Emotivism and the Morality of Euthanasia in James Rachels by Ameh Francis
Transcript of Emotivism and the Morality of Euthanasia in James Rachels by Ameh Francis
1.0 Introduction
In recent times, the morality or immorality of euthanasia
has kept on generating heated and controversial debate among
scholars, including philosophers and even within the medical
circle. As a point in fact, two fundamental questions keep
recurring in medical practice and applied ethics today. These
questions are: a) by protracted existence through modern
medicine, should a patient be allowed to die? b) Is it morally
right for a physician to assist euthanasia? These questions
are so controversial to the point that many doctors and moral
philosophers today find themselves in a dilemma.
With regard to the foregoing, some people are of the
opinion that individuals have the right and freedom to ask for
euthanasia if they wish to, whereas others do not see any
reason why a moral agent should ask for such, and so, it is,
for them, immoral to make such a request. Nevertheless, it is
due to the failure of men to reach a moral compromise on this
issue that today we find dehumanisation in our world. The
advance in the science of biotechnology has reduced the
dignity of man, thus giving rise to what Pope John Paul II
called the culture of death. This is for the reason that when man
1
loses his moral consciousness, he becomes less valuable,
threatened and poisoned thus giving rise to cloning,
euthanasia, eugenics, abortion. This essay is intended to
reinvigorate this moral consciousness in man and put him in
focus towards attaining a moral scientific order.
The crux of this essay, therefore, is to examine and
justify the morality of euthanasia in relation to emotvisim
and James Rachels. As a point in fact, the plethora of ideas
in this paper abounds within the ethical, social and legal
circles. Given this therefore, this essay shall make an
exposition of the problem at hand. Viewing the various
arguments for and against euthanasia, to see if really on any
grounds, we are morally justified in legalising euthanasia,
our aim in this essay is not to solve the problem but to look
at the positions among the groups of euthanasia to see which
is more plausible.
By way of methodology, this essay shall give a
definitional analysis of euthanasia, to be followed by the
forms or types of euthanasia, arguments for and against
euthanasia. This will lead to the discussion of emotivism and
the morality of euthanasia in James Rachels. This shall then
2
be followed by the evaluation and concluding reflection of the
essay.
2.0 Definitional Analysis of Euthanasia
Euthanasia has been conceived in different ways. As such,
different scholars and thinkers have offered different
definitions to explain what euthanasia could be understood to
be. This stems from the fact that different schools of
thoughts have their coinage for the term. Thus, there is no
unanimous agreement on a single definition of the term.
Etymologically, euthanasia which is also called “mercy
killing” is got from two Greek words eu which means well or good
and thanatos meaning death. Literally, the term is used to refer
to “a good death.” According to Kluge Eike-Henner, euthanasia is
“the act of ending the life of a person from compassionate
motives, when he is already terminally ill or when his
suffering has become unbearable.”1 In a similar fashion,
Heifetz and Mangel defined it as “the wilful putting to death
of an individual with the intent to prevent suffering- ‘mercy
killing’.”2 Here, euthanasia is distinguished from suicide by
1 Kluge Eike-Henner, Reading in Biomedical Ethics: A Canadian Focus (Ontario: PrenticeHall, 19p3), p. 285.2 M. Heifetz & C. Mangel, The Right to Die (New York: G. P. Putman’s Sons, 1975), p. 99.
3
the necessary participation of a third party, typically either
by a physician or family member.3
For Joseph Fletcher, euthanasia can be described in a
wider sense as “a theory that in certain circumstances, when
owing to disease, senility or the like, a person’s life has
permanently ceased to be either agreeable or useful, the
sufferer should be painlessly killed, either by himself or by
another.”4 Correspondingly, David Roy conceives euthanasia as
“the deliberate, rapid and painless termination of life of a
person afflicted with incurable and progressive disease.”5
Moreover, Euthanasia, for the Euthanasia Society of England,
is “the administration of a drug deliberately and specifically
to accelerate death and suffering.”6 In the same vein,
Henrickson and Martin posit that euthanasia means “inducing
the painless death of a person for reasons assumed to be
merciful.”7
From the foregoing, it can deduced that euthanasia is
carried out at the person’s request but there are times when
3 Gale Encyclopaedia of US History: Euthanasia. http://www. answers.com/topic/euthanasia.4 Joyce H. Rose “Euthanasia” in Encyclopaedia of Religion and Ethics (Edinburgh: T &T. Clark, 1912), p. 598.5 David Roy et al, Bioethics in Canada (Ontario: Prentice-Hall, 1994), p. 410.6 Robert Twycross, Decisions about Dying and Death: Decision Making in Medicine, the Practice of its Ethics (London: Edward Arnold Publishers Ltd, 1979), p. 101.7 www.angelfire.com/ai/jefspage
4
they may be too ill and the decision is made by relatives,
medics or in some instances, the courts. Euthanasia can be
carried out by taking actions which include giving a lethal
dose of drugs or injection, by suffocation using a nylon bag
or withdrawal of feeding or drugs.
