EUTHANASIA (MERCY KILLING) AND THE ISLAMIC LAW PERSPECTIVE BY B. A. OMIPIDAN1 INTRODUCTION Euthanasia is a contemporary issue in the jurisprudence of right, a lot of persons have argued in favour of the fact that when somebody is in pains such that to leave him in that state would be tantamount to allowing him suffer that more, they argued further that the safest thing to do is to help such person(s) terminate his/her/their lives. Religiously and more particularly, Islamic law and some moralists are vehemently opposed to this position. To them, God is the creator of livers and reserves the right to take same as at and when due. To them, no matter the precarious condition of a creature of God, there is still hope for survival as the popular appreciation of this work, an attempt shall be made to define Euthanasia, both under the Common and Islamic law. _______________________________ 1. LL.B (Hons) (UNILORIN), L.LM, (IFE), Lecturer, Department of Islamic Law Faculty of Law, University of Ilorin DEFINITIONS: Euthanasia is derived from a Greek phrase meaning “easy death” i.e called mercy killing’, in which one person intentionally brings about a gently pain-free death for another suffering from an incurable and painful disease. According to the Black law Dictionary, Euthanasia has been defined as “the act of practice of painlessly putting to death, persons suffering from incurable and distressing disease as an act of mercy 2. Equally the Encyclopedia Britannica calls euthanasia, mercy killing from the Greek meaning of a good death refers to the inducement of death especially the putting to death of incurable or terminally ill patients painlessly and at their request3. In the view of the laber’s cyclopedia medical Dictionary, Euthanasia is defined in similar terms as an easy, quite and painless death. It went further to add that Euthanasia involves the deliberate ending of the life of people with incurable or terminal illness of unbearable suffering. _______________________________ 2. 3. With pronunciation centennaial Edition (1891-1991) p. 544 In 30 volumes micropaedia V.III Edition 1943-1974 p. 1006 While Duhaime’s on-line legal Dictionary refers to Euthanasia as “the putting to death by painless method of a terminally ill or severely debilitated person through the omission (intentionally withholding a life euthanasia”) or commission of an act “active euthanasia)4 It is equally important to examine the definition of Euthanasia by the Declaration on Euthanasia of the sacred congregation for the Doctrine of faith (1980). According to them, Euthanasia is “an act or omission which of itself or by intention causes death, in order that all suffering in this way may be eliminated. From the above definition it can be deduced that Euthanasia can be voluntary or compulsory. The above position can be said to represent the common law position, even though same is, still controversial, considering the fact that not all of them (common law proponents and those in the medical line) are in support of Euthanasia. Under Islamic law, Allah is regarded as the sole Law GIVER. The primary sources of Islamic law are the Holy Quran, Sannah of prophet Muhammed (SAW) popularly know as hadith, the consensus of the Ulama (ljam) and analogical deduction (Qiyas). Therefore whatever _______________________________ 4. Dulhaime’s on line legal Dictionary p. 29 may have been decreed lawful remains lawful and that which is forbidden remains forbidden. It is in the light of the above Islamic law regards the sanctity of life as not negotiable. The reference here was the declaration of Allah, when Caine killed his brother Abel the sons of Adam) “Allah’s Declaration is as follows: “On that account, we ordained for the children of Israel that if any one slay a person- unless it be for murder or spreading mischief in the land, it would be as if he slew the while people. And if any one save a life, it would be as if he saved the life whole people”5 Human life is regarded as one of the basic values of mankind which is to be jealously protected. He cannot kill or harm any other person except in extreme circumstances permitted under the shariah and vice- versa. Based on the above and the verses of the Holy Quran that shall be examined in the latter part of this work, Euthanasia in whatever from is not permitted in lslam. _______________________________ 5. Quran 5:32 Specifically, Euthanasia does not exist under lslamic law. a person or group of person are not allowed in any circumstances to put an end to the life of another except where same occurs naturally i.e the giver of soul, (Allah) has taken back his soul. EUTHANSIA UNDER THE COMMON LAW As earlier stated Euthanasia may be voluntary or compulsory under the common law. Voluntary Euthanasia occurs when a person who is terminally ill or incurably sick wishes to die and request someone to Based on this description, the poser here will be. (a) Whether