient.

People who are “pro-life”, often the religious, regard assisted suicide as a grave sin. They believe that since we are only humans, we do not have the power to decide when we should die nor do we have the power to play God.  The religious believe that we are a creation of God and hence, by legalizing euthanasia, we are denying God’s right over us and his right to choose when we should die. They also believe that all the more, when someone is suffering, we should show our care and concern and try our utmost best to preserve, care and show respect for the inherent worth of all human beings.


My take on this if that humans have the right to live, then they should be given the right determine when we want to die. So long as the patient is very clear as to why he/she wants to die and is in the right mental state of mind, as confirmed by both the patient’s physician and counsellor. Yes, the religious may claim that it is up to God to decide when we should die. However, which all benevolent God would want to see his people all suffering in pain? Yes, it may be going against doctor’s oath to ‘improve life’. How is living such a sad life helping to improve life?  Keeping the patient alive would just prolong and in some cases, increase pain. Therefore, I believe euthanasia, should be an option because we are independent beings, with the right to make our own decisions about how and when we want to die. 




References
1.      Depression, anxiety, and delirium in the terminally ill patient. (n.d.). National Center for Biotechnology Information. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1291326/

2.      The Hippocratic Oath. (n.d.). Enter the NKTI Division of Urology. Retrieved from http://nktiuro.tripod.com/hippocra.htm

3.      What Is Euthanasia (assisted Suicide)? What Is The Definition Of Assisted Suicide Or Euthanasia? (n.d.). Medical News Today: Health News. Retrieved from http://www.medicalnewstoday.com/articles/182951.php

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