Assess the claim that love (agape) is sufficient as the only source of Christian Ethics. [40]

In John Chapter 13 Jesus taught his disciples “A new command I give you: Love one another. As I have loved you, so you must love one another.  By this everyone will know that you are my disciples, if you love one another.”  The Greek word translated “love” in this passage is agape, which refers to the non-preferential humanitarian love that Jesus showed to people rather than the erotic eros or the friendly philos.  This is why some Christians regard agape-love as the only source of Christian ethics, because it was Jesus’ single new commandment and, of course, Jesus was God. Nevertheless, today few Christians agree with this, given that Roman Catholics follow heteronomous ethics and most Protestants a broader Divine Command ethic based on the whole Bible.  It follows that agape is not sufficient as the only source of Christian ethics.

Firstly, while John 13 does state that agape-love is the one commandment by which Christians will be known as Jesus’ disciples, Jesus said this in context.  In Jeremiah 31:33 God promised that “This is the covenant I will make with the people of Israel after that time,” declares the LORD. “I will put my law in their minds and write it on their hearts. I will be their God, and they will be my people.” This suggests that Jesus was referring to the new covenant when he gave the commandment of agape-love, and meaning that Christians would follow all God’s law automatically in both letter and spirit, rather than that they would abandon the rest of the commandments and do whatever they felt was loving instead.  This interpretation is consistent with Matthew 5:18 “For truly I tell you, until heaven and earth disappear, not the smallest letter, not the least stroke of a pen, will by any means disappear from the Law until everything is accomplished…” and with the rest of Jesus ethical teaching, which is more demanding than the Law of Moses and not less.  For example, in Matthew 5 teaches that Jesus equated anger with murder and lustful looks with adultery.  While Jesus was demanding that Christians should act with agape – treating others as they would wish to be treated and not only following the letter of the law – there is no sense that agape is an alternative source of ethics to the rest of God’s commandments.   The point is that a person acting with agape would neither be angry with somebody nor murder them, neither look lustfully at a woman nor commit adultery with her.  In this way it would be wrong to say that agape is sufficient as the only source of Christian Ethics.

Secondly, for Roman Catholics seeing agape-love as a sufficient basis for Christian Ethics ignores the importance of a well-formed conscience as well as of Scripture, Tradition and Reason (Natural Law) in shaping Christian teaching. Following St Thomas Aquinas’ reasoning, the Catechism affirms that the primary source of Christian ethics is the conscience.  When we face a difficult choice, it is a moral duty to follow conscience.  Our conscientia is that part of our practical reason that applies the general principles of Christian Ethics that we know through synderesis (principles which are consistent with Scripture, Tradition and Natural Law) to the specific situation at hand.  Nevertheless, because consciences can err, leading us to pursue apparent and not real goods, and because synderesis is a habit that needs to be developed, we must take care that consciences are properly formed through a Catholic education.  Church teachings, which underpin Catholic education, provide a short-cut to the decisions that a well-formed conscience would make and when the conscience diverges from Catholic teachings it is a good indication that the conscience is erring.  Pope Pius XII rejected situation ethics in 1952, even before its more agapeistic versions were developed by Joseph Fletcher and JAT Robinson, because while it is consistent with the Roman Catholic understanding of Christian ethics in encouraging Christians to act in conscience, because it ignores the need to form consciences or ensure that their decisions are consistent with Scripture, Tradition and Reason, it leaves individuals vulnerable and without proper moral guidance when they face difficult situations. Fletcher’s claim that there should be no absolutes in Christian ethics, no always and no nevers, conflicts with the Bible’s long list of prescriptive commandments and suggests that agape is instead of the law rather than a fulfilment of it, as Jesus taught.  It is also difficult to define agape-love.  For example, Immanuel Kant argued that human beings are “pathologically loving” and that an action motivated by this love always treat human beings as ends in themselves and never as mere means.  By contrast, Fletcher defends what he calls the agapeic calculus, the greatest amount of neighbour-welfare for the largest number of neighbours possible, making agapeistic ethics seem much like utilitarianism.  While by Kant’s definition, agape could never justify involuntary abortion, suicide or adultery… but Fletcher freely discusses situations in which these would, he implies, be the most loving course of action. Because of this central confusion, it is difficult for people not to confuse a genuinely agapeistic motivation with a more preferential or even selfish motivation. All this shows that it is wrong to say that agape is sufficient as the only source of Christian Ethics.

