Euthanasia in South Africa: A Critical Analysis of Contemporary Legislative Issues in Relation to Religious Values

Razaana Densom*    -  Nelson Mandela University, South Africa
Glynis Van Der Walt    -  Nelson Mandela University, South Africa

(*) Corresponding Author
Despite death being one of the certain eventualities of life, religious, medical, and philosophical factors appear to shape one's perception of death. Medical advancements have introduced the possibility of exercising control over an individual's death, prompting questions regarding the existence of a legal right to choose how and when to die, particularly in cases of suffering where euthanasia is administered by another party. Euthanasia and Physician Assisted Suicide (EPAS) represent one of the most contentious ethical debates globally. This debate is not novel; indeed, most countries outrightly reject the legalisation of EPAS, while others opt to enact legislation to legalise and regulate the practice of euthanasia under specific conditions. Legislators in South Africa have been hesitant to legislate on this contentious matter, leaving the judiciary in an uncertain position to make ad hoc judgments without any guidance from Parliament. Religion, moral principles, and constitutional rights are central to this debate. Clarity on this issue could foster a scientific contribution to South African law by enabling focused research into both the practical and ethical implications of legalised euthanasia, facilitating the development of safeguards and regulatory frameworks, and promoting research into the psychological impact on patients and healthcare providers.

