Introduction
In recent times, the question of the morality or immorality of euthanasia has kept on
generating heated and controversial debates among scholars, moralists, ethicists, theologians,
psychologists, educationists, anthropologists, politicians, physicians, patients as well as the
common man in the street are interested in it. This pervading interest simply arises out of the
fact that euthanasia involves the question of life, and life is something that is a common
denominator to all men. Is it morally right for a physician to assist euthanasia? Seems to be
the question that occupies this discourse this question is so controversial to the point that
many doctors and moral theologians today find themselves in a quandary.
With regard to the foregoing, some people are of the opinion that individuals have the
right and freedom to ask for euthanasia if they wish to, whereas others do not see any reason
why a moral agent should ask for such, and so, it is, for them, immoral to make such a
request. Nevertheless, it is due to the failure of men to reach a moral compromise on this
issue that today we find dehumanisation in our world. The advance in the science of
biotechnology has reduced the dignity of man, thus giving rise to what Pope John Paul II
called the culture of death. This is for the reason that when man loses his moral
consciousness, he becomes less valuable, threatened and poisoned, thus, giving rise to
cloning, euthanasia, eugenics, abortion. This essay is intended to reinvigorate this moral
consciousness in man and put him in focus towards attaining a moral scientific order.
The crux of this essay, therefore, is to examine and justify and examine the moral
implications of euthanasia. In fact, the plethora of ideas in this paper abounds within the
ethical, social and religious circle. Given this therefore, this essay shall make an exposition of
the problem at hand, viewing the various arguments against euthanasia to see if really, on any
grounds, we are morally justified in legalising euthanasia. This shall then be followed by the
evaluation and concluding reflection of the essay.
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CONCEPTUAL CLARIFICATIONS
Euthanasia has been conceived in different ways. As such, different scholars and thinkers
have offered different definitions to explain what euthanasia could be understood to be. This
stems from the fact that different schools of thoughts have their coinage for the term. Thus,
there is no unanimous agreement on a single definition of the term.
Etymologically, euthanasia which is also called “mercy killing” is gotten from two
Greek words eu which means well or good and thanatos meaning death. Literally, the term is
used to refer to “a good death.”According to Kluge Eike-Henner, euthanasia is “the act of
ending the life of a person from compassionate motives, when he is already terminally ill or
when his or her suffering has become unbearable.” 1 In a similar fashion, Heifetz and Mangel
defined it as “the wilful putting to death of an individual with the intent to prevent suffering-
‘mercy killing.”2 Here, euthanasia is distinguished from suicide by the necessary participation
of a third party, typically either by a physician or family member.3
For Joseph Fletcher, euthanasia can be described in a wider sense as “a theory that in
certain circumstances, when owing to disease, senility or the like, a person’s life has
permanently ceased to be either agreeable or useful, the sufferer should be painlessly killed,
either by himself or by another.”4 Correspondingly, David Roy conceives euthanasia as “the
deliberate, rapid and painless termination of life of a person afflicted with incurable and
progressive disease.”5 Moreover, Euthanasia, for the Euthanasia Society of England, is “the
administration of a drug deliberately and specifically to accelerate death and suffering.” 6 In
1
Kluge Eike-Henner, Reading in Biomedical Ethics: A Canadian Focus (Ontario: Prentice Hall, 19p3), p. 285.
2
M. Heifetz & C. Mangel, The Right to Die (New York: G. P. Putman’s Sons, 1975), p. 99.
3
Cf. Gale Encyclopaedia of US History: Euthanasia.
http://www. answers.com/topic/euthanasia.
4
Joyce H. Rose “Euthanasia” in Encyclopaedia of Religion and Ethics (Edinburgh: T & T. Clark, 1912), p. 598.
5
David Roy et al, Bioethics in Canada (Ontario: Prentice-Hall, 1994), p. 410.
