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Euthanasia & Assisted Suicide FAQs
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What is euthanasia?
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Euthanasia is the deliberate killing of someone by action or omission, with or without that person’s consent, for compassionate reasons. The person who commits euthanasia must, therefore, intend to kill the person and must cause the death. A lethal injection would be an example of an action. Withholding medically indicated treatment would be an example of an omission. |
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Euthanasia does not include:
- Respecting a person’s refusal of treatment or request to discontinue treatment;
- Letting someone die naturally by withholding or withdrawing medical treatment when its burdens outweigh its benefits;
- Giving drugs to relieve pain and suffering even if a foreseen but unintended effect is to shorten life.
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(Excerpt from the Catholic Organization for Life and Family document “Euthanasia and Assisted Suicide: Urgent Questions”, (p. 2)) |
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What is assisted suicide?
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In assisted suicide a third person provides the means for the person to kill him or herself (e.g. by providing pills).
(Excerpt from the Catholic Organization for Life and Family document “Euthanasia and Assisted Suicide: Urgent Questions”, (p. 2))
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What is the law in Canada concerning euthanasia and assisted suicide?
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In February 2015, the Supreme Court of Canada ruled in Carter v. Canada that parts of the Criminal Code would need to change to comply with the Canadian Charter of Rights and Freedoms. The parts that prohibited physician-assisted suicide and euthanasia would no longer be valid. The Supreme Court gave the government until June 6, 2016, to create a new law. In response, the federal government introduced legislation that allows doctors or nurse practitioners to provide eligible adults with "medical assistance in dying," either by directly administering a drug that causes death, or by prescribing such a drug for the patient to self-administer.
This legislation received Royal Assent on June 17, 2016..
These grievous affronts to the dignity of human life from beginning to natural end are never morally justified. The legal permission now granted to these practices does not change the moral law. The teaching of the Church on these matters is clear. Euthanasia “is a grave violation of the law of God, since it is the deliberate and morally unacceptable killing of a human person.” Since suicide, objectively speaking, is a gravely immoral act, it follows that “to concur with the intention of another person to commit suicide and to help in carrying it out through so-called "assisted suicide,” means to co-operate in, and at times to be the actual perpetrator of, an injustice which can never be excused.” (Cf. St. John Paul II, Evangelium Vitae, nn. 65-66)
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What is the Catholic Church's position on euthanasia and assisted suicide?
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Catholic teaching states that human life is sacred from conception to its natural end. Because human life is a gift from God, it is our responsibility to respect and nurture this gift, we are called to preserve life and to make it fruitful. Euthanasia and assisted suicide both speak against the sacredness of life and man’s communal nature. We are created for interdependence and mutual support. Blessed John Paul II stated in his February 27, 1999 address to the Pontifical Academy for Life: “The dignity of the dying is rooted in the fact that they are created by God and personally called to immortal life. This hope-filled vision transfigures the destruction of our mortal body… Thus in defending the sacredness of life, even that of the dying, the Church is not in some way absolutizing physical life, but is teaching respect for the true dignity of the person, a creature of God, and is helping him to accept death serenely when his physical powers can no longer be sustained.” In her wisdom, the Church advocates for all people, especially those most vulnerable. |
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True compassion, to suffer with the sufferer, is the companionship and encouragement needed by the patient. This by no means diminishes the difficulties of the sufferer or his/her family. The Church, instead, encourages more research into pain relief and the use of good palliative care for Canadians in need. |
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What is palliative care?
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The World Health Organization defines palliative care as “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. |
- provides relief from pain and other distressing symptoms;
- affirms life and regards dying as a normal process;
- intends neither to hasten or postpone death;
- integrates the psychological and spiritual aspects of patient care;
- offers a support system to help patients live as actively as possible until death;
- offers a support system to help the family cope during the patient’s illness and in their own bereavement;
- uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated;
- will enhance quality of life, and may also positively influence the course of illness;
- is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.
