Passage 1
Q. A recent Supreme Court judgment highlights the legal and ethical complexities surrounding euthanasia in India. Euthanasia, as defined by the Court in its 2025 ruling, refers to allowing natural death by withholding or withdrawing life-support in patients with terminal illnesses. However, the case of Harish Rana, a man in a vegetative state for over 11 years, raises questions about the application of this ruling. His parents sought permission to remove his Ryles tube, used for feeding, but were denied on the grounds that it is not a life-support system. The Court maintained that passive euthanasia permits the withdrawal of life-prolonging measures like ventilators and dialysis, but a Ryles tube does not fall under that category. Clinically assisted nutrition and hydration, such as feeding through a Ryles tube, is a life-support measure that can be ethically withdrawn in terminally ill patients. Medical ethics emphasizes four key principles: beneficence (acting for the patient’s benefit), non-maleficence (avoiding harm), justice (ensuring patients’ rights), and autonomy (respecting patients' choices). Harish’s case challenges these principles, as prolonging his life adds to his suffering and burdens his aging parents financially and emotionally. The issue also reflects the deep-seated cultural discomfort around death in India. In many cultures, feeding is associated with caregiving and love, making the withdrawal of nutrition emotionally difficult. However, the prolonged use of the Ryles tube is painful and may cause more harm than good, raising concerns about the dignity of both life and death. The judgment raises important questions: Why are courts making medical decisions without consulting palliative care experts? Why must families endure lengthy legal battles in such cases? There is a pressing need to clarify the legal distinction between euthanasia and the withdrawal of futile life-sustaining measures. Public education on Advance Care Planning and Medical Directives can empower individuals to make informed decisions about their end-of-life care.
Question - Which of the following statements best reflect the most logical and rational inference that can be made from the passage?
1. The Supreme Court's interpretation of passive euthanasia does not fully address the ethical and medical complexities of end-of-life decisions.
2. Cultural beliefs and emotional associations with feeding make the withdrawal of nutrition more contentious than withdrawing other life-support measures.
3. There is a need for greater public awareness and legal clarity regarding Advance Care Planning and Medical Directives to empower individuals in making end-of-life decisions.
4. Prolonged medical interventions without clear legal guidelines can lead to unnecessary suffering for patients and financial burdens for their families.
Select the correct answer using the code given below: