Removing respirator from PVS patient (Quinlan) Removing feeding tube from PVS patient (Jobes, Brophy, Cruzan, Schiavo) Removing feeding tube from non- PVS patient (Requeña, Conroy) Physician-assisted suicide (Kevorkian, Quill, Nitschke) Direct killing by doctors (Kevorkian & Youk) Legalization of P.A.S. (Oregon ’s Death with Dignity Act) ? Final Exit (Derek Humphry)
Passive Active Continued treatment is causing suffering Continued living is causing suffering Therefore, intention is to remove the treatment . Therefore, intention is to remove the life .
What did you think about in filling out your living will? What considerations went into completing the form? Was whatever you specified consistent with Catholic teaching on end-of-life decisions? Why or why not? vt
define active vs. passive euthanasia (and the notions of ordinary vs. extraordinary care on which that distinction is based)
locate these concepts within the Vatican Declaration on Euthanasia
identify the theological foundations for the Church’s view about end-of-life care
begin to apply these things to the removal of a feeding tube
I. The Value of Human Life
A. Living Wills: What affected how you filled in?
B. The Church ’s theological perspective
1. ‘We are not our own’
2. Doctors play God when …
II. Euthanasia is …
III. Due Proportion in the Use of Remedies
A. Life support may be withdrawn when …
B. Ordinary vs. Extraordinary treatment
1. State of the patient vs. Start of the art of medicine
2. Sulmasy: Adjectives “ordinary” & “extraordinary” modify one’s duty, not the machines or med. Tech.
Passive (death from impersonal forces)
Passive usually designates the removing or withholding of life-supporting treatment (such as antibiotics, transfusions, respirators, dialysis and the like, because no reasonable hope of recovery exists for the dying person) so that the patient ends up dead from something he or she already had (= allowing to die)
Active (death from personal forces)
Active is when one person directly aims at the death of himself or herself (if suicide) or another person, using means which directly bring this death about, so that the person ends up dead from something he or she was not originally suffering from (= directly killing)
Doctors play God when …
Life-support may be withdrawn when...
Proportionate Beneficial Useful Required Disproportionate Burdensome Useless Optional vs.