Another definition of euthanasia is that given by the
Sacred Congregation for the Doctrine of the Faith which says
that “euthanasia is understood to be an action or an omission
which of itself or by intention causes death, in order that
all suffering may in this way be eliminated.”8 In this case,
euthanasia’s terms of reference are to be found in the
intention of the will and in the methods used.9 From this
definition, some acts of omission are lethal because they are
adopted precisely as a means to bring about someone’s death.
However, it should, according to J. Onimhawo, be noted that
euthanasia is today not only limited to incurable diseases but
also the mentally handicapped, the defective newborn babies
and other incompetents.10
3.0 Types of Euthanasia
8 Vatican Congregation for Doctrine of Faith, in The Moral Responsibility in Prolonging Life Decision, Donald G. McCarthy and Albert S. Moraezewski, eds, 1980.9 www.euthanasia.com/vatican.html (Declaration on Euthanasia).10 John Onimhawo, “Euthanasia: A Philosophical-Theological Appraisal” (PhD Dissertation presented in University of Ibadan, Nigeria, 1991), p. 9.
5
There are different types of euthanasia, these are:
active euthanasia, Passive euthanasia, voluntary euthanasia,
involuntary euthanasia and non-voluntary euthanasia.
3.1 Active Euthanasia
This has to do with causing the death of someone using a
direct action. It involves the lethal dose of drugs or lethal
injection on a person with the sole aim of terminating the
person’s life. It is viewed as the direct killing of a person
who is suffering from severe pain in order to save him from
this pain- this may happen with or without the person’s
consent.
3.2 Passive Euthanasia
This is the hastening of the death of a person by
altering some form of support and letting nature take its
course. Put simply, “it is an allowance of nature to run its
course.”11 In other words, passive euthanasia is when nothing
is done to prevent the death of a person. “It is the
purposeful removal of the life sustaining or prolonging
treatment with the aim of ending life.” This type of
euthanasia can be carried out by: removing life support
equipment, stopping medical procedures (discontinuing11 Mel Thompson, Ethics (Chicago: contemporary Books, 2003), p. 71.
6
medication), stopping food and water, or removing feeding
tubes, not resuscitating.
In considering both the active and passive euthanasia,
the House of Delegates of the American Medical Association
trying to justify passive euthanasia while condemning active
euthanasia write thus:
The intentional termination of the lifeof one human being by another—mercykilling—is contrary to the policy ofthe American Medical Association. Thecessation of the employment ofextraordinary means to prolong the lifeof the body when there is refutableevidence that biological death isimminent is the decision of the patientand/or his immediate family. The adviceand judgment of the physician should befreely available to the patient and/orhis immediate family.12
Interestingly, many doctors are in concordance with this
view and so, they often justify “letting the patient die” by
distinguishing between this and killing the patient. This, for
them, is because the important difference between active and
passive euthanasia is for the fact that “in passive
euthanasia, the doctor does nothing to bring about the
patient’s death. The patient dies of whatever ills that12 House of Delegates of the American Medical Association (December 4, 1973), quoted by Rachels James, “Active and Passive Euthanasia” in New England Journal of Medicine (January 9, 1975), p. 78.
7
already afflict him. In active euthanasia, however, the doctor
does something to bring about the patient’s death: he kills
him or her.”
Contrary to the views of the American MedicalAssociation, Paul Marx opines that,
The morality of any act (whether one ofcommission or omission) depends on whatis intended as well as on what is done(or not done). It is a mistake toassume that, in the context ofeuthanasia, “active” and “passive”refer to physical activity alone. Forjust as “pulling the plug” is notactive euthanasia unless one’sintention is to kill, so too thephysical passivity of doing nothing atall can be an act of murder. Morallyspeaking, an injured man who idlywatches himself bleed to death withouttrying to stop the bleeding is asguilty of suicide as if he hadinflicted the injury himself. Wherelethal motive is present, physical“passivity” cannot be justified as“letting nature take its course.”13
Taking a cursory look at this, the doctor who allows a patient
to die for humane reasons is in no different moral position as
if he had his patient injected with a lethal dose. The motive
13 Paul Marx, And Now....Euthanasia (Washington: Human Life International, 1985), p. 15.
8
of the action of letting die or injecting with a lethal dose is
for the patient to die.
