It recently came to my attention that euthanasia, the act of deliberately ending a person’s life to relieve suffering, is illegal in the United Kingdom. Being a Dutchman, and the Netherlands being a country in which euthanasia is legal, I was surprised to notice this. But even though I was surprised to read this, I was literally shocked to read that euthanasia is – depending on the circumstances – judged as either manslaughter or murder, and punishable by law up to life imprisonment. Just to put that into perspective: assisted suicide is illegal too, but punishable by up to ‘only’ 14 years.

Arguments

Being fully aware of the fact that euthanasia is a controversial topic, I want to make a claim in favor of legalizing euthanasia – whether this is in the UK, or in any other democracy. The first argument for this claim might sound dramatic, but I believe it hits the core of the issue. It is the following: no single individual has decided to come into this world. Our parents ‘decided’ to have a child, and there we were. From this it follows that none of us chose to live a life with perpetual (and incurable) pain, which is the life many terminally ill people live. So, having been put on this world without his consent, and not having chosen for the extreme pains he – being a terminally ill person – suffers, it would only be fair for any terminally ill person to be able to ‘opt out’ of life whenever he wants to; in a humane manner that is, thus excluding suicide.

Note that I am talking about the option of euthanasia for terminally ill people only. And this brings me to my second point, which has to do with the position of doctors. Let’s ask ourselves the question: what is the duty of doctors? Is it to cure people? If so, then terminally ill people shouldn’t be treated by a doctor in the first place, since – by definition – terminally people cannot be cured from whatever it is they are suffering from. Hence, given that terminally people are in fact being treated by doctors, there must be another reason the medical community has for treating them; I presume something in the form of ‘easing their pain’.

Now, given that we have a doctor and that he wants to ‘ease the pain’ of the terminally ill, I assume that he wants to do so in the best manner possible; that is, by using the treatment that eases the pain most, keeping in mind any future consequences the treatment might have. But what if a patient has crossed a certain ‘pain threshold’, and the doctor knows which great certainty that the patient cannot be cured from his disease? In this case it seems that not performing euthanasia would be equivalent to prolonging the patient’s suffering, without improving the chance of recovery (and recovery is, by definition, absent for terminally ill people). It is in those cases, and those cases only, that euthanasia seems to be the optimal method for easing the pain, and should therefore be applied by doctors (in case the patient wants to, of course).

NHS

It is not that the National Health Service (the ‘NHS’) hasn’t thought about these matters. On the contrary; they have a entire webpage devoted to ‘Arguments for and against euthanasia and assisted suicide’. Although I agree with none of the arguments the NHS gives against euthanasia, there is one that I find particularly wrong, and which they call the ‘alternative argument’. The alternative argument states that ‘there is no reason for a person to suffer because effective end of life treatments are available’. Hence euthanasia should be no option. One of the ‘alternatives’ the NHS puts forward is that ‘all adults have the right to refuse medical treatment, as long as they have sufficient capacity to make a decision’ (which, by the way, in practice has the same effect as euthanasia: the patient will die).

But refusing medical treatment is clearly in no way a valid alternative to euthanasia, for the aims of refusing medical treatment and the aims of euthanasia are profoundly different. While refusing medical treatment is about – clearly – the refusal of medical treatment, euthanasia is about wanting (a form of) medical treatment. Therefore, the fact that there might be another way in which the aim of the former can be accomplished is irrelevant and ineffective from the perspective of pursuing the aim of the latter. Also, the cases to which a refusal of medical treatment might apply are likely to be very different from the ones to which euthanasia is applied.

Car accident

Imagine, for example, a car accident, in which one of the victims is severely injured, and needs acute medical treatment in order not to die. This is an accident, in which no terminally ill people are involved. Refusing medical treatment seems a reasonable option; euthanasia not. Now imagine the life of a cancer patient, who is terminally ill, and who realizes that his suffering will only become worse. Euthanasia seems a reasonable option; refusing medical treatment not.

To end this post with a personal note, I would like to say that I hope that, in this 21st century we are living in, where everyone gets older and older, and prolonging life seems to be the preferred option a priori, irrespective of the specific circumstances, I hope that we can engage in a healthy discussion about a topic so relevant as euthanasia. Of course, many of us are still young and hope not to experience severe illness soon, but looking at the people we love and seeing them suffer unbearably seems to me sufficient reason for not condemning euthanasia straight away.

But what do you think?