Thursday, December 28, 2006

OJT at Sampaguita Gardens Resort


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The arguments about the morality of Voluntary Euthanasia (VE)

Euthanasia comes from the Greek words "eu" meaning well and "thanatos" meaning death. It refers to an act or method of causing death painlessly, so as to end suffering especially to those with cancer or in a vegetable state patients. Doctor call it as mercy killing.

Since World War II, the debate over euthanasia in Western countries has centered on voluntary euthanasia (VE) within regulated health care systems. In some cases, judicial decisions, legislation, and regulations have made VE an explicit option for patients and their guardians. Proponents and critics of such VE policies offer the following reasons for and against official voluntary euthanasia policies:

Those who are in favor of Euthanasia cite the following reasons:
  1. Choice: Proponents of Euthanasia emphasize that choice is a fundamental principle for liberal democracies and free market systems.
  2. Quality of Life: The pain and suffering a person feels during a disease, even with pain relievers, can be incomprehensible to a person who has not gone through it. Even without considering the physical pain, it is often difficult for patients to overcome the emotional pain of losing their independence. Moreover, despite modern painkillers, there is little available to deal with the problem of 'breathlessness', which makes many ailing patients feel they will suffocate.
  3. Economic costs and human resources: Today in many countries there is a shortage of hospital space. The energy of doctors and hospital beds could be used for people whose lives could be saved instead of continuing the life of those who want to die which increases the general quality of care and shortens hospital waiting lists. It is a burden to keep people alive past the point they can contribute to society.
  4. Pressure: All the arguments against voluntary euthanasia can be used by society to form a terrible and continuing psychological pressure on people to continue living for years against their better judgment. One example of this pressure is the risky and painful methods that those who genuinely wish to die would otherwise need to use, such as hanging.
  5. Sociobiology: Currently many if not most euthanasia proponents and laws tend to favor the dying or very unhealthy for access to euthanasia. However some highly controversial proponents claim that access should be even more widely available. For example, from a sociobiological viewpoint, genetic relatives may seek to keep an individual alive (Kin Selection), even against the individual's will. This would be especially so for individuals who are not actually dying anyway. More liberal voluntary euthanasia policies would empower the individual to counteract any such biased interest on the part of relatives.
On the other hand, those who are not in favor of Euthanasia cite the following reasons:
  1. Professional role: Critics argue that voluntary euthanasia could unduly compromise the professional roles of health care employees, especially doctors. They point out that European physicians of previous centuries traditionally swore some variation of the Hippocratic Oath, which in its ancient form excluded euthanasia: "To please no one will I prescribe a deadly drug nor give advice which may cause his death.." However, since the 1970s, this oath has largely fallen out of use.
  2. Moral: Some people consider euthanasia of some or all types to be morally unacceptable. This view usually treats euthanasia to be a type of murder and voluntary euthanasia as a type of suicide, the morality of which is the subject of active debate.
  3. Theological: Voluntary euthanasia has often been rejected as a violation of the sanctity of human life. Specifically, some Christians argue that human life ultimately belongs to God, so that humans should not be the ones to make the choice to end life. Orthodox Judaism takes basically the same approach, however, it is more open minded, and does, given certain circumstances, allow for euthanasia to be exercised under passive or non-aggressive means. Accordingly, some theologians and other religious thinkers consider voluntary euthanasia (and suicide generally) as sinful acts, i.e. unjustified killings.
  4. Feasibility of implementation: Euthanasia can only be considered "voluntary" if a patient is mentally competent to make the decision, i.e., has a rational understanding of options and consequences. Competence can be difficult to determine or even define.
  5. Necessity: If there is some reason to believe the cause of a patient's illness or suffering is or will soon be curable, the correct action is sometimes considered to attempt to bring about a cure or engage in palliative care.
  6. Wishes of Family: Family members often desire to spend as much time with their loved ones as possible before they die.
  7. Consent under pressure: Given the economic grounds for voluntary euthanasia (VE), critics of VE are concerned that patients may experience psychological pressure to consent to voluntary euthanasia rather than be a financial burden on their families. Even where health costs are mostly covered by public money, as in various European countries, VE critics are concerned that hospital personnel would have an economic incentive to advise or pressure people toward euthanasia consent.
“I will give no deadly medicine to any one if asked, nor suggest any such counsel”
...
The Hippocratic Oath

"A man, even if seriously sick or prevented in the exercise of its higher functions, is and will be always a man ... [he] will never become a 'vegetable' or an 'animal,'" the Pope said. "The intrinsic value and personal dignity of every human being does not change depending on their circumstances.“
... Pope John Paul II, 2004

"If a physician withholds maximum efforts from patients he considers hopelessly ill, he will unavoidably withhold maximum effort from the occasional patient who could have been saved." He reasoned that the only way to be sure a case is hopeless is to try all available therapies and find them of no avail.”
... Lawrence V. Foye, M.D