Eluana Englaro
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Eluana Englaro (25 November 1970 – 9 February 2009) was an Italian woman from
Lecco Lecco (, , ; lmo, label=Lecchese, Lècch ) is a city of 48,131 inhabitants in Lombardy, northern Italy, north of Milan. It lies at the end of the south-eastern branch of Lake Como (the branch is named ''Branch of Lecco'' / ''Ramo di Lecco''). ...
, who entered a
persistent vegetative state A persistent vegetative state (PVS) or post-coma unresponsiveness (PCU) is a disorder of consciousness in which patients with severe brain damage are in a state of partial arousal rather than true awareness. After four weeks in a vegetative stat ...
on 18 January 1992, following a car accident, and subsequently became the focus of a court battle between supporters and opponents of
euthanasia Euthanasia (from el, εὐθανασία 'good death': εὖ, ''eu'' 'well, good' + θάνατος, ''thanatos'' 'death') is the practice of intentionally ending life to eliminate pain and suffering. Different countries have different eut ...
. Shortly after her accident, medical staff began feeding Englaro with a
feeding tube Eating (also known as consuming) is the ingestion of food, typically to provide a heterotrophic organism with energy and to allow for growth. Animals and other heterotrophs must eat in order to survive — carnivores eat other animals, her ...
, 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, and she died after her nutrition was withheld after she had spent seventeen years in the persistent vegetative state.


Trial and ruling

The case was debated in court and her father's request was denied both in December 1999 by the
Milan Milan ( , , Lombard: ; it, Milano ) is a city in northern Italy, capital of Lombardy, and the second-most populous city proper in Italy after Rome. The city proper has a population of about 1.4 million, while its metropolitan city h ...
Court of Appeal A court of appeals, also called a court of appeal, appellate court, appeal court, court of second instance or second instance court, is any court of law that is empowered to hear an appeal of a trial court or other lower tribunal. In much of t ...
and in April 2005 by the
Court of Cassation A court of cassation is a high-instance court that exists in some judicial systems. Courts of cassation do not re-examine the facts of a case, they only interpret the relevant law. In this they are appellate courts of the highest instance. In th ...
. A request for a new
trial In law, a trial is a coming together of Party (law), parties to a :wikt:dispute, dispute, to present information (in the form of evidence (law), evidence) in a tribunal, a formal setting with the authority to Adjudication, adjudicate claims or d ...
was granted by the
Court of Cassation A court of cassation is a high-instance court that exists in some judicial systems. Courts of cassation do not re-examine the facts of a case, they only interpret the relevant law. In this they are appellate courts of the highest instance. In th ...
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 A persistent vegetative state (PVS) or post-coma unresponsiveness (PCU) is a disorder of consciousness in which patients with severe brain damage are in a state of partial arousal rather than true awareness. After four weeks in a vegetative st ...
, 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 Lecco (, , ; lmo, label=Lecchese, Lècch ) is a city of 48,131 inhabitants in Lombardy, northern Italy, north of Milan. It lies at the end of the south-eastern branch of Lake Como (the branch is named ''Branch of Lecco'' / ''Ramo di 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 The Italian Radicals ( it, Radicali Italiani, RI) is a liberal and libertarian political party in Italy. Founded on 14 July 2001 with Daniele Capezzone as their first secretary, the party describes itself as "''liberale'', ''liberista'' nd''libe ...
. 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 A court of cassation is a high-instance court that exists in some judicial systems. Courts of cassation do not re-examine the facts of a case, they only interpret the relevant law. In this they are appellate courts of the highest instance. In th ...
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 Udine ( , ; fur, Udin; la, Utinum) is a city and ''comune'' in north-eastern Italy, in the middle of the Friuli Venezia Giulia region, between the Adriatic Sea and the Alps (''Alpi Carniche''). Its population was 100,514 in 2012, 176,000 with t ...
,
Friuli Friuli ( fur, Friûl, sl, Furlanija, german: Friaul) is an area of Northeast Italy with its own particular cultural and historical identity containing 1,000,000 Friulians. It comprises the major part of the autonomous region Friuli Venezia Giulia ...
, and feeding was discontinued. On 6 February 2009 Prime Minister
Silvio Berlusconi Silvio Berlusconi ( ; ; born 29 September 1936) is an Italian media tycoon and politician who served as Prime Minister of Italy in four governments from 1994 to 1995, 2001 to 2006 and 2008 to 2011. He was a member of the Chamber of Deputies ...
, 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 Italy ( it, Italia ), officially the Italian Republic, ) or the Republic of Italy, is a country in Southern Europe. It is located in the middle of the Mediterranean Sea, and its territory largely coincides with the homonymous geographical re ...
into a constitutional crisis when President
Giorgio Napolitano Giorgio Napolitano (; born 29 June 1925) is an Italian politician who served as president of Italy from 2006 to 2015, the first Italian president to be re-elected to the presidency. Due to his dominant position in Italian politics, some critics ...
refused to sign the decree. Berlusconi stated that she had died at 19:35 (UTC+1) on 9 February 2009. An autopsy in the private nursing facility certified that her 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 Diffuse axonal injury (DAI) is a brain injury in which scattered lesions occur over a widespread area in white matter tracts as well as grey matter. DAI is one of the most common and devastating types of traumatic brain injury and is a major cause ...
. In addition, her lungs showed signs of degeneration.


