Legal Reform for Passive Euthanasia in Indonesia: A Comparative Analysis of Policy and Ethics
DOI:
https://doi.org/10.15294/jllr.v6i2.20498Keywords:
Passive Euthanasia, Cultural and Religious Values, Advance Directives, Legal Reform, Indonesian Penal CodeAbstract
This study aims to elaborate on the ethical and legal problems concerning passive euthanasia and Advance Directives (ADs) in Indonesia, focusing on the legal obscurity in current legislation, which causes uncertainties among families and medical practitioners. Although Indonesia’s Penal Code criminalizes active euthanasia, it remains silent on passive euthanasia, making healthcare providers vulnerable to the risk of prosecution when withholding or withdrawing futile treatments. Using a normative juridical approach, this research primarily analyzes Indonesian statutes and compares them with those of India, Saudi Arabia, and Iran. Despite provisions in health laws for patients to refuse treatment, the absence of explicit guidelines forces healthcare providers to operate with legal uncertainty. A comparative analysis of India’s legalization of passive euthanasia showcases how legislative clarity can align with ethical, medical, and societal needs. Insights from Islamic-majority countries like Saudi Arabia and Iran also reveal that Islamic jurisprudence, through the harm reduction principle, can be aligned with passive euthanasia within an ethical framework. Several particular reform recommendations are provided in this regard in the study, comprising amending the Penal Code to differentiate passive euthanasia and murder, establishing formal AD procedures, and introducing ethics committees and dual-approval oversight to maintain the ethical purity of the process. These reforms and public awareness initiatives would enhance the principle of patient autonomy and clarify misconceptions and legal responsibilities, providing overall improvement in an unattended aspect of medical care.
References
Airedale NHS Trust v. Bland, [1993] AC 789 (HL).
Kiarash Aramesh and Heydar Shadi, “Euthanasia: An Islamic Ethical Perspective,” Iranian Journal of Allergy, Asthma and Immunology 6 (2007), https://www.researchgate.net/publication/228684359.
Ashutosh Kothari, K. C. Premarajan, and Sethuramachandran Adinarayanan, “Assisted Dying and Voluntary Euthanasia: Awareness and Perception among Health Care Professionals in a Tertiary Care Centre, South India,” International Journal of Community Medicine and Public Health 7, no. 6 (2020): 2280, doi:10.18203/2394-6040.ijcmph20202486.
Bhogaraju Anand, “Advance Directives for Euthanasia in India,” Telangana Journal of Psychiatry 7, no. 1 (2021): 3–9, doi:10.4103/tjp.tjp_19_21.
Carlos Gómez-Vírseda and Chris Gastmans, “Euthanasia in Persons with Advanced Dementia: A Dignity-Enhancing Care Approach,” Journal of Medical Ethics 48, no. 11 (2021): 907–14, doi:10.1136/medethics-2021-107308.
Common Cause (A Regd. Society) v. Union of India, Supreme Court Cases 5: 1 (2018).
Cruzan v. Director, Missouri Department of Health, 497 U.S. 261 (1990).
Dian Andriani Ratna Dewi, Waty Suwarty Haryono, and Evita Isretno Israhadi, “Regulations for Implementing Passive Euthanasia in the Terminal Stage Patients (End of Life) Which Is by Justice and Legal Certainty in Indonesia,” Eduvest – Journal of Universal Studies 3, no. 1 (2023): 50–66, doi:10.36418/eduvest.v3i1.717.
detikNews, “Hasan Mohonkan Penetapan Euthanasia atas Agian ke PN Jakpus,” detikNews, October 22, 2004, https://news.detik.com/berita/d-228879/hasan-mohonkan-penetapan-euthanasia-atas-agian-ke-pn-jakpus.
Farida Patittingi Haeranah, Muhadar, Syamsuddin Muchtar, Muh Hasrul, Nur Azisa, Kahar Lahae, Birkah Latif, and Handar Subhandi Bakhtiar, “Health and Law: Euthanasia in Indonesian Legal Perspective,” Enfermeria Clinica 30 (June 2020): 492–95, doi:10.1016/j.enfcli.2019.10.128.
Farzaneh Zahedi, Bagher Larijani, and Javad Tavakoly Bazzaz, “End of Life Ethical Issues and Islamic Views,” Iran J Allergy Asthma Immunol 6 (February 2007): 5–15.
General Presidency of Scholarly Research and Ifta, “Fatwa No. 26/3796 on the Permissibility of Withdrawing Life Support in Cases of Brain Death” (Riyadh, Saudi Arabia: General Presidency of Scholarly Research and Ifta, 1996).