6
Robert Twycross, Decisions about Dying and Death: Decision Making in Medicine, the Practice of its Ethics
(London: Edward Arnold Publishers Ltd, 1979), p. 101.
2
the same vein, Henrickson and Martin posit that euthanasia means “inducing the painless
death of a person for reasons assumed to be merciful.”7
From the foregoing, it can deduced that euthanasia is carried out at the person’s
request but there are times when they may be too ill and the decision is made by relatives,
medics or in some instances, the courts. Euthanasia can be carried out by taking actions
which include giving a lethal dose of drugs or injection, by suffocation using a nylon bag or
withdrawal of feeding or drugs.
Another definition of euthanasia is that given by the Sacred Congregation for the
Doctrine of the Faith which says that “euthanasia is understood to be an action or an omission
which of itself or by intention causes death, in order that all suffering may in this way be
eliminated.”8 In this case, euthanasia’s terms of reference are to be found in the intention of
the will and in the methods used.9 From this definition, some acts of omission are lethal
because they are adopted precisely as a means to bring about someone’s death. However,
according to J. Onimhawo, it should be noted that euthanasia is today not only limited to
incurable diseases but also the mentally handicapped, the defective new-born babies and
other incompetents.10
TYPES AND FORMS OF EUTHANASIA
There are different types of euthanasia, these are: active euthanasia, passive
euthanasia, voluntary euthanasia, involuntary euthanasia and non-voluntary euthanasia.
VOLUNTARY EUTHANASIA
This is a case in which a clearly competent patient makes a voluntary and enduring request to
be helped to die. Voluntary euthanasia concerns itself with the express wish of a mentally
7
www.angelfire.com/ai/jefspage
8
Vatican Congregation for Doctrine of Faith, in The Moral Responsibility in Prolonging Life Decision, Donald G.
McCarthy and Albert S. Moraezewski, eds, 1980.
9
Cf. www.euthanasia.com/vatican.html (Declaration on Euthanasia).
10
Cf. John Onimhawo, “Euthanasia: A Philosophical-Theological Appraisal” (PhD Dissertation presented in
University of Ibadan, Nigeria, 1991), p. 9.
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competent person to die through the assistance of others. For Ekennia, it is the “killing of a
person, or assisting the suffering person to kill himself/herself.11
Hence, the main thrust of voluntary Euthanasia is that the patient specifically requests that
his/her life be ended. And the request must come from someone who is either subject to
intolerable pain or disability; or who is suffering from an illness which is seen as being
terminal. This decision to die may be made either before, during or after the development of
such an illness in question. But in which ever way, the issue remains that it must not come
from any kind of coercion or pressure at all. It must be voluntary. Voluntary Euthanasia can
be summarized thus: “The person wants to die and says so. This includes cases of:
asking for help with dying
refusing burdensome medical treatment
asking for medical treatment to be stopped, or life support machines to be switched
off
refusing to eat
simply deciding to die”12
INVOLUNTARY EUTHANASIA
Involuntary euthanasia occurs when, any person, especially, a medical personnel, kills a
suffering patient who would have been able to give or withhold consent, to his or her death,
but who did not give any consent either because no one consulted him/her, or when asked,
he/she refused to give consent because he/she wanted to live. Mahan explains it thus: “when
an individual who is competent to give or withhold consent is killed or allowed to die, either
contrary to his expressed will or when his consent has not been sought“ 13. For B.A.
Robinson: “This term is used by some to describe the killing of a person who has not
11
Ekennia, 2003, p.162. Ekennia, 2003, p.162.
12
www.bbc.co.uk/print//religion/ ethics/euthanasia.
13
Mc Mahan, J., 2002, p.457.
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explicitly requested aid in dying”14 It could said to be ending the life of able patients without
their permission or against their will.
ACTIVE EUTHANASIA
This has to do with causing the death of someone using a direct action. It involves the lethal
dose of drugs or lethal injection on a person with the sole aim of terminating the person’s life.
