Has the sanctity of life law ‘gone too far’?: analysis of the sanctity of life doctrine and English case law shows that the sanctity of life law has not ‘gone too far’
Tóm tắt
The medical profession consistently strives to uphold patient empowerment, equality and safety. It is ironic that now, at a time where advances in technology and knowledge have given us an increased capacity to preserve and prolong life, we find ourselves increasingly asking questions about the value of the lives we are saving. A recent editorial by Professor Raanan Gillon questions the emphasis that English law places on the sanctity of life doctrine. In what was described by Reverend Nick Donnelly as a “manifesto for killing patients”, Professor Gillon argues that the sanctity of life law has gone too far because of its disregard for distributive justice and an incompetent person’s previously declared autonomy. This review begins by outlining the stance of the sanctity of life doctrine on decisions about administering, withholding and withdrawing life-prolonging treatment. Using this as a foundation for a rebuttal, a proposal is made that Professor Gillon’s assertions do not take the following into account:
This review attempts to demonstrate that at present, and with the legal precedent that restricts it, a sanctity of life law cannot go too far.
Tài liệu tham khảo
Gillon R: Sanctity of life law has gone too far. Br Med J. 2012, 345:http://dx.doi.org/10.1136/bmj.e4637,
, : EWHC 2443 (COP). 2011,http://www.bailii.org/ew/cases/EWHC/Fam/2011/2443.html,
Giacino JT, Ashwal S, Childs N, Cranford R, Jennett B, Katz DI: The minimally conscious state definition and diagnostic criteria. Neurology. 2002, 58 (3): 349-353. 10.1212/WNL.58.3.349
Royal College of Physicians of London: The Vegetative State: Guidance on Diagnosis and Management: Royal College of Physicians. 2003
Iscara JC: To Live and Let Die. [Online] Available from: http://archives.sspx.org/against_sound_bites/to_live_and_let_die.htm (accessed 11 May 2013), [Online] Available from: (accessed 11 May 2013)
Pope Pius XII: The Prolongation of Life. An address of Pope Pius XII to an international congress of anesthesiologists. The Pope Speaks 4: 393–398, 1958. Acta Apostolicae Sedia. 1957, 49 (17): 194-
Seper FC, Hamer J: Declaration on euthanasia. Furrow. 1980, 31 (9): 609-615.
Bradley CT: Roman Catholic doctrine guiding end-of-life care: a summary of the recent discourse. J Palliat Med. 2009, 12 (4): 373-377. 10.1089/jpm.2008.0162
Airedale Hospital Trustees v Bland. 1992, UKHL 5-http://www.bailii.org/uk/cases/UKHL/1992/5.html,
John Paul II: Life Sustaining Treatments and Vegetative State: Scientific Advances and Ethical Dilemmas. 2004, Rome, Italy, March: Address presented to the International Congress
Frenchay Healthcare NHS Trust v. S. 1994, 2 All ER 403-
Schnakers C, Vanhaudenhuyse A, Giacino J, Ventura M, Boly M, Majerus S: Diagnostic accuracy of the vegetative and minimally conscious state: clinical consensus versus standardized neurobehavioral assessment. BMC Neurol. 2009, 9: 35- 10.1186/1471-2377-9-35
Luaute J, Maucort-Boulch D, Tell L, Quelard F, Sarraf T, Iwaz J: Long-term outcomes of chronic minimally conscious and vegetative states. Neurology. 2010, 75 (3): 246-252. 10.1212/WNL.0b013e3181e8e8df
D., Re (Adult: Medical Treatment). 1998, FLR 411-
Huxtable R: D (en) ying Life: The Sanctity of Life Doctrine in English Law. Retfærd [Online] 2002. Available from: http://www.retfaerd.org/gamle_pdf/2002/3/Retfaerd_98_2002_3_s60_81.pdf (accessed 11 May 2013), Retfærd [Online] 2002. Available from: (accessed 11 May 2013)
Mental Capacity Act. 2005, Available from: http://www.legislation.gov.uk/ukpga/2005/9/contents (accessed 11 May 2013), Available from: (accessed 11 May 2013)
Keown J: Restoring moral and intellectual shape to the law after Bland. Law Q Rev. 1997, 113: 481-
Pellegrino ED: The Dignity of the Dying Person. Decisions at the end of Life: The use and Abuse of the Concept of Futility. 2000, 219-241.
General Medical Council: Treatment and Care Towards the end of Life: Good Practice in Decision-Making. 2010, London: GMC,
Gillon R: Ordinary and extraordinary means. Br Med J(Clin Res Ed). 1986, 292 (6515): 259-261. 10.1136/bmj.292.6515.259. 10.1136/bmj.292.6515.259