On the other hand, it is true that Jesus sometimes seemed to break the laws of Moses situationally, for the benefit of people. According to Mark’s Gospel, He healed on the Sabbath and allowed his disciples to pluck ears of corn on the Sabbath, neither of which in life-threatening situations. It seems that Jesus was maximising peoples’ welfare and putting this ahead of obedience to the law, as Fletcher suggested.  Nevertheless, the laws concerning the Sabbath were, Jesus reasoned, there to serve man and therefore could and should be broken when they harm peoples’ welfare.  The same might not be true of other laws, such as the prohibition on murder in Exodus 20:13.  In Genesis 4 God says that Abel’s blood cries out to him from the ground and in Genesis 9 God demands an accounting for any human blood that is shed.  This might suggest that the law against murder is not only to serve humans, but also to serve God because God has an interest in human blood.  As St Paul confirms in 1 Corinthians 6:19-20 “Do you not know that your bodies are temples of the Holy Spirit, who is in you, whom you have received from God? You are not your own; you were bought at a price. Therefore honour God with your bodies.” Which implies that human life is sacred and owned by God, so murder offends against God and not only human beings.  If this is true, then it would be impossible to act out of agape-love and kill a human being, even in situations as extreme as outlined by Fletcher, because agape puts love of God first and ahead of love of neighbour, according to Mark 12:28-32. Kant would be right that agape always treats humanity as an end and never as a means to an end, even of maximising human welfare. This suggests that agape-love is not sufficient as a source of Christian ethics, unless one specifies that it includes love of God as well as and ahead of love of neighbour, which would bring following all of God’s commandments into the scope of agape, rather than accepting God’s laws only selectively. This interpretation would be consistent with a more mainstream Protestant Ethic, which aims to follow all those Divine Commands in spirit at least. 

In conclusion, it is wrong to say that agape is sufficient as the only source of Christian Ethic unless one is very specific in defining agape, stipulating that it includes love of God as well as and ahead of love of neighbour, so leads to a broader biblical ethic which always upholds the sanctity of human life.  Certainly, it is wrong to say that situation ethics is the only or even an acceptable Christian Ethic.

Is there really a moral difference between killing somebody and letting somebody die? [40]

The answer to this question seems obvious. Legally, there is a significant difference between killing someone and letting them die. Killing somebody by active means, depending on the circumstances, might be treated as murder, manslaughter or causing death by dangerous driving for example, all of which are subject to serious punishments. On the other hand, letting somebody die might attract no penalty at all, because this is what we all have to do at some point when medical options are unavailable or not in a person’s best interests. In the case of Airedale NHS Trust v. Bland, the House of Lords judgement “thou shall not kill, but thou needst not strive officiously to keep alive.” When it is in a patient’s best interests it can be the right thing to do to do nothing and let them die. Even where a doctor is negligent and allows somebody to die who might have been saved the penalty is much, much less than if they actively killed somebody – and usually covered by insurance. Nevertheless, despite the obvious answer, the question concerns the moral and not the legal difference between killing and letting die. The answer to this is more contentious. On the one hand traditional Christian Ethics and Kantian Ethics would agree with the law, that there is the world of difference between killing and letting die, but on the other hand, Utilitarianism and Situation Ethics as consequentialist approaches to decision-making would reject that distinction, arguing that the effects of both are the same so as actions they are morally equivalent. Nevertheless, the claim that killing and letting die are morally equivalent is not persuasive. Consider other examples whereby the same effects are achieved by different means. Is there a moral difference between actively lying to a friend or not telling them something that you might have? Is there a moral difference between making somebody homeless and failing to help a homeless person by housing them? Most people would see acts of omission (failing to do good) as less morally serious than acts of commission (i.e. actively doing wrong), so there is a moral difference between killing and letting die.

