Top India court allows passive euthanasia, but few aware of ‘living wills’

New Delhi, India – In a crowded ward of New Delhi’s All India Institute of Medical Sciences (AIIMS), India’s premier public hospital, a mother sits quietly beside her 29-year-old son, Piyush Singh*.

Diagnosed with stomach cancer a year ago, Singh has already undergone five rounds of chemotherapy. He now lies in the hospital’s palliative care unit, where the goal is no longer to cure the disease but to relieve pain and preserve his dignity.

“The world comes to AIIMS when they are not well. But where shall we go?” asks his mother. “My son has already received five doses of chemotherapy, but his condition has not improved. The doctors are not telling us anything. I don’t know what to do next.”

Piyush’s family is not asking for his life to end. They simply don’t know what comes when treatment fails.

A few floors away, Aryan* has come to AIIMS from Auraiya, a small town in Uttar Pradesh state, to accompany his 40-year-old brother Amit (name changed), who has been battling mouth cancer for four years. Two surgeries, radiation and two rounds of chemotherapy later, doctors say there is little hope of him surviving. The final checkup has been done. There is nothing more left to try.

“There is no duvidha [dilemma in Hindi],” says Aryan. “The doctors have said no. So it is clear now.”

He plans to take Amit to his rented flat in Gurgaon and give him whatever painkillers he has been prescribed. Beyond that, he has no plan, because no one has given him one.

“I don’t know about palliative care. I don’t know how to ease his pain. I have nothing apart from the medicines I got today,” he said.