Buddhist Definition of Death Clashes With State's Recognition of Brain Death

Today's Boston Globe reports on a difficult case in Boston's Suffolk Family and Probate Court, pitting a religious definition of death against the state's recognition of brain death as the end of life. Last week, doctors declared 72-year-old Cho Fook Cheng brain dead after he suffered cardiac arrest. They said he should be removed from ventilators and intravenous medications that were keeping his organs functioning. However, his family refused arguing that their religious views as Buddhists were that so long as Cheng's heart was beating, he was still alive. The family went to court and obtained a restraining order preventing Beth Israel Deaconness Medical Center from removing Cheng's life support system. As the hospital prepared to fight the issue in court-- arguing that parts of Cheng's body were deteriorating biologically-- his family reluctantly agreed to end intravenous medication so that his heart would stop beating naturally. Hospital ethicists found little guidance on reconciling Buddhist beliefs with modern technology. Apparently different strands of Buddhism have different beliefs about death. Even though Cheng's heart has now stopped beating-- so everyone agrees he has died-- the parties will be back in court on Tuesday. It is not clear exactly what issues remain to be resolved at that time.