Religious Ethics and Active Euthanasia in a Pluralistic Society

Courtney S Campbell

Kennedy Institute of Ethics Journal
Kennedy Institute of Ethics Journal

Abstract
This article sets out a descriptive typology of religious perspectives on legalized euthanasia — political advocacy, individual conscience, silence, embedded opposition, and formal public opposition — and then examines the normative basis for these perspectives through the themes of sovereignty, stewardship, and the self. It also explores the public relevance of these religious perspectives for debates over legalized euthanasia, particularly in the realm of public policy. Ironically, the moral discourse of religious traditions on euthanasia may gain public relevance at the expense of its religious content. Nonetheless, religious traditions can provide a context of ultimacy and meaning to this debate, which is a condition for genuine pluralism.


Campbell CS. Religious Ethics and Active Euthanasia in a Pluralistic Society. Kennedy Inst Ethics J. 1992;2(3):253-277.

Fetal rights: Supreme Court tosses ball back in Parliament’s court

Eike-Henner Kluge

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The case is of interest to doctors, but not because it deals with midwifery and its legality in Canada – the Supreme Court decision is silent on that point. At issue was the status of the human fetus: Is a full-term human fetus that is partially born a person in the eyes of the criminal law? The court decided it is not. . . . The Supreme Court has decided this case on very narrow legal grounds and it has carefully avoided coming to grips with the issue of whether a fetus is a person in the eyes of the law. This is not surprising. On several occasions, such as cases involving Morgentaler5 and Daigle,6 the Supreme Court has made clear that the status of the fetus should not be resolved in court – the court is not prepared to do Parliament’s work.


Kluge E-H. Fetal rights: Supreme Court tosses ball back in Parliament’s court. Can Med Assoc J. 1991 May 01;144(9):1154-1155.

(Correspondence) When passion displaces logic (Dr. Waugh responds)

Douglas Waugh

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Unlike Dr. Heaton I am a born-again nonbeliever and therefore do not accept his version of where it all begins. With that as a “given” my logic is flawless, as is his with a different “given”. Unhappily, the two positions remain irreconcilable.


Waugh D. (Correspondence) When passion displaces logic (Dr. Waugh responds). Can Med Assoc J. 1990 Jan 01;142(1):12.

When passion displaces logic

Douglas Waugh

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
An ancient Chinese curse, “may you live in interesting times”, may turn out to be punishment for some of our misdeeds as the 20th century draws to a close. . . . Unless our society is willing to accept a compromise between the humane aspirations of pro- choice and the species priority of pro-life, we may be doomed to continue the cyclic alternation of dominant conservative and then liberal forces, as has been the case during the last several centuries. These interesting times may indeed be a curse.


Waugh D. When passion displaces logic. Can Med Assoc J. 1989 Oct 01;141(7):707.

(Correspondence) “Universal” moral principles

Wendell W Watters

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Apart from such simple principles as the Golden Rule and the Greatest Good for the Greatest Number of People, what universal moral principles are there? Apparently Lemoine’s value system would compel unwilling pregnant women to become mothers against their will (the view of the Roman Catholic Church and other antichoice groups); this is in direct opposition to the position that couples should be allowed to regulate their own reproductivity, the view of the United Nations declaration on family planning, to which Canada was a signatory. Neither of these moral positions is universal or based on absolutes. The first arose out of the Christian Church’s desire to implement policies of demographic aggression against all other groups. The second arose in this century out of our collective appreciation that such policies may spell extinction for all forms of life on this planet. Many of the bloodiest episodes in history came about as a result of one group’s seeking to impose “universal” moral principles on others.


Watters WW. (Correspondence) “Universal” moral principles. Can Med Assoc J. 1989 May 01;140(9):1016.

Abortion: the issue the CMA has refused to address is life

David Knickle

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
The CMA’s new statement shifts the balance very heavily away from the sanctity of human life and places more emphasis on these pregnancy-related problems. Surely this is contrary to our traditional medical ethic of protecting life and curing disease. . .

The issue for our profession should be this: What is medically acceptable? We must set our standards of ethical practice. Surely we are capable of defining what is therapeutic and what is non- therapeutic in life-and-death situations. The issue here is not whether we are pro-choice or pro-life, or for or against abortion on demand. The issue is simply whether we will hold to our traditional medical ethic of protecting life and treating disease.


Knickle D. Abortion: the issue the CMA has refused to address is life. Can Med Assoc J. 1988 Nov 15;139(10):990.

Civil disobedience, conscientious objection, and evasive noncompliance: a framework for the analysis and assessment of illegal actions in health care

James F Childress

The Journal of Medicine and Philosophy
The Journal of Medicine and Philosophy

Abstract
This essay explores some of the conceptual and moral issues raised by illegal actions in health care. The author first identifies several types of illegal action, concentrating on civil disobedience, conscientious objection or refusal, and evasive noncompliance. Then he sketches a framework for the moral justification of these types of illegal action. Finally, he applies the conceptual and normative frameworks to several major cases of illegal action in health care, such as “mercy killing” and some decisions not to treat incompetent patients.


Childress JF. Civil disobedience, conscientious objection, and evasive noncompliance: a framework for the analysis and assessment of illegal actions in health care. J Med Philos. 1985 Feb 01;10(1):63-83.

Genuine appeals to conscience

Kenneth R Seeskin

Journal of Value Inquiry
Journal of Value Inquiry

Extract
Kordig denies that the dictates of one’s conscience are always either obligatory or morally permissible. With this thesis I have no quarrel. The recognition that a person’s conscience can be mistaken, sometimes dangerously so, is at least as old as Hobbes and has been maintained by philosophers as diverse as Hegel, Royce, and Nowell- Smith. Still, people do appeal to conscience in moral disputes and, as I will attempt to show, do so in a manner that is philosophically justifiable. My goal is not so much to attack what Kordig has said as it is to argue that his discussion is incomplete: some appeals to conscience are bogus but some are not.


Seeskin KR. Genuine appeals to conscience. J Value Inquiry. 1978;12(4):296-300.

Analysis: An introduction to ethical concepts – Conscience

Eric D’Arcy

Journal of Medical Ethics
Journal of Medical Ethics

Extract
Many people believe in conscience that a pregnant woman has supreme rights over what happens in her own body. Others believe in conscience that the right of the unborn child to life is as good as that of any other human being. In some countries, the law, in the name of the former right, discriminates against an obstetrician who, in the name of the latter, refuses to destroy that life. This is a serious contemporary issue which tests the sincerity of governments that profess respect for conscience.


D’Arcy E. Analysis: An introduction to ethical concepts – Conscience. J Med Ethics. 1977;3(2):98-99.

(Correspondence) Attitudes to Abortion

John Stallworthy

British Medical Journal, BMJ
British Medical Journal

Extract
In the reorganized Health Service it should be easier than hitherto for adequate teams to provide a comnprehensive service in obstetrics and gynaecology if there is the necessary financial support. High ethical standards, conscience, and differing religious beliefs, when associated with freedom, of thought and expression within the fellowship of a team, can prove enriching for the doctors and therefore beneficial to the patients.


Stallworthy J. (Correspondence) Attitudes to Abortion. Br Med J. 1974 Jun 01;2(5917):501.