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Euthanasia: Whose Choice Should it Be?
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EUTHANASIA

Alex Rourke Rourke 1
Mrs. E. Teague
English 110
1 May 1999
Euthanasia
The origin of the word 'euthanasia' comes from the Greek -- eu, good, and thanatos,
death, meaning literally, good death. But the word euthanasia has acquired a more complex
meaning in modern times. It is generally taken nowadays to mean doing something about
achieving a good death. Suicide, self-deliverance, auto-euthanasia, aid-in-dying,
assisted suicide -- call it what you like -- can be justified by the average supporter of
the so-called 'right to die movement. It is advanced terminal illness that is causing
unbearable suffering to the individual. This is the most common reason to seek an early
end. Grave physical handicap which is so restricting that the individual cannot, even
after due consideration, counseling and retraining, tolerate such a limited existence.
This is a fairly rare reason for suicide -- most impaired people cope remarkably well
with their affliction -- but there are some who would, at a certain point, rather die.
What are the ethical parameters for euthanasia? The person is a mature adult. This is
essential. The exact age will depend on the individual but the person should not be a
minor who comes under quite different laws. The person has clearly made a considered
decision. An individual has the ability nowadays to indicate this with a Living Will
(which applies only to disconnection of life supports) and can also, in 
Rourke 2
today's more open and tolerant climate about such actions, freely discuss the option of
euthanasia with health professionals, family, lawyers, etc. My position is that
euthanasia should be legalized for the terminally ill.
Because of the increasing number of suicides in Michigan, Gov. John Engler signed an
anti-suicide law that made doctor-assisted suicides a felony. During the 21-month trial
period of the new law anyone assisting in a suicide can be sentenced to up to four years
in prison and fined more than $2,000 (Reuters 1993). In a poll cited in a 1991 issue of
USA Today, 80 percent of Americans think sometimes there are circumstances when a patient
should be allowed to die, compared to only 15 percent think doctors and nurses should
always do everything possible to save a person's life. It also showed that 8 in 10 adults
approve of state laws that allow medical care for the terminally ill to be removed or
withheld, if that is what the patient wishes, whereas only 13 percent disapproved of the
laws. Also, 70 percent think the family should be allowed to make the decision about
treatment on behalf of the patient, while another 5 percent think this is suitable only
in some cases (Colasnto 62). Seventy percent think it is justified at least sometimes for
a person to kill his or her spouse, if he or she is suffering terrible pain caused by a
terminal illness. Even suicide is starting to be accepted. About half the public think a
moral right to suicide exists if a person has an incurable disease or is suffering great
pain with no hope of recovering (Colasnto 63). About half of those with living parents
think their mothers and fathers would want medical treatment stopped if they were
suffering a great deal of pain in a terminal disease or if 
Rourke 3
they became totally dependant on a family member, and 40 percent of their parents would
want medical treatment stopped if daily activities became a burden (Colasnto 63).
One reason that just about everyone who favors euthanasia agrees with is that a person
has the right to a death with dignity. Another reason is a person should be allowed a
natural death instead of a prolonged death with medical equipment . Still another reason
is that doctors are supposed to ease the pain of people, not prolong it. (Battin 19).
Death is one of the few things that all people have in common. This means that there is a
chance for anyone to face the decision of letting someone go. People should be allowed to
control their own deaths. Why should patients be forced to live if he or she think their
present standard of life has degenerated to the point of meaningless, when doctors can no
longer help, and perhaps the pain has become unbearable? At this point, if the persons of
sound mind, he or she should have the choice to continue on or to peacefully die, even if
they need assistance in doing so (Larue 153). If the person is not able to make this
decision, there should be a few options: a living will and the family's choice. A doctor
should be at least an advisor. They are the ones with the medical knowledge, and know the
present condition of the patient. In any humane or humanistic view of what is good, it is
morally wrong to compel hopelessly suffering or irreversible debilitated patients to stay
alive when death is freely elected (Larue 151). In some cases, like terminal illness,
death is often better than prolonged suffering, mainly due to the way that the person
will die. They may have to go through a long period of pain and suffering.
Rourke 4
No longer do persons die when he or are supposed to; life-support now prevents that.
Opponents say doctors should not play God by killing patients, but do they realize that
by prolonging death the medical profession is doing exactly that? Christian Barnard, at
the World Euthanasia Conference, was quoted as saying, I believe often that death is good
medical treatment because it can achieve what all the medical advances and technology
cannot achieve today, and that is stop the suffering of the patient (Battin 21).
Humanity breached the laws of nature, long before the laws of humanity were broken, with
advances like respirators. People are the ones upsetting the balance of nature when they
try to keep persons alive who are suppose to die.
The United States was founded because people wanted to be free. Americans have fought for
freedom ever since. 
