Involuntary euthanasia

Involuntary euthanasia occurs when euthanasia is performed on a person who is able to provide informed consent, but does not, either because they do not choose to die, or because they were not asked.[1] It is typically, but not always, murder.[2] For example:

A soldier has their stomach blown open by a shell burst. They are in great pain and screaming in agony. They beg the army doctor to save their life. The doctor knows that they will die in ten minutes whatever happens. As he has no painkilling drugs with him he decides to spare the soldier further pain and shoots them dead.[2]

Involuntary euthanasia is contrasted with voluntary euthanasia (euthanasia performed with the patient's consent) and non-voluntary euthanasia (where the patient is unable to give their informed consent, for example when a patient is comatose or a child). Involuntary euthanasia is widely opposed and is regarded as a crime in legal jurisdictions, and is sometimes used as a reason for not changing laws relating to other forms of euthanasia.[3][4]

Historically, involuntary euthanasia has received some support from parts of the eugenics and pro-euthanasia movements, according to anti-euthanasia activist Ian Dowbiggin.[5] During the Second World War, the Nazis used involuntary euthanasia in their Action T4 programme.[6]

More recently, philosopher Brad Hooker noted that "we can distinguish between killing innocent people against their wishes but for their own good, and killing them for some other reason", although he also stated that such a distinction is not very useful and would be likely to scare people away from medical experts, and that he "cannot imagine how allowing involuntary euthanasia could generate benefits large enough to begin to offset this loss".[7]

Philosopher Peter Singer, in his book Practical Ethics, after arguing in favour of voluntary and non-voluntary euthanasia also speaks of conceivable cases of justifiable involuntary euthanasia, but rejects the latter as "fortunately, more encountered in fiction than in reality."[8]

References

  1. ^ Jackson, Jennifer (2006). Ethics in medicine. Polity. p. 137. ISBN 074562569X. 
  2. ^ a b Voluntary and involuntary euthanasia BBC Accessed July 26, 2011.
  3. ^ Harris, NM. (Oct 2001). "The euthanasia debate.". J R Army Med Corps 147 (3): 367–70. PMID 11766225. "It is the occurrence of involuntary euthanasia which forms one of the main arguments against legalisation." 
  4. ^ Chapple, A.; Ziebland, S.; McPherson, A.; Herxheimer, A. (Dec 2006). "What people close to death say about euthanasia and assisted suicide: a qualitative study". J Med Ethics 32 (12): 706–10. doi:10.1136/jme.2006.015883. PMC 2563356. PMID 17145910. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2563356. 
  5. ^ Dowbiggin, Ian (2003). A Merciful End: The Euthanasia Movement in Modern America. New York: Oxford University Press. 
  6. ^ Peter Sandner: Die "Euthanasie" Akten im Bundesarchiv. Zur Geschichte eines lange verschollenen Bestandes p. 385, Note 2 (see PDF version p. 66). The authors state the term was first used in trials against the doctors and used later in the historiography
  7. ^ LaFollette, Hugh (2002). Ethics in practice: an anthology. Oxford: Blackwell. p. 27. ISBN 0-631-22834-9. http://books.google.com/books?id=o5peQpgSTTIC&pg=RA1-PA3-IA3. 
  8. ^ Singer, Peter (1993). Practical ethics. Cambridge, UK: Cambridge University Press. p. 201. ISBN 0-521-43971-X. http://books.google.com/books?id=OZOmSTWZNdcC&pg=PA201.