Physicians' Role in Helping to Die


Published: Jun 29, 2022
Keywords:
euthanasia physicians' duties palliative care bioethics conscientious objection medicalisation of death
Jose Luis Guerrero Quiñones
https://orcid.org/0000-0002-8855-4221
Abstract

Euthanasia and the duty to die have both been thoroughly discussed in the field of bioethics as morally justifiable practices within medical healthcare contexts. The existence of a narrow connection between both could also be established, for people having a duty to die should be allowed to actively hasten their death by the active means offered by euthanasia. Choosing the right time to end one’s own life is a decisive factor to retain autonomy at the end of our lives. However, there is no definitive consensus on why physicians should be the ones performing the medical procedure to end a person’s life. The moral problems arising from such assertion are not to be taken lightly, for medical tradition has long regarded the duty not to kill, not to actively end a patient’s life, as the core moral obligation that gives meaning to the medical profession. Our concern is to question the moral justifiability of the arguments offered by physicians not to actively help patients die.

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References
Battin, Margaret Pabst. Ending Life: Ethics and the Way We Die. Oxford: Oxford University Press, 2005.
Battin, Margaret Pabst. The Least Worst Death: Essays in Bioethics on the End of Life. Oxford: Oxford University Press, 1994.
Beauchamp, Tom L., and James F. Childress. Principles of Biomedical Ethics, 7th edition. New York; Oxford: Oxford University Press, 2013.
Brock, Dan W. “Voluntary Active Euthanasia.” The Hastings Center Report 22, no. 2 (1992): 10-22. Doi: https://doi.org/10.2307/3562560.
Buchanan, Allen. “The Right to a Decent Minimum of Health Care.” Philosophy & Public Affairs 13, no. 1 (1984): 55-78.
Callahan, Daniel. The Troubled Dream of Life: In Search of a Peaceful Death. London: Simon & Schuster, 1993.
Chambaere, Kenneth, and Jan L. Bernheim. “Does Legal Physician-Assisted Dying Impede Development of Palliative Care? The Belgian and Benelux Experience.” Journal of Medical Ethics 41, no. 8 (2015): 657-660. Doi: https://doi.org/10.1136/medethics-2014-102116.
Daniels, Norman. Just Health: Meeting Health Needs Fairly. Cambridge: Cambridge University Press, 2008.
Ehman, Robert E. “The Duty to Die: A Contractarian Approach.” In Is There a Duty to Die?, edited by James M. Humber, and Robert F. Almeder, 61-77. New Jersey: Humana Press, 2000.
Emanuel, Ezekiel J., and Linda L. Emanuel. “The Promise of a Good Death.” Lancet 351, no. SUPPL.2 (1998): SII21-29. Doi: https://doi.org/10.1016/S0140-6736(98)90329-4.
Garcia, J. L. A. “Health versus Harm: Euthanasia and Physicians’ Duties.” Journal of Medicine and Philosophy 32, no. 1 (2007): 7-24. Doi: https://doi.org/10.1080/03605310601152966.
Gill, Michael B. “Is the Legalization of Physician-Assisted Suicide Compatible with Good End-of-Life Care?” Journal of Applied Philosophy 26, no. 1 (2009): 27-45. Doi: https://doi.org/10.1111/j.1468-5930.2009.00407.x.
Gillon, R. “Ethics Needs Principles – Four Can Encompass the Rest – and Respect for Autonomy Should Be ‘First among Equals.’” Journal of Medical Ethics 29, no. 5 (2003): 307-312. Doi: https://doi.org/10.1136/jme.29.5.307.
Giubilini, Alberto. “The Paradox of Conscientious Objection and the Anemic Concept of ‘Conscience’: Downplaying the Role of Moral Integrity in Health Care.” Kennedy Institute of Ethics Journal 24, no. 2 (2014): 159-185. Doi: https://doi.org/10.1353/ken.2014.0011.