Firstly, the fact that there is a difference between killing and letting die is supported by the Bible, which distinguishes between things we do intentionally and accidentally and things done actively and passively. In the Old Testament the penalty for murder (intentional, active killing of a person) was death [Genesis 9:6], but nobody suggested that fellow citizens should be executed for failing to feed famine victims. The moral instruction to leave crops for the poor to glean existed of course [Leviticus 23:22], but there was no specific and individual penalty for ignoring it. While Prophets warned that the people would be punished collectively for ignoring the rights of the poor and vulnerable [e.g. Amos 2], suggesting that ignoring these rights is immoral and against the will of God, there can be no doubt that there is a moral difference between active, intentional killing (murder) and letting die, whether intentionally or otherwise. On the other hand, in the New Testament Jesus equated the intention with the action in his moral teaching. In Matthew 5 He taught that anger was morally equivalent to murder, a lustful look morally equivalent with adultery. By this logic, allowing somebody to die with malign intent would be the equivalent of murder, and yet this principle has rarely, if ever, been adopted by Christian ethics. Perhaps the key to this issue is what the word “morally” means. Because it is often impossible to know what motivated an action it is not possible to put a lot of weight on intentions in law or in formal Christian ethics. A person might even be unsure about their own motivations, so it is extremely difficult to assess these objectively. Nevertheless, Christians believe that God knows the inmost secrets of our hearts, being aware of motivations that we might not even be aware of ourselves [Psalm 139]. In this case, intentions might make all the difference to the moral status of an action in God’s eyes, while in the eyes of formal Christian ethics they cannot. Having said that, a Roman Catholic might argue that the Church has been given the authority to “bind and loose” Matthew 18:18, and this would suggest that the moral judgement of the Church – which cannot give much weight to intentions – still applies in heaven. This suggests that there is a moral difference between killing and letting die, whatever the situation or motivations, although that does not mean that letting die is always morally permissable.

Secondly, most versions of Natural Law (used alongside the Bible and Church teaching as the basis for Roman Catholic Ethics) teach that actions are more significant than intentions, which suggests that there is a moral difference between killing and letting die. For example, because of Natural Law Catholic ethics would see it as far worse to use artificial contraception or abortion than to remain celibate and so childless. Contraception and abortion actively prohibit a basic human good – life – while celibacy might be necessary in order to achieve another human good, as in the case of Priests. Morally, there is a real difference between doing something – often for an evil intention – and committing not to do it for a good intention. In Summa 2i, 20, 1 Aquinas explains that an action may be good when carried out with a good intention, but morally evil when carried out with an evil intention. He uses the example of giving alms – good when done out of agape-love and evil when done for vainglory. This implies that saving a life might be good when in the best interests of a patient, but morally evil when done for other reasons, in which case allowing to die might be morally preferable. The same reasoning might suggest that killing would be morally wrong when done with a malign intention and potentially right when done with a loving intention, yet Aquinas stops short of this conclusion. He reasons that while it is a duty to follow synderesis, even if it leads us to make such a faulty decision, this does not excuse us if we carry out actions which contradict conscientia, as killing a person always would because it actively prohibits the basic human good of life. It follows that the wrongness of killing is not dependent on motivations, and yet the situation does make some difference. Aquinas acknowledged the difference between not acting in cases where you can and should act and not acting when you can’t do anything or shouldn’t because of an order etc. He wrote “the cause of what follows from want of action is not always the agent as not acting; but only then when the agent can and ought to act.” [Summa 2i, 6, 3] This suggests that letting a relative die when you can’t help or have been ordered, such as by a court, not to would be morally very different from letting a patient die as a doctor when you could and are allowed to help. Further, in Summa 2i, 76, 3 Aquinas notes that ignorance might reduce the sinfulness of an action, because it makes some actions involuntary, when “voluntariness is essential to sin.” In this way, there would be a moral difference between a person whose synderesis led them to kill an elderly relative out of compassion and a person who intentionally killed an elderly relative in order to benefit from a will. Nevertheless, this interpretation would be strongly rejected by the Roman Catholic Church today, which teaches that any active euthanasia is the moral equivalent of murder, evil. In 2020 the Congregation for the Doctrine of the Faith has reaffirmed Roman Catholic teaching that euthanasia is an “intrinsically evil act”. The letter Samaritanus Bonus: On the care of persons in the critical and terminal phases of life described assisted dying and euthanasia as “homicide”, and said that the sacraments must be withheld from those who are planning to end their lives. This underlines the moral difference that the Church perceives between killing somebody – regardless of motivations – and letting die.

