Background
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In 1990, at the age of 26, Terri Schiavo suffered a heart attack and permanently lost consciousness.
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After three years in a coma, she was diagnosed as being in a persistent vegetative state, or PVS.
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PVS differs from brain death. In PVS, the brain stem is still functional. Schiavo could still breathe on her own and react in basic, reflexive ways.
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Doctors determined that Terri Schiavo was not aware of her surroundings and would never wake up.
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In 1998, her husband requested that Terri’s feeding tube be removed. Without the feeding tube, she would slowly die of dehydration.
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Terri’s parents objected. They argued that Terri would not have wanted this because she was Roman Catholic.
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Terri did not have a living will to direct doctors as to her wishes.
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Terri Schiavo’s feeding tube was removed three times and replaced twice by court order. On the final removal in 2005, Terri died at the age of 41.
Questions
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Suppose Terri Schiavo had a living will saying that she wanted to be kept alive at all costs. Should we honor that wish? Is someone in a PVS a moral being, or are they something more like another non-sentient living thing, such as a sponge?
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Is there any moral difference between life support and support such as a feeding tube?
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Is there any way we could have determined what Terri would have wanted for herself?
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Some people say that Terri Schiavo was already dead because the person who was Terri was gone forever. On this view, death is not the loss of a body, but the loss of a person. Is this a good definition of death? What matters more to us: the body or the person? Or is this a bad way of asking the question?
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PVS is difficult to diagnose. Some doctors maintain that it can never be distinguished with certainty from a minimally conscious state, which does offer a slim hope of recovery. What moral difference does this make?
Note: in the Terri Schiavo case, she was confirmed to be in a PVS by autopsy.