The debate over euthanasia begins with the definition of the word itself. Today, people distinguish between active and passive euthanasia, as well as voluntary and involuntary euthanasia. The distinction between active and passive euthanasia would seem to be straightforward. Active euthanasia occurs when someone actively brings about someoneÆs death, as in through an injection of a toxic substance. Passive euthanasia, on the other hand, occurs when someone refuses to intervene actively in order to prevent someone elseÆs death. For example, in a real life hospital setting, a DNR (do not resuscitate) code, or order, is a typical means of passive euthanasia. Indeed, the difference between "active" and "passive" euthanasia could be stated as: in active euthanasia, something is done to end the person's life; in passive euthanasia, something is not done that would have possibly saved the person's life (Hinman, 2003).
A thornier issue arises within the distinction between voluntary and involuntary euthanasia. "Voluntary euthanasia" occurs when the patient requests that action be taken to end his life, or that life-saving treatment be stopped, with full knowledge that they will die. This often occurs in cases where someone is undergoing excruciating pain that cannot be ended medically. Conversely, "Involuntary euthanasia" is when a patient's life is ended without the patient's knowledge and consent. This typically occurs when a patient is unconscious or incapacitated, for example in a coma, and courts appoint a legal guardian to make a legally bonding decision for that person (Hinman, 2003).
Clearly then, there is a wide distinction between voluntary active euthanasia and involuntary passive euthanasia. But what are the moral or ethical ramifications of each form? Proponents of voluntary euthanasia argue that only patients can determine when suffering makes life worse than death and that such persons can and should be all...