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Neonatal euthanasia: Jewish views of a contemporary dilemma.

Whereas in bygone days nature's course would, perforce, go essentially unchallenged, today's burgeoning medical technology has enabled physicians to ameliorate many disorders and often, even, to prolong life itself. Accepting that physicians must always do that which is in their patients' best interests, how do we define "best interests",? In fact, decisions regarding the initiation, continuation, and withdrawal of therapy are generally based upon three different widely held approaches. Some2 want to base the decision on what will happen, that is, upon outcome. Others3 want to designate a particular person who will make the decision. A third thesis4 holds that how the decision is made of paramount importance. As the senior member of the Judaeo-Christian tradition, and having pioneered the moral order, Judaism still elaborates teachings of a universal dimension which can be applied even in the most technologically advanced circumstances. In addressing the who, what and how facets of the contemporary "Baby Doe" debate regarding the management of defective newborns, these timeless teachings have timely significance.