Abstract

The legalization of physician-assisted suicide (PAS) in several states in the U.S. and the growing social approval of euthanasia have created confusion, pastoral challenges, and conflicts between Catholic and non-Catholic healthcare institutions. For many of its supporters, the legal and moral legitimacy of PAS is grounded on the right to autonomy. I concur with Callahan that the right to autonomy, while may be pertinent when it comes to moral debate on suicide, does not justify PAS. Unlike suicide, PAS is not a private matter. It involves the medical institution represented by the physician who is given authority to legitimize the termination of human life, and the society that will give it an imprimatur. If autonomy per se is the basis of this so-called dignity of PAS from the viewpoint of its proponents, they will not hesitate to declare suicide as more dignified than any other way of dying. But current laws in the U.S. on PAS are silent with regard to legal rights to suicide or assisted suicide in general. According to the U.S. Supreme Court, the legislature is the venue for the legalization of PAS, not the court, for PAS is about social approval of assisted suicide. Therefore, the debate concerning the legalization of PAS should shift from individual rights to common good, from autonomy to collective harms and benefits, and from justifying individual cases of PAS to legitimizing it as a social policy.