Abstract
The purpose of this work is to verify how dignified death can be analyzed in the constitutional reality of Portugal and Brazil, aiming to delimit - contextually - each of the realities. In short, the question, duly problematized, is how the relationship between the two countries can contribute to the debate and development of the themes of euthanasia, orthothanasia and assisted suicide, as well as the decriminalization of the conduct typified in the legislation. To achieve this, the topic is introduced by analyzing dignified life and autonomy, seeking to understand whether for dignity in and of the "individual", we speak of technical-mechanical life or dignified life. It also aims to conceptualize what is meant by dignified death and its practices. The study also aims to verify the Portuguese legislative reality and, on the other hand, how criminalization of criminal types related to life and death occurs in Brazilian society, using legislative (in)evolution, identifying one of the main problems, which is the sacralization of life in contrast to secularity. It is therefore a descriptive and exploratory study of a bibliographical and documentary nature. The research provides and clarifies, through the bibliographic data obtained, the reality of the taboo when dealing with the subject of death, especially death considered and contextualized as dignified. It concludes that there is no absolute right, not even one dedicated to life, and that it is necessary to confront the issues related to dignified death - euthanasia, assisted suicide and orthothanasia - and that each of these issues should be analyzed based on a careful verification of elements or requirements, as well as through a dichotomy between different realities, as is the case in Portugal and Brazil, in order to promote debate and overcome issues such as the slippery slope.
Keywords:
Human Dignity; Fundamental Rights; Dignified Death; Portugal; Brazil.
References:
1) ARCHER, Luís; BISCAIA, Jorge; RENAUD, Michel; OSWALD, Walter. New challenges for bioethics. Porto: Porto, 2001.2) AUBERT, Anna Caramuru Pessoa. Dying with dignity: philosophical, legal and moral aspects of the autonomy to die. Dissertation (Master of Laws), Pontifical Catholic University of São Paulo (PUC-SP), 2019. Available at: https://tede2.pucsp.br/handle/handle/22837. Accessed on: July 13, 2024.
3) AZEVEDO, Reinaldo. Belgium approves euthanasia for children. Veja, Feb. 13, 2014.
4) Available at: http://veja.abril.com.br/noticia/saude/belgica-aprova-eutanasia-em-criancas. Accessed on: July 25, 2024.
5) BESSA, Maria Raquel Ribeiro. The densification of bioethics principles in Portugal. Case study: the work of the CNECV. Revista da Faculdade de Direito da Universidade do Porto. Year XI, 2014, p. 273-324.
6) BOGADO, Fabián. Knowledge and attitudes about euthanasia and assisted suicide among students and health professionals at the Hospital de Clínicas, San Lorenzo, Paraguay. Medicina clinica y social, v. 4, n. 1, Enero-April, p. 10-17, 2020. Available at: https://doi.org/10.52379/mcs.v4i1.115. Accessed on: July 13, 2024.
7) BRITO, Teresa Quintela; MATA, Paulo Saragoça da; NEVES, João Curado; MORÃO, Helena. Criminal law: special part: lessons, studies and cases. Coimbra: Coimbra, 2007.
8) CHAMBER OF DEPUTIES. Bill n. 1.670/2019. Joined to Bill 1.570/2019. Author: Clarissa Garotinho (PROS/RJ). 21 Mar. 2019. Extends the penalties for anyone who induces or instigates someone to commit suicide or assists them to do so, and makes it equivalent to murder if the victim is a child, elderly person or lacks discernment, not having the possibility of understanding and possible resistance. Available at: https://www.camara.leg.br/proposicoesWeb/fichadetramitacao?idProposicao=2194975. Accessed on: July 13, 2024.
9) CHAMBER OF DEPUTIES. Bill no. 580/2020. (By Mrs. Chris Tonietto). Includes paragraph e to item I of article 7 of Decree-Law no. 2848, of December 7, 1940 (Penal Code), in order to provide for the application of unconditional extraterritoriality to intentional crimes against life, when the perpetrator is Brazilian or domiciled in Brazil. Available at: https://www.camara.leg.br/proposicoesWeb/prop_mostrarintegra?codteor=1864548&filename= PL+580/2020. Accessed on: July 13, 2024.
10) CHAMBER OF DEPUTIES. Bill 518/2020. Diego Garcia and others. Establishes January 22 as a day of Homage to Human Life, from conception. Available at: https://www.camara.leg.br/proposicoesWeb/prop_mostrarintegra?codteor=1862547&filename= PL+518/2020. Accessed on: July 13, 2024.
11) CHAMBER OF DEPUTIES. Bill no. 5.559/2016. Author: Pepe Vargas (PT/RS), Chico D'Angelo (PT/RJ), Henrique Fontana (PT/RS), June 14, 2016. Provides for patients' rights and other measures. Available at: https://www.camara.leg.br/proposicoesWeb/fichadetramitacao?idProposicao=2087978. Accessed on: July 13, 2024.
12) CVV. Center for Valuing Life. Available at: www.cvv.org. Accessed on: July 13, 2024.
13) DADALTO, Luciana. Dignified death for whom? The fundamental right to choose one's own end. Pensar, Revista de Ciências Jurídicas, Fortaleza, v. 24, n. 3, p. 1-11, jul.-set. 2019. Available at: https://periodicos.unifor.br/rpen/article/view/9555. Accessed on: July 13, 2024.
14) DADALTO, Luciana; CANESCHI, Camila Fagundes Lima Monteze; FROTA, Gabriel Anselmo. Completed life pill: theoretical incompatibility in relation to good death and associated impacts. Revista M., Rio de Janeiro, v. 5, n. 10, p. 332-356, Jul.-Dec. 2020. Available at: http://seer.unirio.br/revistam/article/view/10149. Accessed on: July 13, 2024.
15) DINIZ, Débora. When death is an act of care. In: SARMENTO, Daniel; PIOVESAN, Flávia (coord.). No limites da vida: aborto, clonagem humana e eutanásia sob a perspectiva dos direitos humanos. Rio de Janeiro: Lumen Juris, 2007.
16) DINIZ, Maria Helena. O estado atual do biodireito. 7. ed. São Paulo: Saraiva, 2010.
17) DWORKIN, Ronald. Life's domain: abortion, euthanasia and individual freedoms. Trad. Jefferson Luiz Camargo. São Paulo: Martins Fontes, 2009.
18) EURONEWS. Portugal approves euthanasia law. Marcelo will enact it because the Constitution "obliges him". Available at: https://pt.euronews.com/2023/05/13/marcelo-promulga-lei-daeutanasia-porque-a-constituicao-o-obriga. Accessed on: July 13, 2024.
19) FARIA COSTA, José Francisco de. Vida e morte em direito penal (Esquisso de alguns problemas e tentativa de autonomização de um novo bem jurídico), Portuguese Journal of Criminal Science, 14 (2004), Coimbra, 2004, p. 171 and s.
20) FERREIRA, Ana Elisabete - Human vulnerability and the person for the law: brief notes.
21) Journal of the Institute of Brazilian Law. Vol. 3 (2014). no. 2. p. 1023-1053. ISSN 2182-7567.
22) GODINHO, Inês Fernandes. Assisted death in Portugal. Julgar 32 (May-Aug. 2017). Lisbon: Trade Union Association of Portuguese Judges, p. 135-146
23) GODINHO, Inês Fernandes; PEREIRA, André Dias. Analisi critica della legge portoghese sulla morte medicamente assistita. Responsabilità Medica: Diritto e pratica clinica. Fascicolo 4/2023, p. 469-478. Available at: https://www.rivistaresponsabilitamedica.it/analisi-criticadella-legge-portoghese-sulla-morte-medicalmente-assistita/. Accessed on: July 26, 2024.
24) GRECO, Rogério. Commentary on the Penal Code. 11. ed. Niterói, RJ: Impetus, 2016.
25) LEPARGNEUR, Hubert. Bioethics and euthanasia: ethical arguments surrounding euthanasia. Revista Bioética, Brasília, Conselho Federal de Medicina, v. 7, n. 1, p. 41-48, 1999. Available at: http://revistabioetica.cfm.org.br/index.php/revista_bioetica/ar ticle/view/292/431. Accessed on: July 13, 2024.
26) LIMA, Carolina Alves de Souza. Orthothanasia, palliative care and human rights. Revista da Sociedade Brasileira de Clínica Médica, v. 13, n. 1, p. 14-17, São Paulo, jan.-mar. 2015.
27) LOPES, Antonio Carlos; LIMA, Carolina Alves de Souza; SANTORO, Luciano de Freitas.
