Bioethics 27 (3):140-150 (2013)
|Abstract||This article deals with the euthanasia debate in light of new life-sustaining technologies such as the left ventricular assist device (LVAD). The question arises: does the switching off of a LVAD by a doctor upon the request of a patient amount to active or passive euthanasia, i.e. to ‘killing’ or to ‘letting die’? The answer hinges on whether the device is to be regarded as a proper part of the patient's body or as something external. We usually regard the switching off of an internal device as killing, whereas the deactivation of an external device is seen as ‘letting die’. The case is notoriously difficult to decide for hybrid devices such as LVADs, which are partly inside and partly outside the patient's body. Additionally, on a methodological level, I will argue that the ‘ontological’ arguments from analogy given for both sides are problematic. Given the impasse facing the ontological arguments, complementary phenomenological arguments deserve closer inspection. In particular, we should consider whether phenomenologically the LVAD is perceived as a body part or as an external device. I will support the thesis that the deactivation of a LVAD is to be regarded as passive euthanasia if the device is not perceived by the patient as a part of the body proper|
|Keywords||active/passive euthanasia end‐of‐life‐decisions implant ethics ontology hybrid technologies phenomenology LVAD|
|Through your library||Configure|
Similar books and articles
David Shaw (2007). The Body as Unwarranted Life Support: A New Perspective on Euthanasia. Journal of Medical Ethics 33 (9):519-521.
Margaret Otlowski (1997). Voluntary Euthanasia and the Common Law. Clarendon Press.
James Rachels (2001). Killing and Letting Die. In Lawrence C. Becker Mary Becker & Charlotte Becker (eds.), Encyclopedia of Ethics, 2nd edition. Routledge.
H. V. McLachlan (2008). The Ethics of Killing and Letting Die: Active and Passive Euthanasia. Journal of Medical Ethics 34 (8):636-638.
Reed Richter (1988). The Hastings Center and Euthanasia. The Euthanasia Review 3 (1):56-72.
Katrina A. Bramstedt (1999). Left Ventricular Assist Devices: An Ethical Analysis. Science and Engineering Ethics 5 (1).
Leslie Pickering Francis (1993). Advance Directives for Voluntary Euthanasia: A Volatile Combination? Journal of Medicine and Philosophy 18 (3):297-322.
Manne Sjöstrand, Gert Helgesson, Stefan Eriksson & Niklas Juth (forthcoming). Autonomy-Based Arguments Against Physician-Assisted Suicide and Euthanasia: A Critique. Medicine, Health Care and Philosophy.
Gerrit K. Kimsma (1992). Clinical Ethics in Assisting Euthanasia: Avoiding Malpractice in Drug Application. Journal of Medicine and Philosophy 17 (4):439-443.
Y. Michael Barilan (2003). Revisiting the Problem of Jewish Bioethics: The Case of Terminal Care. Kennedy Institute of Ethics Journal 13 (2):141-168.
Alan Jotkowitz, S. Glick & B. Gesundheit (2008). A Case Against Justified Non-Voluntary Active Euthanasia (the Groningen Protocol). American Journal of Bioethics 8 (11):23 – 26.
Stephan W. Sahm (2000). Palliative Care Versus Euthanasia. The German Position: The German General Medical Council's Principles for Medical Care of the Terminally Ill. Journal of Medicine and Philosophy 25 (2):195 – 219.
Alexander A. Kon (2007). Neonatal Euthanasia is Unsupportable: The Groningen Protocol Should Be Abandoned. Theoretical Medicine and Bioethics 28 (5):453-463.
Cees M. P. M. Hertogh, Marike E. de Boer, Rose-Marie Dröes & Jan A. Eefsting (2007). Would We Rather Lose Our Life Than Lose Our Self? Lessons From the Dutch Debate on Euthanasia for Patients with Dementia. American Journal of Bioethics 7 (4):48 – 56.
Raphael Cohen-Almagor (2008). Dignity, Compassion, Care and Safety Valves at the End-of-Life. Israel Law Review 41 (1-2):358-393.
Added to index2011-07-30
Total downloads13 ( #87,849 of 549,011 )
Recent downloads (6 months)2 ( #37,272 of 549,011 )
How can I increase my downloads?