Euthanasia

Mariama

The Living Force
FOTCM Member
So, their marketing scheme is working then? The daily Trouw was right reporting that it was unlikely that the number of euthanasia requests had decreased last year. It seems to me that they are cooking the numbers. And that bill for 'assisted suicide' at the end of a 'completed life' is simply evil.:curse:

I think we can expect more documentaries and newspaper articles extolling the virtues of AS soon when it comes to people with psychiatric issues, since the government has slashed the budget and these people are now out on the streets, giving police officers extra work. OSIT.
 

Palinurus

The Living Force
The way I interpret these latest news reports is a bit different. To me it seems more like a shift from regular caretakers (mostly GP's) to the Euthanasia Expertise Center than an absolute increase of cases across the board. This shift is caused by the harsher actions of the public prosecutors around so called 'complex' cases like when dementia is involved. Many doctors increasingly shy away from such cases and the Euthanasia Expertise Center is burdened with the the extra care.
FWIW.
 

Oxajil

Ambassador
Ambassador
FOTCM Member
The way I interpret these latest news reports is a bit different. To me it seems more like a shift from regular caretakers (mostly GP's) to the Euthanasia Expertise Center than an absolute increase of cases across the board. This shift is caused by the harsher actions of the public prosecutors around so called 'complex' cases like when dementia is involved. Many doctors increasingly shy away from such cases and the Euthanasia Expertise Center is burdened with the the extra care.
FWIW.
Not only because of the prosecutors I think. I think also because GPs are generally scared when it comes to a decision that actually takes a life. When they do it, they usually prefer the person with dementia to take the drink, and not assist in that action. But it's a difficult sight: seeing someone who has no clue what's going on taking a drink that will take his/her life. It's difficult for a GP with a conscience. There is one GP who had done this, and he cried that night.

When a person with early dementia has good cognitive abilities and decision-making ability, they can write down whether they want euthanasia or not when those abilities decrease or are lost. But when the time comes, GPs experience difficulty knowing whether the person with dementia still wants to go through with it or not. From what I know, there are very few GPs who would do this. When family members sometimes push the issue, pressuring the GP into performing euthanasia, saying that this is what the person with dementia wants/wanted, the question is: are family members pushing this because they are burdened or stressed out from taking care of their family member and want it to end? Just some thoughts.
 

Palinurus

The Living Force
Oxajil, I agree completely. Thanks for your addition.

I only answered Mariama on one aspect of her reaction which seemed faulty to me and didn't have time for more.
 

Palinurus

The Living Force
UPDATE on post #148 .
Source: Doctor acquitted of murder in euthanasia for dementia patient

Doctor acquitted of murder in euthanasia for dementia patient

By Janene Pieters on September 11, 2019 - 13:46

Update, 3:00 p.m., 11 September 2019: This story was updated with statements from the court.

The court in The Hague acquitted a nursing home doctor of patient's murder. The now-retired doctor was careful and followed the euthanasia protocol established in Dutch law when she performed euthanasia on a woman in the advanced stages of dementia, the court said in a statement.

This case revolved around the death of a 74-year-old woman with advanced dementia. While she was still lucid, the woman made a declaration that she did not want to end up in a nursing home and wanted euthanasia when she considered it was the "right time". In addition to the ambiguity of the "right time", the woman also gave alternating signals once in the nursing home. "At certain times she indicated that she did not want to die", the Prosecutor said when the trial started. The doctor eventually performed euthanasia "in close consultation with the family", and after two independent doctors determined that she was suffering unbearably.

According to the Public Prosecutor, there was grounds for charging the doctor with murder because she should have spoken further with the patient about the termination of her life. As the doctor did not do so, the due care requirements in the law were not met, the Prosecutor argued.

The court disagreed that the due care requirements were not met and acquitted the doctor. "Midway through 2015 the patient deteriorated rapidly," a statement from the court said, adding that by January 2016 she "no longer knew what the word 'euthanasia' meant." The doctor consulted with the patient's husband about the woman's statement declaring she wished to end her life, signed years earlier.