Again, it has been scientifically proven that a patient,
who ought to die, would even die earlier if there is the
continuation of life-saving drugs than when survival treatment
is discontinued. This will subject the patient to more
suffering and a slow death. If this argument is palpable, then
it would be the case that continuous treatment of the patient
is preferable than just letting the patient die. For this
reason, Rachels posits that “letting a patient die and killing a patient
with a lethal dose have the same moral culpability, and this is
weighed from the motive and final result of the actions.”14
3.3 Voluntary Euthanasia
This is the intentional termination of a patient’s life at
his or her own request. Put differently, voluntary euthanasia
are instances in which a clear competent person makes a
voluntary and enduring request to be helped to die. The
proponents of this view contend that if a person is unlikely to
benefit from the discovery of a cure for illness during the
14See James Rachels, “Active and Passive Euthanasia” in New England Journal of Medicine (January 9, 1975), p. 78.
9
remaining part of his or her life span, the person has an
enduring voluntary and rational wish to die or prior to losing
the competence to do so, had expressed a wish to die, and is
unable without assistance to commit suicide, there should then
be a legal and medical provision to enable him or her to be
allowed to die or assisted to die.15
3.4 Involuntary Euthanasia
This has to do with causing the death of a patient who did
not ask for it. Here, the patient does not express any direct
desire to end his life but is in a position to do so. He or she
does not express the wish to die but the physician stops all
life prolonging treatment.
3.5 Non-voluntary Euthanasia
In the case of non-voluntary euthanasia, a surrogate
decision maker asks a physician for assistance to end the
patient’s life. As a point of fact, in non-voluntary
euthanasia, a person’s life is brought to an end if it is
considered that his or her life is no more worth living.
15 Robert Young, “Voluntary Euthanasia” Stanford Encyclopaedia of Philosophy, http//www.plato.stanford.edu/entries/euthanasia-voluntary/ (18 Oct. 2013).
10
Suckiel argues that when you terminate the life of such a
permanently unconscious person, you are not doing it against
the person’s will but without his will.16
4.0 Arguments for Euthanasia
For the advocates of euthanasia, they claim that it is
ethical and so, it should be morally and legally permitted in
certain cases. Some of the arguments in favour of euthanasia
are:
4.1 The Autonomy Argument or Argument Based on Right
This argument says that human beings have the right to die
when and how they want to. Supporters of this view believe that
every patient has the right to choose when to die. This
argument is hinged on the fact that people like taking
important decisions as they affect their lives. In exercising
autonomy, people take responsibilities for their lives, and
since dying is a part of life, choices about the manner of
dying and the timing of their death are for many people, part
of what is involved in taking responsibility for their lives.17
16 Suckiel, “Death and Benefit in the Permanently Unconscious Patients: A Justification of euthanasia in The Journal of Medicine and Philosophy, vol. 3, no 1,(March, 1978), pp. 42-43. 17 Robert Young, op.cit.
11
According to The Independent, March 2002, in cases where there
are no dependants who might exert pressure one way or the
other, the right of the individual to choose should be
paramount. So, as long as the patient is lucid, and his or her
intent is clear beyond doubt, there need be no further
questions.18 To buttress this view, the online BBC-Ethics
stresses that people think that each person has the right to
control his or her body and life and so should be able to
determine at what time, in what way and by whose hand he or
she will die. Behind this lies the idea that human beings
should be as free as possible without any restraints. Hence,
human beings are independent biological entities, with the
right to take and carry out decisions about themselves,
providing the greater good of society doesn’t prohibit this.
Allied to this is a firm belief that death is the end.19
4.2 The Compassion Argument
Proponents of euthanasia believe that allowing people to
“die with dignity” is kinder than forcing them to continue
their lives with suffering. For them, euthanasia is an
18 Pro euthanasia arguments. (18 Oct. 2013). http://www.bbc.co.uk/ethics/euthanasia/infavour/infavour_1.shtml
19 Ibid.
12
effective way of showing compassion to a person in deep pain.
This argument is associated with A.B. Downing who argues that
there is no way we can completely eliminate from human
experience the suffering that is both hard to bear and hard to
behold. In his opinion, when we confront suffering which is
too destructive in its consequences and have no beneficial
results, our first duty is to bring it to an end.
Consequently, Downing subscribed for the legalization of
euthanasia.20 Following this, those who subscribe to this
argument say that it is unreasonable for many persons to live
for many years in varying states of dementia, incapability or
deep disability. Thus, if they request for euthanasia to
escape the situation, out of compassion, we are obliged to
offer it to them.
4.3 The Public Policy Argument
Adherents of this view believe that euthanasia can be
safely regulated by government legislation. Those in favour of
euthanasia think that there is no reason why euthanasia cannot
be controlled by proper regulation, but they acknowledge that
some problems will remain. For example, it will be difficult
20 A. B. Downing, Euthanasia: The Human Context (London: Peter Owen, 1969), p. 23.
13
to deal with people who want to implement euthanasia for
selfish reasons or pressurise vulnerable patients into dying.
