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There are many religious views on euthanasia, although many moral theologians are critical of the procedure.
There are many views among Buddhists on the issue of euthanasia, but many are critical of the procedure.
An important value of Buddhism teaching is compassion. Some Buddhists use compassion to justify euthanasia because the person suffering is relieved of pain. [1] However, it is still immoral "to embark on any course of action whose aim is to destroy human life, irrespective of the quality of the individual's motive." [2]
In Theravada Buddhism, a lay person daily recites the simple formula: "I undertake the precept to abstain from destroying living beings." [3] For Buddhist monastics ( bhikkhu ) however the rules are more explicitly spelled out. For example, in the monastic code ( Patimokkha ), it states:
The Catholic Church opposes active euthanasia and physician-assisted suicide on the grounds that life is a gift from God and should not be prematurely shortened. However, the church allows dying people to refuse extraordinary treatments that would minimally prolong life without hope of recovery, [5] a form of passive euthanasia. [6]
Catholic opposition to active euthanasia can be traced back to ancient Jewish and early Christian attitudes towards suicide. Later in the Middle Ages and Renaissance, Thomas Aquinas exemplified and shaped mainstream Christian views on suicide. He condemned suicide for violating the natural inclination towards self-preservation and self-perpetuation, for injuring other people and the community, and for defying divine authority over life. [7] Western opinions against suicide among the sick were near-uniform until the mid-19th century, though Catholic thinker Thomas More may have been a notable exception. In Utopia , More appears to advocate for active euthanasia (though the specific term did not exist at the time), [8] but some scholars have questioned whether More's position was serious or satirical. [9] [10]
In the early modern period, Catholic theologians considered moral questions pertaining to refusing medical treatment and passive dying. Francisco de Vitoria argued that a person does not violate the obligation to protect and preserve life if they choose not to take medicine prescribed by a doctor. Domingo Báñez distinguished between ordinary means of preserving life, such as eating and procuring clothing, and extraordinary means, such as painful medical procedures. He asserted that while one is morally obligated to eat and cloth oneself, one is not morally obligated to undergo the amputation of a limb to save one's life. John de Lugo contended that while one must use ordinary means to preserve life, one is not obligated to use ordinary means with no hope of benefit. He also maintained that there is a clear moral distinction between actively killing oneself and allowing death to occur naturally by refusing burdensome treatments. [11]
The Catholic Church became one of the leading opponents of the modern euthanasia movement in the early 1900s. [12] Pope Pius XII was a vocal critic of euthanasia in the 1940s, [13] but in 1957, he wrote "The Prolongation of Life: An Address of Pope Pius XII to an International Congress of Anesthesiologists" in which he declared that physicians did not have an obligation to prolong patients' lives with extraordinary treatments, such as providing ventilator support for patients without hope of recovery. [14] Historian Ian Dowbiggin notes that this permits passive euthanasia in some circumstances without violating Christian doctrine. [6]
On 5 May 1980, the Vatican Congregation for the Doctrine of the Faith issued the Declaration on Euthanasia , condemning euthanasia as a "violation of the divine law, an offense against the dignity of the human person, a crime against life, and an attack on humanity". [15] It noted that advances in medical technology had blurred the line between ordinary and extraordinary means of sustaining life, but allowed terminally ill patients to refuse life-prolonging treatment in situations in which a physician believes the treatment's harm would outweigh the benefit. [14] The declaration stated that a patient's refusal of disproportionate or extraordinary treatment "is not the equivalent of suicide", but instead "should be considered as an acceptance of the human condition". [11] On 22 September 2020, the Congregation for the Doctrine of the Faith issued the letter "Samaritanus bonus", restating the church's opposition to euthanasia and physician-assisted suicide, criticising end-of-life protocols such as do-not-resuscitate orders, urging Catholic hospitals and health-care workers not to engage in "plainly immoral conduct", including referring patients to other hospitals where they might undergo euthanasia, [16] and accusing lawmakers who approved of euthanasia of being "accomplices of a grave sin". However, the letter also repeated the church's allowance for terminally ill patients to refuse life-extending treatments. [17] Reuters noted that the letter did not alter church doctrine, but instead reiterated existing doctrines in stronger language at a time when governments around the world, including those of some traditionally Catholic countries, were liberalising end-of-life care options. [18]
Protestant denominations vary widely on their approach to euthanasia and physician assisted death. Since the 1970s, Evangelical churches have worked with Roman Catholics on a sanctity of life approach, though some Evangelicals may be adopting a more exceptionless opposition. Mainline Protestant denominations, such as the United Methodist Church, have largely eschewed euthanasia. [19]
The Orthodox Church in America, along with other Eastern Orthodox Churches, also opposes euthanasia, stating that it must be condemned as murder stating that, "Euthanasia is the deliberate cessation to end human life." [20]
Groups claiming to speak for Christians rather than the official viewpoints of the Christian clergy have sprung up in a number of countries. [21]
There are two Hindu points of view on euthanasia. By helping to end a painful life a person is performing a good deed and so fulfilling their moral obligations. Euthanasia may also be acceptable if it is used for selfless motives. On the other hand, by helping to end a life, even one filled with suffering, a person is disturbing the timing of the cycle of death and rebirth. This is a bad thing to do, and those involved in the euthanasia will take on the remaining karma of the patient. Death is a natural process, and will come in time. [22]
It is clearly stated in the Vedas that man has only two trustworthy friends in life, the first is called Vidya (knowledge), and the 2nd is called Mrityu (Death). The former is something that is beneficial and a requirement in life, and the latter is something that is inevitable sometimes even unexpected. It is not the euthanasia that is the act of sin, but worldly attachment which causes euthanasia to be looked upon as an act of sin. Even a Sannyasin or Sannyasini if they decide to, are permitted to end his or her life with the hope of reaching moksha i.e. emancipation of the soul.
