"It is not up to us to determine who is worthy of living and dying. Quality of life is not a criterion for Jews in that determination. However, according to traditional Jewish law, Judaism does allow removing obstacles, including life support machines, to the natural dying process for someone who is terminally dying." — Rabbi Lauren Berkun, director of lifelong learning at Congregation Shaarey Zedek and facilitator of seminars on Jewish medical ethics for JTS and Shaarey Zedek. Shutting D Down? SHELLI LIEBMAN DORFMAN StafiWriter Terri Schiavo case spurs look at Jewish medical ethics. wring the many days and nights Terri Schiavo lay in her Florida hospice bed with- out nutrition or hydration, the people of the world waited and watched, hoping she was in no pain, many with a question in their hearts. "What would I do if this were my loved one?" or "What would I want done if this were me?" As the severely brain-damaged woman's husband and parents battled in court after court — as they have for more than a decade — religion entered the debate as well. Terri Schiavo and her parents, Mary and Robert Schindler, are Roman Catholic; and many of their most fervent supporters are fundamentalist Protestants. They wanted to keep their daughter's feeding tube in place to sustain her. Husband, Michael Schiavo, wanted it removed so his wife could die, which he says is what she would have wanted. Jews, like others caught up in the debate, have a range of beliefs, with rabbis of various streams pre- dictably divided, basing their views on halachic (Jewish law) interpretations of their religious move- ments. At the traditional end of the spectrum, Rabbi Herschel Finman adamantly stated, "It is totally and completely forbidden to remove a feeding and hydration system. "If you took the strongest man in the world and tied him to a bed with no food or water, he would die — and we would call it murder," said Rabbi Finman of Oak Park, who was trained in a fellowship program on Jewish medical, legal and business ethics in Melbourne, Australia. "The same was the case in removing Terri Schiavo's feeding and hydration tube. Removing it was committing murder." • Rabbi Finman said a patient may request a DNR or "do not resuscitate" order, meaning that they do not want what he termed, "heroic measures" — like mechanical life support — to be used. But a DNT or "do not treat" order — which would include no food or hydration — may not be requested. "A feeding tube is never considered heroic," he said. "People have to eat; and if there are the means for them to eat, they must be fed." Rabbi Finman said that the purpose of our govern- ment is to protect its citizens, "So it is absolutely incumbent for the government to pass laws to pro- hibit such behavior. CO VCR ST ORT JN 3/31 2005 16