This is little different from the position with any crime. The
law prohibits theft, but that does not stop bad people from
stealing things.
To add to this, some believe that if euthanasia is
accepted as moral and legal, it would avoid its abuse. The
argument here is that, people have two choices to make: either
to opt for euthanasia or not to opt for it. This has its
bearing on the premise that either the legal prohibition of
euthanasia is maintained and euthanasia remains uncontrollable
and underground; or euthanasia is legalized, and is then
openly practiced and controlled.21 The point here is that if
euthanasia is legalized, there would be some procedural
safeguards that would assist in avoiding its abuse.
4.4 Euthanasia Reduces Unnecessary and Unfruitful Expenses.
This argument says that there are so many persons whose
conditions are critical, they are not useful to the society
but their families and the government spend heavily on them.
This money can however be used for making the society better
than for it to be used on these persons. Dr. Sackette, author21 David Roy et al, op.cit., p. 49.
14
of Florida bill, Death with Dignity, is of the opinion that there
is no rationale allowing more than one thousand, five hundred
severely retarded people to continue to survive in the
different health institutions of the state, when the money
should have been more usefully spent on another one hundred
and twenty five persons who need kidney transplant.22
Arguing along this line, Walter Declinger, a onetime
Acting Solicitor General, stated before the U.S. Supreme Court
that the least costly treatment for any illness is lethal
medication. In this way, if euthanasia is legalised for
instance, the savings to government could become a
consideration. Lethal drugs cost only about $35 to $45 making
them far less expensive than providing medical care.
4.5 A Meaningless and Worthless life is not Worth Living.
Subscribers of this view, especially Lisa Cahill,
are of the argument the argument that God created man to
pursue the highest possible human values. A situation whereby
life has lost its meaning and cannot carry out this activity
intended by the creator, then it is not worth living, and so,
22 M. Susan and R. Eassone, Handbook on Euthanasia, Life Quality, (1975), pp. 44-45.
15
such a life can be taken away.23 Correspondingly, a person
whose life is just all about pain and devoid of intellectual
social engagement, pleasure, etcetera, is not worth living.
Such a life has no value. Thus, it is better for it to be
terminated than for it to be sustained.
4.6 Euthanasia is Beneficial to the Patient or His or Her
Relatives
According to John Onimhawo, the pro-euthanasia group
would argue that administering euthanasia on the demented or
senile or a permanently unconscious patient, or the severely
defective newborn babies, is often done for the benefit of the
patient, and the relatives who because of the deplorable
condition of these patients, are in horrifying psychological
agony.24 And as said by Potter, it is very, very cruel to allow
a person who is languishing in pain to live when or she has
demanded for a merciful release.25 For Suckiel, it is very
common to see people feeling very relieved and happy when
their loved patient who was protracted in sickness finally
dies.26
23 Lisa Cahill, A Natural Law Reconstruction of Euthanasia, Lincare Quaterly, vol. 44, no. 1(February, 1977), pp. 47-63. 24 John Onimhawo, op.cit. p. 103.25 D. Potter, Too Soon to Die (England: Evangelical Press, 1982), p. 26.26 Suckiel, op.cit. p.49.
16
5.0 Arguments against Euthanasia
The anti-euthanasia group have plausible and palpable
arguments to offer against the moral and legal justification
of euthanasia. Their arguments in the long run suggest that
euthanasia is unethical.
5.1 It is Against the Will of God
Only God has the right to take away life. People who
kowtow to this view believe that every human being is the
creation of God, and that this imposes certain limits on us.
Our lives are not only our lives for us to do with as we see
fit. To kill oneself, or to get someone else to do it for us,
is to deny God, and to deny God’s rights over our lives and
his right to choose the length of our lives and the way our
lives end. Advocates of this view further see a positive value
in suffering and as such, Pope John Paul II articulates it
thus; “Down through the centuries and generations it has been
seen that in suffering there is concealed a particular power
that draws a person interiorly close to Christ, a special
grace.”27
Along this line of thought, Koch-Preuss explains that
“euthanasia is the destruction of the temple of God and a27 Pope John Paul II, Salvifici Doloris, February 11, 1984.
17
violation of the property rights of Jesus Christ.”28 This
argument presents euthanasia as an attempt to meddle with
processes in nature. This argument which places an imperative
that we must not tamper with life, also assumes that
physiological life is sacrosanct.29
5.2 The Sanctity of Life
This argument says that euthanasia is bad because of the
sanctity of human life. It further postulates that all human
beings are to be valued, irrespective of age, sex, race,
religion, social status or their potential for achievement.
