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Deciding Life and Death: Euthanasia in Europe. Ethical and Regulatory Implications

Published online by Cambridge University Press:  14 October 2023

Marta Szabat
Affiliation:
Jagiellonian University, Krakow
Jan Piasecki
Affiliation:
Jagiellonian University, Krakow
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Summary

Abstract

The aim of this chapter is to present and categorize the ethical aspects of euthanasia and assisted suicide. For this purpose, the authors applied the four main moral principles of bioethics, namely: patient autonomy, beneficence, utility, and justice. These are suitable principles because they enable reflection on the practice of euthanasia not only within the scope of individual rights and needs, but also in the context of social implications. In fact, many bioethical issues arise from conflicts inherent within these basic principles. This approach will be supplemented with an analysis of a recent significant court decision on euthanasia and assisted suicide in Europe.

Keywords: euthanasia, assisted suicide, autonomy, beneficence, utility, justice

Introduction

In his book The World Until Yesterday the American geographer, historian, anthropologist and ornithologist Jared Diamond envisions societies in which children should, and in certain circumstances do, neglect, abandon or kill their parents (Diamond 2012, p. 214). In his opinion, this happens in two kinds of society: among nomadic hunter gatherers who must move camp from time to time in order to maintain their supply of food, and in arctic and desert regions where severe food shortages occur periodically. In both situations, we see scarce resources and the perceived burden of elderly parents to society as the motivating factors. Furthermore, Diamond identifies five different ways of killing, arranging them in a sequence of increasingly direct action starting from the most passive method to the most active (Diamond 2012, pp. 215–217). The most passive approach is neglect (giving little food, ignoring needs, etc.), which is something akin to passive euthanasia (not necessarily voluntary). The second approach is to intentionally abandon an old or sick person or to bring an old person to the forest and leave them to walk off and never be seen again—this could be qualified as active euthanasia (either voluntary or not). The third method involves an old person choosing or being encouraged to commit suicide, for example by “jumping off a cliff, going out to sea, or seeking death in battle,” which can be qualified as assisted suicide.

Type
Chapter
Information
Approaches to Death and Dying
Bioethical and Cultural Perspectives
, pp. 17 - 32
Publisher: Jagiellonian University Press
Print publication year: 2021

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