印度尼西亚实在法中经家属同意对临终病人实施安乐死的适当性

Mochammad Alwi Fachrezi, Tomy Michael
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摘要

在印度尼西亚,安乐死行为是被禁止的,因为在《刑法典》中,安乐死被归类为刑事犯罪,因为它意味着剥夺病人的生命。印尼医学伦理守则也确认了这一点,即医生不得实施安乐死,因为这非常违背他们的道德观,而道德观应保护病人的生命。然而,第 37/2014 号 Permenkes 确认,医生实际上可以通过某些程序对患者实施安乐死。本研究的目的是确定在印尼实在法中,经家属同意对晚期患者实施安乐死是否合适。采用的研究类型是规范性法律研究,使用的方法包括法规方法、概念方法和比较方法。本研究得出的结果是,如果医生按照一定的程序为符合特定条件的患者实施安乐死,则安乐死行为不会被归类为刑事犯罪。因此,如果在实在法中进行审查,在家属同意的情况下对临终病人实施安乐死被认为是适当的。比利时和卢森堡已在各自的法律法规中将安乐死合法化。印度尼西亚应能追随比利时和卢森堡的脚步,使安乐死合法化。印尼《刑法典》和《医疗道德法典》与第37/2014号《医疗道德法典》之间存在矛盾,应通过更新立法对安乐死进行更具体、更严格的规范,包括确定患者病情和申请安乐死的某些可能程序,并对不按程序实施安乐死的医生进行刑事制裁。这样做的目的是在实施安乐死时为医生和病人家属提供法律确定性,并尽量减少对《印度尼西亚刑法典》中安乐死的误解。
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KESESUAIAN PENERAPAN EUTHANASIA TERHADAP PASIEN KONDISI TERMINAL ATAS PERSETUJUAN KELUARGA DALAM HUKUM POSITIF INDONESIA
Normatively, the act of euthanasia in Indonesia is prohibited because in the Criminal Code it’s classified as a criminal offence as it means deprivation of the patient's life. The Indonesian medical code of ethics confirms the same thing that doctors are not allowed to perform euthanasia because it’s very contrary to their morality, which should protect the patient's life. However, Permenkes No. 37/2014 confirms that doctors can actually perform euthanasia on patients with certain procedures. The purpose of this study is to determine the suitability of the application of euthanasia to terminal condition patients with family consent in Indonesian positive law. The type of research used is normative legal research using a statute approach; conceptual approach; and comparative approach. The results obtained in this study are that the act of euthanasia cannot be classified as a criminal offence if the doctor does it for patients with certain conditions and according to procedures. Thus, if reviewed in positive law, the application of euthanasia in terminal patients with family consent is considered appropriate. Belgium and Luxembourg have legitimised euthanasia in their respective laws and regulations. Indonesia should be able to follow in the footsteps of Belgium and Luxembourg in legitimising euthanasia. The contradiction between the Indonesian Criminal Code and Code of Medical Ethics with Permenkes No. 37/2014 should be harmonised by updating the legislation that more specifically and firmly regulates euthanasia by including the determination of the patient's condition and certain possible procedures in applying for euthanasia, and providing criminal sanctions for doctors who perform euthanasia not in accordance with procedures. This aims to provide legal certainty for doctors and the patient's family when performing euthanasia, and minimise misinterpretation of euthanasia as in the Indonesian Criminal Code.
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