Arthur Dyke, "An Alternative to the Ethic of Euthanasia"
Generally "Accepted" Arguments for euthanasia:
a. Compassion
for the painfully and terminally ill.
b. Concern
for human dignity associated with freedom of choice.
Dyke's Position:
Euthanasia does
not promote compassion and human dignity.
Proposes the alternative: "benemortasia" - roots in "bene" (good)
and "mort" (death) - but a different sort of connotation from that associated
with the term 'euthanasia'
Those who support "benemortasia" hold that death need not be painless or induced to be good. There is a distinction between permitting death and causing death, and it makes a significant moral difference.
Causing one's own
death does violence to oneself and others (for the ethic of benemortasia):
a. Repudiates the meaning and worth of life for anyone. It
ends all choices about what one's life will 'symbolize'
A question to consider: Why should one's life symbolize anything?
Why should the way one dies repudiate the meaning and worth of life?
b. Ends the
chance to make restitution, reparation, kindness and clarify misunderstandings.
Another question: Can't these things be done prior to the decision
to end one's life voluntarily? Is there too much weight being put
on OTHERS rather than the SELF in these cases?
c. Suicide
and support for it destroys the community.
Another question: Can it not be part of a community to respect the
decisions of others? Why can't it be the case that the way one dies
is PART of a person's life and may be supportive of a community?
d. The example
of the Nazis - holocaust began with the sick and frail
Question: a slippery slope argument?
e. For physicians
to cause death is to abandon the principle to do no harm.
Question: would it be better if non-physicians were to administer
lethal doses of medication, etc.?
James Rachels, "Active and Passive Euthanasia"
That active and passive
euthanasia are not morally distinct - and neither are killing and letting
die (the analogous cases).
Argues that active E is morally preferable to passive E because passive
E causes more suffering rather than less.
The example of the rich cousin - in the first case, he is drowned by his
caretaker relative. In the second case, he is allowed to drown by
his caretaker relative. In both cases, intent is identical - actions
are different. Is there any moral difference between the two cases?
There is clearly a moral difference between allowing suffering and ending
suffering.
Some general considerations
from Taking Sides:
Faye Girsh:
"When the state dictates how the most intimate and personal choices will
be made, based on how some religious groups think it should be, then we
as individuals and as a country are in serious trouble."
Rita Marker:
There may be a tendency to prefer the money saved by a cheap pill or injection
to end the life of a seriously ill person rather than to save that person's
life and spend thousands of health-care dollars.
How can we expect people to be properly informed about the details of euthanasia
when most people see their physicians for less than 10-20 minutes per visit?
Richard Brandt,
"Defective Newborns and the Morality of Termination"
There are times when causing a person's death is doing him a favor
- example of Chinese soldiers and cyanide
1. The issue
of consent is irrelevant
regarding the case of fetuses who have no concpetion of self or interest
in their continued survival. Consider the case of a person offered
the chance to allow for the continued existence of his brain, but no memory.
He would be indifferent to his own existence in that sense.
The point is that
a fetus at the end of the 1st trimester is in the same position as that
of the person offered the continued existence of his brain with no memory
- there is no sense in which a 3 month old fetus could or would consider
itself the same as the same physical fetus 6 months later.
Adult consent is important in two senses:
a) one is concerned with his or her own welfare, b) there is a feeling
of security a person can have if he or she knows that decisions made about
one's life are in his or her own hands rather than the decisions being
made by others.
2. A newborn
or fetus cannot suffer from insecurity.
The issue of consent is therefore irrelevant. A fetus can't worry
about what others will do to him.
But what of the first case (concern with one's own welfare)? The
interests of a newborn or fetus are most likely better served if people
of goodwill who have information regarding the child's likely future, make
decisions for him.
NOTE: An analogy to power of attorney granted
by a competent adult to some other for decisions to be made during a time
of incapacitation.
3. If all this is true, there is no difference between a fetus and a child in the first few days of life. Note: Is there also no difference between a fetus and an aged or intellectually incapacitated adult?
4. Replacement
people:
Conditions: Conception at time A will likely result in a defective
fetus. Conception is put off until time B. It is impossible
to conceive the SAME fetus at time A and at time B. Does potential
fetus A have a "right" to complain? Should we complain for the non-existent
potential fetus?
Now change the condition a bit: Conception has already occurred.
Fetus A now exists, but is defective. If an abortion is performed
now, conception at a later time is likely to result in a non-defective
fetus. WHERE IS THE DIFFERENCE BETWEEN THE TWO CASES? Couldn't
we argue that the defective fetus, once born and in a state of awareness
of its conditions of existence, might actually COMPLAIN ABOUT BEING BROUGHT
INTO THE WORLD? (Such cases have actually occurred - wrongful birth)
4. Costs
to others: ships are deliberately built with a certain
margin of safety. The same goes for cars. We engage in wars
in which it is known that there will be risks to and loss of life.
We engage in activities that are dangerous for greater benefits.
So, does the continuation of the life of a seriously ill child take precedence
over the college education of a healthy sibling?
We do not live according
to a principle stating that life is to be preserved no matter what the
cost (ships, cars, wars). Why should we do so in cases in which the
birth and continued existence of a defective newborn will result in diminution
of the quality of life for other family members?
A brief excursion into
the abortion issue:
A little bit of terminology:
How is 'abortion' to be defined? Will it make a difference?
Arguments for/against
abortion:
| General Arguments for | General Arguments against |
| Safer than childbirth | All surgeries are dangerous
Danger doesn't imply moral wrong, does it??? |
| Women have a moral right to choose | Fetuses have a right to life |
| Fetuses are not yet persons | Fetuses are at least potential persons
What constitutes personhood? What defines humanity? Genetic material? |
| Unwanted children aggravate the problem of poverty | ??? |
| Adoption is not that simple | Adoption is a better alternative |
| Unwanted pregnancy increases infant mortality | Abortion is murder of potential infants/persons |
| Women's rights argument - life, liberty, self-determination and freedom from harm | All humans have a right to life |
| Others: | Others: |