Human life as goodness: why euthanasia is morally unacceptable

Česká verzia

Authors: David Černý
Authors place of work: Kabinet zdravotnického práva a bioetiky Ústavu státu a práva AV ČR, v. v. i., Praha
Published in the journal: Vnitř Lék 2018; 64(3): 245-256
Category: Přehledné referáty

Summary

The current discussion of the moral admissibility or inadmissibility of euthanasia should, in my opinion, consider the greatest possible number of the shared premises of the two opinion camps. That is why I followed a thesis in this paper that the question of the good life is the focus of ethical interest, as this is what connects the advocates and the opponents to euthanasia. In the first part of the paper I critically discuss the two main theories of the good life widely embraced among the advocates of euthanasia: hedonism and desire-fulfilment theory. My focus is to show that both of them are descriptively inadequate, not quite in agreement with the intuitions and ideas that we have about the good life. From this critique I proceed towards the objective theory of full-fledged human development known as the natural law theory. Within this framework I discuss in depth the nature of life as the objective goodness and go over to a brief criticism of utilitarianism, the theory dominating bioethics today; I derive several normative conclusions from the nature of the fundamental goods, leading to the conclusion that an innocent human life cannot be ended under any circumstances. The second part of this paper focuses on the current critique of the medical practice which, as physicians assert, adheres to the norm forbidding to end a patient’s life, while the actual practice is different. I undertake a detailed analysis of the possibility of distinguishing between the behaviours and classifying them under 1 of 2 categories: causing injury (including termination of life) and allowing injury to happen (including death). I am trying to show that it is possible to make this distinction. In the final part I briefly outline the method of supplying arguments in support of a thesis that there exists a moral asymmetry between the two categories of behaviour, so the moral admissibility of one (letting die) cannot form a basis for the moral admissibility of the other.

Key words:
allowing harm – consequentialism – desire fulfillment theory – doing harm – euthanasia – hedonism – natural law ethics – preferentialism – utilitarianism

Zdroje

1. Keown J. Euthanasia, Ethics and Public Policy. An Argument against Legalisation. Cambridge University Press: New York 2002. ISBN 978–0521804165.

2. Doležal A. Eutanazie a rozhodnutí na konci života. Právní aspekty. Academia: Praha 2017. ISBN 9788020026873.

3. Singer P. Rethinking Life and Death. The Collapse of Our Traditional Ethics. St. Martin’s Griffin: New York 1995. ISBN 978–0312118808.

4. Miller FG, Truog RD. Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life. Oxford University Press: New York 2011. ISBN 978–0199739172.

5. Autiero A. Dignity, Solidarity, and the Sanctity of Human Life. In: Wildes KW, Abel F, Harvey JC (eds). Birth, Suffering, and Death. Catholic Perspectives at the Edges of Life. SPringer: Dordrecht 1992: 79–83. ISBN 978–0792315476.

6. Leone S. Nuovo manuale di bioetica. Città Nuova: Roma 2007. ISBN 978–8831116282.

7. Fisher A. Catholic Bioethics for a New Millennium. Cambridge University Press: Cambridge 2011. ISBN 978–0521253246.

8. Sgreccia E. Manuale di bioetica. Vita e pensiero: Milano 1988. ISBN 978–8834369074.

9. Marín AR. Teologia de la perfección cristiana. Biblioteca Autores Cristianos: Madrid 2001. ISBN 978–8479141288.

10. Hallet GL. Greater Good. The Case for Proportionalism. Georgetown University Press: Washington, D.C. 1995. ISBN 978–0878405985.

11. Maguire DC. Death by Choice. Doubleday: New York 1974. ISBN 978–0385076425.

12. Sumner LW. Welfare, Happiness, and Ethics. Clarendon Press: Oxford (UK) 1996. ASIN B00L71CAKY.

13. Fletcher G. The Philosophy of Well-Being. An Introduction. Routledge: London and New York 2016. ASIN B01JXP5ETY.

14. Nagel T. Death. In: Nagel T. Mortal Questions. Cambridge University Press: Cambridge 1991: 1–10. ISBN-13: 978–0521406765.

15. Bradley B. Well-Being and Death. Oxford University Press: New York 2009. ASIN B01JXPTMWE.

16. Skelton A. Children’s Well-Being. A Philosophical Analysis. In: Fletcher G (ed). The Routledge Handbook of Philosophy of Well-Being. London and New York: Routledge 2015: 366–377. ISBN 978–0415714532.

17. Finnis J. Natural Law and Natural Rights. Clarendon Press: Oxford 1988. ASIN: B0007BM6Y0.

18. Di Blasi F. John Finnis. Palermo: Phronesis 2009. ISBN-10: 889014713X. ISBN-13: 978–8890147135.

19. Finnis J. Moral Absolutes. Tradition, Revision, and Truth. The Catholic University of America Press: Washington, D.C. 1991. ASIN B00XWS93W8.

20. Finnis J. Fundamentals of Ethics. Georgetown University Press: Washington D.C. 1984. ISBN 978–0198246848.

21. Oderberg DS, Chappell T (eds). Human Values. New Essays on Ethics and Natural Law. Palgrave Macmillan: New York 2007. ASIN B01FIZGSUC.

22. Glover J. Causing Death and Saving Lives. Penguin Books: London 1977. ASIN B00PXZVT1Q.

23. Murphy MC. Natural Law and Practical Rationality. Cambridge University Press: New York 2001. ISBN 978–0521802291.

24. Mulgan T. Understanding Utilitarianism. Routledge: London and New York 2014. ASIN B00QRZEAIA.

25. Portmore DW. Commonsense Consequentialism. Oxford University Press: New York 2011. ISBN 978–0199794539.

26. Oderberg DS. Moral Theory. A Non-Consequentialist Approach. Blackwell: Malden 2000. ASIN B00866H4N6.

27. Foot P. Killing and Letting Dies. In: Garfield JL, Hennessey P (eds). Abortion and Legal Perspectives. University of Massachusetts Press: Amhers 1985: 280–289. ISBN 978–0870234415.

28. Woollard F. Doing and Allowing Harm. Oxford University Press: New York 2015. ISBN 978–0199683642.

29. McMahan J. Killing, Letting Die, and Withdrawing Aid. Ethics 1993; 103(2): 250–279.