School of Law and Social Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK.
J Med Ethics. 2010 May;36(5):306-9. doi: 10.1136/jme.2009.033118.
David Shaw presents a new argument to support the old claim that there is not a significant moral difference between killing and letting die and, by implication, between active and passive euthanasia. He concludes that doctors should not make a distinction between them. However, whether or not killing and letting die are morally equivalent is not as important a question as he suggests. One can justify legal distinctions on non-moral grounds. One might oppose physician-assisted suicide and active euthanasia when performed by doctors on patients whether or not one is in favour of the legalisation of assisted suicide and active euthanasia. Furthermore, one can consider particular actions to be contrary to appropriate professional conduct even in the absence of legal and ethical objections to them. Someone who wants to die might want only a doctor to kill him or to help him to kill himself. However, we are not entitled to everything that we want in life or death. A doctor cannot always fittingly provide all that a patient wants or needs. It is appropriate that doctors provide their expert advice with regard to the performance of active euthanasia but they can and should do so while, qua doctors, they remain hors de combat.
大卫·肖提出了一个新的论据来支持那个古老的观点,即杀人与放任死亡之间没有显著的道德差异,而且,主动安乐死与被动安乐死之间也没有显著的道德差异。他的结论是,医生不应该对它们加以区分。然而,杀人与放任死亡在道德上是否等同并不像他所暗示的那么重要。人们可以基于非道德的理由来证明法律上的区分是合理的。人们可能会反对医生对病人实施的协助自杀和主动安乐死,无论人们是否赞成协助自杀和主动安乐死的合法化。此外,即使对某些行为没有法律和伦理上的反对意见,人们也可以认为它们违反了适当的职业行为准则。那些想死的人可能只是希望医生杀死他或帮助他自杀。然而,我们在生与死中并不有权得到我们想要的一切。医生不可能总是恰当地满足病人的所有要求。医生就实施主动安乐死提供专业意见是恰当的,但他们可以而且应该这样做,同时,作为医生,他们置身事外。