a person has a duty to live? (b) Whether a person has right to die? It is submitted that the answer to the first question should be that a person have a duty to live. This is based on the fact that municipal law punishes, attempted suicide, included in this category are aiding, abetting and procuring voluntary euthanasia as murder. With regard to the second question, the answer is an emphatic No. The reason being that customary law in Africa considers suicide as a taboo and an abomination. It important to equally note that the United Nations Declaration of Human Right and the National Constitutions of states including Nigeria except for certain changes, does not recognize the right to die. COMPULSORY EUTHANASIA Euthanasia can be said to be compulsory when a person who is infirm, mentally deficient or physically handicapped is killed without his consent. This is popularly referred to as “Mercy Killing”. The pertinent question is, whether inspite of his miserable condition, the victim has a right to liver?. It is important to state here that a type of compulsory euthanasia which was practiced by the beleaguered Nupes in Niger State of Nigeria as well as other ethnic groups in Nigeria during the inter and intra-tribal wars of the 19th-20th centuries is the killing of infants who due to some illness or physical pain (including acute hunger and thirst) cried ceaselessly, while the family or parents took refuge in a cave or other hideouts exposing the people to possible discovery by the marauding slave traders. The children were killed not to ‘stock’ pure but to keep it from possible enslavement and extermination 6, an exercise in self-presentation on the part of the parents. _______________________________ 6. Indeed, this type of compulsory euthanasia was widely and commonly practiced by all during the inter-tribal and intra tribal wars of the 18th-19th centuries in Nigeria. For instance, according to once octogenarian woman Alhaja Sabitiyu Ayinla who claimed to have witnessed the Ijebu-Adubi (Yoruba inter-tribal wars in the 19th century. Parents while fleeing from their military adversaries, as a rule, flung away their own little children when the cries became too joud and long not to attract the attention of the enemy, and abandoned them to die. C. F. Nigerian Tribune, Thur. July 7, 1994 under the caption “cover”. In general, I submit with respect, that no one is permitted for whatever reason, to terminate the life of another person, no matter how worthless, precarious or over burdering such life may appear to be. This is because the right to life is an absolute one imposing a correlative absolute duty on all other persons to infringe this right. Fine, the woman carrying a pregnancy wants the about to born baby, but the truth is that, that newly born baby has a right to live and to therefore terminate or abort the child is an infringement on the life of that child. However, it would appear that in the 90s there has been laws permitting voluntary euthanasia under certain ‘Strict Conditions’ one of such permission is in Netherlands wherein a law permitting voluntary euthanasia under the following ‘strict conditions’. (a) the patient must have been under unbearable pain; (b) the decision to die must come from such a patient before the mercy killing is carried out by the doctor; (c) the patient must repeatedly request to die in a clear state of mind7. _______________________________ 7. C.F. National Concord (Nigeria) Feb. 10, 1993, p. 14. The penalty for infringement Similarly, in 1995, one of the States in Australia legalized voluntary euthanasia in terminal cases. And in the same year, another Australia State legalized voluntary euthanasia even in non-terminal cases8. One remarkable point of note with regard to Nigeria is the fact that even though both voluntary and compulsory euthanasia are regarded as criminal, it would appear that the latter (compulsory euthanasia) is condoned by general custom but not by customary law as earlier explained in this work. Another major poser concerning compulsory euthanasia is whether it is normal that modern medical knowledge be used to prolong the lives of the infirm and the invalid. Some of which are in vegetative conditions, thereby making a heavy burden on their fit relations who will have to run helter and skelter for their well being and the society as well. There seems to be answer for the above in the views of some writers, these group of writers typified in Normal St. John Steva’s9 hold the view that such lives are of value to society in that they elicit feelings of _______________________________ 8. B.B.C News, Mon 16/10/95, 2.43pm Nigerian time (13 43G.M.T) under this law, the first case ever of legal voluntary euthanasia occurred in North Australia, CF BBC News 16/9/96 6hrs G.M.T. 9. Norman St. John Stevas, the right in life. 1964 compassion and mercy in those who take care of them. In addition, it may make