According to Rachels, "If one simply withholds treatment, it may take the patient longer to die, and so he may suffer more than he would if more direct action were taken and a lethal injection given. This fact provides strong reason for thinking that, once the initial decision not to prolong his agony has been made neutral euthanasia is actually preferable to benign euthanasia, rather than the reverse."

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Rachels argues that active euthanasia (lethal injection) can be more humane than passive euthanasia (withholding treatment) because it can reduce the patient's suffering by hastening death.

According to Rachels, "If One Simply Withholds Treatment, It May