An intensive care specialist in Italy says that Pope John Paul II may have been euthanized after refusing a feeding tube while he was ill, Time magazine reported Friday.

In an article published in the bi-monthly Italian magazine MicroMega, Dr. Lina Pavanelli argues that the pontiff’s April 2, 2005 death was what the Catholic Church would consider euthanasia, Time reported. She came to the conclusion using her own expertise, media reports and a book written by the former pope’s physician.

Click here to read the Time magazine report.

When the pope’s health began to decline, the failure of doctors to insert a feeding tube would have accelerated his death, Pavanelli wrote. But she believes doctors explained John Paul II’s situation to him and that he may have refused the feeding tube himself.

The article, titled “The Sweet Death of Karol Wojtyla,” appears in the latest edition of the Italian magazine which has often scrutinized the Vatican’s view of bioethics, Time reported.