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The
philosopher Immanuel Kant said that rational human beings should be
treated as an end in themselves and not as a means to something else. The
fact that we are human has value in itself.
Our inherent value doesn't depend on anything else - it doesn't depend on
whether we are having a good life that we enjoy, or whether we are making
other people's lives better. We exist, so we have value.
HUI: Most of humans agree with that - though we don't put it in philosopherspeak. We say that we don't think that we should use other people - which is
a plain English way of saying that we shouldn't treat other people as a
means to our own ends.
Legalizing the deliberate killing of humans (other than in legitimate selfdefence/war or possibly for the most heinous of crimes) fundamentally
undermines the basis of law and public morality.
People who support euthanasia often say that it is already considered
permissible to take human life under some circumstances such as self
defense - but they miss the point that when one kills for self defense they
are saving innocent life - either their own or someone else's. With
euthanasia no one's life is being saved - life is only taken.
Devalues some lives
Some people fear that allowing euthanasia sends the message, "it's better
to be dead than sick or disabled".
The subtext is that some lives are not worth living. Not only does this put
the sick or disabled at risk, it also downgrades their status as human beings
while they are alive. Some societies have regarded people with disabilities
as inferior, or as a burden on society. Those in favour of eugenics go further,
and say that society should prevent 'defective' people from having children.
Others go further still and say that those who are a burden on society should
be eliminated, which would be further promoted if euthanasia was legalised.
-6It Improves Quality Of Life
Most of us fear death, but a large part of that fear comes from uncertainty
and the worry that it might be preceded by agonizing pain (like a car wreck,
say). If we knew exactly when we were going to dieand knew for a fact it
would be painlessits a fair bet that fear would simply melt away. By
allowing people to choose the how and when of their death, were
guaranteeing theyll live what remaining life they have to the fullest, free
from the pain of anxiety. Dont believe me? Well, author Terry Pratchett was
diagnosed with a rare form of Alzheimers and became a campaigner for
assisted dying. In his own words:
As I have said, I would like to die peacefully with Thomas Tallis on my iPod
before the disease takes me over and I hope that will not be for quite some
time to come, because if I knew that I could die at any time I wanted, then
suddenly every day would be as precious as a million pounds. If I knew that I
could die, I would live. My life, my death, my choice.
KARINA: Euthanasia is the start of slippery slope that leads to involuntary
euthanasia, people might be puched into saying they want euthanasia by
relatives who do not want to look after the them
HUI: Many people worry that if voluntary euthanasia were to become legal,
it would not be long before involuntary euthanasia would start to happen.
We were also concerned that vulnerable people - the elderly, lonely, sick or
distressed - would feel pressure, whether real or imagined, to request early
death.
This is called the slippery slope argument. In general form it says that if we
allow something relatively harmless today, we may start a trend that results
in something currently unthinkable becoming accepted.
If we change the law and accept voluntary euthanasia, we will not be able to
keep it under control. Doctors may soon start killing people without
bothering with their permission.
We all know that there is a huge difference between killing people who ask
for death under appropriate circumstances, and killing people without their
permission, but any doctor could ignore this distinction.
Health care costs will lead to doctors killing patients to save money or free
up beds, cost-conscious doctors are more likely to honour their patients'
requests for death.
KARINA: A 1998 study found that doctors who are cost-conscious and
'practice resource-conserving medicine' are significantly more likely to write
a lethal prescription for terminally-ill patients [Arch. Intern. Med., 5/11/98, p.
974]
This suggests that medical costs do influence doctors' opinions in this area
of medical ethics
9It Saves Lives
Not only does legalizing euthanasia not significantly shorten life, its been
proven to actually save lives. Dont believe me? Well, youve only got to look
to the Netherlands, where theyve had progressive laws on assisted dying
for over a decade now. In 2005, a study by the New England Journal of
Medicine found that only 0.4 percent of all euthanasia procedures were
carried out without the patients explicit permission. You might argue that
thats 0.4 percent too many, but get this: A 1991 reportwritten a decade
before euthanasia was legalizedput the number at 0.8 percent. In other
words, giving a nationwide go-ahead for doctors to legally end their
patients lives actually halved the number of unwanted deaths.
