In his article published in 1975, James Rachels seeks to pose an unsound difference between passive and active euthanasia, and explains a strong case as to how these two are essentially the same thing when it comes to committing murder. One can argue both cases: according to the American Medical Association “The intentional termination of the life of one human being by another- mercy killing- Is contrary to that for which the medical profession stands and is contrary to the policy of the American Medical Association” to which Rachels makes several strong arguments against this principle throughout his article. First, he explains to cases that seem very similar with one exception each: The first case is about Smith, who is seeking personal …show more content…
Doctors’ concerns are only concerned with their patients’ health and not any personal benefits. Overall, I believe Rachels condemns both passive and active euthanasia equally. Aside from the fact that actively killing someone is illegal and prohibited, if someone is letting someone else die deliberately by not doing something about it, it is considered killing nonetheless. Although active euthanasia can be considered more humane than passive, the method should not be considered on any defense grounds when the results end up being the same, no matter how it was performed; either injecting or overdosing the patient, or letting nature take its course by taking all medical care away; all methods lead to the death of a human being. One can argue that there is no such thing as passive euthanasia as the act is never to be justified. Along with these arguments comes the causation argument; it is believed that an act (such as the one of inserting a needle) is different from omission (not performing any medical care). It can be argued that in the case of euthanasia, omission can be just the same as acting on it. For example, if we omit pressing the break when coming up to a red light, and the causing an accident, so what ended up causing the accident? The omission of the act of pressing on the breaks. While doctors have the duty to provide with positive care, it might be argued that not performing …show more content…
In more simple words, the theory suggests that hedonism explains how humans are wired to desire pleasure and that life is about enjoying those pleasures without any regards about the outcome. Hedonism seems to be only focused on good and personal benefits and enjoyment and that anything that does not provide that happiness is not of any intrinsic value and pain should be avoided in order to live happily. Talking about hedonism, several examples come to mind. First, I think about people that enjoy gambling. These people go to casinos and keep on spending money until there is the pleasure of “winning” but that can be argued. They are putting money in the slots and just hoping for a win, but at the same time addicted gamblers enjoy pushing buttons and pulling levers- which is the pleasure they get out of it- but by the time the gambler starts losing the money, the event starts to get
Active and passive euthanasia has been a controversial topic for many decades. Medicine has become so advanced, even the most ill patients can be kept alive by artificial means. Active euthanasia is a deliberate action taken to end a person’s life, such as lethal dose of medication (Burkhardt & Nathaniel, 2014). Passive euthanasia is allowing a person to die by not intervening or stopping a treatment that is keeping them alive (Garrard, 2014). There are three main arguments within this issue; Firstly, in the healthcare setting, it is morally accepted to allow a patient to die but purposely killing a patient is not (Garrard, 2014). Secondly, some people believe there is no moral difference between passive and active euthanasia.
In “Active and Passive Euthanasia” Rachels demonstrates the similarities between passive and active euthanasia. He claims that if one is permissible, than the other must also be accessible to a patient who prefers that particular fate. Rachels spends the majority of the article arguing against the recommendations of the AMA. The AMA proposes that active euthanasia contradicts what the medical profession stands for. The AMA thinks that ending a person’s life is ethically wrong, yet believes that a competent patient has a right to choose passive euthanasia, meaning to refuse treatment in this case. Rachels makes four claims arguing against that AMA statement.
In the article “Safeguards Can Prevent the Abuse of Physician-Assisted Suicide” by Sherwin Nuland, the author describes the encounter with an oncologist who assisted 25 patients in PAS. He remembers hearing the backlash the physician received and sat quietly knowing he helped his patients do the same. It is done for patients who have already established a well relationship with their doctor and know that death is the only relief they can get. The author describes it as an act of murder instead of murder. Most people argue that if they allow euthanasia to be used for legal purposes, the criteria for which a patient is a “good candidate” can become less rigid as time goes on. The author states, “Once we permit active euthanasia, where will it take us? Will the rigid criteria loosen? Will we end up turning a blind eye to things that in the present debate we might consider morally questionable?” (124). Physicians fear that sooner or later, the same euthanasia used for a 70-year-old patient with an inoperable brain tumor will be used for a 50 year old patient who has been having major depressive episodes for a number of
In “Active and Passive Euthanasia”, James Rachels argues that both degrees of euthanasia are morally permissible and the American Medical Association (AMA) policy that supports the conventional doctrine is not sound. Rachels establishes that the conventional doctrine is the belief that, in some cases, passive euthanasia is morally permitted, while active euthanasia, under all circumstances, is
James Rachels arguments for supporting the active euthanasia include that the active is more humane than passive because the patient is not suffering for as long of a time. Rachels says that their is little distinction between "letting one die" and "killing one"in his point of view because either way a patient will eventually pass away either way. (Anthology, 248-251) He believes the the Conventional Doctrine on this issue is the statement made on December 4, 1973 by the House of Delegated of American Medical Association. It says that "the intention of termination of life of a once human by another-mercy killing - is contrary to that of medical professional standards. (Anthology, pg 248). This goes against the "Hippocratic Oath" that all physicians must take before
Morality, in its basic sense, can easily be interpreted as a view or a response that is influenced by a culture. Given its conditioned thoughts, a single person may not take a stance where they have the ultimate discretion of what deems the distinction of moral things, and those that are not. Instead of attempting to grasp this larger picture, a second thought to ponder is whether or not there is a difference between active and passive euthanasia. Breaking this argument down a bit more, our ultimate goal is to prove that the acts of killing and letting die are indistinguishable. Philosophers such as Phillipa Foot, believes that there is a morally relevant difference between killing and letting die, however the case she presents is not as easy to influence as is James Rachels’ argument in “Active and Passive Euthanasia.” In opposition to Foot, Rachels creates the argument that there is not a morally relevant distinction between the acts of killing and letting die. Although Rachels presents a more influential case, he also suggest that we should be inclined to change the laws and medical policy around euthanasia. Given this implied suggestion, we must ignore his suggestion, because it is not necessarily inclusive to his conclusion.
