Research Report Forum: Human Rights Council Issue: The question of the legal status of euthanasia within Europe Student Officer: Position: Sung Hyeon Kim Deputy Chair Introduction The term euthanasia comes from the Greek term “eu-thanatos” which literally means “good death”. Generally, euthanasia was defined as the act of intentionally ending a person’s life so as to help relieve suffering or pain. Since euthanasia is a broad concept, it varies from its measure and purpose, so all the delegates must fully be aware of the various terms of euthanasia in order to avoid confusion in their meaning and to indicate that during the KISMUN conference, physician assisted suicide will not be debated. Euthanasia is a disputatious topic which not only entangles with the medical field but also religious, ethic, social, and political fields. Most religious groups are against euthanasia but there are some patients who are really eager to be euthanized because of their unbearable suffering and exorbitant medical cost. As of 2015, only Switzerland, Netherland, Luxemburg, and Colombia legalized act of euthanasia. In contrary to those countries, most countries illegalized the act of euthanasia with no exception. Recently, morality and legality of euthanasia became truculently debated over many nations. So, it is role of a delegate to represent each nation’s stance and to discuss whether to adopt the pro stance or the con stance. Definition of Key Terms Hippocratic Oath Oath taken by physicians usually on receiving the doctoral degree, whereby they promise to observe ethical principles in the practice of medicine and swear not to harm patients during their medical process. This oath often conflicts with act of euthanasia because it can be regarded as assisting people to die. Voluntary Euthanasia The patients want to die and ask doctors to euthanize him or her. This includes cases of: asking for help with dying asking for medical treatment to be stopped, or life support machines to be switched off refusing to eat simply deciding to die, refusing burdensome medical treatment Non-Voluntary Euthanasia The person cannot make a decision or cannot make their wishes known. This includes cases where: the person is in a coma the person is too young the person is senile the person is mentally retarded to a very severe extent the person is severely brain damaged the person is mentally disturbed in such a way that they should be protected from themselves Involuntary Euthanasia The terminally ill or disabled person who want to live more but, is killed by doctor. Usually, It is considered as murder Active euthanasia Active euthanasia occurs when the medical professionals, or another person, deliberately do something that causes the patient to die. Passive euthanasia Passive euthanasia occurs when the patient dies because the medical professionals either don't do something necessary to keep the patient alive, or when they stop doing something that is keeping the patient alive. switch off life-support machines disconnect a feeding tube don't carry out a life-extending operation don't give life-extending drugs Physician Assisted Suicide( PAS ) The voluntary termination of one's own life by administration of a lethal substance with the direct or indirect assistance of a physician. Physician-assisted suicide is the practice of ending a competent patients’ life with a fatal prescription in order to terminate their life. Main difference between euthanasia and PAS is that PAS patients have full control of their own decision and perform the act of suicide independently. Religious Perspectives of Euthanasia Christian The Christian religion takes an extremely opposite stance of the practice of euthanasia. Since the 10th commandment stated “You shall not kill” which applies to any form of euthanasia. This argument is mostly based upon the faith that life is a gift from the God. Also, Christians believe that all life forms come from god and teach that life is a sacred thing. Therefore, they consider that if one implements euthanasia it is an act of playing over god’s sanctity, even if one wants to die. Some of the Christians punctuate that there should be no interference with the natural process of death. To strengthen these concepts , in modern times, Pope John Paul ll, Evangelium Vitae, 1995 stressed that “Euthanasia is a grave violation of the law of God, since it is the deliberate and morally unacceptable killing of a human person”. Also, the Pope stated that “nothing and no one can in any way permit the killing of an innocent human being, whether a foetus or an embryo, an infant or an adult, an old person, or one suffering from incurable disease, or person who is dying”. To summarize, the Christian community regards the act of euthanasia as a taboo and views it as unacceptable, since it reverses the strictures of the bible and profanes the sacrosanctity of God. Buddhism Buddhists are not unanimous in their view of euthanasia, and the strictures of the Buddha doesn't overtly cope with it. Most Buddhists are against involuntary euthanasia. Their stance on voluntary euthanasia is less clear. However the most common view of euthanasia is intolerable because it demonstrates that one’s state of mind is bad, also one should avoid assisting euthanasia. The term ‘Karma’ is an important notion which means circulation of life and death. This produces a problem that shortening life hinders with the working out of karma, and alters the karmic stability resulting from the shortened life. In Buddhism, the way life terminates has profound influence on how one will restart one’s new life. Furthermore, they believe one should avoid harm and suggest to keep away from suicide( euthanasia ). Islam Muslims are against euthanasia. They believe that every human life is sacred because it is given by Allah, and that Allah chooses how long each person will live. The Koran stated that “no person ever die except by Allah’s leave and at the appointed term”( Koran 3:145 ) also it declared that “Destroy not yourself. Surely Allah is ever merciful to you” ( Koran 4:29 ). Many pious Muslims consider “Do not Resuscitate” as a murder as well as euthanasia. They cannot harm people with the exception of justice. However, according to Islamic Medical Association of America (IMANA) "When death becomes inevitable, as determined by physicians taking care of terminally ill patients, the patient should be allowed to die without unnecessary procedures." While turning off life-sustaining system is allowed injecting