Euthanasia as an expression of dignity in death
Main Article Content
Abstract
The objective of the study is to establish that euthanasia can be legally permitted as a manifestation of dignity in death, but only under strict parameters of conditional permissibility, taking the Peruvian case of Ana Estrada as a basis. The research adopts a qualitative approach, with a legal-doctrinal and comparative regulatory design, based on the analysis of indexed scientific sources. The analytical procedure was developed in three phases: conceptual systematization of bio-legal categories, doctrinal and comparative contrast of admissibility models, and argumentative legal interpretation aimed at constructing strict normative criteria. The results show convergence in scientific literature and comparative law toward models of regulated exception with cumulative safeguards: irreversible clinical condition, intolerable suffering, free and informed consent, verification of capacity, and independent medical oversight. In the Peruvian case, the precedent of Ana Estrada constitutes a specific criminal non-application of the criminal offense of mercy killing, with the requirement of a health protocol and institutional supervision, without general legalization. It is concluded that euthanasia is compatible with the constitutional rule of law as an exceptional regulated permission, provided that it operates under medical control, procedural guarantees, and state supervision.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
El contenido de los artículos es responsabilidad exclusiva de los autores.
Debe cumplir con los siguientes aspectos de la licencia CC BY NC ND :
- Atribución: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizó algún cambio. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
- No comercial: el material no se puede utilizar con fines comerciales.
- Sin derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
- Sin restricciones adicionales: No se pueden aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.
References
Akhtyrska, N., & Grodetskiy, Y. (2021). The right to life from the point of view of personal autonomy in decision-making on euthanasia. Wiadomosci Lekarskie, 74(12), 3108–3112.
Barturen, E. M., Quezada Castro, M. P., Castro Arellano, M. P., & Quezada Castro, G. A. (2024). La regulación de la eutanasia y el derecho a la muerte con dignidad en el Perú a propósito del caso de Ana Estrada. Revista de Bioética y Derecho, 61, 125–138. Documento en línea. Disponible https://doi.org/10.1344/rbd2024.61.42528
Battin, M. P., Van der Heide, A., Ganzini, L., Van der Wal, G., & Onwuteaka-Philipsen, B. (2007). Legal physician-assisted dying in Oregon and the Netherlands: Evidence concerning the impact on patients in vulnerable groups. Journal of Medical Ethics, 33(10), 591–597. Documento en línea. Disponible https://doi.org/10.1136/jme.2007.022335
Bulmer, M., Böhnke, J., & Lewis, G. (2017). Predicting moral sentiment toward assisted suicide. Personality and Individual Differences, 105, 244–248. Documento en línea. Disponible https://doi.org/10.1016/j.paid.2016.09.042
Buriticá-Arango, E. (2023). Eutanasia, suicidio asistido y derechos humanos: Estudio de jurisprudencia comparada. Revista Derecho PUCP, 90, 231–260. Documento en línea. Disponible https://doi.org/10.18800/derechopucp.202301.009
Cohen, J., Marcoux, I., Bilsen, J., Deboosere, P., Van der Wal, G., & Deliens, L. (2006). Trends in acceptance of euthanasia among the general public in 12 European countries. European Journal of Public Health, 16(6), 663–669. Documento en línea. Disponible https://doi.org/10.1093/eurpub/ckl042
Código Penal de la República del Perú. (1991). Código Penal. Decreto Legislativo N.º 635. Diario Oficial El Peruano. Documento en línea. Disponible https://spij.minjus.gob.pe/
Dopelt, K., Bachner, Y. G., Urkin, J., Yahav, Z., Davidovitch, N., & Barach, P. (2022). Perceptions of Practicing Physicians and Members of the Public on the Attributes of a “Good Doctor”. Healthcare, 10(1), 73. Documento en línea. Disponible https://doi.org/10.3390/healthcare10010073
Echevarría, C. B., Goic, A., Herrera, C., Quintana, C., Rojas, A., Salinas, R., Serrani, A., Taboada, P., & Vacarezza, R. (2011). Euthanasia and medical act. Revista Médica de Chile, 139(5), 642–654. Documento en línea. Disponible https://doi.org/10.4067/S0034-98872011000500012
Fortuin, N., Schilderman, J., & Venbrux, E. (2020). Religion and euthanasia attitudes. Mortality, 25(3), 301–317. Documento en línea. Disponible https://doi.org/10.1080/13576275.2019.1585786
Gamondi, C., Pott, M., & Payne, S. (2013). Families’ experiences with assisted suicide. Annals of Oncology, 24(9), 2294–2298. Documento en línea. Disponible https://doi.org/10.1093/annonc/mdt247
