Letting die

Last updated

In non-consequentialist ethical thought, there is a moral distinction between killing and letting die. Whereas killing involves intervention, letting die involves withholding care. [1] [2]

Contents

Also in medical ethics there is a moral distinction between euthanasia and letting die. Legally, patients often have a right to reject life-sustaining care, in areas that do not permit euthanasia. [3]

See also

Related Research Articles

Euthanasia is the practise of intentionally ending life to eliminate pain and suffering.

<span class="mw-page-title-main">Assisted suicide</span> Suicide undertaken with aid from another person

Assisted suicide – alternately referred to as medical aid in dying – means a procedure in which people take medications to end their own lives with the help of others, usually medical professionals. The term usually refers to physician-assisted suicide (PAS), which is an end of life measure for a person suffering a painful, terminal illness. Once it is determined that the person's situation qualifies under the physician-assisted suicide laws for that location, the physician's assistance is usually limited to writing a prescription for a lethal dose of drugs.

<span class="mw-page-title-main">Principle of double effect</span> Christian ethical consideration

The principle of double effect – also known as the rule of double effect, the doctrine of double effect, often abbreviated as DDE or PDE, double-effect reasoning, or simply double effect – is a set of ethical criteria which Christian philosophers have advocated for evaluating the permissibility of acting when one's otherwise legitimate act may also cause an effect one would otherwise be obliged to avoid. The first known example of double-effect reasoning is Thomas Aquinas' treatment of homicidal self-defense, in his work Summa Theologica.

<span class="mw-page-title-main">Trolley problem</span> Thought experiment in ethics

The trolley problem is a series of thought experiments in ethics and psychology, involving stylized ethical dilemmas of whether to sacrifice one person to save a larger number. The series usually begins with a scenario in which a runaway tram or trolley is on course to collide with and kill a number of people down the track, but a driver or bystander can intervene and divert the vehicle to kill just one person on a different track. Then other variations of the runaway vehicle, and analogous life-and-death dilemmas are posed, each containing the option to either do nothing, in which case several people will be killed, or intervene and sacrifice one initially "safe" person to save the others.

The right to die is a concept based on the opinion that human beings are entitled to end their life or undergo voluntary euthanasia. Possession of this right is often understood that a person with a terminal illness, incurable pain, or without the will to continue living, should be allowed to end their own life, use assisted suicide, or to decline life-prolonging treatment. The question of who, if anyone, may be empowered to make this decision is often the subject of debate.

In philosophy, ethical dilemmas, also called ethical paradoxes or moral dilemmas, are situations in which an agent stands under two conflicting moral requirements, none of which overrides the other. A closely related definition characterizes ethical dilemmas as situations in which every available choice is wrong. The term is also used in a wider sense in everyday language to refer to ethical conflicts that may be resolvable, to psychologically difficult choices or to other types of difficult ethical problems. This article is about ethical dilemmas in the strict philosophical sense, often referred to as genuine ethical dilemmas. Various examples have been proposed but there is disagreement as to whether these constitute genuine or merely apparent ethical dilemmas. The central debate around ethical dilemmas concerns the question of whether there are any. Defenders often point to apparent examples while their opponents usually aim to show their existence contradicts very fundamental ethical principles. Ethical dilemmas come in various types. An important distinction concerns the difference between epistemic dilemmas, which give a possibly false impression to the agent of an unresolvable conflict, and actual or ontological dilemmas. There is broad agreement that there are epistemic dilemmas but the main interest in ethical dilemmas takes place on the ontological level. Traditionally, philosophers held that it is a requirement for good moral theories to be free from ethical dilemmas. But this assumption has been questioned in contemporary philosophy.

<span class="mw-page-title-main">Applied philosophy</span> Branch of philosophy

Applied philosophy is a branch of philosophy that studies philosophical problems of practical concern. The topic covers a broad spectrum of issues in environment, medicine, science, engineering, policy, law, politics, economics and education. The term was popularised in 1982 by the founding of the Society for Applied Philosophy by Brenda Almond, and its subsequent journal publication Journal of Applied Philosophy edited by Elizabeth Brake. Methods of applied philosophy are similar to other philosophical methods including questioning, dialectic, critical discussion, rational argument, systematic presentation, thought experiments and logical argumentation.

<span class="mw-page-title-main">Philippa Foot</span> English philosopher (1920–2010)

Philippa Ruth Foot was an English philosopher and one of the founders of contemporary virtue ethics. Her work was inspired by Aristotelian ethics. Along with Judith Jarvis Thomson, she is credited with inventing the trolley problem. She was elected a member of the American Philosophical Society. She was a granddaughter of the U.S. President Grover Cleveland.

<span class="mw-page-title-main">Judith Jarvis Thomson</span> American philosopher (1929–2020)

Judith Jarvis Thomson was an American philosopher who studied and worked on ethics and metaphysics. Her work ranges across a variety of fields, but she is most known for her work regarding the thought experiment titled the trolley problem and her writings on abortion. She is credited with naming, developing, and initiating the extensive literature on the trolley problem first posed by Philippa Foot which has found a wide range use since. Thomson also published a paper titled "A Defense of Abortion", which makes the argument that the procedure is morally permissible even if it is assumed that a fetus is a person with a right to life. She was elected a member of the American Philosophical Society in 2019.

Voluntary euthanasia is the ending of a person's life at their request in order to relieve them of suffering. Voluntary euthanasia and physician-assisted suicide (PAS) have been the focus of intense debate in recent years.

<span class="mw-page-title-main">James Rachels</span> American philosopher and ethicist

James Webster Rachels was an American philosopher who specialized in ethics and animal rights.

Involuntary Euthanasia is currently illegal in all 50 states of the United States. Assisted suicide is legal in 10 jurisdictions in the US: Washington, D.C. and the states of California, Colorado, Oregon, Vermont, New Mexico, Maine, New Jersey, Hawaii, and Washington. The status of assisted suicide is disputed in Montana, though currently authorized per the Montana Supreme Court's ruling in Baxter v. Montana that "nothing in Montana Supreme Court precedent or Montana statutes [indicates] that physician aid in dying is against public policy."

Living High and Letting Die: Our Illusion of Innocence is a philosophy book by Peter K. Unger, published in 1996.

<span class="mw-page-title-main">Dignity in Dying</span> UK pro-euthanasia organisation

Dignity in Dying is a United Kingdom nationwide campaigning organisation. It is funded by voluntary contributions from members of the public, and as of December 2010, it claimed to have 25,000 actively subscribing supporters. The organisation declares it is independent of any political, religious or other affiliations, and has the stated primary aim of campaigning for individuals to have greater choice and more control over end-of-life decisions, so as to alleviate any suffering they may be undergoing as they near the end of their life.

The philosophical aspects of the abortion debate are logical arguments that can be made either in support of or in opposition to abortion.

<span class="mw-page-title-main">Frances Kamm</span> 20th- and 21st-century American philosopher

Frances Myrna Kamm is an American philosopher specializing in normative and applied ethics. Kamm is currently the Henry Rutgers University Professor of Philosophy and Distinguished Professor of Philosophy at Rutgers University in New Brunswick, New Jersey. She is also the Littauer Professor of Philosophy and Public Policy Emerita at Harvard University's John F. Kennedy School of Government, as well as Professor Emerita in the Department of Philosophy at New York University.

Child euthanasia is a form of euthanasia that is applied to children who are gravely ill or have significant birth defects. In 2005, the Netherlands became the first country since the end of Nazi Germany to decriminalize euthanasia for infants with hopeless prognosis and intractable pain. Nine years later, Belgium amended its 2002 Euthanasia Act to extend the rights of euthanasia to minors. Like euthanasia, there is world-wide public controversy and ethical debate over the moral, philosophical and religious issues of child euthanasia.

There are many religious views on euthanasia, although many moral theologians are critical of the procedure.

Critics of euthanasia sometimes claim that legalizing any form of the practice will lead to a slippery slope effect, resulting eventually in non-voluntary or even involuntary euthanasia. The slippery slope argument has been present in the euthanasia debate since at least the 1930s.

<span class="mw-page-title-main">Dual process theory (moral psychology)</span> Theory of human moral judgment

Dual process theory within moral psychology is an influential theory of human moral judgement that posits that human beings possess two distinct cognitive subsystems that compete in moral reasoning processes: one fast, intuitive and emotionally-driven, the other slow, requiring conscious deliberation and a higher cognitive load. Initially proposed by Joshua Greene along with Brian Sommerville, Leigh Nystrom, John Darley, Jonathan David Cohen and others, the theory can be seen as a domain-specific example of more general dual process accounts in psychology, such as Daniel Kahneman's "system1"/"system 2" distinction popularised in his book, Thinking, Fast and Slow. Greene has often emphasized the normative implications of the theory, which has started an extensive debate in ethics.

References

  1. Thomson, Judith Jarvis; The Hegeler Institute (1976). Sugden, Sherwood J. B. (ed.). "Killing, Letting Die, and the Trolley Problem:". Monist (in German). 59 (2): 204–217. doi:10.5840/monist197659224. ISSN   0026-9662.
  2. Foot, Philippa (1967). "The Problem of Abortion and the Doctrine of the Double Effect". Oxford Review. 5: 5–15.
  3. aafp.org

Further reading