For this reason, human life is a basic good as opposed to an
instrumental good, a good in itself rather than a means to an
end. To add to this, this argument emphasizes that human life
is sacred because it is a gift from God. Therefore the
deliberate taking of human life should be prohibited except in
self-defence or the legitimate defence of others.30
To buttress this view, Immanuel Kant said that rational
human beings should be treated as an end in themselves and not
as a means to something else. The fact that we are human has
28 Anthony Koch and Preuss, Handbook of Moral Theology (St. Louis, 1925), p. 76.29 Joseph Fletcher, Moral and Medicine (Princeton: Princeton University Press, 1954), p. 196.30 Anti-euthanasia arguments. (18 Oct. 2013). http://www.bbc.co.uk/ethics/euthanasia/against/against_1.shtml
18
value in itself. Thus, our inherent value does not depend on
anything else - it does not depend on whether we are having a
good life that we enjoy, or whether we are making other
people’s lives better. We exist, so we have value.
5.3 The Slippery Slope Argument
Those who are anti-euthanasia would argue that there is
no ‘right’ to be killed and there are real dangers of
‘slippery slopes’. As a matter of fact, many people would
worry that opening the doors to voluntary euthanasia could
lead to non-voluntary and involuntary euthanasia, by giving
doctors the power to decide when a patient’s life is not worth
living. In the Netherlands in 1990 around 1,000 patients were
killed without their request.31
5.4 Patient’s Best Interests
A serious problem for supporters of euthanasia are the
number of cases in which a patient may ask for euthanasia, or
feel obliged to ask for it, when it is not in their best
interest. Given for instance, if the diagnosis is wrong and
the patient is not terminally ill, if the prognosis (the
doctor’s prediction as to how the disease will progress) is
31 http://www.care.org.uk/advocacy/end-of-life/euthanasia-the-arguments-for-and-against#sthash.EngiJN9c.dpuf
19
wrong and the patient is not going to die soon, if the patient
is getting bad medical care and their suffering could be
relieved by other means, if the doctor is unaware of all the
non-fatal options that could be offered to the patient, this
will make a patient feel that he or she will die in a few
weeks which might not necessarily be the case. As such, the
patient’s request for euthanasia is actually a ‘cry for help’,
implying that life is not worth living now but could be worth
living if various symptoms or fears were managed. Also, if the
patient is depressed and so believes things are much worse
than they are. This makes the patient to be confused and
unable to make sensible judgements. In these cases, one can
interpret the termination of a patient’s life as murder.
5.5 Alternative Treatments are Available, Such as Palliative
Care and Hospices
This argument says that we do not have to kill the
patient to kill the symptoms, that nearly all pain can be
relieved. Palliative care is physical, emotional and spiritual
care for a dying person when cure is not possible. It includes
compassion and support for family and friends. Competent
20
palliative care may well be enough to prevent a person feeling
any need to contemplate euthanasia.32
Doctors and nurses are totally committed to saving lives
and medical ethics forbid them from taking away lives. They
look at a life lost as almost a failure, and in fact, an
insult to their profession. When euthanasia is legalised, this
would no longer be the case. In proportion to Gay-Williams,
“it could have a corrupting influence so that in any case that
is severe doctors and nurses might not try hard enough to save
the patient. They might decide that the patient would simply
be “better off dead” and take the steps necessary to make that
come about.”33 In addendum, the “Hippocratic Oath” taking by
doctors obliges them to protect human life and not to take
away life intentionally.
5.6 Pressure on the vulnerable
This is another of those arguments that says that
euthanasia should not be allowed because it will be abused.
Not only that, it gives doctor power as to deciding when a
patient should die. The fear is that if euthanasia is allowed,
32 Anti-euthanasia arguments. (18 Oct. 2013). http://www.bbc.co.uk/ethics/euthanasia/against/against_1.shtml33 J. Gay-Williams, “Basic Issues in Medical Ethics” in Barnet Sylvan, Current Issues and Enduring Questions (Boston: Bedford Books, 1993), p. 419.
21
vulnerable people will be put under pressure to end their
lives. It would be difficult, and possibly impossible, to stop
people using persuasion or coercion to get people to request
euthanasia when they do not really want it.
5.7 The Wedge Argument against Euthanasia
For John Onimhawo, the crux of this argument is that when
we begin to sacrifice or make exceptions in life or death
question for certain classes of people, do we not start a
whole series of events whereby one practically leads to the
other?34 It could be argued by the supporters of euthanasia
that they want the death of only those who are a nuisance to
themselves; but soon it would be broadened to include those
who are a nuisance to others thus, even if you make a law
permitting only a small number of doctors to kill some of
their patients, no sooner would you realise that the new image
of the medical profession is that of licensed killers.35 The
implication of this is such that euthanasia would make life
valueless and too risky.
