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安乐死:英国的法律

Euthanasia: the law in the United Kingdom.

作者信息

Smith A M

机构信息

Faculty of Law, University of Edinburgh, UK.

出版信息

Br Med Bull. 1996 Apr;52(2):334-40. doi: 10.1093/oxfordjournals.bmb.a011548.

Abstract

The regulation of euthanasia by the criminal law has tended to be one of the more contentious areas of medical law, and continues to be the subject of debate. Few areas of the criminal law have been so consistently the target of reformist pressure, and certainly few areas have so strongly resisted change. Understandably, legislators are unwilling to involve themselves in a matter of law reform which engenders such moral disagreement, and it is significant that only two jurisdictions-The Netherlands and the Australian Northern Territories-have made any substantial change in their legal practice in this area. In other countries, including the UK, the courts and legislators have consistently refused to remove the fundamental criminal law objection to the practice of euthanasia. This is not to say, of course, that the courts have failed to recognise the medical subtleties in medical treatment at the end of life; in several important decisions, the courts in Britain have considered the boundaries of the criminal law's protection of life and have offered guidelines for doctors facing the delicate issues associated with treating the dying patient. Yet, in spite of several helpful decisions from the courts, the basic principle remains firm: the criminal law does not countenance the taking of life, no matter how good the motive. This means that there are very clear legal limits to the extent to which doctors can follow their individual consciences in this area.

摘要

刑法对安乐死的规范一直是医疗法中争议较大的领域之一,并且仍是辩论的主题。刑法中很少有领域一直是改革派施压的目标,当然也很少有领域如此强烈地抵制变革。可以理解的是,立法者不愿涉足引发如此多道德分歧的法律改革事项,值得注意的是,只有两个司法管辖区——荷兰和澳大利亚北部地区——在这一领域的法律实践中做出了重大改变。在包括英国在内的其他国家,法院和立法者一直拒绝消除刑法对安乐死做法的根本反对。当然,这并不是说法院没有认识到临终医疗中的医学微妙之处;在一些重要判决中,英国法院考虑了刑法对生命保护的界限,并为面临与治疗临终患者相关棘手问题的医生提供了指导方针。然而,尽管法院做出了一些有益的判决,但基本原则依然坚定:刑法不容许剥夺生命,无论动机多么良好。这意味着在这一领域医生遵循个人良知的程度存在非常明确的法律限制。

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