According to Rachels (248), a proponent of euthanasia, states the act is justified if death is the only way out of one’s awful pain. On the other hand, Gay Williams (353), an opponent of euthanasia, views it as immoral to take someone’s life before his or her own natural death time reaches. Medically, euthanasia can be acceptable for those patients that are extremely suffering and their doctors have no idea on what to do to help a patient whose condition is only worsening. Often, it is administered on consultation with the family members of the patient in question. However, health practitioners are held within the bounds of professionalism where they are made to understand sanctity of life. Doctors are not supposed to decide the future of
Having read and analyzed this article in my opinion Mr. James Rachels successfully argues that in at least some cases active euthanasia is morally acceptable. First of all and to better understand the position of the author we need to understand the principal concepts involved in this article. We need to define euthanasia and classify the different types of euthanasia. Euthanasia is considered as a good death, it is the act or omission that accelerates the death of a patient sick with no cure, with or without their approval (as in the case of people in a coma), with the intention of stopping suffering and pain. Euthanasia is associated with the end of life to stop or avoid suffering.
In James Rachel’s article Active and Passive Euthanasia, James provides the argument that there is no difference between active and passive euthanasia because in the end, either through inaction or action, it both results in death and there are no moral differences in ‘killing’ or ‘letting die’. Rachel provides several different arguments to support his case including a patient dying of terminal cancer, and two uncles and the death of their nephews.
A source of evidence that supports that James Rachels is an act utilitarian consequentialist are his comments about active and passive euthanasia. Though he acknowledges that legally there are differences between the two, morally there are no different because “instance death is no greater an evil than the patient's continued existence.” Both active and passive euthanasia result in death, but a patient desiring to end his life would be happier to end his life quickly, rather than to suffer for a long, extended period fighting an incurable disease.
According to Rachels, “It is [incorrect] to say that in passive euthanasia the doctor does nothing, for he does do one thing that is very important: he lets the patient die. "Letting someone die" is certainly different, in some respects, from other types of action - mainly in that it is a kind of action that one may perform by way of not performing certain other actions. (Rachels, 79)” Inaction in itself is still an action. A person makes a decision to respond or not to respond. The decision is the act. The central question for debate is do we have a right as a nation to evaluate another person’s level of suffering?
Euthanasia, which is also referred to as mercy killing, is the act of ending someone’s life either passively or actively, usually for the purpose of relieving pain and suffering. “All forms of euthanasia require an intention to accelerate death in order to benefit patients experiencing a poor quality of life” (Sayers, 2005). It is a highly controversial subject that often leaves a person with mixed emotions and beliefs. Opinions regarding this topic hinge on the health and mental state of the victim as well as method of death. It raises legal issues as well as the issue of morals and ethics. Euthanasia is divided into two different categories, passive euthanasia and active euthanasia. “There are unavoidable uncertainties in both active and
America’s founding fathers declared that every person had certain inalienable rights they are born with and cannot be separated from. They listed citizens’ rights to life, liberty, and the pursuit of happiness. Today's government must decide if a right to life equates to a right to death.
Most adults diagnosed with cancer undergo years of treatment in attempts to cure that cancer. However, sometimes these treatments may not work, or the cancer is found too late in a patient to be stopped, and a patient’s cancer can be determined terminal, which means that the cancer can not be cured and will lead to death. If cancer is determined terminal, end-of-life care can be administered patients to control lasting pains, including shortness of breath, nausea, and constipation. However, this treatment does not cure the cancer, and will not prevent death in a terminally ill cancer patient. In some cases, patients decide that receiving end-of-life treatment is not worth it if the treatment does not prevent death. Terminally ill cancer patients may also continue to experience unbearable suffering, despite end-of-life treatments, as it is not always effective. These factors may push some terminally ill cancer patients to request to be actively euthanized. Active euthanasia is the merciful ending of a patient’s life through a single act, such as an injection. Terminally ill cancer patients should have the right to determine if they are actively euthanized. However, only patients who consider their suffering unbearable should have the right to be euthanized.
Voluntary euthanasia, or physician-assisted suicide, has been a controversial issue for many years. It usually involves ending a patient’s life early to relieve their illness. Most of the controversy stemmed from personal values like ethics or religion. The euthanasia debate puts a huge emphasis on what doctors should do for their patients and how much a person’s life is worth. Supporters of euthanasia primarily focus on cost and pain alleviation. Opponents of euthanasia tend to focus on morality. Whether euthanasia is legal or not could significantly affect future generations’ attitudes about death. Euthanasia should be legalized nationally because it helps patients that could be in unimaginable pain, offers more options for more people, and it is relatively inexpensive compared to the alternatives.