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Healthcare Ethics_ Euthanasia_Assisted Suicide

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This paper examines the ethical, legal, and moral controversies surrounding euthanasia—also known as assisted suicide or mercy killing. It analyzes both passive and active euthanasia and explores global trends demonstrating rising rates of assisted dying in countries where the practice is legalized. Using a qualitative, secondary research approach, the study reviews peer-reviewed and non-peer-reviewed literature to evaluate arguments for and against euthanasia. Proponents emphasize patient autonomy, dignity, relief from suffering, and the principles of beneficence and justice. Opponents focus on the sanctity of life, religious and moral objections, fear of abuse, and potential misuse by healthcare providers or families. The paper concludes that euthanasia can be ethical when guided by strict safeguards protecting patient autonomy, preventing coercion, and upholding dignity, while acknowledging the legitimacy of opposing concerns.

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Healthcare Ethics: Euthanasia/Assisted Suicide




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Healthcare Ethics: Euthanasia/Assisted Suicide

Introduction

The debate around euthanasia has been around for several years, with no
conclusive/definitive solution as pertains its ethics being derived. Also called assisted suicide
or loosely as mercy killing, euthanasia refers to the deliberate action undertaken by a
professional medic to induce death to a consenting adult patient with the express intention of
relieving pain or intractable suffering (Chochinov, 2023). As Keown (2018) observes,
euthanasia can take two forms, namely passive and active euthanasia. Active euthanasia
involves the withholding of life-sustaining treatment to pave way for death, while active
euthanasia involves the introduction of lethal substances meant to slowly kill the patient. The
prevalence of euthanasia has increased over time, with increase in countries legalizing this
method. In 2002, the rates of rates of deaths by euthanasia was averaged at 2%, rising to 4%
in 2019 in countries where assisted suicide has been legalized (Mroz et al., 2021). A study by
Buchholz (2022) has shown that rates of euthanasia have soared since 2018 to 2021, where
the number rose from 850 to 1300. In Canada, the rates rose from 4480 to 10064 between
2018 and 2021, while in the Netherlands, deaths by euthanasia rose from 6126 in 2018 to
7666 in 2021.

Problem

Despite the legalization of euthanasia, and the rise in endorsement of the practice across
many countries around the globe, literature has shown that assisted suicide remains a
contentious issue, with different groups. Among countries where Euthanasia is legalized
include Canada, the US, Netherlands and Belgium, among several others, while it’s not in
Peru and Portugal (Keown, 2018). Even in countries that legalize euthanasia, the practice has
witnessed opposition from bodies or agencies, especially advocates of conservative practices
that regard life as sacred. Euthanasia in many countries requires the authorization of the sole
patient. However, in some countries like Canada and the US, a legal surrogate (particularly a
close family) to the patient (who is in agonizing pain and in a vegetative state, and especially
in their end of life care) may sign consent on behalf of the patient to help ease the pain
(Goligher et al. 2019).

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19 november 2025
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2025/2026
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