Euthanasia in the Major World Religions 1 Angeliki Ziaka Abstracts “Euthanasia” or voluntary termination of life is one the most complicated issues in the moral, legal and religious debates nowadays. In the meantime, the role of religions in directing the views of researchers is obvious. In this article, a brief look at the different religions of the world to the issue of euthanasia (whether in the form of active or passive) will be provided as much as possible and we will analyze these ideas. At first, we study three monotheistic religions, Islam, Christianity and Judaism. Hinduism and Jainism, then, will be examined and finally, Far Eastern religions such as Buddhism, Taoism, Confucianism and Shinto school will say about euthanasia. Keywords: euthanasia, religions, morality, law. 1. aristotle university of thessaloniki ([email protected]). Euthanasia in the Major World Religions It is a great honor and pleasure for me to spend a few days in the city of Qom, the cradle of the Shiite world. I have studied for many years the fine theology of itna‘ ‘ashariya and I have dedicated much of my research to Shi‘a Islam and Iran. I keep abreast, primarily through the Internet, with important developments and fatwa in Iran on bio-ethical issues, which are timely and often intractable issues for every nation, every legal code, and every religion. 74 One of the most difficult issues is that of the early, voluntary termination of life, or “euthanasia,” a Greek word that means “good death,” and which is inextricably tied to the mystery of human existence. The question of where human life comes from and where it is going is one of the great issues one encounters in any world religion. When we look around us, especially at the burial customs of ancient civilizations, we realize that even from primeval times and the simplest forms of religiosity; man has attributed significance to the continuation of life and to the need to preserve the body. Death and the manner of burial-seated, in the fetal position, facing east, etc.-indicate a ritual transition to another dimension of existence. Yet, no religion provides for the premature termination of life, either voluntarily (suicide) or by inducing a painless death and/or hastening it, in order to curtail the sufferer’s agony from an incurable disease (euthanasia). In the world’s major religions, the sacrifice of life is justified only for a higher purpose-i.e., for freedom, to preserve one’s personal dignity in the face of being disgraced during periods of violence and war, to fight for social justice against totalitarian regimes, etc.-, but never to avoid an arduous bodily condition brought about by illness or old age. These religions offer prayers for a good, painless, and peaceful natural end to each person’s life, not for the hastening of death through human intervention. Rare Cases of "Euthanasia" The cases, primarily among those of advanced age, in which death occurs through fasting or by the deliberate abandonment of the elderly outside, are rare. When they do occur, they are usually in rather “primitive” societies. But here also, this choice is justified by reference to a higher purpose. Among the Jains of India, for example, death by fasting (prayopavesa) is sometimes practiced by ascetics who believe that they have reached the stage of perfection, and thus have passed to the ideal state of another dimension of life, superior to the present. Additionally, among some relatively closer to nature peoples, such as the Inuit Eskimos of the Arctic and some Native Americans, the elderly man who can no longer keep up with nomadic life and contribute to the community voluntarily exiles himself in the wilderness, offering himself to the natural food chain with the belief that he would be reincarnated in another form of life. This practice was necessary because of the harsh natural environment, the nomadic way of life, and the survival needs of other members of the community, who were unable to care for or minister to the needs of the aging members of their tribe. But even in these cases, no special drugs were used either by the community or voluntarily by the individual. Additionally, in many cases among some Native Americans, newborns with serious disabilities were abandoned, out of compassion, in rivers to drown. History bears witness to such cases of infanticide in many cultures from the Far East to the Far West, as well as in Greece’s own city of Sparta, with its well-known Kaiadas gorge. In some of these cultures, such as that of the Native Americans, killing a suffering or stillborn infant had to be done with compassion and painlessly. In other cultures, on the contrary, such as that of the Spartans, the taking of the life of disabled newborns was rather violent, inasmuch as they were thrown into a gorge, the Kaiadas, so as not to impede the Spartan commonwealth, whose prototype was its robust and hardy citizens. For the three monotheistic religions-Judaism, Christianity and Islam-, life is a gift from God and euthanasia is impermissible as interference with his will. For Jews and Christians, man is made in the image of God, while for Muslims man was appointed caliph, vicar of God, on earth. Thus, for all three Abraham religions, God is the patron of life and man is responsible for life and creation, which he must protect and preserve as