The cultural context of patient's autonomy and doctor's duty: Passive euthanasia and advance directives in Germany and Israel

Silke Schicktanz, Aviad Raz, Carmel Shalev

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

The moral discourse surrounding end-of-life (EoL) decisions is highly complex, and a comparison of Germany and Israel can highlight the impact of cultural factors. The comparison shows interesting differences in how patient's autonomy and doctor's duties are morally and legally related to each other with respect to the withholding and withdrawing of medical treatment in EoL situations. Taking the statements of two national expert ethics committees on EoL in Israel and Germany (and their legal outcome) as an example of this discourse, we describe the similarity of their recommendations and then focus on the differences, including the balancing of ethical principles, what is identified as a problem, what social role professionals play, and the influence of history and religion. The comparison seems to show that Israel is more restrictive in relation to Germany, in contrast with previous bioethical studies in the context of the moral and legal discourse regarding the beginning of life, in which Germany was characterized as far more restrictive. We reflect on the ambivalence of the cultural reasons for this difference and its expression in various dissenting views on passive euthanasia and advance directives, and conclude with a comment on the difficulty in classifying either stance as more or less restrictive.

Original languageEnglish
Pages (from-to)363-369
Number of pages7
JournalMedicine, Health Care and Philosophy
Volume13
Issue number4
DOIs
StatePublished - 3 Aug 2010

Keywords

  • Culture
  • Doctors' duties
  • End of life
  • Expert ethics committees
  • German law
  • Israeli Law
  • Living will
  • Patients' rights
  • Religion

ASJC Scopus subject areas

  • Health(social science)
  • Education
  • Health Policy

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