Hamid Reza Nikookar and Seyed Hassan Jaafarian Sooteh, “Euthanasia: An Islamic Ethical Perspective,” European Scientific Journal, Special Edition (2014): 179–185, https://doi.org/10.19044/esj.2014.v10n10p%25p.
Iain Brassington, “How Not to Talk about Passive Euthanasia: A Lesson from India,” Indian Journal of Medical Ethics 6, no. 1 (2021): 55–61, doi:10.20529/IJME.2020.75.
Indira Inggi Aswijati, “Euthanasia Formulation Policy in Indonesia’s Criminal Legislation and Implications for Patient Life,” International Journal of Social Science and Human Research 4, no. 5 (2021), Everant Journals, doi:10.47191/ijsshr/v4-i5-31.
Jane Margaretha Handayani, Edy Lisdiyono, Bambang Joyo Supeno, and Wahyu SatriaWana Putra Wijaya, “Formulation Policy of Euthanasia Criminal Action in the Indonesian Criminal Law System,” Medico Legal Update 21, no. 2 (2021): 654–58, doi:10.37506/mlu.v21i2.2757.
Kamri Ahmad and Andi Khaedhir Kamri, “Medical Action of Doctors with Euthanasy From the Perspective of Criminal Acts on Islamic Law: A Normative Review,” Revista de Gestão Social e Ambiental (2024), https://doi.org/10.24857/rgsa.v18n6-068.
Kiarash Aramesh and Heydar Shadi, “Euthanasia: An Islamic Ethical Perspective,” Iranian Journal of Allergy, Asthma and Immunology 6 (2007), https://www.researchgate.net/publication/228684359.
Klemens Tatag Bagus Prasetyo Utomo, “Analisis Yuridis dan Perspektif Hak Asasi Manusia Terhadap Perkembangan Euthanasia di Indonesia” (undergraduate thesis, Faculty of Law, Universitas Atma Jaya Yogyakarta, 2011).
Lilik P. Yudaningsih, “TINJAUAN YURIDIS EUTHANASIA DILIHAT DARI ASPEK HUKUM PIDANA Oleh,” Jurnal Ilmu Hukum 6, no. 1 (2015): 110–26.
Merdeka, “Ketika Suntik Mati Jadi Pilihan: Eutanasia di Indonesia,” Merdeka, March 16, 2015, https://www.merdeka.com/khas/ketika-suntik-mati-jadi-pilihan-eutanasia-di-indonesia.html.
Mohammad Manzoor Malik, “Euthanasia: Islamic Perspective,” in The Islamic Worldview, Ethics and Civilization: Issues in Contemporary Interdisciplinary Discourse, ed. Mohammad Manzoor Malik (Kuala Lumpur, Malaysia: IIUM Press, 2011), 229–250.
Mochammad Alwi Fachrezi and Tomy Michael, “Kesuaian Penerapan Euthanasia terhadap Pasien Kondisi Terminal atas Persetujuan Keluarga dalam Hukum Positif Indonesia,” IBLAM Law Review 4, no. 1 (2024): 228–246, https://doi.org/10.52249/ilr.v4i1.246.
Novi Hermawati and Faisal Santiago, “Law Enforcement Against Cybercrime in Online Activities,” Edunity: Kajian Ilmu Sosial Dan Pendidikan 2, no. 1 (2023): 28–37, doi:10.57096/edunity.v1i05.33.
Pardeep Singh, Avtar Singh Gill, Vikram Lakhanpal, Pankaj Gupta, and Vinod Kumar, “Current Scenario of Euthanasia in India,” International Journal of Ethics, Trauma & Victimology 6, no. 1 (2020): 27–30, doi:10.18099/ijetv.v6i01.5.
P. Shruthi and G. Sudaakar, “Knowledge and Attitude Towards Euthanasia and Advance Directives amongst Medical Students in a Private Medical College and Hospital at a Metropolitan City of India,” Indian Journal of Forensic Medicine & Toxicology 15, no. 2 (2021): 457–61, doi:10.37506/ijfmt.v15i2.14351.
Putri Shafarina Thahir and Tongat, “Legal Review of Medical Crime: Patient Protection and Professional Responsibility in Medical Practice,” Audito Comparative Law Journal 5, no. 2 (2024), https://doi.org/10.22219/aclj.v5i2.33832.
R. M. Yousuf and A. R. Mohammed Fauzi, “Euthanasia and Physician-Assisted Suicide: A Review from Islamic Point of View,” International Medical Journal Malaysia (2012), doi:10.31436/imjm.v11i1.556.
