Protect Vulnerable Patients: Ensure Safeguards Before Withdrawal of Life Support


Protect Vulnerable Patients: Ensure Safeguards Before Withdrawal of Life Support
The Issue
We, the undersigned, respectfully raise concern regarding the implementation of the Supreme Court judgment in Harish Rana vs Union of India, which permits withdrawal of life-sustaining treatment, including Clinically Assisted Nutrition and Hydration (CANH).
While the judgment follows the framework laid down in Common Cause vs Union of India, it raises serious concerns for vulnerable individuals—especially children and persons with severe disabilities such as quadriplegia and neurological impairments.
Many such individuals:
- Are not terminally ill
- Require lifelong assisted care
- Cannot express their will due to their condition
In the absence of an Advance Medical Directive, decisions may be based on substituted judgment. This creates a risk of misinterpretation, external pressure, or unintended application in cases where the patient’s life is still sustainable with support.
Food and hydration are basic necessities. Their withdrawal raises ethical and constitutional concerns, especially when applied to persons who are completely dependent and voiceless.
We are not opposing medical ethics or palliative care. We are asking for stronger safeguards.
We urge the Government of India, including the Ministry of Health and Family Welfare and the Ministry of Social Justice and Empowerment, to:
- Introduce additional safeguards for persons with severe disabilities
- Ensure stricter scrutiny in cases without Advance Medical Directives
- Prevent application of such measures in non-terminal disability cases
- Establish independent oversight mechanisms
- Every life deserves dignity, protection, and careful consideration—especially those who cannot speak for themselves.
Sign this petition to ensure protection of the most vulnerable.

6
The Issue
We, the undersigned, respectfully raise concern regarding the implementation of the Supreme Court judgment in Harish Rana vs Union of India, which permits withdrawal of life-sustaining treatment, including Clinically Assisted Nutrition and Hydration (CANH).
While the judgment follows the framework laid down in Common Cause vs Union of India, it raises serious concerns for vulnerable individuals—especially children and persons with severe disabilities such as quadriplegia and neurological impairments.
Many such individuals:
- Are not terminally ill
- Require lifelong assisted care
- Cannot express their will due to their condition
In the absence of an Advance Medical Directive, decisions may be based on substituted judgment. This creates a risk of misinterpretation, external pressure, or unintended application in cases where the patient’s life is still sustainable with support.
Food and hydration are basic necessities. Their withdrawal raises ethical and constitutional concerns, especially when applied to persons who are completely dependent and voiceless.
We are not opposing medical ethics or palliative care. We are asking for stronger safeguards.
We urge the Government of India, including the Ministry of Health and Family Welfare and the Ministry of Social Justice and Empowerment, to:
- Introduce additional safeguards for persons with severe disabilities
- Ensure stricter scrutiny in cases without Advance Medical Directives
- Prevent application of such measures in non-terminal disability cases
- Establish independent oversight mechanisms
- Every life deserves dignity, protection, and careful consideration—especially those who cannot speak for themselves.
Sign this petition to ensure protection of the most vulnerable.

6
The Decision Makers
Petition created on 20 March 2026