Muslims are against euthanasia. They believe that all humans life is sacred because it is given by God, and that God chooses how long each person lives. Human beings should not interfere in this. [23] [24] It is forbidden for a Muslim to plan, or come to know through self-will, the time of his own death in advance. [25]
Jainism is based on the principle of non-violence ( ahinsa ) and is best known for it. [26] Jainism recommends voluntary death or sallekhana for both ascetics and srāvaka (householders) at the end of their life. [27] Sallekhana (also known as Santhara, Samadhi-marana) is made up of two words sal (meaning 'properly') and lekhana, which means to thin out. Properly thinning out of the passions and the body is sallekhana. [28] A person is allowed to fast unto death or take the vow of sallekhana only when certain requirements are fulfilled. It is not considered suicide as the person observing it, must be in a state of full consciousness. [28] When observing sallekhana, one must not have the desire to live or desire to die. Practitioner shouldn't recollect the pleasures enjoyed or, long for the enjoyment of pleasures in the future. [29] The process is still controversial in parts of India. Estimates for death by this means range from 100 to 240 a year. [30] Preventing santhara invites social ostracism. [31]
Like the trend among Protestants, Jewish medical ethics have become divided, partly on denominational lines, over euthanasia and end of life treatment since the 1970s. Generally, Jewish thinkers oppose voluntary euthanasia, often vigorously, [32] though there is some backing for voluntary passive euthanasia in limited circumstances. [33] [34] Likewise, within the Conservative Judaism movement, there has been increasing support for passive euthanasia (PAD) [35] In Reform Judaism responsa, the preponderance of anti-euthanasia sentiment has shifted in recent years to increasing support for certain passive euthanasia options.[ citation needed ] Secular Judaism is a separate category with increasing support for euthanasia. [36] A popular sympathiser for euthanasia is Rabbi Miriam Jerris. [37]
A study performed in 2010 investigated elderly Jewish women who identified themselves as either Hasidic Orthodox, non-Hasidic Orthodox, or secularized Orthodox in their faith. The study found that all of the Hasidic Orthodox responders disapproved of voluntary euthanasia whereas a majority of the secularized Orthodox responders approved of it. [38]
In Japan, where the dominant religion is Shinto, 69% of the religious organisations agree with the act of voluntary passive euthanasia. [39] The corresponding figure was 75% when the family asked for it. In Shinto, the prolongation of life using artificial means is a disgraceful act against life. [39] Views on active euthanasia are mixed, with 25% Shinto and Buddhist organisations in Japan supporting voluntary active euthanasia.
The Unitarian Universalist Association (UUA) recommends observing the ethics and culture of the resident country when determining euthanasia. In 1988 the UUA gathered to share a commitment to The Right to Die with Dignity document which included a resolution supporting self-determination in dying. [40]
Religious views on euthanasia are both varied and complicated. While one's view on the matter doesn't necessarily connect directly to their religion, it often impacts a person's opinion. While the influence of religion on one's views towards palliative care do make a difference, they often play a smaller role than one may think. An analysis of the connection between the religion of US adults and their view on euthanasia was done in order to see how they combine. The findings concluded that the religious affiliation one associates with does not necessarily connect with their stance on euthanasia. [41] Research shows that while many belong to a specific religion, they may not always see every aspect as relevant to them.