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“Palliative care for children is the active total care of the child's body, mind and spirit, and also involves giving support to the family. It begins when illness is diagnosed, and continues regardless of whether or not a child receives treatment directed at the disease. Health providers must evaluate and alleviate a child's physical, psychological, and social distress. Effective palliative care requires a broad multidisciplinary approach that includes the family and makes use of available community resources; it can be successfully implemented even if resources are limited. It can be provided in tertiary care facilities, in community health centres and even in children's homes. |
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“Palliative care improves the quality of life of patients and families who face life-threatening illness, by providing pain and symptom relief, spiritual and psychosocial support to from diagnosis to the end of life and bereavement.” |
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(“Palliative Care”, 2011, www.who.int/cancer/palliative/en/) |
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What would be some of the consequences of allowing euthanasia or assisted suicide?
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The frail, disabled, poor, elderly and others who are vulnerable would be at the mercy of third parties who could exercise pressure on them to see an earlier death as an option. They could even feel compelled to ask for a premature death if it is available. This danger would only increase as health resources decrease. |
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The role of the physician and the patient’s trust in the physician would be undermined. Palliative care would be marginalized. If assisted suicide or euthanasia were permitted for the terminally ill on the basis of their suffering, their autonomy and their individual self-determination over life itself, how could it be denied to those who are depressed, infirm, frail or suffering for other reasons? |
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It would also erode the basic trust that human life will be protected —a trust that is essential to the functioning of any society. |
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(Excerpt from the Catholic Organization for Life and Family document “Euthanasia and Assisted Suicide: Urgent Questions”, (p. 4)) |
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What about the people whose pain cannot be controlled, and what about those whose pain can be alleviated but they just can't bear the loss of control and fear losing their dignity?
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It is obviously important to direct more resources into research for better methods of pain control. However, experts in palliative care state that only a very small proportion of people suffer from intractable pain and even then there are means to keep them as comfortable as possible. |
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It is not hard to empathize with those who feel they have lost their dignity. Yet human dignity lies not in the exercise of control or even in the quality of life, but rather in the simple fact that they are human beings made in the image of God, made for life with one another. |
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We also give life dignity by the way we respond to it – by reaching out to the dying person with compassion and attending to their most basic needs – we need each other in death in the same way that we need each other in life. This form of accompaniment can be painful and intense, but it is also full of possibilities for expressing love and gratitude, for spiritual growth and for reconciliation with God and one other.
(Excerpt from the Catholic Organization for Life and Family document “Euthanasia and Assisted Suicide: Urgent Questions”, (p. 11)) |
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Can medical treatment be refused?
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Treatment is often available to those who choose to receive assistance in maintaining or prolonging life. Refusing gravely burdensome or disproportionate medical treatment is not causing death, it is allowing for a natural death. The distinction is between causing someone’s death and allowing someone to die. |
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Ordinary or proportionate treatment is treatment that offers a reasonable hope of benefit which is not too burdensome for the patient. The particular circumstances of the patient determine whether or not the treatment is burdensome. Considerations are made based on the person as a whole and can include personal, financial, familial, or social circumstances. In normal circumstances nutrition and hydration is an ordinary and obligatory treatment including when a patient is in a coma; however, there can come a time when nutrition or hydration cause more suffering and can hasten death. |
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Extraordinary or disproportionate treatment means that the risk and burdens of the treatment outweigh the benefits. This of course is dependent on the particular circumstances of the patient and is determined by the patient and/or the patient’s surrogate. |
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What is palliative sedation?
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Palliative sedation is the process of inducing and maintaining unconsciousness through medical intervention, in order to relieve refractory symptoms for patients where death is imminent. Refractory symptoms are those symptoms that remain after all other possible treatments have failed or when no other methods of adequate pain relief are available. This practice is a last resort to assist patients in pain relief. (Covenant Health - Palliative Sedation Guidelines) |
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In the 1980 Declaration on Euthanasia, Pope Pius XII was quoted as stating: "If no other means exist, and if, in the given circumstances, this does not prevent the carrying out of other religious and moral duties: Yes [palliative sedation is permissible].” It is clinically demonstrated that palliative sedation does not hasten death in appropriately selected patients. We must not deprive the dying of consciousness without serious reason; consequently, the medical profession have strict protocols in how and when this is permissible. |
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