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尊厳死、世論調査、そしてカントの倫理:生命の尊厳と自己決定権」の英語長文問題

以下の英文を読み、設問に答えなさい。

The debate surrounding physician-assisted suicide (PAS), often termed "dignified death" (尊厳死) in Japan, is a complex ethical dilemma that intersects with evolving societal values and philosophical frameworks. Recent polls reveal a growing acceptance of PAS among the Japanese public, particularly among older generations who express concerns about becoming a burden on their families. However, significant opposition remains, rooted in religious beliefs, cultural norms prioritizing filial piety, and fears of abuse or coercion. This nuanced public opinion reflects a tension between individual autonomy and the protection of vulnerable individuals. This situation provides fertile ground for applying the ethical framework of Immanuel Kant, a prominent figure in deontological ethics. Kant's categorical imperative, focusing on universalizability and treating humanity always as an end in itself, presents a challenge to the simplistic acceptance or rejection of PAS. According to Kant, actions should be judged based on their inherent moral worth, independent of their consequences. Therefore, the question of whether PAS is morally permissible becomes a matter of whether the act of ending one's life, under specific conditions, can be universally willed without contradiction. Consider a hypothetical scenario: a terminally ill patient, suffering unbearable pain with no prospect of recovery, requests assistance in ending their life. Applying Kant's philosophy, we must ask: could a world where such actions are universally permitted be rationally willed? Some might argue that it could, as it respects the individual's autonomy to choose how they end their life. Others might counter that universalizing PAS could lead to a devaluation of human life and potentially lead to coercion of vulnerable individuals, thus creating a self-contradictory principle. The interpretation and application of Kant's categorical imperative in the context of PAS are far from straightforward. The complexities of human suffering, the potential for abuse, and the weight of societal norms all contribute to the ethical ambiguity. The ongoing debate highlights the crucial need for thoughtful consideration, public discourse, and careful legislation to ensure that any policy regarding PAS balances individual autonomy with the protection of human dignity and prevents the exploitation of vulnerable populations.

1. According to the passage, what is a major factor contributing to the varied public opinions on physician-assisted suicide in Japan?

2. How does the passage apply Kant's categorical imperative to the debate on physician-assisted suicide?

3. What is a potential counter-argument against the universal acceptance of physician-assisted suicide, as presented in the passage?

4. The passage suggests that the debate on physician-assisted suicide requires: