"Love Them to Death": Dutch and Italian Experiences of (Assisted) Suicide, and the Urgent Need for Human Solidarity.

IF 0.5 4区 医学 Q3 LAW Issues in Law & Medicine Pub Date : 2020-01-01
Marianna Orlandi
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Abstract

Legal cases involving "assisted suicide" and euthanasia have dramatically increased over the past decades. European news is filled with hard cases involving people whose experiences of pain and suffering are used to advance the cause of further decriminalization. Another kind of case, however, is gaining public attention and revealing the fallacious narrative of death as a human right. These are cases of people who live where such practices are already legal, but who may have preferred life over death were the practice criminally sanctioned. A suicide case from the Netherlands will be the starting point for a broader reflection on the existence of a "right to die," and on the soundness of an alternative "duty to care."

Creating a parallel between a Dutch case of "death by starvation" and a recent Italian constitutional judgment (which led to a partial decriminalization-or exemption from punishment-of some forms of assisted suicide) the author aims to show that: a) there is inevitably an international dimension to the problem, b) laws shape human behavior, and they do so internationally. What once was prohibited, and later decriminalized, has gradually become tolerated, welcomed, and is now entertained as a human right. A right to die, however, contradicts the very basis of our common living.

After presenting the facts of a suicide recently committed by a Dutch teenager, the author will focus on Netherland's norms regarding assisted suicide and euthanasia, and the specific medical guidelines that apply to the so-called "choice to stop eating and drinking so as to hasten the end of life (SED)." In the third chapter, the author will underscore the importance of intent, and address the radical difference that exists between an act of suicide and the choice to refuse treatment. The author then analyzes the relevant criminal provisions in Italian legislation, which prohibit euthanasia and assisted suicide, with a particular focus on the recent decision n. 242/2019, issued by the Italian Constitutional Court. This judgment relaxed the existing ban on assisted suicide and thereby compromised Italy's absolute protection of life by adopting an overly broad understanding of individual autonomy. In the final chapter, the author defends the idea that only where autonomy is combined with solidarity individual liberties are justly ordered, and human rights effectively protected. This solidarity, implicit in norms such as "Bad Samaritan Laws" that impose legal duties to rescue, is not mere altruism, but a form of self-love, as it creates the beneficial conditions of harmony and friendliness among citizens.

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“爱他们至死”:荷兰和意大利的(协助)自杀经验,以及人类团结的迫切需要。
过去几十年来,涉及“协助自杀”和安乐死的法律案件急剧增加。欧洲的新闻中充斥着一些艰难的案例,这些人的痛苦经历被用来推动进一步合法化的事业。然而,另一种情况正在引起公众的注意,并揭示了死亡是一项人权的错误叙述。这些人生活在这种做法已经合法的地方,但如果这种做法受到刑事制裁,他们可能宁愿生也不愿死。荷兰的一起自杀案件将成为对“死亡权利”的存在以及另一种“照顾义务”的合理性进行更广泛反思的起点。作者将荷兰的“饥饿致死”案例与意大利最近的一项宪法判决(该判决将某些形式的协助自杀部分非刑事化,或免于惩罚)进行了比较,旨在表明:a)这个问题不可避免地存在国际层面;b)法律塑造了人类的行为,而且它们在国际上起着作用。曾经被禁止,后来被合法化的行为,现在逐渐被容忍和欢迎,并被视为一项人权。然而,死亡的权利与我们共同生活的基础相矛盾。在介绍了一名荷兰青少年最近自杀的事实之后,作者将重点介绍荷兰关于协助自杀和安乐死的规范,以及适用于所谓“选择停止饮食以加速生命结束(SED)”的具体医疗指南。在第三章中,作者将强调意图的重要性,并解决自杀行为和拒绝治疗之间存在的根本区别。然后,作者分析了意大利立法中禁止安乐死和协助自杀的相关刑事规定,并特别关注了意大利宪法法院最近发布的第242/2019号决定。这一判决放宽了对协助自杀的现有禁令,因此对个人自主权的理解过于宽泛,损害了意大利对生命的绝对保护。在最后一章中,作者论证了只有在自治与团结相结合的地方,个人自由才能得到公正的秩序,人权才能得到有效的保护。这种团结,隐含在诸如“坏撒玛利亚人法”这样的规范中,它规定了法律义务去救援,这不仅仅是利他主义,而是一种自爱的形式,因为它在公民之间创造了和谐与友好的有利条件。
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Issues in Law & Medicine
Issues in Law & Medicine Medicine-Health Policy
CiteScore
0.70
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期刊介绍: Issues in Law & Medicine is a peer reviewed professional journal published semiannually. Founded in 1985, ILM is co-sponsored by the National Legal Center for the Medically Dependent & Disabled, Inc. and the Watson Bowes Research Institute. Issues is devoted to providing technical and informational assistance to attorneys, health care professionals, educators and administrators on legal, medical, and ethical issues arising from health care decisions. Its subscribers include law libraries, medical libraries, university libraries, court libraries, attorneys, physicians, university professors and other scholars, primarily in the U.S. and Canada, but also in Austria, Australia, Belgium, Brazil, Italy, The Netherlands, New Zealand, Japan, Russia, South Korea, Spain, Taiwan, and the United Kingdom.
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