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By J. Kure

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Passive euthanasia carries with it no such requirement but only failure to institute positive action, letting nature take its course, so to speak. “ (Walton, 1976, p. 343). , 2009). The European Association of Palliative Care consistently refuses to call any of the following clinical procedures euthanasia: withholding futile treatment, withdrawing futile treatment or terminal sedation, emphasizing that euthanasia can be active in nature only (Materstvedt, 2003, p. 98). In my judgement to use the term “euthanasia” within palliative care provided lege artis is an expression of disrespect and a violation of the efforts of palliative medicine and the health care staff who accompany the dying persons, alleviating pain, providing both human and medical comfort in dying.

48 Of the Proficience and Advancement of learning, divine and humane, Book I, X/7. 49 If Francis Bacon would have been writing his “Advancement of learning” today, he probably would include a passage about terminal sedation as a specific type of medical art that helps the patient to asleep/die peacefully. 50 Bacon harmonized the medical good death in its ancient meaning (peaceful death) with the medieval concept of the ars moriendi and with care of the dying persons that we would refer to today as palliative care.

But a man is not a thing, that is to say, something which can be used merely as means, but must be in all his actions always considered as an end in himself. ”59 So suicide is a discrepancy to the idea of humanity understood as the human being both as an individual and as the whole of mankind as an end in itself (German Zweck an sich). One is not allowed to dispose of one’s own life in the sense of its termination. Everyone has a duty to maintain one’s own life, and, according to Kant, everyone also has a direct inclination to do so (Kant, 1996, p.

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