6.0 Emotivism and the Morality of Euthanasia in James Rachels
34 John Onimhawo, “Euthanasia: A Philosophica-Theological Appraisal”, pp. 147-148. 35 Lancet, Prolongation of Dying, vol. 2, (1962), p. 105.
22
Emotivism as an ethical theory was first proposed by A.
Richards and C. K. Ogden in their work, The Meaning of Meanining,
published in 1873. They described the “good” as something
emotive. It was reformulated by Hagerstrom in 1911 and the
theory was canonized by C. L. Stevenson and A. J. Ayer.36 On
the view of Onimhawo, these ethicists would argue that this
type of ethics is the only one possible since any discussion
of values is a discussion about subjective, emotional
attitudes.
In his work, The Morality of Euthanasia, James Rachels
identifies that emotivism is a meta-ethical theory which holds
that moral judgments are simple expressions of one’s emotions,
feelings or one’s attitude towards an action.37 Following this
view, it means that moral judgments and ethical concepts such
as “good” and “bad” have nothing else but emotive meaning (a
statement is said to have emotive meaning if it is intended to
produce a response in the person who hears it).38 For it only
expresses the feelings or attitudes of people. In this way, if
36 See G. O. Ozumba, A Course Text on Ethics (Lagos: O. O. P Limited, 2001), p. 107.37 James Rachel, “The Morality of Euthanasia” in Right Conduct Theory and Application, eds. Michael Bayles and Ken Henley (New York: Random House, 1989), p. 196. 38 Joseph Omoregbe, Ethics: A Systematic and Historical Study (Lagos: Joja Educational Research and Publishers Limited, 1993), p. 261.
23
I say euthanasia is bad, that is the way I feel about it,
there may be a contrary view by someone else. He or she is
free to express his or her own moral feeling about the matter.
It makes it therefore a free enterprise where people are free
to choose any point of morality they want.
On the view of emotivism, moral judgments are not
analogous to scientific statements in that the moral element
in them is not an assertion or a description of anything.39 And
so, emotivism is not concerned with facts to which truth and
falsity can be predicated but deals with attitudes and
feelings. Considered in this way, there can be no moral truths
or moral knowledge. Moral issues can only be reasoned if we
assume a system of norms, but we cannot reason about basic
moral principles.40 Emotivism further claims that moral
judgments and ethical concepts such as good, right, bad and
other moral values terms have emotive meanings; they only
express the feelings or attitudes of the agents.41 Here,
emotivism takes into consideration the different moral
positions people take with respect to their individual and
39 Richard Popkin &Avrom Stroll, Philosophy Made Simple (New York: Doubleday, 1993), p. 47.40 http://www.utm.edu/research/iep/n/noncohni.htm41 G. O. Ozumba, A Course Text on Ethics (Lagos: O. O. P Limited, 2001), p. 108.
24
collective emotions, and goes to conclude that everybody has
the right to chose any point of view in morality, and that
contrary moral views do not logically contradict each other.
Rachels uses his doctrine on moral subjectivism to
explain the doctrine of emotivism. The doctrine of moral
subjectivism, as described by Rachels, argues that “moral
language is just about our feelings. Sentences that express a
moral view are really just descriptive -- they describe our
present state of emotion or feeling. If this is true, then
morality is not objective -- it is simply a way of expressing
personal taste.”42 Simply put, it is a doctrine which says that
“people have different opinions, but where morality is
concerned, there are no “facts,” and no one is “right.” People
just feel differently, and that’s the end of it.”43 So, when
for instance A says euthanasia is wrong, A is not stating a
fact about euthanasia. Instead, A is merely saying something
about its feelings toward it.”
Still on this, Rachels contends in what he calls “simple
subjectivism,” that we can sometimes be wrong in our moral42 Rachels, Subjectivism, http://www2.drury.edu/cpanza/emotive.pdf (28 Dec. 2013), p. 1.43 Douglas Olena, “Subjectivism in Ethics” review of Chapter Three The Elements of Moral Philosophy James Rachels, http://www.olena.com/edu/intro-to-ethics/elements-3.pdf (28 Dec. 2013), p. 3.
25
judgments, and at the same time he argues that moral
subjectivism might lead to moral disagreements. For this
reason, he rejects subjectivism as true for it has no
objective moral fact in it.
Correspondingly, and as far as Rachels describes it, the
Emotivist school of ethics was created to try to salvage some
of the intuitions about subjectivism, and to do this by trying
to devise a theory which is not exposed to these two arguments
just given. According to Emotivism, moral statements are not
just descriptions of feelings, but rather commands. It says
that “moral language is not a fact-stating language.”44 If this
is the case, then moral statements do not express something
which can be true or false, which in turn makes no sense to
say that the emotivist can never be wrong about morality.