But hey, thats just Holland, right? They do things differently there. Doctors
in a less-hippie-liberal culture would never kill off patients without their
consent, right? Well think again. In Britain, a 2012 study discovered that as
many as 57,000 patients each year die without being told that efforts to
keep them alive have been stopped. Instead, theyre just shoved onto a
death pathway designed to alleviate suffering without ever being told. So
basically, doctors in the UK are already practicing euthanasiaonly without
any of the legal framework to check abuses that would come from legalizing
it.
Euthanasia exposes vulnerable people to pressure to end their lives. People
who are ill and dependent can often feel worthless and an undue burden on
those who love and care for them. They may actually be a burden, but those
who love them may be happy to bear that burden. Nonetheless, if
euthanasia is available, the sick person may pressure themselves into
asking for euthanasia.
Also it's possible that the family or others involved with the sick person may
regard them as a burden that they don't wish to carry, and may put pressure
(which may be very subtle) on the sick person to ask for euthanasia.
Increasing numbers of examples of the abuse or neglect of elderly people by
their families makes this an important issue to consider.
And the last type of pressure is the financial one, the last few months of a
patient's life are often the most expensive in terms of medical and other
care. Shortening this period through euthanasia could be seen as a way of
relieving pressure on scarce medical resources, or family finances.
5 It Wont Target The Vulnerable
One of the big myths about legalizing assisted dying is that it will lead to
pressure on the old, disabled, and infirm to end their lives. Its an
understandable fear and one we shouldnt take lightly: However, it also has
absolutely no basis in fact.
Take Oregon. In 1994, it became the first state in America to legalize
assisted dying, with the law going into effect in 1998. Ten years later, the
number of doctor-assisted suicides stood at 341not 341 per year, but 341
per decade. That works out at about 0.2 percent of all patient deathsa
number so tiny it hardly seems worth mentioning. In 2007, the Journal of
Medical Ethics analyzed the cases of every single patient whod opted for
the service and found poor, elderly, minority, or otherwise vulnerable
groups were represented as infrequently as everyone else. In other words,
the vulnerable were no more likely to receive assisted death than anyone
else, with the sole exception of young white menwho were the primary
users of the service. And if theres one group that doesnt need classifying
as vulnerable, its young white men.
2. Euthanasia can become a means of health care cost containment
With health care facilities caused to cut costs, euthanasia certainly could
become a means of cost containment. Thousands of people have no medical
insurance and the poor and minorities generally are not given access to
available pain control. With greater and greater emphasis being placed on
managed care, many doctors are at financial risk when they provide
treatment for their patients. Legalized euthanasia raises the potential for a
profoundly dangerous situation in which doctors could find themselves far
better off financially if a seriously ill or disabled person "chooses" to die
rather than receive long-term care.
Savings to the government may also become a consideration. This could
take place if governments cut back on paying for treatment and care and
replace them with the "treatment" of death. Hospital stays are being
shortened while, at the same time, funds have not been made available for
home care for the sick and elderly. Registered nurses are being replaced
with less expensive practical nurses. Patients are forced to endure long
waits for many types of needed surgery.
This is another of those arguments that says that euthanasia should not be
allowed because it will be abused. The fear is that if euthanasia is allowed,
vulnerable people will be put under pressure to end their lives. It would be
difficult, and possibly impossible, to stop people using persuasion or
coercion to get people to request euthanasia when they don't really want it.
It would fundamentally undermine the basis of trust between doctors and
patients that is at the heart of effective medicine. Far from being the
'ultimate expression of patient autonomy' legalized euthanasia becomes the
ultimate act of medical paternalism.