Euthanasia means the act of bringing about a good death, ie one
that is quick, peaceful and in the interests of the person concerned. Voluntary
euthanasia thus means a quick and peaceful death brought about at the express
wish of that person. SAVES advocates voluntary euthanasia only by a doctor
acting in accordance with prescribed safeguards. Consequently SAVES defines
voluntary euthanasia as follows:
A quick and peaceful death brought about under medical supervision at the request of and in the interests of a patient in which prescribed safequards are followed. The definition applies to a person who is hopelessly ill with no other prospect of relief from suffering which that person finds intolerable.
The following terms frequently arise in the voluntary euthanasia debate:
(a) Passive (Voluntary/non-voluntary) Euthanasia - withholding or withdrawing
life sustaining treatment either:
(i) because it is unduly burdensome and/or medically futile, or
(ii) in order to bring about death.
Neither is properly described as passive because both require a positive
decision. Neither will necessarily result in a good death nor necessarily
reflect the wishes of the patient. Furthermore (i) is not actually "euthanasia".
In addition action under (ii) can be claimed to be action under (i) - or
the doctor may have a dual purpose. Passive (voluntary) euthanasia is thus a confusing term. Its use is
best avoided.
(b) Double Effect - a term used to deny responsibility where death
is foreseen but claimed to be the unintended consequence of treatment to relieve
pain or other symptoms. Reliance on intention in the mind of the doctor
provides no sure guide in public policy. Moral responsibility cannot be
reasonably denied where the outcome is foreseen. See also Fact
Sheet 23 - The Principle of Double Effect.
(c) Medical/Physician Assisted Dying - provision of medication to enable
a patient to bring about his or her own death under
medical supervision;
(d) Active Voluntary Euthanasia - administration by a doctor of
medication designed to bring about death at the request
of a patient.
The various ways in which death may be hastened are different in practical
terms and may well be perceived differently by different people. However,
they are morally equivalent when the purpose or foreseen and accepted effect
is to bring about death as the only means of relieving serious suffering
while respecting the patient's wishes. They all involve positive actions
by the doctor and the same safeguards should apply in their practice.
Hon Secretary, SAVES, PO Box 2151, Kent Town, SA 5071, Australia.
email info@saves.asn.au
Revision: Oct 2010