a good manager. The creation of the world and man belongs to God and not to man. Of course, all three of these religions have a place for voluntary death via martyrdom, which is understood in Christianity as an imitation of Christ’s crucifixion and a faithful adherence to the Christian faith. This faith is confirmed by the power of a voluntary sacrifice for the salvation, not only of the martyr or the community of faith of which he is a member, but also of his persecutors. It is well known that the early Church was founded on the blood of the martyrs, many of whom, although not yet baptized, are nevertheless considered by the Church as baptized in the blood of their martyrdoms. In Islam, the concept of martyrdom is directly connected with jihad (holy struggle). The shahîd, the quintessential martyr, is identified with Mujahid, the zealous fighter who is ready to sacrifice his life in the struggle for Islam. Thus, the "martyr forth faith" is the most honored person within the Muslim community and is set up as someone to be emulated, being considered purified by the blood of his martyrdom and immediately translated to paradise, where he enjoys its delights. The practice of Fourth Year, Volume 9, Autumn & Winter 2015 The Three Monotheistic Religions’ Attitudes toward Euthanasia 75 euthanasia, however, falls outside these limits and is seen as interference in the creative power of Allah, who, according to the Quran, is the sole creator and preserver of life. Euthanasia in the Major World Religions In Judaism, one of the Faithfull's highest obligations is the kiddush Ha-shem, the "consecration of God's name." Every Jew has the obligation to sanctify the name of the God of Israel and not to dishonor it, not committing hillul Ha-shem, an insult against the name of God. The ultimate manifestation of devotion to the name of God and to its consecration (kiddush Ha-shem) occurs when a Jew offers himself as a sacrifice in the name, and for the Law, of God. The concept of martyrdom can be clearly discerned from as early as the time of the Babylonian captivity (586-538 BC) and is strongly manifested in Hellenistic and Roman times by the Jewish Zealots, who vowed to enact the will of God, even if it meant their death, and to oppose any foreign powers that were detrimental to Judaism. 76 Of course, this commitment, even unto death, to the name of the God of Israel and his law constitutes an act of sacrifice and martyrdom which bears no resemblance to suicide and euthanasia. In the Jewish tradition, any form of euthanasia is explicitly prohibited, and the act is condemned as a premeditated murder. Anyone who hastens the death even of a condemned man is deemed worthy of the death penalty and is treated as a murderer. The Babylonian Talmud notes that he who closes the eyes of a dying man is a murderer, because he hastened his impending death. The practice, however, of passive euthanasia is not universally condemned. In cases of the artificial preservation of life, some consider it permissible to discontinue artificial life support. The Attitudes of the Great Religions of the East toward Euthanasia Among the major religions of the East, the view of the world and life is completely different from the three monotheistic religions. Man is seen as part of the world and its harmony. For Hinduism and Buddhism, the concept of euthanasia operates in the framework of man's position in the universal order and in the harmony of the universe (dharma). Hinduism Hindus believe that man’s every action is registered in the law of the universal order and has a reciprocal effect on the quality of that person’s return in another life, in a reincarnation. Generally in Hindu thought, the present form of life is considered painful. The ideal is to liberate man’s existential condition from perishable matter, moksa, and to transition to another form of life, superior to the present, in which there is no reincarnation of beings (samsara). Thus, each person’s actions (karma) will determine his ability to transition to a higher form of spiritual life and freedom from painful and perishable matter. According to this view, the violent arrest of a man's life, either by suicide or euthanasia, is a disruption of the universal order (dharma), and this action has a direct impact not only on the life of the deceased but also on the life of those who helped him. It is said that the doctor will assume the unfinished karma of the patient, i.e., the work that was left unfinished due to the abrupt termination of his life. Generally, active euthanasia is contrary to the principle of ahimsa, nonviolence toward all living beings and respect for life. Ahimsais understood as the highest ideal of dharma, the universal order. Nevertheless, among Hindus, there are those who accept passive euthanasia because they believe that the prolongation of life by artificial means or providing medicines that suppress the patient’s consciousness in the face of his impending death violate man's natural movement toward perfection and, as such, are contrary to the law of the universe. Of course, the majority position in Hinduism rejects euthanasia at both the religious and social levels. The diverse and seemingly contrary views on the issue, however, reflect Hindus’ complex realities and their stance toward metaphysical questions. Similarly, Buddhism also