Ganzini, L., Goy, E. R., & Dobscha, S. K. (2009). Oregonians’ reasons for requesting physician aid in dying. Journal of Pain and Symptom Management, 38(3), 355–365. Documento en línea. Disponible https://doi.org/10.1016/j.jpainsymman.2008.09.015
Golijan, I. D. (2020). Ethical and legal aspects of the right to die with dignity. Filozofija i Društvo, 31(3), 420–439. Documento en línea. Disponible https://doi.org/10.2298/FID2003420G
Government of Canada. (2024). Medical Assistance in Dying (MAID). Government of Canada. Documento en línea. Disponible https://www.canada.ca/en/health-canada/services/medical-assistance-dying.html
Harris, J. (2003). Consent and end-of-life decisions. Journal of Medical Ethics, 29(1), 10–15. Documento en línea. Disponible https://doi.org/10.1136/jme.29.1.10
Horn, R. (2020). The right to a self-determined death. Journal of Medical Ethics, 46(7), 416–417. Documento en línea. Disponible https://doi.org/10.1136/medethics-2019-105875
Jansen-van der Weide, M., Onwuteaka-Philipsen, B., & Van der Wal, G. (2005). Granted, undecided, withdrawn, and refused requests for euthanasia and physician-assisted suicide. Archives of Internal Medicine, 165(15), 1698–1704. Documento en línea. Disponible https://doi.org/10.1001/archinte.165.15.1698
Kim, S. Y. H. (2021). Ways of debating assisted suicide. Perspectives in Biology and Medicine, 64(1), 29–43. Documento en línea. Disponible https://doi.org/10.1353/pbm.2021.0003
Kouwenhoven, P. S. C., Van Thiel, G., Van der Heide, A., Rietjens, J., & Van Delden, J. (2019). Developments in euthanasia practice in the Netherlands. European Journal of General Practice, 25(1), 44–48. Documento en línea. Disponible https://doi.org/10.1080/13814788.2018.1555134
Meeussen, K., Van den Block, L., Bossuyt, N., Echteld, M., Bilsen, J., & Deliens, L. (2011). Dealing with requests for euthanasia. Journal of Pain and Symptom Management, 41(6), 1060–1072. Documento en línea. Disponible https://doi.org/10.1016/j.jpainsymman.2010.07.012
Mueller, P. S., Swetz, K. M., Freeman, M. R., Carter, K. A., & Crowley, M. E. (2010). Ethical analysis of withdrawing ventricular assist device support. Mayo Clinic Proceedings, 85(9), 791–797. Documento en línea. Disponible https://doi.org/10.4065/mcp.2010.0111
Ost, S. (2010). The de-medicalisation of assisted dying. Medical Law Review, 18(4), 497–540. Documento en línea. Disponible https://doi.org/10.1093/medlaw/fwq024
Pereira, J. (2011). Legalizing euthanasia or assisted suicide: The illusion of safeguards and controls. Current Oncology, 18(2), e38–e45. Documento en línea. Disponible https://doi.org/10.3747/co.v18i2.883
Rinie Steinmann, A. (2016). Core meaning of human dignity. Potchefstroom Electronic Law Journal, 19. Documento en línea. Disponible https://doi.org/10.17159/1727-3781/2016/v19i0a1240
Russell, C. (2019). Dignity at the end of life. Studies in Christian Ethics, 32(3), 355–368. Documento en línea. Disponible https://doi.org/10.1177/0953946819846041
Schuklenk, U. (2016). Canada on course to introduce permissive assisted dying regime. Journal of Medical Ethics, 42(8), 490–492. Documento en línea. Disponible https://doi.org/10.1136/medethics-2016-103576
Smets, T., Cohen, J., Bilsen, J., Van Wesemael, Y., Rurup, M., & Deliens, L. (2011). Attitudes and experiences of Belgian physicians regarding euthanasia. Journal of Pain and Symptom Management, 41(3), 580–593. Documento en línea. Disponible https://doi.org/10.1016/j.jpainsymman.2010.05.017
Snijdewind, M., Willems, D., Deliens, L., Onwuteaka-Philipsen, B., & Chambaere, K. (2015). A study of the first year of the End-of-Life Clinic for physician-assisted dying in the Netherlands. JAMA Internal Medicine, 175(10), 1633–1640. Documento en línea. Disponible https://doi.org/10.1001/jamainternmed.2015.3978
Taboada, P. (2000). El derecho a morir con dignidad. Acta Bioethica, 6(1), 89–101. Documento en línea. Disponible https://doi.org/10.4067/S1726-569X2000000100007
Tomás-Valiente Lanuza, C. (2021). La regulación de la eutanasia en España. Revista Española de Derecho Constitucional, 122, 13–44.
Van Wesemael, Y., Cohen, J., Onwuteaka-Philipsen, B., Bilsen, J., & Deliens, L. (2011). Process and outcomes of euthanasia requests. Journal of Pain and Symptom Management, 42(5), 721–733. Documento en línea. Disponible https://doi.org/10.1016/j.jpainsymman.2011.01.011
Vilpert, S., Borrat-Besson, C., Borasio, G. D., & Maurer, J. (2020). Assisted suicide in Switzerland. Swiss Medical Weekly, 150, w20303. Documento en línea. Disponible https://doi.org/10.4414/smw.2020.20303
Wagner, B., Müller, J., & Maercker, A. (2012). Death by request in Switzerland. International Journal of Social Psychiatry, 58(5), 485–492. Documento en línea. Disponible https://doi.org/10.1177/0020764011409628
Zenz, J., Tryba, M., & Zenz, M. (2014). Physician acceptance near death. Pain and Therapy, 3(1), 1–12. Documento en línea. Disponible https://doi.org/10.1007/s40122-014-0023-9