Thirdly, Kantian Ethics agrees that there is a moral difference between killing and letting die. For Kant, the maxim behind our actions is the action considered independently of any context and, if it cannot be universalised, it is absolutely and always wrong. In this way killing a hated enemy, killing an elderly relative to benefit from their will, killing a relative who is begging for an easeful death and suicide are all morally equivalent. Because the maxim cannot be universalised, killing is absolutely wrong. Despite this, Kant also taught that intentions are even more significant in determining the moral status of an action than the action in itself. Famously, he began the “Groundwork for the Metaphysics of Morals” (1785) by stating that “Nothing in the world—or out of it!—can possibly be conceived that could be called ‘good’ without qualification except a GOOD WILL.” If an action is undertaken out of fear or habit or for any other reason than freely, for duty’s sake, then this renders the action morally wrong, which pollutes the will and prevents it being worthy of the eternal reward which we must postulate as existing for good wills, so that they can do as they feel that they should and so that the universe is fair. Further, Kant taught that a negative duty i.e. not to kill, lie or steal always trumps a positive duty e.g. to feed the hungry. This suggests that there is a moral difference between killing and letting die; while in some circumstances both are immoral, killing (achieving the end by active means) is always worse. Nevertheless, Peter Singer would reject this conclusion, arguing that there is little moral difference between killing and letting die. In “Practical Ethics” he argued that there is no moral difference between aborting a near-term foetus because it has a disability and killing a newborn infant. In fact, he argued that it is morally preferable, even a moral duty, to kill a newborn who is suffering and who has no hope of a quality life so that money spent on neonatal care could be spent more productively elsewhere. In “Unsanctifying Human Life” Singer and Kuhse argue the same with regard to Euthanasia, suggesting that it is morally preferable to kill an elderly relative with dementia than to allow them to die – slowly and expensively – while others suffer for lack of healthcare resources. Further, in “The Life you can Save” Singer argued that neglecting an opportunity to help somebody and killing them are morally equivalent. He used the example of a child drowning in a pond, pointing out that we would feel a moral imperative to ruin expensive shoes in order to save them… and that we should equally feel a moral imperative to save a child on the other side of the world by sending the £200 our shoes cost to a charity. Through all these cases, Singer makes a fair point in pointing out that we are wrong to place so much weight on the moral difference between killing and letting die. It is helpful to consider that letting die might well cause more suffering and that killing should not be the taboo that it is to most people, when in practical terms it may be preferable. Singer is also right to point out how most people wrongly prefer people who are close to us and choose to ignore those who are further from us, whether in space or time, meaning that we tend to be thoughtless and ignore the moral imperative to use our money wisely and avoid decisions which – however unintentionally – harm others now or in the future. Nevertheless, however right Singer is to make a theoretical point as regards the equivalence of killing and letting die, in practice it is not reasonable to treat the two as moral equivalents, because the law deals in rules and generalities, not intentions and specific situations. Further, as Onora O’Neill has argued, we can’t agree that failing to help somebody in need – such as by giving money for famine relief – is morally the same as killing them. While both are morally bad, killing is worse because it is active and intentionally evil.