As I have mentioned earlier, assistance in suicide is a crime in most places, although
the laws are gradually changing, and very few cases ever came before the courts, until
Dr. Jack Kevorkian. A great many cases of self-deliverance or assisted suicide, using
drugs and/or a plastic bag, go undetected by doctors, especially now that autopsies are
the exception rather than the rule (only 10 percent, and only when there is a mystery
about the cause of death). Also, if a doctor asked for a death certificate he or she know
that the patient was in advanced terminal illness, then he is not going to be too
concerned about the precise cause of death. It hardly matters. 
Rourke 5
But, having considered the logic in favor of auto-euthanasia, the person should also
contemplate the arguments against it. First, should the person go instead into a hospice
program and receive not only first-class pain management but comfort care and personal
attention? Put bluntly, hospices make the best of a bad job, and they do so with great
skill and love. The right-to-die movement supports their work. But not everyone wants a
lingering death, not everyone wants that form of care. Today many terminally ill people
take the marvelous benefits of home hospice programs and still accelerate the end when
suffering becomes too much. A few hospice leaders claim that their care is so perfect
that there is absolutely no need for anyone to consider euthanasia. Most, but not all,
terminal pain can today be controlled with the sophisticated use of drugs, but the point
these leaders miss is that personal quality of life is vital to some people. If one's
body has been so destroyed by disease that it is not worth living, that is an intensely
individual decision which should not be thwarted. In some cases of the final days in
hospice care, when the pain is very serious, the patient is drugged into unconsciousness.
If that way is acceptable to the patient, fine. But some people do not wish their final
hours to be in that fashion. There should be no conflict between hospice and euthanasia
-- both are valid options in a caring society. Both are appropriate to different people
with differing values.
Even the most determined supporters of euthanasia hang on until the last minute --
sometimes too long, and lose control. They, too, gather with their families and friends
to
Rourke 6
say good-byes. There are important reunions and often farewell parties. Euthanasia
supporters enjoy life and love living, and their respect for the sanctity of life is as
strong as anybody's. Yet they are willing, if their dying is distressing to them, to
forego a few weeks or a few days at the very end and leave under their own control. Now
that we have the knowledge and the drugs, we can negotiate new terms with life concerning
our fate. Surely, for those who want it this way, this is commendable and is in fact an
extension rather than a curtailment of life. What is needed now are careful laws
permitting physician-assisted suicide -- voluntary on everybody's part.
As with any issue, each viewpoint is supported by many reasons. Those who oppose
euthanasia argue that the medical profession must always be on the side of preserving
life (Schofield 24). Another reason is euthanasia will lead to the devaluation of life
(Low 37). Also they think it will force doctors and family members to judge the value of
a patient's life. Critics also say that acceptance will spread from the terminally ill to
the less serious ill, the handicapped, or the mentally retarded. (Russ 117).
The Case for Euthanasia: Should Physician-Assisted Suicide be Legalized? Throughout the
twentieth century, major scientific and medical advances have greatly enhanced the life
expectancy of the average person. However, there are many instances where doctors can
preserve life artificially. In these cases where the patient suffers from a terminal
disease or remains in a persistent vegetative state or PVS,
Rourke 7
from which they cannot voice their wishes for continuation or termination of life, the
question becomes whether or not the patients have the freedom to choose whether or not to
prolong his or her life even though it may consist of pain and suffering. In answer to
this question, proponents of physician-assisted suicide, most notably, Dr. Jack
Kevorkian, are of the opinion that not only should patients be able to abstain from
treatment, but if they have a terminal and/or extremely painful condition, they should be
able to seek out the assistance of a doctor in order to expedite their death with as
little pain as possible.
The results on mercy killing surprised me even more. Ask yourself which you would choose,
early or prolonged death (Larue 153).
Rourke 8
Works Cited
References Battin, M. (1987). Euthanasia: the time is now. In Bernards, N. (Ed). (1989).
Euthanasia: opposing viewpoints. Greenhaven Press, Inc. Bernards, N. (Ed). (1989).
Euthanasia: opposing viewpoints. Greenhaven Press, Inc. Bolander, D. (1987). Instant
quotation dictionary. Little Falls: Career Publishing, Inc. Caplan, H. (1987). It's time
we helped patients die. In Bernards, N. (Ed). (1989). Euthanasia: opposing viewpoints.
Greenhaven Press, Inc. Colesanto, D. (1991, May). The right-to-die controversy. USA
Today. pp. 62-63. Larue, G. (1988). Euthanasia. In Bernards, N. (Ed). (1989). Euthanasia:
opposing viewpoints. Greenhaven Press, Inc. Low, C. (1988). A deadly serious dilemma:
evaluating the right to die. In Bernards, N. (Ed). (1989). Euthanasia: opposing
viewpoints. Greenha

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