Supreme Court Allows First Passive Euthanasia for Man in 13-Year Vegetative State

The Supreme Court has permitted passive euthanasia for a 31-year-old man who has been in a persistent vegetative state for thirteen years following an accident. The bench, led by Justices Pardiwala and Vishwanathan, ruled that continuing life support was not in the patient's best interest, affirming his right to die with dignity. The court has directed AIIMS to facilitate the withdrawal of treatment in its palliative care department. This marks the first full application of guidelines established in the 2018 Common Cause case.

Key Points: SC Allows Passive Euthanasia in Landmark Right-to-Die Judgement

  • First application of passive euthanasia guidelines
  • Patient in vegetative state for 13 years
  • Court upholds right to die with dignity
  • AIIMS to oversee palliative care withdrawal
  • Bench cites Shakespeare in judgement
3 min read

In landmark judgement, Supreme Court allows first ever passive euthanasia for 31 year-old patient in vegetative state

Supreme Court permits passive euthanasia for a 31-year-old in a vegetative state, upholding the right to die with dignity in a historic ruling.

"You are not giving up on your son. You are allowing him to live with dignity. - Justice JB Pardiwala"

New Delhi, March 10

In a landmark judgement reaffirming a patient's right to die with dignity, the Supreme Court on Wednesday, for the first time ever, allowed for a 31-year-old man who has been in a vegetative state to undergo passive euthanasia in order to ensure that the best interest of the patient and to give him the right to die with dignity.

A bench of Justices JB Pardiwala and KV Vishwanathan reasoned that the as per various medical reports, further administration of CAN (Clinically Assisted Nutrition) will not be in the best interest of the patient.

The applicant, Harish Rana has been in a vegetative state since the last thirteen years after an accidental fall from a building in 2013. Passive euthanasia is the practice of withdrawing life-sustaining treatment to patients in persistent vegetative state, in order to allow them a natural death.

The Court has also directed All India Institute of Medical Sciences (AIIMS) to provide facilities to shift the patient to it's palliative care department to carry out a robust withdrawal of medical care in a manner that ensures that the patients' dignity is preserved to the highest degree.

"The famous literary Shakespeare quote 'To be or not to be' is now being used for judicially interpreting the 'Right to Die'", Justice Pardiwala noted at the beginning of the judgement.

The Court also expressed its appreciation for the parents of the patient for their resilient care for their son.

"You are not giving up in your son. You are allowing him to live with dignity", Justice Pardiwala said while concluding the judgement.The top court has applied the guidelines passed in it's earlier ruling in the Common Cause case.

"However, the present case represents the first instance where the guidelines laid down in Common Cause v. Union of India are being applied in their full measure before this Court," the bench said.

In November 2025, the top court had set up a medical board at the Noida district hospital to explore the idea of passive euthanasia for the person.

In October 2024, the Union Health ministry had released the draft of "Guidelines for Withdrawal of Life Support in Terminally ill Patients". The guidelines issued states that it should be based on "considered decision" taken by doctors on withdrawal of life support in terminally ill patients based on certain conditions.

According to the draft guidelines the withdrawal includes four conditions, a) any individual declared brainstem death as per THOA Act. b) Medical prognostication and considered opinion that patient's disease condition is advanced and not likely to benefit from aggressive therapeutic interventions c) Patient/surrogate documented informed refusal, following prognostic awareness, to continue life support d) Compliance with procedure prescribed by the Supreme Court.

- ANI

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Reader Comments

R
Rohit P
A landmark decision indeed. The right to die with dignity is as important as the right to live. The Supreme Court has shown great wisdom. However, we must ensure the strictest safeguards are always followed to prevent any misuse.
A
Aman W
As a doctor, I see families financially and emotionally drained every day. This judgement brings legal clarity and compassion to a very painful reality. The AIIMS palliative care directive is crucial for a humane process.
S
Sarah B
While I understand the intention, this sets a very dangerous precedent. Life is sacred. Who decides when it's no longer worth living? We must tread very carefully on this path.
V
Vikram M
Justice Pardiwala's reference to Shakespeare is profound. "To be or not to be" is now a legal reality in India. This is a mature step for our society, moving beyond just preserving biological life to respecting personhood and dignity.
K
Kriti O
The parents are the real heroes here. Caring for 13 years shows unimaginable strength. The court acknowledging them is important. This decision must have been heartbreaking for them, but it's for the best.

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