Eluana Englaro
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Eluana Englaro (25 November 1970 – 9 February 2009) was an Italian woman from
Lecco Lecco (, , ; ) is a city of approximately 47,000 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''). The Bergamasqu ...
who entered a
persistent vegetative state A vegetative state (VS) 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 state, the patie ...
on 18 January 1992, following a
car accident A traffic collision, also known as a motor vehicle collision, or car crash, occurs when a vehicle collides with another vehicle, pedestrian, animal, road debris, or other moving or stationary obstruction, such as a tree, pole or building. T ...
, and subsequently became the focus of a court battle between supporters and opponents of
euthanasia Euthanasia (from : + ) is the practice of intentionally ending life to eliminate pain and suffering. Different countries have different Legality of euthanasia, euthanasia laws. The British House of Lords Select committee (United Kingdom), se ...
. Shortly after her accident, medical staff began providing nutrition to Englaro with a
feeding tube A feeding tube is a medical device used to provide nutrition to people who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation. The state of being fed by a feeding tube is called gavage, enteral f ...
, 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 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 ( , , ; ) is a city in northern Italy, regional capital of Lombardy, the largest city in Italy by urban area and the List of cities in Italy, second-most-populous city proper in Italy after Rome. The city proper has a population of nea ...
Court of Appeal An appellate court, commonly called a court of appeal(s), appeal court, court of second instance or second instance court, is any court of law that is empowered to Hearing (law), hear a Legal case, case upon appeal from a trial court or other ...
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 ...
. A request for a new
trial In law, a trial is a coming together of parties to a dispute, to present information (in the form of evidence) in a tribunal, a formal setting with the authority to adjudicate claims or disputes. One form of tribunal is a court. The tribunal, w ...
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 ...
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 survive 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 Lecco (, , ; ) is a city of approximately 47,000 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''). The Bergamasqu ...
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 he considered his only daughter as "dead" while they considered her "alive", without referring to Eluana's convictions. Her father decided to move her to another hospital in order to have her feeding halted in accord with her previously expressed wishes. While some opposed the Court of Appeal's decision, some demonstrated in its 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 Udine ( ; ; ; ; ) is a city and (municipality) in northeastern Italy, in the middle of the Friuli-Venezia Giulia region, between the Adriatic Sea and the Carnic Alps. It is the capital of the Province of Udine, Regional decentralization entity ...
,
Friuli Friuli (; ; or ; ; ) is a historical region of northeast Italy. The region is marked by its separate regional and ethnic identity predominantly tied to the Friulians, who speak the Friulian language. It comprises the major part of the autono ...
, and feeding was discontinued. On 6 February 2009, Prime Minister
Silvio Berlusconi Silvio Berlusconi ( ; ; 29 September 193612 June 2023) was an Italian Media proprietor, media tycoon and politician who served as the prime minister of Italy in three governments from 1994 to 1995, 2001 to 2006 and 2008 to 2011. He was a mem ...
, after declaring that Eluana looked "healthy" 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, officially the Italian Republic, is a country in Southern Europe, Southern and Western Europe, Western Europe. It consists of Italian Peninsula, a peninsula that extends into the Mediterranean Sea, with the Alps on its northern land b ...
into a constitutional crisis when President
Giorgio Napolitano Giorgio Napolitano (; 29 June 1925 – 22 September 2023) was an Italian politician who served as President of Italy from 2006 to 2015, the first to be re-elected to the office. In office for 8 years and 244 days, he was the longest-serving pre ...
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 ca ...
. 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 List of Christian denominations by number of members, largest Christian church, with 1.27 to 1.41 billion baptized Catholics Catholic Church by country, worldwid ...
has been critical of the decision that led to Englaro's biological death. When the final judicial decision was handed down, Cardinal Ennio Antonelli, 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". Prime Minister
Silvio Berlusconi Silvio Berlusconi ( ; ; 29 September 193612 June 2023) was an Italian Media proprietor, media tycoon and politician who served as the prime minister of Italy in three governments from 1994 to 1995, 2001 to 2006 and 2008 to 2011. He was a mem ...
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 Giovanni "Gianni" Alemanno (born 3 March 1958) is an Italian politician who from April 2008 until June 2013 was mayor of Rome for The People of Freedom. He was the secretary of the National Movement for Sovereignty from 2017 to 2019. Career At ...
, announced the
Colosseum The Colosseum ( ; , ultimately from Ancient Greek word "kolossos" meaning a large statue or giant) is an Ellipse, elliptical amphitheatre in the centre of the city of Rome, Italy, just east of the Roman Forum. It is the largest ancient amphi ...
would be lit all night on 10 February to memorialize "a life that could have and should have been saved". Bioethicist Jacob M. Appe 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, me ...
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Right to life The right to life is the belief that a human (or other animal) 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 ...
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Right to die The right to die is a concept rooted in the belief that individuals have the Self-ownership, autonomy to make fundamental decisions about their own lives, including the choice to Suicide, end them or undergo voluntary euthanasia, central to the b ...
*
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