Living Will or Mercy Killing.

GOVERNANCE
27 Jan, 2023

NEWS HIGHLIGHT 

Theme : Governance
Paper:GS- 2

 A five-judge Bench of the Supreme Court headed by Justice K M Joseph agreed to significantly ease the procedure for passive euthanasia in the country by altering the existing guidelines for ‘living wills’.

TABLE OF CONTENT

  1. Context
  2. What is Living Will
  3. Euthanasia
  4. What did SC Rule in 2018?
  5. Observations by Law Commission
  6. Global Examples

Context : A five-judge Bench of the Supreme Court headed by Justice K M Joseph agreed to significantly ease the procedure for passive euthanasia in the country by altering the existing guidelines for ‘living wills’.

What is Living Will : 

  • A living will is a legal document detailing the type and level of medical care one wants to receive if they are unable to make decisions or communicate their wishes when care is needed.
  • A living will addresses many life-threatening treatments and procedures, such as resuscitation, ventilation, and dialysis.
  • A person can appoint a healthcare proxy to make decisions regarding care when they are unable to do so.
  • A living trust is a legal document that addresses how the assets of the incapacitated person should be managed.
  • People can enlist the services of an estate planner or an attorney to help draft or review a living will.

Euthanasia : 

  • Euthanasia refers to the practice of an individual deliberately ending their life, oftentimes to get relief from an incurable condition, or intolerable pain and suffering.
  • Euthanasia, which can be administered only by a physician, can be either ‘active’ or ‘passive’.
  • Active euthanasia involves an active intervention to end a person’s life with substances or external force, such as administering a lethal injection.
  • Passive euthanasia refers to withdrawing life support or treatment that is essential to keep a terminally ill person alive.

What did SC Rule in 2018?

  • The Supreme Court allowed passive euthanasia while recognising the living wills of terminally-ill patients who could go into a permanent vegetative state.
  • It was required to be signed by an executor (the individual seeking euthanasia) in the presence of two attesting witnesses and to be further countersigned by a Judicial Magistrate of First Class (JMFC).
  • The court issued guidelines regulating this procedure until Parliament passed legislation on this.
  • However, this has not happened, and the absence of a law on this subject has rendered the 2018 judgment the last conclusive set of directions on euthanasia.

Observations by Law Commission : 

  • Earlier, in 2006, the Law Commission of India in its 196th Report’ had said that a doctor who obeys the instructions of a competent patient to withhold or withdraw medical treatment does not commit a breach of professional duty and the omission to treat will not be an offense.
  • It had also recognised the patient’s decision to not receive medical treatment, and said it did not constitute an attempt to commit suicide under Section 309 IPC.
  • Again, in 2008, the Law Commission’s ‘241st Report On Passive Euthanasia: A Relook’ proposed legislation on ‘passive euthanasia’, and also prepared a draft Bill.

Global Examples : 

  • NETHERLANDS, LUXEMBOURG, BELGIUM allow both euthanasia and assisted suicide for anyone who faces “unbearable suffering” that has no chance of improvement.
  • SWITZERLAND bans euthanasia but allows assisted dying in the presence of a doctor or physician.
  • CANADA had announced that euthanasia and assisted dying would be allowed for mentally ill patients by March 2023; however, the decision has been widely criticized, and the move may be delayed.
  • UNITED STATES has different laws in different states. Euthanasia is allowed in some states like Washington, Oregon, and Montana.
  • UNITED KINGDOM considers it illegal and equivalent to manslaughter.

FAQs : 

  1. What is Living Will?

ANS. 

  • A living will is a legal document detailing the type and level of medical care one wants to receive if they are unable to make decisions or communicate their wishes when care is needed.
  • A living will addresses many life-threatening treatments and procedures, such as resuscitation, ventilation, and dialysis.
  • A person can appoint a healthcare proxy to make decisions regarding care when they are unable to do so.
  • A living trust is a legal document that addresses how the assets of the incapacitated person should be managed.
  • People can enlist the services of an estate planner or an attorney to help draft or review a living will.
  1. What did SC rule in 2018?

ANS. 

  • The Supreme Court allowed passive euthanasia while recognising the living wills of terminally-ill patients who could go into a permanent vegetative state.
  • It was required to be signed by an executor (the individual seeking euthanasia) in the presence of two attesting witnesses and to be further countersigned by a Judicial Magistrate of First Class (JMFC).
  • The court issued guidelines regulating this procedure until Parliament passed legislation on this.
  • However, this has not happened, and the absence of a law on this subject has rendered the 2018 judgment the last conclusive set of directions on euthanasia.