It is viewed as the direct killing of a person who is suffering from severe pain in order to save
him/her from this pain- this may happen with or without the person’s consent.
PASSIVE EUTHANASIA
This is the hastening of the death of a person by altering some form of support and letting
nature take its course. Put simply, “it is an allowance of nature to run its course.” 15 In other
words, passive euthanasia is when nothing is done to prevent the death of a person. “It is the
purposeful removal of the life sustaining or prolonging treatment with the aim of ending life.”
This type of euthanasia can be carried out by: removing life support equipment, stopping
medical procedures (discontinuing medication), stopping food and water, or removing
feeding tubes, not resuscitating.
THE MORAL IMPLICATIONS OF EUTHANASIA
Sanctity of Life; Life is an equivocal word that cannot be really simplified into one singular
meaning, it is universal but yet means much more.
What is life? The above question remains abstract and cumbersome for many people, even
for renowned scholars in various field of study. No definition had been proven to be absolute,
because they are different context in which it is being viewed.
Theologically, the aforementioned question is often linked and seen as “ what is the meaning
of life” or “what is the purpose of life”. In the words of Karl Rahner, Life is the active
14
Robinson,B.A., (www.religioustolerance.org/euth)
15
Mel Thompson, Ethics (Chicago: contemporary Books, 2003), p. 71.
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participation of man in the life of God, in such a way that the earthly life is a reflection of the
heavenly life. It crucial to know that life is an experience rather than an abstract principle of
vitality which may be distinguished by the body. 16
Life is sacred in all its circumstances and it is the ability to exercise one’s power to the
fullest, the old testament views man who is full of life as a being whose nature is holistic, this
simply means that man is made up of body, soul and spirit in a unified way. The soul is the
conscious aspect of man and as such, it is sacred because God alone is the Lord of life from
its beginning to its end, it involves the creative action of God.17
This is viewed as a philosophical analysis of concepts surrounding life, death, and
nature. There have been three main philosophical approaches to the problem of defining life
that remains relevant today: Aristotle views life as animation, a fundamental, irreducible
property of nature; Descartes posit human life as a mechanism; and Kant's view of life as
organization, to which we need to add Darwin's concept of variation and evolution through
natural selection.18 In addition we may add the idea of defining life as an emergent property
of particular kinds of complex systems.19
Pope St JohnPaulII in his encyclical titled Evangelium Vitae gives a reaffirmation of the
value of human life and its inviolability, and appeal to mankind, to respect, protect, love and
serve every human life.The Pope set to accomplish two objectives. (a) Affirming that there
are threats to human life in this present age. (b) Calling on the masses to rather sustain what
he calls: a Culture of Life, an effort to bring the love of Christ to the weak and helpless.
16
Rahner Karl, “Encyclopedia of Theology- Sacramentum Mundi”, Published by Herder KG Freiburg Germany.
P 846.
17
Dominum Vitae, Intro 5.
18
Hans Jonas, The Phenomenon of Life: Toward a Philosophical Biology, (Northwestern University Press 1966,
2001), p.1.
19
Masahiro Morioka, “The Concept of Life in Contemporary World,”The Review of Life Studies Vol.2 (April
2012):23-62.
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The Pope however, concludes his analysis of the Christian meaning of life by pointing to the
image of the Cross: By His death, Jesus sheds light on the meaning of the life and death of
every human being. He said that, before Christ died, he prayed to the Father, asking
forgiveness for His persecutors; to the criminal who asks Him to remember Him in His
Kingdom, He replied: “Truly, I say to you, today you will be with me in Paradise” Hence for
him, today, too, by looking upon the one who was pierced, every person whose life is
threatened encounters the sure hope of finding freedom and redemption. 20
Argument From Family/Societal Ties; Proponents of euthanasia argue that when the life of
the suffering sick becomes a burden to the family or society, that such a person’s life could be
terminated.
But on the contrary, the Catholic Church argues that no man is an island. We are part of our
families and our societies. Hence, any decision we take necessarily affects our family and
society at large. So when the suffering sick patient opts to die, he harms those all around him.
