💡 Intention matters
Buddhists judge an act by the intention (cetana) behind it. Euthanasia is done with a kind aim, but it still means deliberately causing a death. Many Buddhists say this breaks the first precept, however loving the motive.
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Unlock This CourseThe lesson Euthanasia, Assisted Dying and the Law explained what euthanasia is and the main arguments for and against it. Here we look at the Buddhist response.
Two Buddhist ideas can seem to pull in different directions. Karuna (compassion) is the wish to relieve other people's suffering. Seeing someone in great pain, many Buddhists feel moved to help. But the first precept is a promise to refrain from taking life (see The Five Precepts, the Value of Life and Abortion in Buddhism). So the question is: what does real compassion ask for?
Most Buddhists answer that compassion means easing suffering without ending the life. Pain, fear and loneliness can be met with care, medicine and company. Ending the life itself is a different act, and Buddhists look closely at the reasons for it.
Key terms:
Buddhists judge an act by the intention (cetana) behind it. Euthanasia is done with a kind aim, but it still means deliberately causing a death. Many Buddhists say this breaks the first precept, however loving the motive.
Many Buddhists believe that a calm, clear and peaceful mind at the moment of death helps the next rebirth. Strong drugs that leave a person unable to be aware can worry some of them. Dying with a settled mind is seen as precious, so the time before death is not wasted.
There is a third reason. Buddhists teach that kamma is not escaped by ending a life. Buddhists believe that death is not the end of the journey, because rebirth continues. So they say a person who ends their own life, or a helper who ends another's, does not leave suffering behind. They teach that it may carry into the next life, and that deliberate killing adds unskilful kamma for the one who does it. This is why the Vinaya (the monastic rules) says a monk or nun must never encourage anyone to die.
Opposing euthanasia does not mean demanding that every possible treatment is used. Many Buddhists see a clear difference between causing a death and allowing a death to come naturally. Refusing burdensome treatment, for example a very hard treatment that will not cure the illness, is often accepted. Here the illness, not a person's act, is bringing the death. Many Buddhists see this as following the Middle Way (avoiding extremes): not clinging to life at any cost, and not pushing death away.
Buddhists also give strong support to hospice care. A hospice eases pain and helps a person die in comfort, with family close by. Some Buddhists train as volunteers or chaplains to sit with the dying and offer a gentle presence. Some read quiet teachings aloud or chant to help the dying person keep a calm mind. This is compassion in action: the suffering is met with care, and the life is respected.
A woman with a serious illness asks her family if she may stop a painful treatment that will not cure her. Many Buddhists would accept this, because the treatment is burdensome and the illness is the cause of death. If she asked a doctor to give her something to end her life, many would say this goes against the first precept. Both cases involve compassion, but the second is an act that deliberately ends a life.
There is no single Buddhist authority, so teachers and traditions give different answers.
Non-religious people often argue for a person's choice and for good quality of life. Buddhists can agree that dignity and relief from pain matter. They might reply that every act has consequences, so a choice is never free of kamma. They also say that suffering has causes in the mind and in life, and that care, company and calm can ease it without ending a life. Many also worry that vulnerable people might feel pressure to die.
Saying Buddhists have no rules because there is no God: the first precept is a serious training rule. Saying all Buddhists agree: write about what many or most Buddhists believe, and mention that some differ. Mixing up refusing burdensome treatment (often accepted) with actively ending life (usually opposed).
(a) Identify three ways of caring for a dying person. [3 marks]
(b) Choose one religion. Outline two reasons why this religion is against euthanasia. [4 marks]
(c) Choose one religion. Explain why there are different attitudes to euthanasia in this religion. [6 marks]
(d) 'Real compassion means helping a suffering person to die.' Evaluate this statement, showing you have considered different points of view. In your answer you should refer to at least one religion. [12 marks]
(a) 1. Pain relief (1) 2. Hospice care (1) 3. Company and emotional support from family or chaplains (1)
(b) Buddhism: The first precept asks Buddhists to refrain from taking life (1), so deliberately ending a life, even kindly, breaks that rule (1). Kamma is not escaped by dying (1), so suffering may carry into the next rebirth and the killing adds unskilful kamma (1).
(c) Buddhists agree that compassion (karuna) is central and that the first precept matters, but they weigh these differently. Many teachers say euthanasia is always wrong, because the intention to end a life breaks the first precept and kamma is not escaped by dying. They also stress a calm mind at death, which helps rebirth. This means the dying time has value, so they favour hospice care. A few Buddhists say that intention is what counts, so a case driven only by deep compassion might be judged separately, though they are very cautious. Because there is no single authority, teachers and traditions reach different views, and many Buddhists accept refusing burdensome treatment but not actively ending life.
(d) Plan. For: compassion (karuna) is about relieving suffering; some Buddhists judge case by case, with intention central; humanists and others stress choice and quality of life. Against: many Buddhists say the first precept forbids it; kamma is not escaped, so suffering may continue; a calm mind at death matters; hospice care relieves suffering without ending life; vulnerable people could feel pressured. Conclusion: a strong answer might judge that compassion is best shown by care, since most Buddhist teaching says ending life does not end suffering, while weighing the view that choice and relief of pain count. It must reach a clear conclusion on the word 'real'.
In the 12-mark question, use Buddhist teachings by name (karuna, the first precept, kamma), add a non-religious or different Buddhist view, then finish with a conclusion that picks a side.