Several states have passed so-called 'right to die" legislation. Such legislation often compromises the right to life to persons in vulnerable states i.e. conditions such as the severely disabled, elderly, depressed, brain injured, and minimally conscious or PVS. These individuals may not even necessarily be in a terminally dying state. The bills are based on fears about pain control, self-autonomy, and concerns over the burdens of extended care or the use of a feeding tube or ventilator. They are supported by groups that use deceptive language such as 'Aid in Dying". Euthanasia either "active" or "passive" is unjust killing.
Some advanced medical directive forms have simple checklists to mark that the patient refuses food, hydration, antibiotics, CPR, ventilation, etc. Nutrition and hydration are normal to all human beings unless the body is irreversibly unable to assimilate them. Withholding them will kill the patient. The other interventions may be temporary to alleviate a medical condition and return the patient to health. It is impossible for doctors to pre-plan outcomes at the time of future health crisis. Our culture is becoming intolerant of any inconvenience of human suffering and yet humanity has always triumphed over its weaknesses by facing its fears. We become incapable of true compassion when we judge that killing is the quick fix and only means to a peaceful death. Many ethicists are schooled in this misguided mercy approach.
The practice of terminal sedation is also alarming in that it purposefully removes the state of consciousness from the patient beyond the dosage needed for pain relief. There are reports of persons terminally sedated who were not in the dying state and families were not informed.
The best defense to euthanasia is to be informed and appoint a trusted person to be your durable medical power of attorney should you become incapacitated. This is different than a durable general power of attorney. This appointee needs to understand that you want nutrition and hydration as ordinary care; that you refuse euthanasia; that you seek pain relief to the extent needed for your personal pain relief needs. Recommended web sites are www.epcc.ca and www.choiceillusion.org