There is a bond a tie, and unity of love, that exists among each person and his family, and the
society at large. Hence, the patient must always consider this tie. To this the catechism says
that, it likewise offends love of neighbour because it unjustly breaks the ties of solidarity with
family, nation, and other human societies to which we continue to have obligations. 21
(no.2218).
Moreover, we must know that we owe a responsibility to our family, children, relatives, and
society at large. By a suffering sick patient terminating his life on account of suffering
(especially when such a sickness is not terminal), he defies his duties, obligations and
responsibilities to his family, and all those around him.
20
Pope John Paul II Evangelium Vitae, Encyclical Letter March 25, 1995. p. 50.
21
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Argument from Natural Law
St. Thomas Aquinas is the chief proponent of this natural law argument and according to this
argument, it is natural for human beings to prolong their lives, to protect theirselves from
death, like all other animals in the animal kingdom. Euthanasia contradicts the preservation
of life which for man is a natural goal. The catechism of the Catholic Church says: “it
contradicts the natural inclination of the human being to preserve and perpetuate his life”.
(no.2281).
Man is naturally imbued with the instrument to preserve his life. Owing to his reason, he
takes care of his feeding, shelter, clothing, and wards off enemies. To agree to Euthanasia
then would mean to set man against his own nature. It is a denial of man’s natural right to
preserve life. Natural law does not give man right to kill himself, or another, but always
propels him to live by reason.
Euthanasia violates this natural goal, and it is hence morally wrong.
St Thomas in buttressing his point, He said:
... everything naturally loves itself, the result being that everything
naturally keeps itself in being, and resists corruptions so far as it can.
Wherefore suicide is contrary to the inclination of nature... Hence, suicide is always a mortal
sin, as being contrary to the natural law.22
Argument From The Value Of Suffering
The main thrust of the proponents of euthanasia is to end excessive suffering, and ensuring a
dignified death to the suffering sick person. But on the contrary, the Catholic Church sees
suffering as a confirmation of human dignity. Thus, John Paul II in one of his Apostolic
Letters: SalvificiDolorisexplained the Christian meaning of human suffering, and teaches that
it brings out the great dignity of man, as well as his spiritual and moral maturity. The
Catholic Church argues that suffering has a very important role to play in human life.
22
Thomas Aquinas, Summa Theologica II-II 64.pg 5
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Hence, she criticized the contemporary society by noting that disdain for suffering is a
reflection of the perverse conception of values, in which people in modern industrialized
societies care only about the healthy, the beautiful, and the autonomous, and where
dependence is seen as a liability, a burden on others. For the church, spiritual values should
be placed over temporal values. She maintains that, all providers of healthcare services ought
to accept the reality of suffering as part and parcel of the human condition. Suffering is
certainly part of the mystery of man. And all those who suffer have been called once and for
all to become sharers in Christ’s sufferings, just as all have been called to complete with their
own suffering what is lacking in Christ’s afflictions. At one and the same time Christ has
taught man to do good by his suffering and to do good to those who suffer. In this double
aspect he has completely revealed the meaning of suffering.
However, a suffering or dying patient must not be abandoned, but should be surrounded by
loving human and Christian presence, to prevent him/her from slipping into depression and
anguish. The society ought to change its attitude towards the dying and gravely ill. Whatever
approach or decision we take about them should be inspired by the respect for life and the
dignity of the human person.Hence, to legalize euthanasia, the church maintains is immoral.
CONCLUSION
I will love to conclude with the question, Does suffering glorify a person? Is suffering, sharing
in Jesus Christ’s passion, and a way of the preparation for meeting God? Are you merely a
steward of your life, which is a gift from God, which only he may take away? Is human life
intrinsically valuable? Can one recover on a terminal illness on account of miracles? If your
answer to these questions is yes, then you should not be involved in any form of euthanasia.
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