Concerning our moral obligations to other people, what is the distinction between killing and letting die? For example, if I'm at the beach and there's a child playing in the water, I think I can safely say that everyone would agree that it would be wrong for me to go in to the water and drown the child. But say I see the child drowning, and there's no one else around, and I could easily jump in and save him without risking my own life, would it be wrong for me to stand there and do nothing as he drowns? I'm not so sure what one's moral obligation is in this case. Personally, I would feel awful about letting the child drown and would certainly try to save him, but maybe not everyone would, and I'm hesitant so say they've done something wrong by doing nothing. In other words I don't know if I would support a law punishing such behavior.
I would like to distinguish two questions: (1) In any given case, is the mere difference between killing and letting die morally significant? and (2) From the point of view of public policy, should we draw a distinction between killing and letting die? I am convinced by the arguments that James Rachels provides in "Active and Passive Euthanasia," New England Journal of Medicine 292 (1975) against the moral significance of the distinction between killing and letting die per se. Through an examination of different cases, Rachels argues persuasively that when you hold all other factors equal (consequences, motive of the agent, consent of the person whose life is at stake), the mere difference between killing and letting die is morally insignificant. We tend to believe that there is a significant difference between this act (killing) and omission (letting die), because in most cases, these other factors are not equal. Usually people who kill have malicious intent and create significant harm;...
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