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)

Authors
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
Keywords Culture  End of life  Expert ethics committees  Doctors’ duties  German law  Living will  Israeli Law  Patients’ rights  Religion
Categories (categorize this paper)
DOI 10.1007/s11019-010-9262-3
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 44,455
Through your library

References found in this work BETA

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

Perspectives on Assisted Dying.David Badcott & Fuat S. Oduncu - 2010 - Medicine, Health Care and Philosophy 13 (4):351-353.

Add more citations

Similar books and articles

A Direct Advance on Advance Directives.David Shaw - 2012 - Bioethics 26 (5):267-274.

Analytics

Added to PP index
2013-12-01

Total views
23 ( #383,284 of 2,272,584 )

Recent downloads (6 months)
1 ( #827,718 of 2,272,584 )

How can I increase my downloads?

Downloads

My notes

Sign in to use this feature