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[Euthanasia--attempt at an ethical approach]

A Simon1

  • 1Akademie für Ethik in der Medizin e. V., Georg-August-Universität, Göttingen, Deutschland. simon@ethik.med.uni-goettingen.de

Wiener Medizinische Wochenschrift (1946)
|January 15, 1999
PubMed
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Active euthanasia, debated in Austria, is ethically justifiable when requested by a patient. However, practical concerns prevent its legalization, despite moral permissibility.

Area of Science:

  • Medical Ethics
  • Bioethics
  • End-of-Life Care

Background:

  • The current Austrian euthanasia debate largely reflects a categorical refusal of active euthanasia.
  • Ethical considerations surrounding euthanasia often focus on the method (active, passive, indirect) rather than patient consent.

Purpose of the Study:

  • To ethically evaluate the Austrian euthanasia debate.
  • To determine the moral justification of active euthanasia based on patient request.

Main Methods:

  • Ethical analysis of euthanasia practices.
  • Examination of moral principles related to end-of-life decisions.

Main Results:

  • A categorical refusal of active euthanasia is ethically unfounded.

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  • The crucial moral distinction lies in whether euthanasia is performed with or without the patient's consent, not the method used.
  • Moral justification for 'killing on request' does not automatically lead to legalization.

    • Conclusions:

    • Active euthanasia, when requested, is ethically permissible.
    • Practical considerations, rather than ethical objections, are the primary barriers to legalizing requested euthanasia.
    • The focus of ethical debate should shift to patient autonomy and consent in end-of-life decisions.