Despite this, most consequentialists will agree with Singer, arguing that there is no moral difference between killing and letting die, because the consequences, which justify an action or condemn it, could be the same either way. Take for example a case of assisted dying; the patient is dying, so the only factor that decides the morality of killing them or letting them die is the amount of pleasure or pain that results from the action, so far as the patient and other interested parties are concerned. As Bentham pointed out “all other things being equal, poetry is as good as pushpin” or, in other words, what you do to produce the results is immaterial; all that matters, morally, is the results. This means that there is no essential moral difference between killing and letting die such as would make one better than the other in all situations. It may be that letting someone die produces more suffering than killing them would, as in a case of a patient dying of motor-neurone disease who has asked to “die with dignity” and whose relatives and friends are all supportive. In other cases however, killing would undoubtedly cause more suffering than allowing to die, such as when the law allows passive euthanasia but not active. In such a case, killing might get a doctor struck off and even imprisoned, even when their intentions were altruistic and good. The case of Dr Cox and Lilian Boyes shows how this could be the case. While the situation makes all the difference in terms of the moral status of the action, Utilitarians such as Jeremy Bentham would reject the idea that intentions make any moral difference; as he argues “nature has placed mankind under two sovereign masters; the pursuit of pleasure and avoidance of pain” so we should “always act so as to produce the greatest happiness for the greatest number…” what we intend is not at issue, only what we achieve in respect of pleasure and pain in society. This highlights one of the problems with consequentialism – what Peter Singer has identified as the biggest problem that Utilitarianism faces – the Problem of Prediction. That is, consequentialism depends on our ability to calculate the pleasure and/or pain resulting from possible actions so that we can choose the one which is morally preferable in maximising pleasure and minimising pain, in advance of doing anything. In practice, our calculations are often flawed meaning that while we intend to minimise suffering, in the end we fail to do this. Because intentions don’t count and the only thing that justifies an action, morally, is the consequences the agent takes a risk every time they act, trusting that what they intend will happen and so ensure that they have done what is right. In a case of euthanasia, for example, the situation is further complicated by the difficulty of assessing someone else’s pain, whether in the person dying or in their relatives and friends. How can we measure grief or accurately determine whether it is outweighed by the suffering a person dying, say of cancer, experiences in their final hours? Bentham’s felicific calculus, while well meant, is of little practical use when it comes to making such assessments and only serves to highlight another significant criticism of consequentialist ethics, that they are subjective. Of course, rule utilitarianism, such as that proposed by Peter Singer in recent years, gets round both the problem of prediction and the subjectivity problem by developing rules on the basis of the utilitarian maxim, which are then applied in most or all cases regardless of the details. Yet, as RM Hare pointed out, rule utilitarianism means that there is little difference between a Utilitarian and say a Kantian approach. Also, in answer to this question, it would probably mean that there is a moral difference between killing and letting die because rules tend to be framed around actions, not omissions and because it is hard to imagine a rule prohibiting letting people die being practical in many cases!

In conclusion, there is a moral difference between killing and letting die because this is the case in law, in the Bible, in Natural Law and Kantian Ethics. As has been discussed, it is also true in Rule Utilitarianism, which is really the only practical version of Utilitarianism.

Critically evaluate Situation Ethics as an approach to making decisions about euthanasia. [40]

Situation Ethics: The New Morality is a book written by Joseph Fletcher, an American Episcopalian Moral Philosopher with a strong interest in medical ethics who lost his faith around the time the book was first published in 1964.  Like many Christians, Fletcher was concerned about the decline in moral standards and the growth of radical relativism which had let to genocide during WWII and was fuelling the sexual revolution and the collapse of family values in the 1960s.  Fletcher rejected such relativism for being antinomian and leading to chaos, as well as being unchristian.  Fletcher was influenced by Utilitarianism, the dominant, consequentialist approach to ethical-decision-making in the 1960s.  While it was a relativist ethic, decisions were made relative to an absolute, namely human happiness or pleasure.  While Fletcher (like many other Moral Philosophers) was critical of basic happiness or pleasure as the only desirable end, he liked the flexibility of Utilitarianism and its focus on making decisions situationally, as well as its respect for the individual moral-agent and their ability to make decisions for themselves rather than just following rules.  Fletcher was critical of the traditional, absolutist ethical systems employed by Christian Churches.  As he saw it, Roman Catholic Natural Law was guilty of legalism – being too focused on the letter of the law rather than its spirit and insufficiently focused on persons – to be truly a Christian Ethic.  Protestant Biblical Ethics were often similarly inflexible and based on narrow interpretations of ancient texts that neglected the most important ethical teaching in the Bible in Mark 2:28-32 – the need to love our neighbour as ourselves and therefore act out of agape, non-preferential humanitarian love.  For Fletcher, Christians and non-Christians alike should move forward and adopt a “new morality” which would make persons the focus, making decisions situationally and relative to agape-love.  This “new morality” is Situation Ethics.  As an approach to making personal decisions about Euthanasia it is a useful guide in countries where Euthanasia is legal, but it is not very useful for religious people or in countries where Euthanasia is illegal. 

