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End-of-Life Medical Decisions in Israeli Law – How Jewish Law Represents a Balance Between Principlist and Situationist Approaches to Medical Law

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Contemporary European Perspectives on the Ethics of End of Life Care

Part of the book series: Philosophy and Medicine ((PHME,volume 136))

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Abstract

Jewish law on the “end of life” teaches that nobody is expected to suffer and that for certain individuals, death might be better than life. However, these observations need to be illustrated on the backdrop of the prohibitions of direct killing, the public interest in the preservation of life and the integrity of medicine.

Although Israeli law is a secular legal system, a hybrid of common law and continental law, it has developed similar lines of reasoning to Jewish law on matters pertaining to the “end of life”. Israeli judicial processes address “end of life” issues by means of primary legislation, which is quite elaborate. Case law has also developed original and flexible interpretations to ceasing life support in order to benefit certain patients even though it may shorten their lives at times. Contemporary Israeli law contains elaborate structures of proxy and assisted decision making. While these are not formally connected to Jewish law, we argue that rabbinic law is influential in these contexts as well. The paper analyzes the development of Israeli law along these lines, demarcating three major tracks: Jewish Law, Case law and Primary Legislation.

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Notes

  1. 1.

    Steinberg Abraham, “The Hospital, in Halakhic Literature,” Assia II; Schlesinger Institute and Reuben Mas; Jerusalem 1981 p. 146–153. (In Hebrew)

  2. 2.

    Morganstern Aryeh, Redemption through Nature (Maor, Second Edition, Jerusalem 1997) Chapter 16 – The First Jewish Hospital in Jerusalem, pp. 307–326. (In Hebrew)

  3. 3.

    For further information regarding the advancement of the field in Israel, see Mordechai Halperin, Medicine and Halacha in Israel, ASSIA 53–54 (vol. 12, 3–4) (Schlesinger Institute), Jerusalem, 1999 (In Hebrew)

  4. 4.

    Talmud, Sanhedrin 45a.

  5. 5.

    The dying person is alive to everything in the law. Shulkhan Aruch, yureh deeah, 139a.

  6. 6.

    Death of Rabbi Yehuda the President, The death of Rabbi Hanina ben Dosa, The death of the old woman; Barilan 2013.

  7. 7.

    Shulkhan Aruch, yureh deeah, 139a.

  8. 8.

    Tzitz Eliezer, Part 13, chp. 89.

  9. 9.

    Barilan Y.M (2018).

  10. 10.

    Su”t Minchat Shlomo, chp. 91; 24.

  11. 11.

    Barilan Y.M 2018.

References

  • Barak, A. (1994). The tradition and culture of the Israeli legal system. European Legal Traditions and Israel, 473–492, 484.

    Google Scholar 

  • Barilan, Y. M. (2014). Jewish bioethics: Rabbinic law and theology in their social and historical contexts. Cambridge: Cambridge University Press.

    Google Scholar 

  • Barilan, Y. M. (2018). Medical ethics in Judaism (pp. 481–482). Jerusalem: Magnes Press (Hebrew).

    Google Scholar 

  • C.A. 3031/99. State’s Attorney v. John Doe 30.5.1999.

    Google Scholar 

  • C.A. 506/88. (1993). Yael Sheffer v. The state of Israel. Court Decisions, 48(1), 87.

    Google Scholar 

  • C.A. Motion (Tel Aviv) 2242/95. Itai Arad v. Kupat Cholim Clalit (11.1.1996).

    Google Scholar 

  • Criminal Appeal. Mina Krugletz v. The State of Israel, Court Decisions 49(1), 397.

    Google Scholar 

  • Gilbar, R. (2015). “Until the cessation of breathing”, the cessation of artificial respiration in terminally ill patients in light of the court decision 16813-11-14. Illuminating Court Decisions Newsflash, 42, 35–69.

    Google Scholar 

  • Ḥoshen, Y. (1990). The right to die with dignity. Ramat Gan: Hila Or Sheli Press (Hebrew).

    Google Scholar 

  • Motion (Tel Aviv) 16813-11-14. John Doe v. the Attorney General (23.11.2014).

    Google Scholar 

  • Motion (Tel Aviv) 529/01. Jane Doe v. Clalit Health Services (5.6.2001).

    Google Scholar 

  • Motion 1141/90. Benjemin Eyal v. Dr. Vilensky and others, 31.12.1990.

    Google Scholar 

  • Motion 759/92. Miriam Tzadok v. Beit Haela and others 10.6.1992.

    Google Scholar 

  • Smith, G. P. (2013). Applying bioethics in the 21st century: Principlism or situationism. Journal of Contemporary Health Law and Policy, 30, 37–58.

    Google Scholar 

  • The Foundations of the Law Act – 1980, Official Book of Laws number 978 (31.7.1980) p. 163.

    Google Scholar 

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Correspondence to Oren Asman .

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Asman, O., Barilan, Y.M. (2020). End-of-Life Medical Decisions in Israeli Law – How Jewish Law Represents a Balance Between Principlist and Situationist Approaches to Medical Law. In: Emmerich, N., Mallia, P., Gordijn, B., Pistoia, F. (eds) Contemporary European Perspectives on the Ethics of End of Life Care. Philosophy and Medicine, vol 136. Springer, Cham. https://doi.org/10.1007/978-3-030-40033-0_7

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