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Presentation
to 4th year medical students at Salman University Kharj on May 14,
2013 by Professor Omar Hasan Kasule, Sr.
DEFINITION
Euthanasia also called mercy killing is defined as causing death to
spare a patient from pain and suffering. Euthanasia reverses the customary role
of the physician as a preserver into a destroyer of life. Active euthanasia, an
act of commission that causes death, is taking some action that leads to death
like a fatal injection. Passive euthanasia, an act of omission, is letting a
person die by taking no action to maintain life. The Law views all forms of
euthanasia, active and passive, as murder. Those who give advice and those who
assist in any way with suicide are guilty of homicide. A physician is legally
liable for any euthanasia actions performed even if instructed by the patient.
VIOLATION OF THE RIGHT TO LIFE
Euthanasia violates the Purpose of the Law to guarantee and protect the
right to life. It also makes the physician assume God’s prerogative of causing
death. Widespread practice of euthanasia can cheapen human life and make murder
and even genocide more acceptable.
INTENTION
According to the principle of intention, there is no distinction
between active and passive euthanasia because the end-result is the same. In
many cases the distinction between legitimate life support withdrawal and
criminal euthanasia is the underlying intention because the actions taken may
be the same.
INJURY
The principle of injury makes euthanasia illegal because it tries to
resolve the problems of pain and suffering of terminal illness by causing a
bigger injury which is killing. Continuation of pain in terminal illness is a
lesser evil than euthanasia. Prohibition of euthanasia closes the door to
corrupt relatives killing patients for the sake of inheritance by claiming
euthanasia.
AUTONOMY
The patient cannot legally agree to termination of life because life
belongs to the Creator and humans are mere temporary custodians. The
determination of lifespan is not in human hands. Patients in terminal illness
often lose competence and cannot make valid informed decisions on their
treatment or the termination of life. A living will made before the present
illness is a non-binding recommendation and can be reversed.
GENERAL CONCLUSIONS
There is no legal basis for euthanasia. Physicians have no right to
interfere with the lifespan that was fixed by the Creator. Disease will take
its natural course until death. Physicians for each individual patient do not
know this course. It is therefore necessary that they concentrate on the
quality of the remaining life and not reversal of death. Life support measures
should be taken with the intention of quality in mind. Instead of discussing
euthanasia, we should undertake research to find out how to make the remaining
life of as high a quality as is possible. The most that can be done is not to
undertake any heroic measures for a terminally ill patient. However ordinary
medical care and nutrition cannot be stopped. This can best be achieved by the
hospital having a clear and public policy on life support with clear admission
criteria and application to all patients without regard for age, gender, SES,
race, or diagnosis.