Firstly, Fletcher characterises Situation Ethics as an approach which has four working principles – Pragmatism, Relativism, Positivism and Personalism.  The first working principle of Situation Ethics is pragmatism or practicality, so it is undeniable that the legal status of euthanasia will impact on any assessment of the usefulness of Situation Ethics as an approach to decision-making.  Where Euthanasia is illegal and where effective enforcement exists, people are not really free to make their own decisions situationally.  Personalism and relativism – putting people and agape-love first – will deter anybody from deciding to help somebody end their life if such help will probably result in prosecution and punishment.  Prosecution and punishment will not only affect the person convicted of course, but also their family, friends and wider society as well, so on this basis it would be difficult to argue that breaking a law against euthanasia could be situationally justified, except perhaps in the most extreme cases of suffering.  Of course, Fletcher believed that “sometimes you’ve gotta put your principles to one side and do the right thing” and he rejected the use of the words “always” and “never” in moral decision-making, but still cases in which stopping the suffering of one person but with the consequence of causing pretty intense suffering to somebody else, their family, their friends as well as burdening the tax-payer with the expense of a long prison-term, will be pretty rare.  Additionally, by encouraging individuals to think this through and make the decision for themselves when they are in the stress of the situation and when the law prohibits euthanasia anyway is far from helpful.  In the heat of the moment, people are liable to focus on immediate consequences and the persons in the room with them and to neglect longer-term consequences and people outside the room who will also be impacted.  In this way, situational decisions, however well-intentioned, are liable to be poor decisions even with respect of the agape-love they try to promote, and often result in more people suffering than would be the case if people just followed the law. Because of this, Situation Ethics is not very useful in countries where Euthanasia is illegal. 

Secondly, despite the fact that Situation Ethics makes decisions relative to agape-love and takes this as an end on the grounds of theological positivism and Christian faith, rather than any rational argument or evidence, Fletcher’s “new morality” has been roundly rejected by all the major Christian Churches.  Even before Fletcher wrote, Pope Pius XII condemned the idea that Christians should make decisions situationally, as individuals, in 1952.  The Pope pointed out that using the individual conscience to make a decision for oneself rather than deferring to the authority of the Church and its rules risked plunging that individual into sin, with its eternal consequences.  Again, in the heat of the moment people usually focus on immediate consequences and forget or downplay long-term consequences, including of course the fate of their eternal soul (and that of the person euthanatized of course).  Because of this, Situation Ethics represents a real threat to Christians in tempting them to make decisions when they are likely to make poor decisions with the most severe of consequences.  While St. Thomas Aquinas argued that Christians must prioritise following their consciences and so make decisions for themselves rather than mindlessly deferring to absolute rules, in practice he saw the conscience in terms of synderesis or practical reason, a faculty which needs to be trained if it is to make good decisions, perhaps especially in traumatic situations.  In a way, Fletcher agreed with Aquinas; while he rejected Aquinas focus on reason as the only appropriate basis for the conscience to operate upon, Fletcher did see conscience as a decision-making faculty and process rather than as the source of moral intuition.  As Fletcher wrote “there is no conscience, “conscience” is merely a word for our attempts to make decisions…”  Aquinas was only too aware of the human tendency to pursue apparent goods over real goods and so to fall into error with the best of intentions.  It was because of this that in 1956 the Sacred Congregation for the Doctrine of the Faith banned Catholic institutions from teaching or even teaching about Situation Ethics.  Fletcher was more positive about the individual’s ability to make good decisions situationally, through their consciences, than was either Aquinas or the Congregation for the Doctrine of the Faith, but perhaps he would have been well to be more cautious given the eternal consequences poor decisions have, at least for Christians using Situation Ethics.  Any suffering that people ease by making a situational decision in favour of euthanasia is after all, temporary… but for Christians the consequences probably will be eternal suffering.  Because of this, Situation Ethics is not a useful approach to making decisions about euthanasia for religious believers. 