Keywords: Christianity, Constitution, Dignity, Euthanasia, Islam

  1. Alves, Anne-Sophie. “Steps Towards Legalization of Euthanasia in Portugal.” Bioethica 8, no. 2 (November 7, 2022): 85–96. https://doi.org/10.12681/bioeth.31783.
  2. Amzat, Jimoh, Kehinde Kazeem Kanmodi, Abbas Ismail, and Eyinade Adeduntan Egbedina. “Euthanasia in Africa: A Scoping Review of Empirical Evidence.” Health Science Reports 6, no. 5 (May 30, 2023). https://doi.org/10.1002/hsr2.1239.
  3. Avci, Ercan. “A Comparative Analysis on the Perspective of Sunni Theology and Hindu Tradition Regarding Euthanasia: The Impact of Belief in Resurrection and Reincarnation.” Journal of Religion and Health 58, no. 5 (October 24, 2019): 1770–91. https://doi.org/10.1007/s10943-019-00836-4.
  4. Ayuba, Mahmud Adesina. “Euthanasia: A Muslim’s Perspective.” Scriptura 115 (June 2016). https://doi.org/10.7833/115-0-1175.
  5. Aznar, Justo. “The Slippery Slope of Euthanasia.” Medicina e Morale 70, no. 1 (April 12, 2021): 111–20. https://doi.org/10.4081/mem.2021.932.
  6. Bartels, Lorana, and Margaret Otlowski. “A Right to Die? Euthanasia and the Law in Australia.” Journal of Law and Medicine 17, no. 4 (2010): 532–55.
  7. Battin, M. Pabst. “Euthanasia and Physician-Assisted Suicide (Review).” Journal of Health Politics, Policy and Law 25, no. 2 (2020): 415–30.
  8. Benatar, D. “A Legal Right to Die: Responding to Slippery Slope and Abuse Arguments.” Current Oncology 18, no. 5 (October 1, 2011): 206–7. https://doi.org/10.3747/co.v18i5.923.
  9. Bernal-Carcelén, I. “Euthanasia: Trends and Opinions in Spain.” Revista Española de Sanidad Penitenciaria 22, no. 3 (October 22, 2020): 112–15. https://doi.org/10.18176/resp.00020.
  10. Carrión, Jhuliana Alfoncina Pachar, and Luis Mauricio Maldonado Ruiz. “Analysis of Judgment 67-23-in/24: Active Euthanasia in Ecuador in Relation to Comparative Law.” Espirales Revista Multidisciplinaria de Investigación Científica 8, no. 51 (2024): 19–35.
  11. Coertzen, Pieter. “Constitution, Charter, and Religions in South Africa.” African Human Right Law Journal 14, no. 1 (2014): 126–41.
  12. Dominic, Liche. “Euthanasia in Zambia: An Ethical Assessment.” University of Zambia, 2009. http://thesisbank.jhia.ac.ke/8741/.
  13. Emanuel, Ezekiel. “Euthanasia and Physician‐assisted Suicide: Focus on the Data.” Medical Journal of Australia 206, no. 8 (May 2017): 339–40. https://doi.org/10.5694/mja16.00132.
  14. Emanuel, Ezekiel J. “The History of Euthanasia Debates in the United States and Britain.” Annals of Internal Medicine 121, no. 10 (November 15, 1994): 793–802. https://doi.org/10.7326/0003-4819-121-10-199411150-00010.
  15. Griffin, Miriam. Dignity in Roman and Stoic Thought. Vol. 1. Oxford University Press, 2017. https://doi.org/10.1093/acprof:oso/9780199385997.003.0003.
  16. Grove, Graham, Melanie Lovell, and Megan Best. “Perspectives of Major World Religions Regarding Euthanasia and Assisted Suicide: A Comparative Analysis.” Journal of Religion and Health 61, no. 6 (December 29, 2022): 4758–82. https://doi.org/10.1007/s10943-022-01498-5.
  17. Heide, Agnes van der, Bregje D. Onwuteaka-Philipsen, Mette L. Rurup, Hilde M. Buiting, Johannes J.M. van Delden, Johanna E. Hanssen-de Wolf, Anke G.J.M. Janssen, et al. “End-of-Life Practices in the Netherlands under the Euthanasia Act.” New England Journal of Medicine 356, no. 19 (May 10, 2007): 1957–65. https://doi.org/10.1056/NEJMsa071143.
  18. Johnson, Jenaye. “What It Means to Legalize Assisted Death.” Thinking Global Health, 2024. https://www.thinkglobalhealth.org/article/what-it-means-legalize-assisted-death.
  19. Jones, Chris. “The Right to Die: Unpacking an Ethical Dilemma in South Africa.” The Conversation, 2022. https://theconversation.com/the-right-to-die-unpacking-an-ethical-dilemma-in-south-africa-185788.
  20. Jones, David Albert, Chris Gastmans, and Calum MacKellar. “Euthanasia and Assisted Suicide: Lessons from Belgium.” In Euthanasia and Assisted Suicide: Lessons from Belgium, 278–283. Cambridge Bioethics and Law. Cambridge University Press, 2017.
  21. Kotzé, Carla, and Johannes L. Roos. “End-of-Life Care in South Africa: Important Legal Developments.” South African Journal of Psychiatry 28 (January 18, 2022). https://doi.org/10.4102/sajpsychiatry.v28i0.1748.
  22. Landry, Joshua T., Thomas Foreman, and Michael Kekewich. “Ethical Considerations in the Regulation of Euthanasia and Physician-Assisted Death in Canada.” Health Policy 119, no. 11 (November 2015): 1490–98. https://doi.org/10.1016/j.healthpol.2015.10.002.
  23. Mangena, Fainos, and Ezra Chitando. “Euthanasia and the Experiences of the Shona People of Zimbabwe.” Thought and Practice: A Journal of the Philosophical Association of Kenya 5, no. 2 (2013). https://www.ajol.info/index.php/tp/article/view/104309.
  24. McKenney, Jessica. “Informed Consent and Euthanasia: An International Human Rights Perspective.” International and Comparative Law Review 18, no. 2 (December 1, 2018): 118–33. https://doi.org/10.2478/iclr-2018-0041.
  25. Mendoza-Villa, Juliana María, and Luis Andrés Herrera-Morales. “Reflections on Euthanasia in Colombia.” Colombian Journal of Anesthesiology 44, no. 4 (October 2016): 324–29. https://doi.org/10.1016/j.rcae.2016.06.007.
  26. Muckart, David James Jackson, Dean Gopalan, Timothy Hardcastle, Eric Hodgson, and D J McQuoid-Mason. “Palliative Care: Definition of Euthanasia.” South African Medical Journal 104, no. 4 (March 17, 2014): 259. https://doi.org/10.7196/SAMJ.8016.
  27. Ntsebesha, Fundisiwe Cynthia. “The Legalization of Physician-Assisted Suicide - a South African Constitutional Perspective.” University of Johannesburg, 2023. https://ujcontent.uj.ac.za/esploro/outputs/graduate/The-legalization-of-physician-assisted-suicide--/9948108707691.
  28. Oosthuizen, Hennie. “Doctors Can Kill--Active Euthanasia in South Africa.” Medicine and Law 22, no. 3 (2003): 551–60.
  29. Pestalozzi-henggeler, Anton. “Euthanasia under the Swiss Penal Code” 15, no. 3 (1961). https://scholar.smu.edu/cgi/viewcontent.cgi?article=4110&context=smulr.
  30. Picón-Jaimes, Yelson Alejandro, Ivan David Lozada-Martinez, Javier Esteban Orozco-Chinome, Lina María Montaña-Gómez, María Paz Bolaño-Romero, Luis Rafael Moscote-Salazar, Tariq Janjua, and Sabrina Rahman. “Euthanasia and Assisted Suicide: An in-Depth Review of Relevant Historical Aspects.” Annals of Medicine & Surgery 75 (March 2022). https://doi.org/10.1016/j.amsu.2022.103380.
  31. Resource, Christian Life. “Christian Life Resources Medical Decision Making | Pro-Life 101.” Accessed April 24, 2024. https://christianliferesources.com/medical-decision-making/.
  32. Scholtz, Reverend Jan. “Opinion-Sanctity of Life- Euthanasia.” New Era Live, 2023. https://neweralive.na/opinion-sancity-of-human-life-euthanasia-4/.
  33. Schwär, T G, J A Olivier, and J D Loubser. The Forensic ABC in Medical Practice : A Practical Guide . 1st ed. Pretoria: Haum Educational Publishers, 1988.
  34. Steyn, Willem-Johan, and Mukinay C. Bondo. “Perspectives and Attitudes of South African Medical Professionals towards Active Euthanasia.” South African Family Practice 66, no. 1 (September 27, 2024). https://doi.org/10.4102/safp.v66i1.5926.
  35. Villiers, E De. “Euthanasia and Assisted Suicide : A Christian Ethical Perspective.” Acta Theologica 2002, no. sup-3 (2002): 35–47. https://doi.org/10.10520/EJC111135.
  36. Wekesa, Moni. “The State of the Law on Euthanasia in Kenya.” Journal of Medical Law and Ethics 8, no. 1 (2020): 1–14. https://doi.org/10.7590/221354020X15922956412951.
  37. Young, Jessica, Richard Egan, Simon Walker, Anna Graham-DeMello, and Christopher Jackson. “The Euthanasia Debate: Synthesising the Evidence on New Zealander’s Attitudes.” Kōtuitui: New Zealand Journal of Social Sciences Online 14, no. 1 (January 2, 2019): 1–21. https://doi.org/10.1080/1177083X.2018.1532915.

Open Access Copyright (c) 2025 Razaana Denson, Glynis Van Der Walt
License URL: https://creativecommons.org/licenses/by-nc/4.0/

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ISSN: 2597-6168 (Print)
ISSN: 2597-6176 (Online)
DOI : 10.30659/jua

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