Euthanasia in India
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Passive euthanasia is legal in India. On 7 March 2011 the Supreme Court of India legalised passive euthanasia by means of the withdrawal of life support to patients in a permanent vegetative state. The decision was made as part of the verdict in a case involving Aruna Shanbaug, who has been in a vegetative state for 37 years at King Edward Memorial Hospital.
In March 2011, the Supreme Court of India, passed a historic judgement-law permitting Passive Euthanasia in the country. This followed Pinki Virani’s plea to the highest court in December 2009 under the Constitutional provision of “Next Friend”. It’s a landmark law which places the power of choice in the hands of the individual, over government, medical or religious control which sees all suffering as “destiny”. The Supreme Court specified two irreversible conditions to permit Passive Euthanasia Law in its 2011 Law: (I) The brain-dead for whom the ventilator can be switched off (II) Those in a Persistent Vegetative State (PVS) for whom the feed can be tapered out and pain-managing palliatives be added, according to laid-down international specifications.
The same judgement-law also asked for the scrapping of 309, the code which penalises those who survive suicide-attempts. In December 2014, government of India declared its intention to do so.
And on December 23, 2014, Government of India endorsed and re-validated the Passive Euthanasia judgement-law in a Press Release, after stating in the Rajya Sabha as follows: that The Honble Supreme Court of India in its judgment dated 7.3.2011 [WP (Criminal) No. 115 of 2009], while dismissing the plea for mercy killing in a particular case, laid down comprehensive guidelines to process cases relating to passive euthanasia. Thereafter, the matter of mercy killing was examined in consultation with the Ministry of Law and Justice and it has been decided that since the Honble Supreme Court has already laid down the guidelines, these should be followed and treated as law in such cases. At present, there is no proposal to enact legislation on this subject and the judgment of the Honble Supreme Court is binding on all. The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha.
The high court rejected active euthanasia by means of lethal injection. In the absence of a law regulating euthanasia in India, the court stated that its decision becomes the law of the land until the Indian parliament enacts a suitable law. Active euthanasia, including the administration of lethal compounds for the purpose of ending life, is still illegal in India, and in most countries.
Aruna Shanbaug case
Aruna Shanbaug was a nurse working at the KEM Hospital in Mumbai on 27 November 1973 when she was strangled and sodomized by Sohanlal Walmiki, a sweeper. During the attack she was strangled with a chain, and the deprivation of oxygen has left her in a vegetative state ever since. She has been treated at KEM since the incident and is kept alive by feeding tube. On behalf of Aruna, her friend Pinki Virani, a social activist, filed a petition in the Supreme Court arguing that the "continued existence of Aruna is in violation of her right to live in dignity". The Supreme Court made its decision on 7 March 2011. The court rejected the plea to discontinue Aruna's life support but issued a set of broad guidelines legalising passive euthanasia in India. The Supreme Court's decision to reject the discontinuation of Aruna's life support was based on the fact that the hospital staff who treat and take care of her did not support euthanizing her.
Supreme Court decision
While rejecting Pinki Virani's plea for Aruna Shanbaug's euthanasia, the court laid out guidelines for passive euthanasia. According to these guidelines, passive euthanasia involves the withdrawing of treatment or food that would allow the patient to live. Forms of active euthanasia, including the administration of lethal compounds, legal in a number of nations and jurisdictions including Belgium and the Netherlands, as well as the US states of Washington and Oregon, are still illegal in India.
Elsewhere in the world active euthanasia is almost always illegal. The legal status of passive euthanasia, on the other hand, including the withdrawal of nutrition or water, varies across the nations of the world. As India had no law about euthanasia, the Supreme Court's guidelines are law until and unless Parliament passes legislation. India's Minister of Law and Justice, Veerappa Moily, called for serious political debate over the issue. The following guidelines were laid down:
- A decision has to be taken to discontinue life support either by the parents or the spouse or other close relatives, or in the absence of any of them, such a decision can be taken even by a person or a body of persons acting as a next friend. It can also be taken by the doctors attending the patient. However, the decision should be taken bona fide in the best interest of the patient.
- Even if a decision is taken by the near relatives or doctors or next friend to withdraw life support, such a decision requires approval from the High Court concerned.
- When such an application is filled the Chief Justice of the High Court should forthwith constitute a Bench of at least two Judges who should decide to grant approval or not. A committee of three reputed doctors to be nominated by the Bench, who will give report regarding the condition of the patient. Before giving the verdict a notice regarding the report should be given to the close relatives and the State. After hearing the parties, the High Court can give its verdict.
After the court ruling The Telegraph consulted with Muslim, Hindu, Jain and Christian religious leaders. Though generally against legalising euthanasia, Christians and the Jains thought passive euthanasia was acceptable under some circumstances. Jains and Hindus have the traditional rituals Santhara and Prayopavesa respectively, wherein one can end one's life by starvation, when one feels their life is complete. Some members of India's medical establishment were skeptical about euthanasia due to the country's weak rule of law and the large gap between the rich and the poor, which might lead to the exploitation of the elderly by their families.
- "India joins select nations in legalising "passive euthanasia"". The Hindu. 7 March 2011. Retrieved 8 March 2011.
- "Supreme Court disallows friend's plea for mercy killing of vegetative Aruna". The Hindu. 7 March 2011. Retrieved 7 March 2011.
- "Aruna Shanbaug case: SC allows passive euthanasia in path-breaking judgment". The Times of India. 7 March 2011. Retrieved 7 March 2011.
- "India's Supreme Court lays out euthanasia guidelines". LA Times. 8 March 2011. Retrieved 8 March 2011.
- "After 36 yrs of immobility, a fresh hope of death". Indian Express. 17 December 2009. Retrieved 7 March 2011.
- "India court rejects Aruna Shanbaug euthanasia plea". BBC. 7 March 2011. Retrieved 8 March 2011.
- "Euthanasia: Widely debated, rarely approved". Times of India. 8 March 2011. Retrieved 8 March 2011.
- Appendix E: Death with Dignity. US Department of State Foreign Affairs Manual, Volume 7.
- "Faiths take nuanced view". The Telegraph - Calcutta. 7 March 2011. Retrieved 8 March 2011.