Thirdly, taking the example of euthanasia, in 1994 Dr Cox decided to act situationally and help his suffering patient Lilian Boyes to die by giving her a lethal injection.  As it turned out, this decision ruined his career and his life and the resultant media-storm led to a tightening of UK monitoring of physicians and enforcement procedures in cases of suspected euthanasia, making it more difficult for doctors to ease the deaths of their patients.  While Dr Cox was prioritising Mrs Boyes and showing great agape-love for her and her family, he could not have predicted the consequences his decision would have for others, including himself and his own family.  This is a major weakness of Situation Ethics as well as other consequentialist approaches to moral decision-making. As Peter Singer admits, all consequentialist decision making depends on our ability to predict the consequences of our actions accurately (the Problem of Prediction)… and consequences are often, even usually, unpredictable.  Because of this, as a Consequentialist approach to making decisions about Euthanasia, Situation Ethics is of limited usefulness.  Despite this, in countries where euthanasia is legal – such as in Canada, New Zealand, the Netherlands and in some Australian states – Situation Ethics might still be a useful guide when people are making decisions, whether about whether to request euthanasia or whether to help somebody to die.  This is because Situation Ethics encourages people to consider the persons involved in the decision ahead of their own principles and to focus on maximising agape-love rather than on the actions used to achieve this.  Where doctors might not wish to get involved in euthanasia on principle, Situation Ethics encourages them to consider each situation on its own merits and to prioritise the needs and wishes of their patients rather than sticking to “always” or “never” beliefs.  As Fletcher wrote “Situation Ethics keeps principles sternly in their place, in the role of advisors without veto-power…” (page 55) For Christian doctors, or for other Christians considering becoming involved in euthanasia, Situation Ethics encourages them to reflect on the two most important commandments (Mark 12:28-32) and to consider how their love for God relates to their love for neighbour and self.  As William Temple said – and as Fletcher would have agreed – “on freedom all spiritual life depends, and it is astonishing and terrifying that the Church has so often failed to understand that.”  Just as Jesus made decisions on the basis of persons, pragmatically and on the basis of agape-love… sometimes breaking laws, rules or norms in the process and sometimes sacrificing his own reputation to do so… so Situation Ethics encourages Christians to follow Jesus’ example and in the process helps them to develop spiritually and morally.  Of course, this is not to say that situational decisions will always or even often support euthanasia.  As Fletcher’s own examples show, the cases in which it is right to do something Christians would normally conceive of as wrong are rare and extreme.  Situation ethics would not, as Fletcher conceives it, endorse the wide-scaled legalisation of abortion or its use as a form of contraception… but it might support a doctor in terminating the pregnancy of a mentally ill teenager who had been raped.  Situation ethics would not, as Fletcher conceives it, endorse people killing themselves for no reason… but it might support a man in hastening his own inevitable death in order that his family suffers much less by his loss.  Because Situation Ethics encourages Christians to become active moral agents, it might be a useful guide in countries where euthanasia is legal.  However, the usefulness of Situation Ethics will depend a lot on the individual and the extent to which their conscience is developed and trained as a decision-making faculty.  It is probably fair to worry about the effects of using Situation Ethics in relation to issues like Euthanasia on any Christian – or indeed any person – who is unaccustomed to independent moral-decision making. 

In conclusion, as an approach to making personal decisions about Euthanasia Situation Ethics may be a useful guide in countries where Euthanasia is legal, but it is not very useful for Roman Catholics or those who believe in judgement and hell, or in countries where Euthanasia is illegal.  While Fletcher’s Situation Ethics was a sincere attempt to democratise Christian Ethics, perhaps Fletcher was too optimistic about peoples’ ability to cope with the responsibility he demands of them.  In relation to emotive, high-stakes issues like euthanasia most people are ill-equipped to predict consequences or weigh up consequences rationally and often make poor decisions as a result of Situation Ethics.  In these issues, a rules-based approach like Natural Law is more helpful to most people.