Is the clock ticking for terminally ill patients in Israel? Preliminary comment on a proposal for a bill of rights for the terminally ill.
This paper presents and discusses a recent Israeli proposal to legislate on the rights of the dying patient. A gap exists between elitist biases of the committee proposing the law, and popular values and sentiments. The proposed law divides the dying patients into two groups: "those who wish to go on living" and "those who wish to die". The former will have a right to life prolonging extraordinary care. It is not clear who would foot the bill for this care. Also it is hard to see how this munificence could fail to discriminate against all other patients. Both the secular ethicists and the rabbis involved in drawing up the proposal accepted the assumption that it is good for some terminal patients to die. The rabbis objected, however, to direct and active interventions that shorten life. The solution arrived at was to install timers in the ventilators so as to allow them to expire automatically unless the patient wishes for their resetting.
Dept. Medicine B, Kfar Saba, Israel. Bentovia@shani.net
Y M
YM
Barilan
D003657:Decision Making; D004867:Equipment Design; D005065:Euthanasia / Q000941:ethics; D005190:Family; D006801:Humans; D007557:Israel; D007599:Judaism; D010166:Palliative Care / Q000941:ethics / Q000379:methods; D026684:Personal Autonomy; D012068:Religion and Medicine; D012297:Right to Die / Q000941:ethics* / Q000331:legislation & jurisprudence; D013727:Terminal Care / Q000941:ethics* / Q000331:legislation & jurisprudence; D019452:Terminally Ill; D026712:Value of Life; D012122:Ventilators, Mechanical