As a new approach to the still unsettled problem of a morally significant difference between active and passive euthanasia, the meanings of the notion of killing are distinguished on the levels of causality, intention, and motivation. This distinction allows a thorough analysis and refutation of arguments for the equality of killing and letting die which are often put forward in the euthanasia debate. Moreover, an investigation into the structure of the physician's action on those three levels yields substantial differences between the two ways of acting. As can be demonstrated, only a teleological notion of the organism is able to grasp the characteristic feature of active euthanasia. On this basis it is argued that an action against the organism as a whole must, on the interpersonal level, be at once directed against the patient as a person himself
Keywords acting and refraining  euthanasia  killing and letting die  medical ethics  mind-body dualism
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Reprint years 2004
DOI 10.1023/A:1009932207955
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References found in this work BETA

Practical Ethics.Peter Singer - 1979 - Cambridge University Press.
Active and Passive Euthanasia.James Rachels - 1975 - In Steven M. Cahn (ed.), Exploring Philosophy: An Introductory Anthology. Oxford University Press.
Voluntary Active Euthanasia.Dan W. Brock - 1992 - Hastings Center Report 22 (2):10-22.
When Self‐Detertnination Runs Amok.Daniel Callahan - 1992 - Hastings Center Report 22 (2):52-55.

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Citations of this work BETA

Death Revisited: Rethinking Death and the Dead Donor Rule.A. S. Iltis & M. J. Cherry - 2010 - Journal of Medicine and Philosophy 35 (3):223-241.
Getting Real About Killing and Allowing to Die: A Critical Discussion of the Literature.Andrew Stumpf & Dominic Rogalski - 2021 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 4 (2).

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