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Advance directives for voluntary euthanasia: a volatile combination?

L P Francis1

  • 1School of Law, University of Utah, Salt Lake City 84112.

The Journal of Medicine and Philosophy
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

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Combining advance directives with voluntary active euthanasia raises significant concerns. While advance directives can support patient autonomy, their combination with euthanasia presents unique ethical challenges, particularly in severe suffering cases.

Area of Science:

  • Bioethics
  • Medical Law
  • Patient Autonomy

Background:

  • Patient autonomy is a cornerstone of modern medical ethics, leading to the legal acceptance of advance directives.
  • The concept of patient autonomy has also fueled discussions and support for the legalization of voluntary active euthanasia.

Purpose of the Study:

  • To explore the ethical implications of combining advance directives with voluntary active euthanasia.
  • To determine if advance directives should be legally permitted to authorize euthanasia.

Main Methods:

  • Juxtaposition of significant ethical concerns associated with advance directives.
  • Analysis of significant ethical concerns associated with voluntary active euthanasia.
  • Evaluation of the combined risks and benefits of integrating both practices.
Keywords:
Analytical ApproachDeath and Euthanasia

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Main Results:

  • The combination of advance directives and euthanasia presents greater ethical challenges than either practice individually.
  • Certain scenarios involving advance directives for euthanasia are less problematic than others.
  • Advance directives may offer a defense for euthanasia in cases of severe suffering, provided the request is made in advance and reaffirmed.

Conclusions:

  • The integration of advance directives into voluntary active euthanasia requires careful ethical consideration due to amplified concerns.
  • Advance directives can play a role in facilitating euthanasia for patients experiencing severe suffering and who have clearly expressed their wishes.