I read “Active and Passive Euthanasia” by James Rachels. In writing this essay, Rachels discusses the controversy of euthanasia. There are instances of passive euthanasia, in which a patient is allowed to die by withholding of medical treatment or food and there are instances of active euthanasia, in which a patient is given enough medicine to not only put them out of pain, but to kill them. Until reading this essay, I didn’t know that there were two types of euthanasia. I thought that “mercy killing” was only categorized as what Rachels calls active euthanasia. I really don’t see how the first instance of euthanasia (passive) is mercy killing at all. Rachels goes into this in his paper. The moral question is whether either instance is more moral than the other. Is killing someone morally worse than letting them die? Rachels argues in his thesis that “killing is not in itself any worse than letting die; if my contention is right, it follows that active euthanasia is not any worse than passive euthanasia.” A person’s moral instincts may tell them that killing is worse than letting someone die, but when Rachels gives the example of Jones and Smith our morals tell us otherwise. In both cases, the person holding the power, Jones or Smith stands to inherent money in the case of a death to his cousin. Both, James and Smith, have the intention of killing the child. Smith takes the action of murdering the child and Jones, with the same intention finds the child already drowning and does nothing to save his life. In this example it is easy to say that Jones is just as bad if not worse than Smith for not saving an already helpless child. Rachels dismisses Jones’ defense that he ‘didn’t do anything except just stand there and watch the child die’ as a “grotesque perversion of moral reasoning.” The American Medical Association also goes against Rachels theory that neither passive or active euthanasia is better than the other. They say that it is “permissible, at least in some cases, to let a patient die, but it is never permissible to take any direct action designed to kill a patient.” The AMA says here that passive euthanasia is more acceptable than active. In which case one is right and the other is wrong. In Rachels argument against this doctrine, he argues a situation in which a patient is dying of some type of throat cancer. In this case the patient will die in the same amount of time with or without the treatment. The patient does not want to live anymore and asks the doctor to end his life. Rachels notes that in this case if the doctrine is followed that the patient will take longer to die and this will result in a more agonizing death. He argues that in this case active euthanasia would be more preferable. As we all know a person in pain does not think rationally and if in enough pain may always say “I want to die,” but if we say that suicide is wrong how can we say that any type of euthanasia is right? I don’t think that Rachels’ argument is this case is persuasive at all. Rachels says, “ to endorse the option that leads to more suffering rather than to less…is contrary to the humanitarian impulse that prompt the decision not to prolong his life in the first place.” But isn’t also contrary to the a doctor’s natural inclination to save a life? Isn’t that what the doctor is there for, to save life and not take it? If not wouldn’t the patient have stayed home and died alone or taken another way out on his/her own? A person knows that suicide is wrong so he asks the doctor to do it for him. Rachels is more persuadable in the earlier example of Jones and Smith, but the example doesn’t pertain to the AMA because it has nothing to do with a doctor and patient relationship and it also adds the incentive (money) to kill. Over all, pain is a part of life. If we let people began to think that they should be able to determine who lives and dies, what are we really opening ourselves up to? New treatments and cures are being brought up all the time. How would it make a “humanitarian” doctor feel if he euthanized a patient and the cure was available the next day or week? Doctors should not play God to who lives and dies. Their job is perfect their trade in saving lives, not delete the ones that are too agonizing for them to watch.