Can life be evaluated? The Jewish halachic approach vs. the quality of life approach in medical ethics: A critical view

Abstract

In recent years there has been an increase in the number of requests for 'mercy killings' by patients and their relatives. Under certain conditions, the patient may prefer death to a life devoid of quality. In contrast to those who uphold this 'quality of life' approach, those who hold the 'sanctity of life' approach claim that life has intrinsic value and must be preserved regardless of its quality. This essay describes these two approaches, examines their flaws, and offers a 'golden path' between the two extreme positions. We discuss the halachic and the secular views, arguing for a balance between the sanctity of life and the quality of life. We argue that, indeed, such a balance exists in practice, and that life is important, but it is not sacred. Life can be evaluated, but quality of life is not the sole criterion.