Eluana Englaro

Eluana Englaro (25 November 1970 – 9 February 2009) was an Italian woman from Lecco, who entered a persistent vegetative state on 18 January 1992, following a car accident, and subsequently became the focus of a court battle between supporters and opponents of euthanasia. Shortly after her accident, medical staff began feeding Englaro with a feeding tube, but her father "fought to have her feeding tube removed, saying it would be a dignified end to his daughter's life. He said that before the crash his daughter visited a friend who was in a coma and told him she didn't want the same thing to happen to her if she were ever in the same state." The authorities refused his request, but the decision was finally reversed in 2009, after she had spent seventeen years in the persistent vegetative state.

Trial and ruling

Beppino Englaro, father of Eluana

The case was debated in court and her father's request was denied both in December 1999 by the Milan Court of Appeal and in April 2005 by the Court of Cassation. A request for a new trial was granted by the Court of Cassation on 16 October 2007.

The Milan Court of Appeal declared on 9 July 2008 that Eluana's father and legal guardian Beppino Englaro was allowed to suspend feeding and hydration.

Some friends of Eluana testified that she had repeatedly stated that it would be better to die than surviving in conditions of complete unconsciousness. About a year before the accident that reduced her to a permanent vegetative state, Eluana was shocked by the news that a dear friend had a motorbike accident. She admitted that she had prayed that the boy could die in peace without any further suffering. Later, she discussed this with her parents and made them promise that, should something like this happen to her, they would never allow her to survive while remaining unconscious and without free will, totally dependent on the care of others.

Nuns caring for Eluana since 1994 in Lecco were willing to continue their usual charitable treatment, and they came to the point of asking the woman's father to leave the girl to them and forget her, stating that Mr. Englaro considered his only daughter as "dead", while they considered her "alive", without referring to Eluana's convictions. Mr. Englaro decided to move her to another hospital in order to have her feeding halted in accord with her previously expressed will.

While some opposed the Court of Appeal's decision, some demonstrated in favour, including Radicali Italiani.

In July 2008, the Italian Parliament brought a jurisdictional conflict before the Final Court of Appeal, stating that the decision was actually changing existing laws. This request was rejected by the Court.

On 13 November 2008 the Supreme Court of Cassation awarded Eluana's father the right to stop his daughter from being fed. The court's decision met with immediate criticism from the Roman Catholic Church.

Final days and death==

Beppino Englaro, as he had stated in one of his several public appearances, waited until all appeals were concluded before he suspended the feeding of his daughter. On 2 February 2009, she was moved to a private nursing home in Udine, Friuli, and feeding was discontinued. On 6 February 2009 Prime Minister Silvio Berlusconi, after declaring that Eluana looked pretty well and "could even give birth to a child," issued a decree that would have forced the continuation of the treatment of Eluana, and he thrust Italy into a constitutional crisis when President Giorgio Napolitano refused to sign the decree. Berlusconi stated that she died at 19:35 (UTC+1) on 9 February 2009. The autopsy in the private nursing house certified that the death was caused by the withholding of nutrition. It also revealed that Eluana's brain had been irreparably damaged and compromised, showing diffuse axonal injury. In addition, her lungs showed signs of degeneration.

Opinion and reaction

The Roman Catholic Church has been critical of the decision that led to Englaro's biological death. When the final judicial decision was handed down, Ennio Cardinal Antonelli, president of the Pontifical Council for the Family objected to the ruling citing Eluana's humanity as cause for her to be treated with dignity and that she is not a 'vegetable'. Italian premier Silvio Berlusconi even stated that Eluana "looks fine and healthy" and "could even give birth to a child" despite the young woman being tetraplegic because of injuries sustained in the car accident.

The reaction to Englaro's death was mixed. Rome's mayor, Gianni Alemanno, announced the Colosseum would be lit all night on 10 February to memorialize "a life that could have and should have been saved." Bioethicist Jacob Appel said that "mercy delayed is mercy denied" and expressed his regret that Englaro's family had to wait seventeen years to effectuate her wishes. However, the conservative bioethicist Wesley J. Smith has leveled criticism at the decision to withdraw hydration, stating that the supporters of such a decision portray a false perception that withdrawal of hydration has "benign" consequences for the victim, which he argues is not the case.

See also

• Right to die
• Bioethics
• Terri Schiavo

Further reading

• Striano, Pasquale; Bifulco, Francesca; Servillo, Giuseppe (2009). "The saga of Eluana Englaro: another tragedy feeding the media". Intensive Care Medicine. 35 (6): 1129–31. doi:10.1007/s00134-009-1484-6. PMID 19367396.
• Moratti, Sofia (2010). "The Englaro Case: Withdrawal of Treatment from a Patient in a Permanent Vegetative State in Italy". Cambridge Quarterly of Healthcare Ethics. 19 (3): 372–80. doi:10.1017/S0963180110000150. PMID 20507685.
• Luchetti, Marco (2010). "Eluana Englaro, chronicle of a death foretold: ethical considerations on the recent right-to-die case in Italy". Journal of Medical Ethics. 36 (6): 333–5. doi:10.1136/jme.2009.034835. PMID 20439332.
• Rubulotta, F; Rubulotta, G; Santonocito, C; Ferla, L; Celestre, C; Occhipinti, G; Ramsay, G (2010). "End-of-life care is still a challenge for Italy". Minerva anestesiologica. 76 (3): 203–8. PMID 20203548.
• Biondi, S. (2009). "Can good law make up for bad politics? The case of Eluana Englaro". Medical Law Review. 17 (3): 447–56. doi:10.1093/medlaw/fwp020. PMID 19758976.
• Baron, CH (2002). "Nutrition and hydration in PVS individuals: the Cruzan, Bland and Englaro cases". Notizie di Politeia. 18 (65): 181–4. PMID 15505920.