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Is it ever acceptable to forgo
life-sustaining treatment?
Jewish: Orthodox


Yes: "Most rabbinical authorities (Rabbi Moshe Feinstein, for one) have sanctioned the patient's right to decline treatment provided a number of very specific conditions were met. First, the patient must be in a terminal condition - that is, whether the treatment is employed or not, the patient is not expected to live beyond a year. Second, the patient suffers unbearable pain and suffering. Third, the patient has indicated that he or she desires not to be treated. In the event the patient is incompetent or unable to communicate his decision, next-of-kin may make such a decision based exclusively on what they feel the patient would have wanted (Note: This is not based on what they would have wanted if they would have been the patient but rather what this particular patient would actually desire). Fourth, assuming the above three conditions are met, the patient may decline surgery, chemotherapy, and painful invasive treatments but may not decline food, water, or oxygen (which are the normal sustainers of life, the withdrawal of which may be tantamount to murder or suicide). Antibiotics may also fall under the "food" category because they are generally a noninvasive, nonpainful procedure" (Breitowitz 1997?: paragraph 10)


Is it ever acceptable to forgo
artificial nutrition and hydration?


Ambiguous. "[T]he patient. . .may not decline food, water, or oxygen (which are the normal sustainers of life, the withdrawal of which may be tantamount to murder or suicide). . .There is also some question whether tube feeding falls in the category of ‘food’ or in the category of ‘surgery’. Most decisors would place it in the former but emphasize that even if the patient is halachically obligated to take artificial nutrition, he should not be force-fed or physically restrained" (Breitowitz 1997: par. 10).

 

 


Citations


Breitowitz, Yitzchok. 1997. "The Right to Die: A Halachic Approach."

   

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