Department of Law, Human Rights and Social Justice Research Institute, London Metropolitan University, 16 Goulston Street, London E1 7TP, UK.
J Med Ethics. 2013 May;39(5):336-40. doi: 10.1136/medethics-2012-100664.
Alberto Giubilini and Francesco Minerva's recent infanticide proposal is predicated on their personism and actualism. According to these related ideas, human beings achieve their moral status in virtue of the degree to which they are capable of laying value upon their lives or exhibiting certain qualities or being desirable to third-party family members. This article challenges these criteria, suggesting that these and related ideas are rely on arbitrary and discriminatory notions of human moral status. Our propensity to sleep, fall unconscious, pass out and so on, demonstrates that we often exhibit our status as 'potential persons' who are not in the condition of attributing any value to their own existence. Our abilities, age and desirability can and do fluctuate. The equal dignity principle, distinguished in turn from both the excesses of vitalism and consequentialism, is analysed and defended in the context of human rights logic and law. The normalisation of non- and involuntary euthanasia, via such emerging practices as the self-styled Groningen Protocol, is considered. Substituted consent to the euthanasia of babies and others is scrutinised and the implications of institutionalising non-voluntary euthanasia in the context of financial, research and political interests are considered. The impact on the medical and legal professions, carers, families and societies, as well as public attitudes more generally, is discussed. It is suggested that eroding the value of human life carries with it significant destructive long-term implications. To elevate some, often short-term, implications while ignoring others demonstrates the irrational nature of the effort to institutionalise euthanasia.
阿尔贝托·吉比里尼和弗朗切斯科·米内尔瓦最近提出的杀害婴儿提议,基于他们的人格主义和实在主义。根据这些相关的观点,人类通过他们对自己生命赋予价值的程度,或者通过表现出某些品质或对第三方家庭成员有吸引力,来获得其道德地位。本文对这些标准提出了挑战,认为这些和相关的观点依赖于人类道德地位的任意和歧视性概念。我们入睡、失去意识、昏倒等倾向表明,我们经常表现出自己作为“潜在的人”的地位,而不能对自己的存在赋予任何价值。我们的能力、年龄和吸引力可能会发生变化。平等尊严原则与活力论和后果主义的极端主义相反,在人权逻辑和法律的背景下进行了分析和辩护。通过所谓的格罗宁根协议等新兴做法,使非自愿和非自愿安乐死正常化。对婴儿和其他人的安乐死的替代同意进行了审查,并考虑了在财务、研究和政治利益背景下将非自愿安乐死制度化的影响。讨论了对医疗和法律专业人员、护理人员、家庭和社会以及更广泛的公众态度的影响。有人认为,侵蚀人类生命的价值会带来重大的破坏性长期影响。为了提升一些短期的影响而忽视其他影响,这表明了将安乐死制度化的努力的非理性本质。