Saturday, July 02, 2005

Euthanasia (Greek, "good death") -- By Sanket ‘ain’t Greek’ Kambli

All those who don’t know what the title means, here is the definition. The intentional killing by act or omission of a dependent human being for his or her alleged benefit. (The key word here is "intentional". If death is not intended, it is not an act of euthanasia). And it doesn’t end here. Voluntary euthanasia: When the person who is killed has requested to be killed. Non-voluntary: When the person who is killed made no request and gave no consent. Involuntary euthanasia: When the person who is killed made an expressed wish to the contrary. Assisted suicide: Someone provides an individual with the information, guidance, and means to take his or her own life with the intention that they will be used for this purpose. When it is a doctor who helps another person to kill themselves it is called "physician assisted suicide." Euthanasia by Action: Intentionally causing a person's death by performing an action such as by giving a lethal injection. Euthanasia by Omission: Intentionally causing death by not providing necessary and ordinary (usual and customary) care or food and water. So you must be wondering when not to use the word euthanasia. Please continue. There is no euthanasia unless the death is intentionally caused by what was done or not done. Thus, some medical actions that are often labeled "passive euthanasia" are no form of euthanasia, since the intention to take life is lacking. These acts include not commencing treatment that would not provide a benefit to the patient, withdrawing treatment that has been shown to be ineffective, too burdensome or is unwanted, and the giving of high doses of pain-killers that may endanger life, when they have been shown to be necessary. All those are part of good medical practice, endorsed by law, when they are properly carried out. In terms of Indian context, while section 309 of the IPC says that attempted suicide is a criminal offense, it keeps mum on euthanasia. The irony is that it is the fear of misusing the law which is holding back many experts from legalizing it. Surely, a conflict between the humane, the ethical and the legal. What is my opinion you ask? The right to die should be a personal choice. But if euthanasia is made legal, there always will be those who will try to bend the law and exploit ignorant patients. That is a big risk.” The Hippocratic Oath in the medical profession seems to be another hold-back. “We are expected to treat a patient to the best of our ability. Whether we have a right to take anybody’s life is a serious question because we are supposed to offer hope even in the worst situation,” says Dr Mandloi
Definition source: Southern Cross Bioethics Institute

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