The cultural context of patient’s autonomy and doctor’s duty: passive euthanasia and advance directives in Germany and Israel [Book Review]
Medicine, Health Care and Philosophy 13 (4):363-369 (2010)
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Abstract |
The moral discourse surrounding end-of-life (EoL) decisions is highly complex, and a comparison of Germany and Israel can highlight the impact of cultural factors. The comparison shows interesting differences in how patient’s autonomy and doctor’s duties are morally and legally related to each other with respect to the withholding and withdrawing of medical treatment in EoL situations. Taking the statements of two national expert ethics committees on EoL in Israel and Germany (and their legal outcome) as an example of this discourse, we describe the similarity of their recommendations and then focus on the differences, including the balancing of ethical principles, what is identified as a problem, what social role professionals play, and the influence of history and religion. The comparison seems to show that Israel is more restrictive in relation to Germany, in contrast with previous bioethical studies in the context of the moral and legal discourse regarding the beginning of life, in which Germany was characterized as far more restrictive. We reflect on the ambivalence of the cultural reasons for this difference and its expression in various dissenting views on passive euthanasia and advance directives, and conclude with a comment on the difficulty in classifying either stance as more or less restrictive
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Keywords | Culture End of life Expert ethics committees Doctors’ duties German law Living will Israeli Law Patients’ rights Religion |
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DOI | 10.1007/s11019-010-9262-3 |
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References found in this work BETA
The Cultural Context of End-of-Life Ethics: A Comparison of Germany and Israel.Silke Schicktanz, Aviad Raz & Carmel Shalev - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (3):381-394.
Reclaiming the Patient's Voice and Spirit in Dying: An Insight From Israel.Carmel Shalev - 2010 - Bioethics 24 (3):134-144.
From the Local to the Global: Bioethics and the Concept of Culture.Leigh Turner - 2005 - Journal of Medicine and Philosophy 30 (3):305 – 320.
Israel: Bioethics in a Jewish-Democratic State.Michael L. Gross & Vardit Ravitsky - 2003 - Cambridge Quarterly of Healthcare Ethics 12 (3):247-255.
View all 9 references / Add more references
Citations of this work BETA
Exploring the Positions of German and Israeli Patient Organizations in the Bioethical Context of End-of-Life Policies.Aviad Raz, Isabella Jordan & Silke Schicktanz - 2014 - Health Care Analysis 22 (2):143-159.
“What the Patient Wants…”: Lay Attitudes Towards End-of-Life Decisions in Germany and Israel.Julia Inthorn, Silke Schicktanz, Nitzan Rimon-Zarfaty & Aviad Raz - 2015 - Medicine, Health Care and Philosophy 18 (3):329-340.
Beyond Cultural Stereotyping: Views on End-of-Life Decision Making Among Religious and Secular Persons in the USA, Germany, and Israel.Mark Schweda, Silke Schicktanz, Aviad Raz & Anita Silvers - 2017 - BMC Medical Ethics 18 (1):13.
Autonomie Als Bezugspunkt Einer Universalen Medizinethik.Claudia Wiesemann - 2012 - Ethik in der Medizin 24 (4):287-295.
Perspectives on Assisted Dying.David Badcott & Fuat S. Oduncu - 2010 - Medicine, Health Care and Philosophy 13 (4):351-353.
View all 6 citations / Add more citations
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