This is for the fact the emotivist might want to argue that
even though morality is not objective, and even though moral
sentences are neither true nor false, there is still something
we are disagreeing about when you say “X is right” and I say
“X is wrong”. What we are disagreeing about, the emotivist
argues, is what we want or what our desires are. One of us
44 Douglas Olena, “Subjectivism in Ethics”, p. 10.
26
wants it to be the case that people do X, and one of X wants
it to be the case that people do not do X.
To substantiate this view, emotivism is used as a means
of influencing people’s behaviour. Emotivism says that moral
statements are not reports of attitudes, but the expression of
those attitudes. It therefore states no facts at all and can
be taken as an emotional outburst or a command. Simple
Subjectivism asserted infallibility to the speaker. Emotivism
asserts nothing about the speaker. In Emotivism the speaker
expresses only desires. Emotivism “could not account for the
place of reason in ethics.”45 As a result, Rachels thinks that
emotivism fails when placed under the spectrum of reason for
If X is a moral statement, then X must be backed up by
reasons. Emotivism cannot explain how a moral statement could
be backed up by reasons. This is for the reason that “moral
judgments require backing by reasons, and in the absence of
such reasons, they are merely arbitrary.” Any theory of moral
judgments should be able to show why the judgments and their
reasons are connected. This is why emotivism cannot make any
moral statements.
45 Douglas Olena, “Subjectivism in Ethics”, p. 12.
27
Rachels reminds us that “not just any fact can count as a
reason in support of any judgment.” The reason must be
relevant, irrespective of its power to convince a hearer.
Moral judgments are fundamentally different from scientific
facts and expressions of our feelings. “Moral truths are
truths of reason; that is, a moral judgment is true if it is
backed by better reasons than the alternatives.”46 “Such truths
are objective in the sense that they are true independently of
what we might want or think.”47 He does not admit to any
universal moral law or natural law that is not understood by
reason and modifiable by better reasons in the future.
According to his view, if we want to understand the nature of
ethics, we must focus on reasons. Reason says what it says,
regardless of our opinions or emotions.
Now concerning the issue of euthanasia, I do not think
Rachel gives us an answer, but he has the best answer reason
can give us. Using the minimum conception of morality,
euthanasia reduces unnecessary suffering, for man’s goal is to
be happy. Does that mean that euthanasia is right because it
reduces suffering? I think the answer is No, because, if we
46 Douglas Olena, “Subjectivism in Ethics”, p. 15.47 James Rachels, The Elements of Moral Philosophy 3rd edition (New York: McGraw Hill College, 1999), p. 41.
28
are to use this model in judging the rightness or wrongness of
euthanasia based on emotivism, then euthanasia may either be
right or wrong since it will be hinged on how the individual,
family members, friends and relatives feel about the issue.
Also, taking a patient’s life to reduce unnecessary suffering
is not a sufficient reason to permit euthanasia. This is due
to the fact that the premise being given to carry out
euthanasia is not a strong one when placed under the spectrum
of reason. This will, of course, do the patient no good than
compounding the issue as some will be in support of taking
away the patient’s life while others will be against it. Thus,
with emotivism, there will be no ethical consensus on the
euthanasia issue.
In any case, the best way to resolve this issue is to
turn to the church’s stance on this issue which is the
argument for the sanctity of life and also the argument which
says we are God’s creation and euthanasia is the destruction
of the temple of God.
7.0 Evaluation and Concluding Reflection
This essay has attempted a discussion of the morality of
euthanasia using emotivism and Rachels as the appeal court for
29
judging its rightness or wrongness. This was done by looking
at the meaning of euthanasia, the forms or types of
euthanasia, the arguments for and against euthanasia,
emotivism and the morality of euthanasia with regard to James
Rachels. Obviously, euthanasia—whether active or passive,
voluntary, involuntary or non-voluntary—leads to the end or
termination of one’s life.
In an attempt to resolve euthanasia using emotivism, the
issue was not judiciously dealt with for the fact that, on the
authority of Rachels, emotivism does not appeal to reason
which is the only criterion which, for him, can be used to
judge the objectivity of an ethical issue either as right or
wrong. The implication of this, however, is that emotivism
says nothing about euthanasia and thus cannot be used to argue
for or against it since it is anchored on the feelings or
emotions of people rather than reason.
To conclude, following the argument of the church and
that given by Pope John Paul II, human life has value, it is
sacred because it is a gift from God. And for this reason,
only God has the right to take away life when He wills. In
addendum, those who cling to the argument that euthanasia
30
reduces suffering, I think that the church still has the best
possible reason for its rejection, for there is value in
suffering which is the reason why Pope John Paul II argues
that in suffering there is concealed a particular power that
draws a person interiorly close to Christ, a special grace.