the it to appreciate the fortune of their well being and thereby resolve to be more useful to themselves and to society this position seems to be opposite to the views of lslmic law, as shall be seen later. On this same poser, Glanvile Williams is however of the opinion that keep what he calls “human monsters” and the information so as to benefit from their agonies and sufferings would be tantamount to sheer cruelty. In spite of the position of Glanville William as posited above, it would appear that the writer has left an important question unanswered and which is to the effect that “what right has a person to extinguish a human life he does not and cannot create” At this juncture, it is important to examine the case of ANTHONY BLAND V. AIREDALE NATIONAL HEALTH SERVICE TRUST10 In this case the appellant, Anthony Bland, a 17 years old football fan had been seriously injured in a disaster, which occurred at Hillsborough Stadium, England, in 1989. His lungs were crushed in the accident as a consequence of which supply of oxygen to his brain _______________________________ 10. (1993) 2 WLR 316 was interrupted, resulting in an irreversible damage to the center of his brain leaving him for three years in a persistent vegetative state. In that condition, he could neither drink nor feed nor have any meaningful stimuli from his surrounding though he was breathing. Food was fed into him by a pump through a tube passed from his nose down the back of his throat into his penis, which from time to time caused infection and required dressing and antibiotic treatment. His limbs were rigidly contracted while his legs were unnaturally contorted because of the stiffness of his joints. His condition was pitiably miserable. Medical opinion was unanimous that his condition was helpless and hopeless, his father in consort with the respondent, (the hospital authority responsible for his treatment) brought an application for declaration from the family division of the High Court seeking the court’s permission to lawfully discontinue all life. Sustaining treatment to Anthony so as to end his life and he could die peacefully with the greatest possible dignity and with the least pain suffering and distress not only for himself but also for his family who visited him regularly. Consequently, the family division granted the declaration sought after due investigation of evidence and of the applicable law. On appeal of the official solicitor acting as guardian and litem, the court of appeal dismissed the appeal to the house of Lords was also dismissed, and the boy’s treatment ceased11. This position is totally unacceptable under Islamic law because, under it (Islamic Law) the life belongs to Allah and no one is allowed to take the life of another, save in situation that shall be explained in the latter part of this paper. I submit, though lslamically and morally that only God can decide when a person dies or lives no matter how pitiable that person’s condition way of interfering with nature. The reason being that a sick person deserves to be treated until when when such person is well. EUTHANASIA UNDER ISLAMIC LAW As earlier stated, in the cause of this work, Euthanasia in whatever form is not allowed in lslamic law. Thus there is nothing is nothing like voluntary or compulsory euthanasia in lslamic law. The Holy Quran and the sunnah of the Holy prophet Muhammed (S.A.W) are explicit on this point. Thus one of the verses puts it this way “O you who believe… And do not kill yourself (nor kill one another) surely, Allah is most merciful to you12” Another verse puts it his way”… And that you slay not, the soul, the slaying of which Allah has forbidden. Save in accordance with the demand of justice that is what He has enjoined upon you, that you may understand 13” _______________________________ 11. C.F.O.F. Emiri, “Euthanasia and Treatment ceasalian. A Paradox? Essence. 12. Quran: 4:29 13. Quran: 6:151 In the same vein, Allah states “And do not kill anyone whose killing Allah has forbidden, except for a just cause. And whoever is killed wrongfully, we have given his heir the authority (to demand law of equality in punishment or to forgive, or taken Diyah (blood money)14 All the above verses of the Holy Quran were expressly explained by the hadith of the Holy prophet Muhammad (SAW) in the following ways. “…And if somebody commits suicide with anything in this world, he will be tortured with that very thing on the day of judgment”15 Also Abu Hurairah marrated that the prophet said” He who commits suicide by throtting shall keep on throtting himself in the Hell fire (forever) and he who commits suicide by stabbing himself keep on stabbing himself in the Hell fire”16 Thus a human being is required to take care of his soul and body because these are gifts from the creator of such phenomena. There is no illness without a cure by Allah, when a person dies, he/she dies because it is the time