does not accept euthanasia, because such an action would lead man into the vicious cycle of reincarnations and would deprive him of the ability to achieve the highest good, which is nirvana, the other-worldly and ineffable bliss. Although Buddhism views the world as a source of pain and sadness, it nevertheless does not recommend a violent escape from this painful world. Its ideal, of course, is to help man achieve enlightenment and reach the ineffable state of nirvana, i.e., anotherworldly bliss, but only through struggling in this world of suffering. The violent interruption of the natural course of life is considered bad karma, bad practice, and results in the remuneration of the action and the return and rebirth of the person intothe same painful situation of the present life, or an even worse situation. According, therefore, to the texts of the great Buddhist Pâli canon, we can see that Buddhism is opposed to the suicide of both those who have reached enlightenment and, even more so, of those who have not reached this ultimate ideal. According to the texts of the monastic rules (Vinaya), there are also indications that Buddhism is opposed not only to suicide but also to passive euthanasia because of its adherence to the moral principle of ahimsa (non-violence). These texts do not support the views of some intellectuals of our time who assume that Buddhism is in favor of euthanasia because it is a religion of mercy and compassion for people and all beings. Of course, Buddhist monks’ self-immolation in protest against totalitarian regimes and social injustices and to promote peace and the achievement of the higher social Fourth Year, Volume 9, Autumn & Winter 2015 Buddhism 77 good is well known, but this is an expression of the lofty ideal of self-sacrifice, which has no connection with suicide, much less with euthanasia. Confucianism/Taoism The two great philosophical systems of China, Confucianism and Taoism, have their own conceptions of man, society, and the world within the universal order. Confucianism, in extremely rare cases, permits euthanasia as a "dignified death" in order to avoid political violence and disgrace. For Taoism, the goal is the immortality of the body. To achieve this, popular or folk Taoism employs elixirs believed to prolong life and to lead to immortality. Euthanasia is thus the inverse of this quest. The Taoist persistently looks to cure people and to extend their lives as much as possible. The issue, however, is muddied when outside medical-primarily artificial-life support intervenes. Taoists accept only minor medical treatments and only if the patient's body will be able to recover and return to its original natural state, which is consistent with the natural flow of the Tao, the eternal principle of the universe that transcends reality. But if medical intervention is futile and man is close to death, then Taoists consider it meet to be left to the will of the Tao. It is thus a kind of passive euthanasia, inasmuch as they do not accept artificial life support. Euthanasia in the Major World Religions Japan: Shinto and Buddhism 78 The case of Japan, in which there are two primary religions, Shinto and Buddhism, is a unique case. Here, the debate about euthanasia, which has gone on for several decades, is colored by the traditional Japanese values of honor and dignity. These values, combined with modern demographic and psychological problems, have led a portion of Japanese society to look on the issue of euthanasia with sympathy, while others have reservations. Professor Emeritus of the Medical School of the University of Hirosaki, Shinryo Shinagawa, admirably captured the complexities inherent in the issues of euthanasia and bioethics, as well as the diversity in the experience and life of the religions and cultures of the world, in his talk to the Health Care Ethics Committee in January 1993: Japan, he said, is a mountainous country with numerous tunnels; the longest is the Seikan Tunnel (53.9 km) running 240 meters below the water of the Tsugaru Strait; linking the main Japanese island of Honshu with the island of Hokkaido. The tunnel resembles that of medical ethics in Japan: there are numerous long, dark tunnels in the medico-ethical and medico-legal controversies, and, in most of them there appear no light at the end. In some cases, I think it will be impossible to reach the end of the tunnel and regain the light. I would like to discuss seven “tunnels” in medical ethics. 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Vinaya آ ﺗ ﺎ ﻧ ﺎ ز ی د ر ا د ﻳ ﺎ ن ﺑ ﺰ ر گ ﺟ ﻬ ﺎ ن 115 א" Mאא א* א א) כ$א@ F .6א/א)' א" Mכ כ- Z *! $כש כ ! $א) א/ א0אא)' א ؛ . ﺗﺎﺋﻮﺋﻴﺴﻢ و ﻣﻜﺘﺐ ﻛﻨﻔﺴﻴﻮس hא 0 P eB A6א W33כ 4כQ \Aـא >TLـ ـ אـא/ HFאh /א !6א 8 !8א כ 4כ \Aא א א' א0אא)' א א MD0א e! /א! ;Bא' א Fא Iא) שא" 3א" כ !ـM א 0 aא W33א!א* /א"! Mא' " א א* 0 aא0 ` W33ـ *ـא אא אכ!א* א !8 M-כ א ) 8א Sא כ ^! ـ א!א* ש א) א* א0אא)' Jא 2א* -א" Mא"ـ0 Mא33ـL Mـ!א ـ ?ـא@ ! '?Hא" !$א ) 8א/א $כ א"! Mـא@ 1ـ ـא' א Bשכ ـ א א_ Lـ א) ) 8א /א* א* WH? Rש {J6א 1א) א/א' Bשכ א א א {J6א !8ـ$ /ـאא0 /ـא?H /ـ' א)8ש?S .C Mש א אש אש ?S .Cא' כ "א)8א א *!Fא0 ?S /א3 א 2Tא W%כ ! !0א) א M1א" Mאש אא א- !8אB M%שכ ? kאשـ אـא/ א א /א אא0 iא 3אN8א א ـ!א* א) א^ـא כـ א*שـא/ *Bכ !e א* א) א0אא)' 2Aא"M HQא' 8) Lא $ ، ، . א » ، ، ، ]<ـ[A « . . ] . [، . . 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