lethal dose of medicine is not permitted which is similar with euthanasia. Other religious Judaism: Jewish law and tradition consider human life as sacred and should not be shortened this is because human beings are created by god. Furthermore, they regard active euthanasia as murder Hinduism: Most of Hindus do say euthanasia is not acceptable. Because euthanasia is a kind of act which disturbs natural consequence and those who engaged in this will have damage on their karma. However, some Hindus say that by shortening patients’ unbearable suffering one can fulfil their moral obligation. Key Issues Legal Status of Euthanasia within Europe There are only 5 nations which have legalized euthanasia including Albania, Belgium, Luxemburg, Netherlands, and Switzerland. The requirement and extent of euthanasia varies from nation to nation. For instance, in Netherlands’ law they stated that children 12 to 16 years old may request and receive euthanasia or assisted suicide. A parent or guardian must “agree with the termination of life or the assisted suicide.” [Chapter II, Article 2, 4]. However, in Belgium there is no age limit. Ethics of Euthanasia This issue would be the most controversial and subjective part during conference. One who espouses euthanasia might argue that it is better for patients themselves as well as their family members. Sustaining terminally-ills would cost a lot and this would be the substantial burden for rest of the family members at the same time patients would suffer from mental and physical illness. On the other hand, act of euthanasia deals with myriad of social, political, and religious problems. For instance, changing law would convey that some of lives are not priceless and this leads people to neglect life. Also legalizing euthanasia would put the elderly and disabled at further risk particularly, in a society where concerns about increasing pressure of tax which caused by growing number of elderly. When we deal with decision to terminate a person’s life we must consider ethics. Especially, regarding act of euthanasia all delegates must compete with ethical dilemmas. The main three ethical dilemmas will be stated below. First of all, “Vitalism” which implies human’s life is the most valuable thing and inalienable in any circumstances. Secondly, “Sanctity of Life” is a principle of implied protection regarding aspects of sentient life which are said to be holy, hallowed, or otherwise of such value that they are not to be violated. This term is often based on religion and argued mainly by pro-life parties. Lastly, “Quality of Life” This concept assesses whether or not the patient’s quality of life is worthwhile to get treatment. Therefore, it assesses worthiness of quality of life not the treatment itself. Hippocratic Oath The Hippocratic oath is a moral question which delegates have to deal with. This oath contains that doctors should not harm patients in any way. However, as euthanasia is a act which carry out only by doctor in order to terminate patients’ life without prolonged suffering. This presents a dilemma because all doctors pledged not to injure patients’ health simultaneously, vowed to relieve their agony. The debate here is moral itself and sometimes hinges on doctor’s individual interpretation of the Hippocratic Oath. History of Euthanasia Nazi Germany( Aktion T4 ) In October of 1939 amid the turmoil of the outbreak of war Hitler ordered widespread "mercy killing" of the sick and disabled. Code named "Aktion T 4," the Nazi euthanasia program to eliminate "life unworthy of life" at first focused on newborns and very young children. Midwives and doctors were required to register children up to age three who showed symptoms of mental retardation, physical deformity, or other symptoms included on a survey from the Reich Health Ministry." "The Nazi euthanasia program quickly expanded to include older disabled children and adults. Hitler's decree of October, 1939, typed on his personal stationery and back dated to Sept. 1, enlarged 'the authority of certain physicians to be designated by name in such manner that persons who, according to human judgment, are incurable can, upon a most careful diagnosis of their condition of sickness, be accorded a mercy death. This acceptance led to German people to regard euthanizing Jewish as a right thing to do Conclusion As of 2015, UN has not explicitly involved in legality of euthanasia. The United Nations does not denounce or endorse act of euthanasia. Therefore, it is each nations own authority to take euthanasia or not. However, euthanasia has become more complex problem which entangles with social, political, religious, and, ethical issues. Proponents of euthanasia argue that if one cannot choose right to die it is infringement of human right as well. Opponents of euthanasia believe that if euthanasia has carried away to kill terminally-ills the right of life would be taken way and neglected. Until now, there has been no intervention of UN regarding this topic, so it is hard to deal with or produce resolution about legality of euthanasia. However, it is desirable to analyze each nation’s stance. Especially, all delegates must concern with religious and social matters of legality of euthanasia. Cited Work Jessica Ellis and Bronwyn Harris. “ Which country have legalize euthanasia?” WiseGeek. Conjecture,15 April 2015.Web 6 May 2015 “Euthanasia.” BBC- Ethics: Euthanasia and physician assisted suicide. BBC,2014 . 2014.Web 6 May 2015 “Legality of euthanasia.” Associacao Medica Brasileira. 8 April 2014. Web 6 May 2015 “What is the difference between assisted dying and euthanasia?” The World Federation of Right to Die Societies. Web 7 May 2015 “Definition of Physician-Assisted Suicide.” Medicine Net.Com,9 September 2012, Web 7 May 2015 “Euthanasia.” BBC-Religion: Religious views of euthanasia. 3 August 2009, Web 7 May 2015 “The Danger of Euthanasia.” The Nathaniel Centre”(The New Zealand Catholic Bioethics Centre). Web 8 May 2015 “The Requirement of Euthanasia in Netherlands.” Patients Rights Council. Web 8 May 2015 Holland’s Euthanasia Law The History Place – World War II in Europe Timeline: October 1939 Nazi begin euthanasia on sick and disabled. “ The History Place- World War II in Europe Timeline- Nazi begin euthanasia on sick and disabled. The History Place, 1996 Web 10 May 2015 If you have any problems to grasp the context of euthanasia, feel free to contact me. I will answer your question as well as l can. Kakao Talk ID: ksh8116 Phone Number: 012 0453 9559