28) Euthanasia, orthothanasia and dysthanasia - medical and legal aspects. 3. ed. Rio de Janeiro: Atheneu, 2018.
29) MARTIN, Leonard. Deepening some fundamental concepts: euthanasia, mysthanasia, dysthanasia, orthothanasia and Brazilian medical ethics. In: Euthanasia: why shorten life? São Paulo: Loyola, 2004.
30) MASSON, Cleber. Commentary on the Penal Code. 9. ed. Rio de Janeiro: Forense/ Método, 2021.
31) MELEIRO, Alexandrina Maria Augusto da Silva; SANTOS, Carolina de Mello; WANG, YuanPang. Suicide and attempted suicide. In: LOUZÃ NETO, Mario Rodrigues; ELKIS, Hélio et al. Psiquiatria básica. 2. ed. Porto Alegre: Artmed, 2007.
32) MENDONÇA, Márcia Helena; SILVA, Marco Antônio Monteiro da. Life, dignity and death: citizenship and mysthanasia. Revista Ius Gentium. v. 9, n. 5, p. 151-190, 31 jul. 2014 (extra edition).
33) MIRANDA, Jorge. The Portuguese constitution and the dignity of the human person. Journal of Constitutional and International Law. São Paulo, v. 45, p. 84, Oct.-Dec. 2003.
34) NETO, Ylmar Correa. Brain death: fifty years beyond deep coma. Revista Brasileira de Saúde Materno Infantil, Recife, 10 (Supl. 2), p. S355-S361, dec. 2010
35) NUNES, Lucília; MADEIRA, Luis Duarte; SILVA, Sandra Horta e. Assisted suicide and euthanasia - terminology and systematic arguments. Working paper 2018 (current Jan. 2020). Available at: https://www.cnecv.pt/pt/publicacoes/estudos-tematicos/suicidio-ajudado-eeutanasia-wp. Accessed on: July 13, 2024.
36) ORENTLICHER, David; POPE, Thaddeus Mason; RICH, Ben A. The changing legal climate for physician aid in dying. JAMA, v. 311, 2014, p. 1,961-1962.
37) PORTUGAL. Portuguese Parliament. Legislative and Parliamentary Information Division (DILP). Euthanasia and assisted suicide: International framework. Themes Collection no. 60. November 2020. Available at: https://ficheiros.parlamento.pt/DILP/Dossiers_informacao/Eutanasia/60.EutanasiaSuicidioAssis tido_Nov_2020.pdf. Accessed: July 26, 2024.
38) PORTUGAL. Portuguese Parliament. Draft Law 4/XIV/1. 25 Oct. 2019. Defines and regulates the conditions under which the anticipation of death, by decision of the person themselves with a definitive injury or incurable and fatal illness and who is in lasting and unbearable suffering, is not punishable. Available at: https://www.parlamento.pt/ActividadeParlamentar/Paginas/DetalheIniciativa.aspx?BID=43947. Accessed: July 13, 2024.
39) PORTUGAL. Penal Code. Decree-Law no. 48/95. Inciting or aiding suicide. Official Gazette n. 63/1995, Series I-A of 1995-03-15. Available at: https://dre.pt/dre/legislacaoconsolidada/decreto-lei/1995-34437675-49693775. Accessed on: July 13, 2024.
40) PORTUGAL. National Ethics Council for Life Sciences. Explanation of vote. Opinion n.
41) 101/CNECV/2018 on Bill n. 418/XIII/2ª Regulating access to medically assisted death. Available at: https://www.cnecv.pt/pt/deliberacoes/pareceres/101-cnecv- 2018?download_document=3231&token=b2f31784eb94c1057f2a06bb5046a6bb. Accessed on: August 2, 2024.
42) PORTUGAL. Official Gazette. Law no. 22/2023, of May 25. Regulates the conditions under which medically assisted death is not punishable and amends the Penal Code. Regulates the conditions under which medically assisted death is not punishable and amends the Penal Code. Available at: https://diariodarepublica.pt/dr/detalhe/lei/22-2023-213498831. Accessed: July 13, 2024.
43) PRESIDENCY OF THE PORTUGUESE REPUBLIC. President returns euthanasia to Parliament. Available at: https://www.presidencia.pt/atualidade/toda-aatualidade/2023/04/presidente-devolve-eutanasia-ao-parlamento/. Accessed: July 13, 2024.