Hardwig, John. “Dying at the Right Time: Reflections on (Un)Assisted Suicide.” In Ethics in Practice: An Anthology, edited by H. LaFollete, 3rd edition, 101-112 Oxford: Oxford University Press, 1997.
Hardwig, John. “Is There a Duty to Die?” The Hastings Center Report 27, no. 2 (1997): 34-42. Doi: https://doi.org/10.2307/3527626.
Hardwig, John. “Medicalization and Death.” APA Newsletters on Philosophy and Medicine 6, no. 1 (2006): 2-9.
Hardwig, John. Is There a Duty to Die? London: Routledge, 2000.
Huxtable, Richard, and Maaike Möller. “‘Setting a Principled Boundary’? Euthanasia as a Response to ‘Life Fatigue.’” Bioethics 21, no. 3 (2007): 117-126. Doi: https://doi.org/10.1111/j.1467-8519.2007.00535.x.
Jonsen, Albert R. “Criteria That Makes Intentional Killing Unjustified.” In Intending Death: The Ethics of Assisted Suicide and Euthanasia, edited by Tom L. Beauchamp, 50-52. Upper Saddle River, NJ: Prentice-Hall, 1996.
Kass, Leon R. “Neither for Love nor Money: Why Doctors Must Not Kill.” Public Interest 94 (1989): 25-46.
Minerva, Francesca. “Conscientious Objection in Italy.” Journal of Medical Ethics 41, no. 2 (2015): 170-173. Doi: https://doi.org/10.1136/medethics-2013-101656.
Pellegrino, Edmund D. “Physician-Assisted Suicide and Euthanasia: Rebuttals of Rebuttals – The Moral Prohibition Remains.” The Journal of Medicine and Philosophy 26, no. 1 (2001): 93-100. Doi: https://doi.org/10.1076/jmep.26.1.93.3034.
Rachels, James. “Euthanasia, Killing, and Letting Die.” In Ethical Issues Relating to Life and Death, edited by John Ladd, 146-163. New York: Oxford University Press, 1979.
Rachels, James. The End of Life. Oxford: Oxford University Press, 1986.
Savulescu, Julian. “Conscientious Objection in Medicine.” British Medical Journal 332, no. 7536 (2006): 294-297. Doi: https://doi.org/10.1136/bmj.332.7536.294.
Scarre, Geoffrey. “Can There Be a Good Death?” Journal of Evaluation in Clinical Practice 18, no. 5 (2012): 1082-1086. Doi: https://doi.org/10.1111/j.1365-2753.2012.01922.x.
Schuklenk, Udo. “Conscientious Objection in Medicine: Private Ideological Convictions Must not Supercede Public Service Obligations.” Bioethics 29, no. 5 (2015): ii-iii. Doi: https://doi.org/10.1111/bioe.12167.
Seay, Gary. “Do Physicians Have an Inviolable Duty Not to Kill?” Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 26, no. 1 (2001): 75-91. Doi: https://doi.org/10.1076/jmep.26.1.75.3031.
Seay, Gary. “Euthanasia and Common Sense: A Reply to Garcia.” Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 36, no. 3 (2011): 321-327. Doi: https://doi.org/10.1093/jmp/jhr016.
Seay, Gary. “Euthanasia and Physicians’ Moral Duties.” Journal of Medicine and Philosophy 30, no. 5 (2005): 517-533. Doi: https://doi.org/10.1080/03605310500253071.
Varelius, Jukka. “Voluntary Euthanasia, Physician-Assisted Suicide, and the Goals of Medicine.” Journal of Medicine and Philosophy 31, no. 2 (2006): 121-137. Doi: https://doi.org/10.1080/03605310600588665.
Veatch, Robert M. “Doctor Does Not Know Best: Why in the New Century Physicians Must Stop Trying to Benefit Patients.” The Journal of Medicine and Philosophy 25, no. 6 (2000): 701-721. Doi: https://doi.org/10.1076/jmep.25.6.701.6126.
Vink, Ton. “Self-Euthanasia, the Dutch Experience: In Search for the Meaning of a Good Death or Eu Thanatos.” Bioethics 30, no. 9 (2016): 681-688. Doi: https://doi.org/10.1111/bioe.12279.
Widdershoven, Guy, Margreet Stolper, and Bert Molewijk. “Dealing with Dilemmas around Patients’ Wishes to Die: Moral Case Deliberation in a Dutch Hospice.” In The Patient’s Wish to Die, edited by Christoph Rehmann-Sutter, Heike Gudat, and Kathrin Ohnsorge, 149-160. Oxford: Oxford University Press, 2015. Doi: https://doi.org/10.1093/acprof:oso/9780198713982.003.0014.