Opinion and reaction

The
Catholic Church The Catholic Church, also known as the Roman Catholic Church, is the largest Christian church, with 1.3 billion baptized Catholics worldwide . It is among the world's oldest and largest international institutions, and has played a ...
has been critical of the decision that led to Englaro's biological death. When the final judicial decision was handed down,
Cardinal Ennio Antonelli Ennio Antonelli (born 18 November 1936) is an Italian cardinal of the Catholic Church and retired President of the Pontifical Council for the Family. Early life and ordination Born in Todi, he first attended seminary there, and then in Ass ...
, president of the
Pontifical Council for the Family The Pontifical Council for the Family was a pontifical council of the Curia of the Roman Catholic Church from 1981 to 2016. It was established by Pope John Paul II on 9 May 1981 with his motu proprio ''Familia a Deo Instituta'', replacing the Com ...
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 Prime Minister The Prime Minister of Italy, officially the President of the Council of Ministers ( it, link=no, Presidente del Consiglio dei Ministri), is the head of government of the Italian Republic. The office of president of the Council of Ministers is ...
Silvio Berlusconi Silvio Berlusconi ( ; ; born 29 September 1936) is an Italian media tycoon and politician who served as Prime Minister of Italy in four governments from 1994 to 1995, 2001 to 2006 and 2008 to 2011. He was a member of the Chamber of Deputies ...
even stated that Eluana "looks fine and healthy" and "could even give birth to a child" despite the young woman being
tetraplegic Tetraplegia, also known as quadriplegia, is defined as the dysfunction or loss of motor and/or sensory function in the cervical area of the spinal cord. A loss of motor function can present as either weakness or paralysis leading to partial or ...
because of injuries sustained in the car accident. The reaction to Englaro's death was mixed. Rome's mayor,
Gianni Alemanno Giovanni "Gianni" Alemanno (born 3 March 1958) is an Italian politician who from April 2008 until June 2013 was Mayor of Rome for the centre-right People of Freedom. He was the Secretary of the National Movement for Sovereignty from 2017 to 201 ...
, announced the
Colosseum The Colosseum ( ; it, Colosseo ) is an oval amphitheatre in the centre of the city of Rome, Italy, just east of the Roman Forum. It is the largest ancient amphitheatre ever built, and is still the largest standing amphitheatre in the world to ...
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.


See also

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Bioethics Bioethics is both a field of study and professional practice, interested in ethical issues related to health (primarily focused on the human, but also increasingly includes animal ethics), including those emerging from advances in biology, med ...
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Right to life The right to life is the belief that a being has the right to live and, in particular, should not be killed by another entity. The concept of a right to life arises in debates on issues including capital punishment, with some people seeing it as ...
*
Right to die The right to die is a concept based on the opinion that human beings are entitled to end their life or undergo voluntary euthanasia. Possession of this right is often understood that a person with a terminal illness, incurable pain, or without t ...
*
Terri Schiavo The Terri Schiavo case was a series of court and legislative actions in the United States from 1998 to 2005, regarding the care of Theresa Marie Schiavo (née Schindler) (; December 3, 1963 – March 31, 2005), a woman in an irreversible ...


References


Further reading

* * * * * * {{DEFAULTSORT:Englaro, Eluana 1970 births 2009 deaths People from Lecco Deaths by euthanasia Deaths by starvation Medical controversies in Italy People with disorders of consciousness People with severe brain damage