ordained by Allah, when a person dies, he/she dies because it is the time ordained by Allah, he/she should not be _______________________________ 14. Quran 17:33 15. Related by Bukhai vol. 2 Hadith no. 446 16. The picus predecessors of prophet Muhammed and his companions killed because in the words of the proponent of euthanasia, he/she is in a complete hopeless situation. An hadith of the Holy prophet is apposite in this direction, wherein Anas narrated that the messenger of Allah said. Almighty Allah has created the illness and the cure, so see to cure yourselves.17 Therefore until one’s appointed time comes, it is a sin to kill only on the excuse that the sick one is in an hopeless situation. No man, except Allah can turn a termed hopeless situation into a hopeful one. (emphasis mine). However, there are exceptions to the general rule of sanctity of life. That is, in some situation under rule of person can be taken in line with the verses quoted above. These situations are as follows: 1. During an inevitable war with infidels or rebels. This is a situation wherein a person is killed in the battled front. Legally this is allowed 2. When the Hadd (capital punishment) are being applied based on the valid judgment of a competent court in line with the lslamic procedural rules of Evidence trial. Instance under this category include cases of adultery and Apostasy _______________________________ 17. Related by Ibn Majah 3. When Qisas is applied. That is when the law of equality in punishment is to be applied when a person kills another and it has not been compounded by the family of the murdered person through the acceptance of Diyyah (Blood money) or total forgiveness.18 All the above exceptions are based on the Hadith narrated by Ibn Masud who reported that the prophet said. “The life of a Muslim cannot be taken except in one of these cases: an adulterer, a murderer and he who apostate and abandoned the Ummah19 Thus except in situations listed above, human soul is not to be tampered with in any form. The Shariah has explained in explicit terms, the conditions or circumstances wherein life can be taken whether during war or in peace as enumerated with rigorous prerequisites and precaution to minimize that event. It is important at this juncture to say that some common law countries and even the Christians are in support of the position of Islamic Law with regards to euthanasia. An examination of some of them is imperative. _______________________________ 18. Related by Bukhari and Muslim 19. Muhammad Hashim Kamali “Principle of Islamic Jurisprudence 1989-1991, p. 287 Some citizens of the United States and United Kingdom have totally kicked against the legalization of euthanasia, Nigerian law whether in its criminal code or criminal procedure code respectively gave no room to euthanasia. “The Archbishop of York spoke in parliament of the danger of changing the whole ethos of medicine and law if the absolute prohibition on intentional killing were removed”. Equally, of immense importance, was the statement of late Pope John Paul II which he repeated in the 1995 papa encyclical thus “I confirm that euthanasia is a grave violation of the law of God, since it is the deliberate and morally unacceptable killing of a human person”. CONCLUSION In consideration of the arguments for and against Euthanasia by the medico-legal views in the common law vis-à-vis that of the Islamic law reveals that the issue of euthanasia remains the most controversial in medical jurisprudence in the contemporary world and has continued to be debated in most of the advanced countries of the world. However, what is very clear is that Rights under whatever kind, has its own limitations. Rights like Right to die when one feels to so do, is totally unacceptable both to Islam and morality as earlier enunciated in this work. This is because in the Shariah, there are standard principles of law guiding all occurrences and affairs in the life of mankind notwithstanding the city or period of man’s Sojourn on earth. In other words, Shariah is an up to the minute corpus Juris which is divinely designed for the betterment and smooth living of mankind. Thus Euthanasia is illegal in shariah be it voluntary or compulsory, this is because sickness and healing are in the hands of Allah (S.W.T) and no one can neither prolong nor shorten the life of a human being through any artificial means of a particular medical procedure or metaphysical means. Finally, I submit humbly that divided opinions among jurists and legislators concerning the legalization of euthanasia remain. The belief that a person should be allowed to die with dignity and self respect when he is no longer able to live in a dignified manner is countered by the argument that the prohibition of intentional killing is, and must remain, essential to our society, and that to allow it in any circumstance would involve a serious denial of human dignity.