44) ROXIN, Claus. The legal-penal assessment of euthanasia. Trad. Luís Greco. Revista Brasileira de Ciências Criminais, São Paulo, Instituto Brasileiro de Ciências Criminais, v. 8, n. 32, p. 938, Oct.-Dec. 2000
45) SÁ, Maria de Fátima Freire de; MOUREIRA, Diogo Luna. Autonomy to die: euthanasia, assisted suicide, advance directives and palliative care. 2. ed. Belo Horizonte: Del Rey, 2015.
46) SANTORO, Luciano de Freitas. Dignified death: the right of the terminally ill patient. Curitiba: Juruá, 2011.
47) SANTOS, Lina. João Semedo, "an extraordinary man", dies. Diário de Notícias, July 17, 2018. Available at: https://www.dn.pt/poder/morreu-joao-semedo-antigo-lider-do-be-9602096.html. Accessed on: July 13, 2024.
48) SANTOS, Alethele Oliveira; PEREIRA, André Gonçalo Dias; DELDUQUE, Maria Célia. Assisted Human Reproduction: Regulation in Brazil and Portugal. REVISTA JURÍDICA ESMP-SP, V.16, 2019, p. 18 - 45. Available at:
49) https://scholar.google.com.br/citations?view_op=view_citation&hl=pt-
50) BR&user=_NMYKvIAAAAJ&cstart=20&pagesize=80&citation_for_view=_NMYKvIAAAAJ :CHSYGLWDkRkC. Accessed on: August 2, 2024.
51) SARCO. Available at: http://www.exitinternational.net/sarco/. Accessed on: July 13, 2024.
52) SASSI, Ana Paula Zappellini. Assisted suicide in Portugal: the transcendence of the right to health based on the principle of dignified death and individual autonomy. Saúde Ética & Justiça, [s/l], v. 25, n. 2, p. 34-46, 2020. Available at: https://www.revistas.usp.br/sej/article/view/169690. Accessed on: July 13, 2024.
53) FEDERAL SENATE. Senate Bill no. 236/2012. Authored by José Sarney (MDB/AP). Brazilian Penal Code Reform Commission - PLS 236/2012 (art. 374-RISF). Available at: https://www25.senado.leg.br/web/atividade/materias/-/materia/106404. Accessed on: July 13, 2024.
54) SILVA, José Afonso da. Course in positive constitutional law. 30. ed. São Paulo: Malheiros, 2008.
55) TOMÉ, Patricia Rizzo. Assisted suicide and euthanasia. Revista de Direito e Medicina, RT online, São Paulo, v. 5, Jan.-Apr. 2020, p. 1-16. Available at: https://www.revistadostribunais.com.br/maf/app/resultList/document?&src=rl&srguid=i0ad82d 9 b0000017f12231bef1b7e64fd&docguid=I24ed582070b411ea915da7cefb575693&hitguid=I 24 ed582070b411ea915da7cefb575693&spos=2&epos=2&td=11&context=67&crumbaction=append&crumblabel=Document&isDocFG=true&isFromMultiSumm=true&startChunk=1&endChunk=1. Accessed on: July 13, 2024.
56) VATICAN. Sacred Congregation for the Doctrine of the Faith. Declaration on Euthanasia. May 5, 1980. Available at: https://www.vatican.va/roman_curia/congregations/cfaith/documents/rc_con_cfaith_doc_19800 505_euthanasia_po.html. Accessed on: July 13, 2024.
57) VATICAN CITY. Discurso del Santo Padre Pio XII sobre três cuetiones de moral médica relacionadas com la reanimación. 24 nov. 1957. Available at: https://www.vatican.va/content/pius-xii/es/speeches/1957/documents/hf_pxii_spe_19571124_rianimazione.html. Accessed on: July 13, 2024.
58) VILLAS-BÔAS, Maria Elisa. Orthothanasia and Brazilian criminal law. Revista Bioética, Brasília, v. 16, n. 1, 2008. Available at: https://revistabioetica.cfm.org.br/index.php/revista_bioetica/article/view/56. Accessed on: July 13, 2024.
59) WMA. WMA Declaration on euthanasia and physician-assisted suicide. Adopted by the 70th WMA General Assembly, Tbilisi, Georgia, October 2019. 23 Nov. 2021. Available at: https://www.wma.net/policies-post/declaration-on-euthanasia-and-physician-assisted-suicide/. Accessed on: July 13, 2024.