Paliatyvios pagalbos kaip alternatyvos eutanazijai teisinis reglamentavimas ; Palliative help as legal regulation for an alternative to euthanasia
The western countries often considered as those, which had achieved high cultural level and that are the announcers of liberalism and freedom, have legitimized euthanasia with national law by allowing killing a person for a disease or old age. In Lithuania as in the majority of countries of the Old Continent, the decreasing rate of birth, the obsolescent society and its changing attitude towards life, old age and pain force a liberal society to discuss about various forms of death and particularly euthanasia. As the life pace is running in a breathtaking speed causing many human traumas, which often make a person disabled; the diseases that still remain incurable force us to pay attention to the weak people who need help by providing them not with death but life. In this case the palliative help as an alternative to euthanasia stands for the weak. The problem of the topic rises from the intentions to legalize euthanasia, to prove "the right to die"in the court without submitting any other solutions to such a position. When spreading such the posture covered by mercy, the alternative is found in palliative help and care. Lithuania is the last country in Europe, which legalized palliative help – the tools of life quality improvement of the patient suffering from the dangerous, incurable and progressing disease and his relatives. These tools prevent from torment and palliate them, help to solve other physical, psychosocial and spiritual problems. This topic is particularly relevant to prove that the disease and old age do not destroy the person and therefore it is not allowed to kill him, that not everything that is legal may be moral at the same time, that by regulating the health system it is not allowed to lose the main purpose: to treat a person not to kill him. Research problem – the relevance of legislation protecting human life by encouraging the palliative help with regulating legislation to strengthen the respect to human life and dignified death and by repulsing the spread of euthanasia into the Lithuanian law and health system with the principles of palliative help. Research object – legal regulation of palliative help. Research aim – to analyze the legislation regulating palliative help, to analyze the legislation of the countries that have legalized euthanasia, to submit the main principles and objectives of palliative medicine as contradicting to the principle of stubborn untreatment which becomes an alternative to euthanasia. The thesis aims to reveal the reasons for choosing euthanasia by providing an alternative – palliative help. The right of dieing person to get a full treatment meeting his dignity and the dignified death is an integral field of legal regulation about this medical activity. Objectives of the thesis: 1. To analyze the suicide with the help of a doctor and the legal regulation of euthanasia as well as legal and moral boundaries of evaluation by separating active and passive euthanasia and highlighting the difference of stubborn untreatment. 2. To define the concept, principles and objectives of palliative help by analyzing the legislation regulating the palliative help. 3. To present the palliative help implementing and complying with them in Lithuania and Europe as fundamental legal principles. 4. To analyze the principles of palliative help as an alternative to euthanasia, the organization of palliative help in regulating legislation. Over twenty years of independence Lithuania that was able to radically change its health system by changing the human conscious, letting in itself more and more freedom has to take proper responsibility for its society and each member particularly that who lost his health, reached an old age and is dieing. When the society is rapidly getting older, the oncological diseases are spreading and changing the perception that health is much more than the absence of the disease, the topic of palliative help is relevant than ever before because it is an alternative to euthanasia.