Pluralism in the determination of death

Since the neurological criterion of death was established in medical practice in the 1960s, there has been a debate in the academic world about its scientific and philosophical validity, its ethical acceptability, and its political appropriateness. Among the many and varied proposals for revising the criteria for human death, we will focus on those that advocate allowing people to choose their own definition and criteria for death within a range of reasonable or tolerable alternatives. These proposals can be categorized under the rubric of pluralism in the determination of death. In this article, we will outline the main proposals and their rationales and provide a current overview of the state of the controversy.