With this in mind therefore, euthanasia or the
termination of one’s life has no moral worth when judged with
emotivism, and going therefore by the argument which is
anchored on the sanctity of life and that which has its
bearing on life being a gift from God which makes it wrong to
take one’s life, euthanasia is wrong.
Bibliography
Cahill, Lisa. A Natural Law Reconstruction of Euthanasia, LincareQuaterly, vol. 44, no. 1,
February, 1977.
Downing, A. B., Euthanasia: The Human Context. London: Peter Owen,1969.
31
Eike-Henner, Kluge. Reading in Biomedical Ethics: A Canadian Focus.Ontario: Prentice
Hall, 1993.
Fletcher, Joseph. Moral and Medicine. Princeton: PrincetonUniversity Press, 1954.
Gay-Williams, J., “Basic Issues in Medical Ethics” in BarnetSylvan, Current Issues and
Enduring Questions. Boston: Bedford Books, 1993.
Heifetz, M., & Mangel, C., The Right to Die. New York: G. P.Putman’s Sons, 1975.
Koch , Anthony and Preuss. Handbook of Moral Theology. St. Louis,1925.
Lancet. Prolongation of Dying, vol. 2, 1962.
Marx, Paul. And Now....Euthanasia. Washington: Human LifeInternational, 1985.
Omoregbe, Joseph. Ethics: A Systematic and Historical Study. Lagos: JojaEducational
Research and Publishers Limited, 1993.
Onimhawo, John. “Euthanasia: A Philosophical-TheologicalAppraisal”. PhD Dissertation
presented in University of Ibadan, Nigeria, 1991.
Ozumba, G. O. A Course Text on Ethics. Lagos: O. O. P Limited, 2001.
Popkin, Richard & Stroll, Avrom. Philosophy Made Simple. New York:Doubleday, 1993.
Potter, D., Too Soon to Die. England: Evangelical Press, 1982.
Rachels, James. “Active and Passive Euthanasia” in New EnglandJournal of Medicine
January 9, 1975.
32
Rachel, James. “The Morality of Euthanasia” in Right ConductTheory and Application, eds.
Michael Bayles and Ken Henley. New York: Random House,1989.
Rachels, James. The Elements of Moral Philosophy 3rd edition. NewYork: McGraw Hill
College, 1999.
Rose, H. Joyce. “Euthanasia” in Encyclopaedia of Religion and Ethics.Edinburgh: T & T.
Clark, 1912.
Roy. David et al, Bioethics in Canada. Ontario: Prentice-Hall,1994.
Suckiel, “Death and Benefit in the Permanently UnconsciousPatients: A Justification of
euthanasia in The Journal of Medicine and Philosophy, vol. 3, no1, March, 1978.
Susan, M., and Eassone, R., Handbook on Euthanasia, Life Quality,1975.
Twycross, Robert. Decisions about Dying and Death: Decision Making inMedicine, the
Practice of its Ethics. London: Edward Arnold Publishers Ltd,1979.
Thompson, Mel. Ethics. Chicago: contemporary Books, 2003.
Internet Materials
Anti-euthanasia arguments. (18 Oct. 2013). http://www.bbc.co.uk/ethics/euthanasia/against/
against_1.shtml
Gale Encyclopaedia of US History: Euthanasia.http://www. answers.com/topic/euthanasia.
Olena, Douglas. “Subjectivism in Ethics” review of ChapterThree The Elements of Moral
33
Philosophy James Rachels, http://www.olena.com/edu/intro-to-ethics/elements-3.pdf
(28 Dec. 2013).
Pope John Paul II, Salvifici Doloris, February 11, 1984.
Pro euthanasia arguments. (18 Oct. 2013). http://www.bbc.co.uk/ethics/euthanasia/infavour/
infavour_1.shtml.
Rachels, Subjectivism, http://www2.drury.edu/cpanza/emotive.pdf (28 Dec. 2013).
Vatican Congregation for Doctrine of Faith, in The MoralResponsibility in Prolonging Life
Decision, Donald G. McCarthy and Albert S. Moraezewski, eds,1980.,
www.euthanasia.com/vatican.html (Declaration onEuthanasia).
Young, Robert. “Voluntary Euthanasia” Stanford Encyclopaedia ofPhilosophy,
http//www.plato.stanford.edu/entries/euthanasia-voluntary/ (18 Oct. 2013)
www.angelfire.com/ai/jefspage
http://www.care.org.uk/advocacy/end-of-life/euthanasia-the-arguments-for-and-
against#sthash.EngiJN9c.dpuf
http://www.utm.edu/research/iep/n/noncohni.htm
34