Rahdiyul Ermanto and Uning Pratimaratri, “Euthanasia Pasif dalam Pandangan Moral, Etika Kedokteran, Agama, Negara Asing serta Hukum Positif Indonesia,” Prosiding Simposium Nasional Magister (SINMAG) 4, no. 1 (2020): 338–352, https://ejurnal.bunghatta.ac.id/index.php/sinmag/article/view/16813.
Republic of Indonesia, Law Number 29 of 2004 Concerning Medical Practice, State Gazette No. 116, Supplement to State Gazette No. 4431 (2004), https://peraturan.bpk.go.id/Details/40752.
Republic of Indonesia, Law Number 36 of 2009 Concerning Health, State Gazette No. 144, Supplement to State Gazette No. 5063 (2009), https://peraturan.bpk.go.id/Details/38685.
Republic of Indonesia, Undang-Undang Dasar Republik Indonesia Tahun 1945 [Constitution of the Republic of Indonesia 1945] (Jakarta: Constitutional Court of the Republic of Indonesia, 1945), https://www.mkri.id/public/content/infoumum/regulation/pdf/uud45%20eng.pdf.
Salim Baharoon, Mohsen Alzahrani, Eiman Alsafi, Laila Layqah, Hamdan Al-Jahdali, and Anwar Ahmed, “Advance Directive Preferences of Patients with Chronic and Terminal Illness towards End of Life Decisions: A Sample from Saudi Arabia,” Eastern Mediterranean Health Journal 25, no. 11 (2019): 791–97, doi:10.26719/emhj.19.038.
Silke Schicktanz, Aviad Raz, and Carmel Schalev, “The Cultural Context of Patient’s Autonomy and Doctor’s Duty: Passive Euthanasia and Advance Directives in Germany and Israel,” Medicine, Health Care and Philosophy 13, no. 4 (2010): 363–69, doi:10.1007/s11019-010-9262-3.
Sigit Wibowo, “Tinjauan Yuridis Terhadap Tindakan Euthanasia dalam Perspektif Interkonektif,” Jurnal Hukum Caraka Justitia (2021), https://doi.org/10.30588/jhcj.v1i2.922.
Sutarno, “Euthanasia from the Perspective of Indonesian Norms,” Systematic Reviews in Pharmacy 11, no. 1 (2020): 192–202, doi:10.5530/srp.2020.1.26.
Stuart Hornett, “Advance Directives: A Legal and Ethical Analysis,” in Euthanasia Examined: Ethical, Clinical and Legal Perspectives, ed. John Keown (Cambridge: Cambridge University Press, 1995), 297–314, https://doi.org/10.1017/CBO9780511663444.019.
Tomy Pasca Rifai, “PASSIVE EUTHANASIA ON INDONESIA LAW AND HUMAN RIGHTS,” Law of Medical Practices 1 (2017), https://ojs.ummetro.ac.id/index.php/law/article/view/681.
Tengku Novita Artika, “Analisis Yuridis Mengenai Pengaturan Tindak Pidana Euthanasia (Suntik Mati) Menurut 344 KUHP di Indonesia,” Jurnal Smart Hukum (JSH) 2, no. 1 (2023): 9–20, https://ejournal.ipinternasional.com/index.php/jsh/article/view/621
Novi Hermawati and Faisal Santiago, “Law Enforcement Against Cybercrime in Online Activities,” Edunity: Kajian Ilmu Sosial Dan Pendidikan 2, no. 1 (2023): 28–37, doi:10.57096/edunity.v1i05.33.
Pardeep Singh, Avtar Singh Gill, Vikram Lakhanpal, Pankaj Gupta, and Vinod Kumar, “Current Scenario of Euthanasia in India,” International Journal of Ethics, Trauma & Victimology 6, no. 1 (2020): 27–30, doi:10.18099/ijetv.v6i01.5.
P. Shruthi and G. Sudaakar, “Knowledge and Attitude Towards Euthanasia and Advance Directives amongst Medical Students in a Private Medical College and Hospital at a Metropolitan City of India,” Indian Journal of Forensic Medicine & Toxicology 15, no. 2 (2021): 457–61, doi:10.37506/ijfmt.v15i2.14351.
Putri Shafarina Thahir and Tongat, “Legal Review of Medical Crime: Patient Protection and Professional Responsibility in Medical Practice,” Audito Comparative Law Journal 5, no. 2 (2024), https://doi.org/10.22219/aclj.v5i2.33832.
R. M. Yousuf and A. R. Mohammed Fauzi, “Euthanasia and Physician-Assisted Suicide: A Review from Islamic Point of View,” International Medical Journal Malaysia (2012), doi:10.31436/imjm.v11i1.556.
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