Euthanasia in India: Mercy Killing, Right to Die, Passive & Active Euthanasia

EUTHANASIA: Mercy Killing or Death with Dignity

Introduction

Under Article 21 of the Indian Constitution:

"No Person shall be deprived of his life and personal liberty except according to procedure established by Law"

This ensures the State shall protect good quality of life, livelihood, liberty, and dignified life.

The question arises: Does the Right to Life include the Right Not to Life or Right to Die?

Death can occur:

  • Naturally

  • Unnaturally

It can result from action or inaction. Causing unnatural extinction of life, by oneself or someone else, is morally wrong and legally punishable.

What is Euthanasia?

Life can become extremely painful, leading individuals to wish for death. This voluntary act is known as:

  • Euthanasia

  • Mercy Killing

  • Dayamarana

Historical Perspective

In Ancient India, voluntary death practices included:

  • Sati

  • Jauhars

  • Samadhi

  • Prayopaveshan (Starving to Death)

Philosopher John Locke stated that humans have the Right to Life, Liberty, and Property, which implies that terminally ill patients may also have the Right to decide to die.

Key Legal Cases in India

  1. Naresh Marotrao Sakhre and Anrs. V/s. Union of India

    • Differentiated euthanasia from suicide.

    • Suicide: self-destruction without human intervention.

    • Euthanasia: intervention by another human to end life.

  2. Gian Kaur V/s. State of Punjab

    • Right to Life does not include Right to Die.

    • Suicide considered unnatural termination, incompatible with Article 21.

  3. Common Cause V/s. Union of India

    • 5-judge bench recognized Passive Euthanasia and Living Will / Advance Directives.

    • Established Right to Die with Dignity as a fundamental right.

  4. Aruna Shanbaug V/s. Union of India

    • Nurse in vegetative state for 41 years after sexual assault.

    • Court rejected euthanasia plea but allowed Passive Euthanasia in India.

Guidelines for Passive Euthanasia

  • Decision to withdraw treatment, nutrition, or water

  • Decision must be taken by:

    • Parents

    • Spouse

    • Close relative

    • If absent, a “Next Friend”

  • Court approval is required

Types of Euthanasia

Active Euthanasia

  • Professional or another person intentionally causes death (e.g., lethal injection)

Passive Euthanasia

  • Withholding life support (e.g., ventilator or feeding tube)

  • Difference: Active = killing, Passive = letting die

Advantages & Disadvantages of Euthanasia

Advantages

  1. Ends extremely painful life

  2. Relieves family stress (physical, emotional, economic, mental)

  3. Respects patient's right to refuse medical treatment

  4. Frees up medical funds for others in need

  5. Exercise of fundamental rights

Disadvantages

  1. Risk of commercialization of euthanasia

  2. Poor people may misuse it to avoid medical costs

  3. Vulnerable elderly may feel burden

  4. Could devalue human dignity and offend sanctity of life

Conclusion

For those facing terminal illness with irremediable pain, a proper system should exist to exercise their right to die with dignity.

✍️ Adv. Mamta Singh Shukla
Advocate, Supreme Court of India | Legal Researcher | PoSH Trainer

📱 Mobile: +91-9560044035

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