Euthanasia, the intentional termination of another person with the
objective of relieving suffering, is one of the most contentious and ethically
complex issues in the world today. As the medical advancements increase
longevity and prolong the incidence of terminal illness or suffering, the need
to have a conversation about dying with dignity is more crucial than it ever
has been. The need to contemplate the legalization of euthanasia is
continuing to grow as population ages and healthcare systems are becoming
more overburdened, not just in the U.S., but globally.
This topic can be considered urgent and timely. The National Library of
Medicine anticipates that by 2060, 48 million people per year will die globally
from serious health related suffering—estimated to be nearly 90% growth
since 2016. Support for euthanasia by the public is shifting rapidly, creating
an opportunity of kairos. People are advocating for more compassionate
autonomous choices for end-of-life care. Legalizing euthanasia would involve
a respect for patients' autonomy, reduce unnecessary suffering, and promote
justice and ethics in contemporary healthcare systems.
Sleeman, K. E., de Brito, M., Etkind, S., Nkhoma, K., Guo, P., &
Higginson, I. J. (2019). The growing global burden of serious health-related
suffering: projections to 2060 by world region, age group, and health
condition. *The Lancet Global Health, 7*(7), e883–e892.
https://doi.org/10.1016/S2214-109X(19)30172-X
Dr. Katherine Sleeman is a well-known researcher on the subject of
palliative care and public health and is affiliated with King's College London.
Her credentials add significant credibility (ethos) to this research. This peer-
reviewed article offers forecasted information about serious health-related
suffering globally, revealing a significant need for a fuller range of end-of-life
care options. The authors anticipate that deaths that include serious
suffering will rise to over 48 million globally in 2060.
There is credible and rigorous evidence; evidence that is timely,
invoking the pathos of the reader. The source gives a strong appeal to logos
to support the key ideas discussed herein regarding the repository of
preventable suffering and the need for legal euthanasia as a humane
solution.
Varkey, B. (2021) Principles of clinical ethics and their application to
practice. The Permanente Journal, 25, 21–075.
https://doi.org/10.7812/TPP/21.075
Dr. Varkey is a medical doctor and bioethicist with a background in clinical
ethics and applies principles of ethics to clinical practice; using the source
gives the source's ethos a little more weight.
This article provides a comprehensive overview of the four main
principles of bioethics: autonomy, beneficence, non-maleficence, and justice.
Varkey discusses justice and in particular distributive justice - the equitable
allocation of healthcare resources which is especially relevant to the end-of-
life discussion.
The source is fairly solidly constructed and authoritative. I will utilize
this in opposition to any ethical argument against euthanasia as I can
reinforce both the rights of individual patients to their own autonomy, and
the concept of fair distribution of healthcare resources using ethos and logos.
Rietjens, J. A. C., van der Heide, A., & Onwuteaka-Philipsen, B. D.
(2019) Euthanasia and physician-assisted suicide: A view from the
Netherlands. Journal of Bioethical Inquiry, 16(2), 273–282.
https://doi.org/10.1007/s11673-019-09917-9
The authors are genuine bioethics researchers and clinicians located in the
Netherlands, a jurisdiction where euthanasia has been legal for several
decades, giving them some level of experience with the topic, and therefore
credence and ethos.
This article provides a complete view of the Dutch model (the ethics
safeguards) of euthanasia as well as empirical evidence (evidence proves
that legalizations does not lead to systematic abuses).
I will use this to counter the common "slippery slope" argument by
demonstrating an existing model (with real-world evidence) that destroys the
slippery slope argument. The authors used logical appeals of fact (logos) to
promote the safe and ethical use of euthanasia under regulation. Rietjens, J.
A. C., van der Heide, A., & Onwuteaka-Philipsen, B. D. (2019). Euthanasia and
physician-assisted suicide: A view from the Netherlands. *Journal of
Bioethical Inquiry, 16*(2), 273–282. https://doi.org/10.1007/s11673-019-
09917-9
The authors of this article are both bioethics researchers and
practitioners in The Netherlands, which has legalized euthanasia for decades
providing confidence in trustworthiness and dependability as articles of such
guidance indicate ethical boundaries and procedural safeguards as well as
evidence that indicates that euthanasia, once it has been made legal, will
not lead to institutionalized abuse of euthanasia.
In this article, they describe their entire Dutch model of euthanasia
including ethical boundaries and procedural safeguards, and empirical
evidence that indicate the practice of euthanasia does not evolve to
systemic abuses.
I will use this article to respond to the common "slippery slope"
argument, by providing empirical evidence that demonstrates "no there is
not". They use rational appeals and evidence (logos) to confirm that
euthanasia is safe and ethical in controlled contexts.
Addario, E., & Saad, L. (2019, June 27). Americans remain supportive of
euthanasia. *Gallup*. https://news.gallup.com/poll/268514/americans-
remain-supportive-euthanasia.aspx
Lydia Saad is the director for all U.S. social research and polling that
Gallup does, and Gallup is a reputable organisation for which she has
research credibility, plus this report.
This article discusses Gallup polling data and states roughly 72% of
American's agree with euthanasia, which is an ongoing upward trend for now
well over two decades and suggests broader changing cultural perspectives.
While not peer-reviewed this is a contemporary report and captures the
breadth of uptake on the social issue, it gives credible discretion to the kairos
of the issue! I will use the report to demonstrate the significant and growing
social demand for legal reform, that combined with the urgency for
realizable/contextual urgency for.
BBC News. (2022, July 26). Dying daughter pleads for assisted dying law
change. https://www.bbc.com/news/uk-scotland-62290661
The article from BBC news recounts Heather McQueen's campaign for
euthanasia to help inform the changes to law and policy following the
experience of the suffering of her mother, and personally used the expressed
biases of the queneshtaroon of these large articles that carry knowledge and
credibility among other well respected and credible news resources.
The article provides us with an emotional appeal to evoke ethical
questioning the surrounding context behind the legal restrictions of
euthanasia; Heather uses pathos and distinguishes the costly and painful
humanity behind the overly restrictive laws, and the violence experienced
against her mother via the lost act of control over the decision about her life
and suffering.
I will use the article to create emotional connections, and highlight the
injustice to deny patients' right to control over the end of their lives and
suffering to frame that need for reform as compassionate legal reform.