Some metadata analysis has supported the hypothesis that nurses’ attitudes towards euthanasia and physician assisted suicide are influenced by religion and world view. Attributing more importance to religion also seems to make agreement with euthanasia and physician assisted suicide less likely. [42] A 1995 study of public opinion found that the tendency to see a distinction between active euthanasia and suicide was clearly affected by religious affiliation and education. [43] In Australia, more doctors without formal religious affiliation were sympathetic to active voluntary euthanasia, and acknowledged that they had practiced it, than were doctors who gave any religious affiliation. Of those identifying with a religion, those who reported a Protestant affiliation were intermediate in their attitudes and practices between the agnostic/atheist and the Catholic groups. Catholics recorded attitudes most opposed, but even so, 18 percent of Catholic medical respondents who had been so requested, recorded that they had taken active steps to bring about the death of patients. [44]
Euthanasia is the practice of intentionally ending life to eliminate pain and suffering.
Assisted suicide 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.
Religious philosophy is philosophical thinking that is influenced and directed as a consequence of teachings from a particular religion. It can be done objectively, but it may also be done as a persuasion tool by believers in that faith. Religious philosophy is concerned with the nature of religion, theories of salvation, and conceptions of god, gods, and/or the divine.
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 the right to die is often bestowed with the understanding 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 decline life-prolonging treatment. The question of who, if anyone, may be empowered to make this decision is often the subject of debate.
Religious vows are the public vows made by the members of religious communities pertaining to their conduct, practices, and views.
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. Some forms of voluntary euthanasia are legal in Australia, Belgium, Canada, Colombia, Luxembourg, the Netherlands, New Zealand, and Spain.
There are a variety of religious views on suicide.
Sallekhana, also known as samlehna, santhara, samadhi-marana or sanyasana-marana, is a supplementary vow to the ethical code of conduct of Jainism. It is the religious practice of voluntarily fasting to death by gradually reducing the intake of food and liquids. It is viewed in Jainism as the thinning of human passions and the body, and another means of destroying rebirth-influencing karma by withdrawing all physical and mental activities. It is not considered a suicide by Jain scholars because it is not an act of passion, nor does it employ poisons or weapons. After the sallekhana vow, the ritual preparation and practice can extend into years.
Death is dealt with differently in cultures around the world, and there are ethical issues relating to death, such as martyrdom, suicide and euthanasia. Death refers to the permanent termination of life-sustaining processes in an organism, i.e. when all biological systems of a human being cease to operate. Death and its spiritual ramifications are debated in every manner all over the world. Most civilizations dispose of their dead with rituals developed through spiritual traditions.
Involuntary euthanasia is 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."
Non-voluntary euthanasia is euthanasia conducted when the explicit consent of the individual concerned is unavailable, such as when the person is in a persistent vegetative state, or in the case of young children. It contrasts with involuntary euthanasia, when euthanasia is performed against the will of the patient.
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 legality of euthanasia varies between countries and territories. Efforts to change government policies on euthanasia of humans in the 20th and 21st centuries have met with limited success in Western countries. Human euthanasia policies have also been developed by a variety of NGOs, most advocacy organisations although medical associations express a range of perspectives, and supporters of palliative care broadly oppose euthanasia.
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.
Euthanasia became legal in New Zealand when the End of Life Choice Act 2019 took full effect on 7 November 2021. It is illegal to "aid and abet suicide" under Section 179 of the New Zealand Crimes Act 1961. The clauses of this act make it an offence to "incite, procure or counsel" and "aid and abet" someone else to commit suicide, regardless of whether a suicide attempt is made or not. Section 179 covers both coercion to undertake assisted suicide and true suicide, such as that caused by bullying. This will not change under the End of Life Choices Act 2019, which has provisions on coercion of terminally ill people.
Both Euthanasia and Assisted Suicide are illegal in the United Kingdom and could be prosecuted as murder or manslaughter.
Buddhist views, although varying on a series of canons within the three branches of Buddhism, observe the concept of euthanasia, or "mercy killing", in a denunciatory manner. Such methods of euthanasia include voluntary, involuntary, and non-voluntary.
Ian Robert Dowbiggin is a professor in the Department of History at the University of Prince Edward Island and writer on the history of medicine, in particular topics such as euthanasia and physician-assisted suicide. His research and publications have been funded by the Social Sciences and Humanities Research Council of Canada and the Associated Medical Services. In 2011, he was made a Fellow of the Royal Society of Canada. He is the brother of Canadian sports broadcaster and author Bruce Dowbiggin.
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.
The law on Euthanasia in India distinguishes between active and passive euthanasia.
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