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Coping With Grief in Kenya - Euthanasia and assisted suicide
 

Euthanasia and assisted suicide are hugely controversial subjects. This article looks at the arguments for and against, and explains the current medical and legal positions in this country and abroad.

In the hundred years since Victorian times, attitudes to sex and death have completely reversed. In those days death was much discussed and celebrated as a normal part of daily life while sex was virtually unmentionable. Now the reverse is true - sex is open for wide discussion while death has become the great taboo.

Perhaps this is one of the reasons why the way in which we leave this world is a subject that brings out intense emotion and often anger. And nothing seems to raise the debate to more fevered levels than the idea that each of us may choose the time and place of our death. Not many people sit on the fence on the issue of euthanasia or assisted suicide - most have fairly strong beliefs that they're either morally right or morally wrong.

Definitions

A variety of terms are used to describe the intentional termination of life. Euthanasia itself is said to be derived from the Greek, euthanatos, which means a gentle and easy death, but this hardly sums up what euthanasia is about. Killing in the name of compassion, or mercy killing, are other terms given to euthanasia.

In the Netherlands, euthanasia is understood to mean termination of life by a doctor at the request of a patient. The Dutch government doesn't turn a blind eye to it. There, the question of whether and how criminal liability for euthanasia should be restricted has been the subject of broad political and public debate for the past 30 years.

Arguments for and against

There are plenty of arguments against sanctioning euthanasia. For instance, how can we be sure a person really wants to die and isn't being taken advantage of, for financial reasons, for example?

On the other hand, shouldn't people enduring unbearable suffering as part of terminal disease be allowed to relieve their agony and bring forward their inevitable death?

Voluntary euthanasia

Voluntary euthanasia simply emphasises that the choice to die has been made voluntarily by the person in question, rather than imposed on them by legal or social rules. However, opponents of euthanasia often argue that it can be very difficult to be sure that someone's request is truly voluntarily made. For example, an elderly person requiring expensive healthcare may feel that they're such a burden to relatives that they should request euthanasia. There's also a risk that people being treated with powerful painkillers or cancer drugs may not be in a sufficiently clear state of mind or competent enough to make an informed and balanced judgement.

Assisted suicide

In assisted suicide, it's the person who dies who takes the final action to end his or her life, but this action relies on the help or assistance of another (for example, to provide the means of death), compared with euthanasia where the other person actually performs the killing.

Many don't like the word 'suicide' because it brings to mind impulsive and often dramatic acts. The term self-deliverance is being increasingly used instead by those who feel suicide is an inappropriate term to describe the action taken, for example, by someone whose suffering cannot be relieved. But to others, including the law, it's the same as suicide.

 
 
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