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연구논문 : 연명치료중단의 허용성과 법제화에 대한 고찰
김성규 ( Seong Gyu Kim ) 한국형사정책학회 2014 刑事政策 Vol.26 No.1
연명치료의 중단에 관한 법안은 일정한 요건 하에서 연명치료의 ‘중단’ 내지 ‘중지’ 또는 ‘보류’를 허용하고 있다. 법안은 말기환자에 대해 아직 생명유지장치의 삽입·장착이 이루어지지 않은 단계에서 환자의 결정에 따라 그 삽입·장착을 취하지 않는 경우뿐만 아니라 이미 생명유지장치가 삽입·장착되어 있는 환자로부터 그 생명유지장치를 제거하는 경우도 적법화의 대상에 포함시키고 있다. 그런데 이미 삽입·장착되어 있는 생명유지장치를 제거하는 것과 아직 생명유지장치의 삽입·장착이 이루어지지 않은 단계에서 환자의 결정에 따라 그 삽입·장착을 취하지 않는 것이 각각 작위와 부작위로서 달리 평가되는 것인지에 관해서는 견해의 차이가 있다. 의료행위의 시계열적 연속성에 비추어 생명유지를 개시한 시점부터 종료하는 시점까지의 처치를 일체의 의료행위로 파악한다면, 이미 삽입·장착되어 있는 생명유지장치를 제거하는 조치는 새로운 의료행위로서의 작위가 아니라 이전부터 연속되고 있는 치료행위를 중단하는 부작위로 평가될 수 있다. 한편, 의료수준에 따른 치료의무의 한계는 아직 생명유지장치의 삽입·장착이 이루어지지 않은 단계에서 환자의 결정에 따라 그 삽입·장착을 취하지 않는 경우에 있어서는 객관적으로 판단되는 법적 치료의무의 한계로 파악될 수 있고, 이미 생명유지장치가 삽입·장착되어 있는 환자로부터 그 생명유지장치를 제거하고 그것에 의한 치료를 중단하는 경우에 있어서는 법적 치료의무의 중요한 판단요소로 파악될 수 있을 것이다. The criminal law gives rise to a duty to provide life-sustaining treatment in the terminal phase of an illness, even if the patient no longer wishes to receive such medical treatment. This duty is identified as the significant source of criminal responsibility for those involved in decisions to withdraw life-sustaining treatment, so the Article 252 of the Korean Penal Code prescribes `murder upon request or with consent`. This article discusses whether this duty do not require the provision of treatment that is deemed to be futile. In the context of the withdrawal of life-sustaining treatment debates, this article discusses arguments about the distinction between act and omission, on the one hand, and the relationship of those concepts to the distinction between causing death and letting die, on the other. Focused on the continuity of medical care process, it might be argued that the withdrawal of life-sustaining treatment that was initiated is not the initiation of a new process, but the resumption of a process that was suspended when the treatment was initially implemented. In so arguing, this article points out that there is a conceptual distinction between the withdrawal of life-sustaining treatment and active euthanasia. Indeed, traditional medical ethics recognizes that the withdrawal of life-sustaining treatment simply allows the patient to die, rather than causing the patient`s death. Independent from the question of causation, the withdrawal of life-sustaining treatment is justified, as long as a duty to treat does not exist. In the absence of any duty to provide life-sustaining treatment, the withdrawal of life-sustaining treatment does not cause death. This article examines where, in any event, should the line be drawn between the cases where a duty is held to exist and those where it is held not to.
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Development of Integrated Sustainability Measurement Hierarchy (ISMH) for Sustainable Engineering
Anthony Johnson,신주혜,심동하 한국생산제조학회 2019 한국생산제조학회지 Vol.28 No.6
The word “sustainability” means different things to different people. Sustainability is an umbrella framework within which systems may run with longevity, thereby improving the sustainability of the system. The problem facing most people is that of measuring sustainability. Sustainability measurement has been practiced by several studies, but this review revealed that many researchers are applying methodologies outside of a cohesive model. This paper evaluates sustainability measurement, audit frameworks, and methodologies in an engineering context thus creating a cohesive hierarchy for sustainability. The developed Integrated Sustainability Measurement Hierarchy (ISMH) clearly positions hierarchical sustainability measurement systems against an influence level framework that extends from product to global influences. The ISMH would provide insight as well as a guideline to help devise a comprehensive sustainability measurement system for better decisions at various influence levels.
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손미숙(Mi suk Son) 한국형사정책학회 2016 刑事政策 Vol.28 No.1
In February 2016 was enacted a new law on the hospice and the termination of life-sustaining measure of the moribund Patient in Korea. It shall come into force in 2018. The purpose of this law is to guarantee the self-determination right of the terminally ill patient. The autonomy of the person is become lately not only in biomedical criminal law, but also in the biomedical ethics worldwide to a deciding principle. Autonomy means self-determination. That the person by the self-determination his freedom gets to experience, is due essentially to Kant. Since Person acts not after his instinct, but as the self-reflexive Beings according to the imagination of the law. Against this background tries this paper for which reason the so-called passive euthanasia (termination of life-sustaining measure of the Patient) despite § 252 para. 1 (Killing on Request or with Consent) Korean Penal Code no punishable act explains to find. The way of these grounds is based on the self-determination right of the moribund patient.
KCI
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