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A case against justified non-voluntary active euthanasia (the Groningen Protocol)
Alan Jotkowitz1, S Glick, B Gesundheit
1Soroka University Hospital and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. ajotkowitz@hotmail.com
Insights
The Groningen Protocol permits euthanasia for severely ill newborns, but critics argue it considers future quality of life, unlike claims it only applies to terminally ill infants. This ethical debate questions its alignment with medical codes and societal values.
Area of Science:
- Medical Ethics
- Neonatal Care
- Bioethics
Background:
- The Groningen Protocol outlines conditions for active euthanasia in neonates experiencing unbearable suffering.
- Proponents claim the protocol is for terminally ill infants and excludes quality-of-life considerations.
- A historical parallel is drawn to the Nazi Euthanasie Program's premise of lives unworthy of living.
Purpose of the Study:
- To critically analyze the Groningen Protocol's application and ethical underpinnings.
- To investigate discrepancies between the protocol's stated aims and its actual implementation.
- To evaluate the protocol against traditional medical ethics and societal moral values.
Main Methods:
- Textual analysis of the Groningen Protocol.
- Ethical review of the protocol's criteria and justifications.
- Comparative analysis with established medical ethical codes.
Main Results:
- The Groningen Protocol does not exclusively refer to terminally ill infants.
- The protocol implicitly or explicitly considers the future quality of life of the infant.
- The protocol's framework raises concerns regarding potential violations of medical ethics and societal values.
Conclusions:
- The Groningen Protocol's consideration of future quality of life contradicts claims of its exclusive application to terminal cases.
- The protocol's ethical basis is questioned due to its potential conflict with traditional medical ethics.
- There are significant ethical concerns regarding the Groningen Protocol's alignment with global moral values.
Abstract:
The Groningen Protocol allows active euthanasia of severely ill newborns with unbearable suffering. Defenders of the protocol insist that the protocol refers to terminally ill infants and that quality of life should not be a factor in the decision to euthanize an infant. They also argue that there should be no ethical difference between active and passive euthanasia of these infants. However, nowhere in the protocol does it refer to terminally ill infants; on the contrary, the developers of the protocol take into account the future quality of life of the infant. We also note how the Nazi Euthanasie Programm started with the premise that there is some life not worthy of living. Therefore, in our opinion, the protocol violates the traditional ethical codes of physicians and the moral values of the overwhelming majority of the citizens of the world.
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