The Important Role Of Intentions And Outcomes

“‘I’m scared stiff. I used to talk about killing myself’ . . . ‘I don’t want to die now. It ain’t long enough. Sixteen years ain’t long enough. I wouldn’t mind it so much if there wasn’t so much stuff I ain’t done yet and so many things I ain’t seen. It’s not fair.’”

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.

To fully understand the issue at hand, one must understand the various forms of euthanasia. The Merriam-Webster’s Collegiate Dictionary: Tenth Edition defines euthanasia as “the act or practice of killing or permitting the death of hopelessly sick or injured individuals…in a relatively painless way for reasons of mercy.” Euthanasia can be either passive or active. Passive euthanasia occurs when a patient is relieved of medical treatment and is allowed to die naturally. Active euthanasia occurs when either a physician or a family member actively takes the life of the patient, perhaps through lethal injection, and eliminates a natural death process. Many people commonly use the word “euthanasia” to refer to assisted suicide. Essentially, assisted suicide is a form of active euthanasia in that a person, usually a physician, aids in the suicide of a patient.

For instance, if a doctor gave an overdose of medication or gave a lethal injection this would be considered an active euthanasia. Passive Euthanasia is withholding something needed for life. Examples of this might be taking someone off of a feeding tube or life support and letting them die on their own.

Passive euthanasia can be defined as letting the patient die. The doctor takes the patient off their treatment and let the disease run through until they die. Active euthanasia is not legal today, and leans more toward killing the patient. The patient is ready to die so the doctor gives a lethal injection to speed up the process. Physician assisted suicide is almost a combination

Active euthanasia means that someone other than the patient commits an action with the intent to end a patient’s life, for example injecting a patient with a lethal dose. Voluntary euthanasia is when a patient asks for help in committing suicide or is refusing treatment. Non-voluntary euthanasia occurs when a patient is unable to make his or her own decisions such as: a person in a coma, an infant, a person who is senile, or a person who is mentally unstable. Physician assisted suicide is when a physician provides medication or other means to a patient with the understanding that the patient intends to commit suicide. (Should Euthanasia or Physician-Assisted Suicide Be Legal?,

Active versus passive euthanasia are two different, albeit arguably similar, ways in which an individual is helped to die. Passive euthanasia involves withholding life-saving medical treatment or removal from life

The World Health Organization (WHO) Centre for Health Development (2004) explains that the term euthanasia comes from the Greek word for “good death”. The modern definition for euthanasia, according to the WHO, is “a deliberate act undertaken by one person with the intention of either painlessly putting to death or failing to prevent death from natural causes in cases of terminal illness or irreversible coma of another person” (WHO, 2004, p. 25). There are two types of euthanasia: active and passive. Active euthanasia involves an action that directly causes another’s death and can be voluntary or involuntary (Leming & Dickinson, 2016). Passive euthanasia involves the withholding of treatment from a terminally ill patient with the intended consequence of hastening death; this can involve refraining from nutrition, hydration, cardiopulmonary resuscitation or potentially life-saving

Within the scope of euthanasia are passive and active euthanasia. Passive euthanasia occurs when a patient refuses access to medical care or treatments, as is allowed by their freedom to legally choose whatever treatment they wish to receive or withhold (Stoyles et al 683). However, their decision to withhold from receiving treatments may result in a hastening of their death. Passive euthanasia is legal in the United States (Stoyles et al 683). However active euthanasia is illegal and is often misconstrued as being identical to physician-assisted suicide. Despite similarities, they are different in technical terms. Both euthanasia and physician-assisted suicide have the same intent and end result. However in euthanasia, the doctor is responsible for administering the lethal injection or other agent of death. In physician assisted suicide, the physician prescribes the patient a lethal injection which the patient will themselves administer (Boudreau et al 2). In both cases, the patient consents to the treatment, but only physician-assisted suicide is legal in certain states within the United States.

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.

According to Webster’s dictionary the term euthanasia Is defined as, “ the act or practice of killing someone who is very sick or injured in order to prevent any more suffering.” Now then there are two primary types of euthanasia according to Rachel’s. We have Passive Euthanasia in which the physician does nothing to bring about the death of the patient. By this physician doing nothing, ceasing treatment, the patient dies of the illness he already was diagnosed with. The patient dies of natural causes. The doctor is therefore letting the patient die. Then we have Active Euthanasia were the physician does something to bring about the death of the patient. The physician gives the terminally ill patient a lethal injection therefore now making the doctor the

The fact that passive euthanasia is already practised can be an argument for voluntary active euthanasia. If it was legalised then it would show consistency. Both would be carried out for the same reason of lessening the amount of pain suffered by the patient. Only the means are different, the intentions are the same.

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?

Active euthanasia is commonly confused with physician assisted suicide. Physician-assisted suicide is performed “when a physician, at a rational request of an adequately informed, competent patient who plans to commit suicide, knowingly provides that patient with the medical means…and the patient uses those means to commit suicide” (Gert). Through this method, a physician does not “actively” kill the person, but simply provides the person with the means to end their own life. For example, a doctor gives a patient an injection of a morphine that is sufficient to cause their death, but does not administer it. In the other hand, a physician “actively” kills a patient to end his or her suffering in active euthanasia. For instance, a physician either overdoses the patient with pain-killers or sleeping pills. Although they are done differently, they both have the same purpose of ending a person’s suffering and pain.

To clarify, active voluntary euthanasia occurs when a medical practitioner deliberately and directly causes the death of a patient with means such as with lethal injection. Physician assisted suicide happens when patient-requested, pharmaceutical means are provided for that patient to end his or her own life (Emanuel, Ezekiel J., et al. "Attitudes and practices of