Thursday, April 5, 2012

Push for the Right to Die Grows in the Netherlands

NY Times: Under the Netherlands’ 2002 Termination of Life on Request and Assisted Suicide Act, doctors may grant patients’ requests to die without fear of prosecution as long as they observe certain guidelines. The request must be made voluntarily by an informed patient who is undergoing suffering that is both lasting and unbearable. Doctors must also obtain the written affirmation of a second, independent physician that the case meets the requirements and report all such deaths to the authorities for review. . . . Mobile teams were needed because many general practitioners, either for moral reasons or perhaps because of uncertainty about the law, refused to help suffering patients to die after it had become too late to find another doctor.

Even in the Netherlands, some think Right to Die-NL may now be going too far. In addition to the mobile teams, the organization is among those pushing to give all people 70 years old and over the right to assisted death, even when they are not suffering from terminal illness. . . .

The Dutch patients’ organization N.P.V., a Christian group with 66,000 members, strongly criticizes the current application of the law, saying the practice of euthanasia has been extended to encompass patients with dementia and other conditions who may not by definition be competent to request help in dying.

Elise van Hoek-Burgerhart, a spokeswoman for the N.P.V., said in an e-mail that the idea of mobile euthanasia teams was “absurd,” and that there was no way the mobile-team doctors could get to know a patient in just a few days. Moreover, she added, research shows that 10 percent of requests for euthanasia from the elderly would disappear if palliative care were better. She also noted that the law requires review committees to sign off on every reported case of euthanasia, but that 469 cases from 2010 had still not been reviewed, meaning it was not clear how well doctors were adhering to the official guidelines.

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