The doctor spent more time with the patient, and further consulted with the woman's daughter, medical team, and the nursing home staff where the patient resided. "The image that emerged from all of the observations and conversations was that of a deeply demented, incapable lady who had undergone and continued to undergo a huge shock to her person. Medications to relieve her condition didn't help," the court said.

Further consultation with medical personnel led to the act of ending the patient's life on April 22, 2016. Three years later, a disciplinary panel investing the case determined it did not meet the strict criteria for lawful euthanasia in the Netherlands.

The Prosecutor demanded no punishment against the doctor, expressing more concern over a possible lack of clarity in the Dutch law concerning patient's who lose mental acuity. "The norm that was violated was unclear and the doctor can only be blamed to a limited extent", the Prosecutor said during the trial.

This was the first ever case in the Netherlands in which a doctor was prosecuted for euthanasia since the introduction of the Termination of Life on Request and Assistance with Suicide Act in 2002.

Similar coverage:
Doctor who euthanised patient with severe dementia is not guilty of murder - DutchNews.nl

Sources in Dutch:
ECLI:NL:RBDHA:2019:9506, Rechtbank Den Haag, 09/837356-18

https://www.trouw.nl/binnenland/euthanasie-arts-niet-schuldig-aan-moord~b438ffe2
nd.nl/nieuws/nederland/rechtbank-euthanasie-demente-patient-was-geen.3566336.lynkx
nd.nl/nieuws/nederland/arts-gaat-vrijuit-na-euthanasie-bij-demente.3566620.lynkx
Artsen huiverig na vonnis euthanasie: ‘Wilsverklaring is geen waardebon’
Bij de uitvoering van euthanasie staat de arts op de rem
 

Palinurus

The Living Force
Source: Euthanasia monitor will take context into account after landmark ruling - DutchNews.nl

Euthanasia monitor will take context into account after landmark ruling

September 12, 2019

The commission charged with monitoring cases of euthanasia in the Netherlands is to take context into account when assessing if the rules have been properly met, chairman Jacob Kohnstamm has said.

Kohnstamm was speaking in the wake of Wednesday’s court ruling, in which judges said a doctor charged with murdering an elderly patient with severe dementia had acted with ‘proper care’ and found her not guilty.

The doctor, who has since retired, did not have to verify the patient’s wish to die with her because she was incapable of responding, the judges said. The woman had drawn up a living will some years before her admission to the nursing home and had regularly stated that she wanted to die.

‘The judge was clear,’ Kohnstamm told broadcaster NOS [in Dutch]. ‘Do not just look at the actual letter of the law but look at the patient’s history.’

Doctor Constance de Vries, who works at a special clinic which helps people with euthanasia requests if their own doctor refuses, said the court ruling was a breakthrough for people who are no longer capable of expressing their wish to die.

‘This means that euthanasia is no longer impossible for patients in this situation,’ she said. A living will ‘is something which you and your relatives can fall back on and it says something about how a patient thought about things before they became ill.’

Coffee

The public prosecution department, which brought the case against the doctor, said she should have verified her patient’s wish to die with her. Because this did not happen, the doctor broke the law, the department said.

It was also critical of the doctor’s decision to give the woman a sedative in her coffee before the euthanasia drugs.

The court, however, said it supported the doctor’s decision to put a sedative in the woman’s coffee because it had made her as comfortable as possible. The sedation took place with the full knowledge of her family.
 

Palinurus

The Living Force
Source: Prosecutor takes dementia patient's euthanasia to Supreme Court

Prosecutor takes dementia patient's euthanasia to Supreme Court

By Janene Pieters on September 26, 2019 - 10:57

The Public Prosecutor filed cassation at the Supreme Court in the case of a nursing home doctor who was recently acquitted of murder for performing euthanasia on a woman with advanced dementia. There are legal questions the Prosecutor wants answered in this case, but it does not want to put the doctor through an appeal so is therefore going directly to the Supreme Court, the Public Prosecution Service (OM) said in a statement.

This case revolves around the euthanasia of a 74-year-old woman with advanced dementia in April of 2016. The woman had written an advanced directive stating that she wanted euthanasia if she was admitted to a nursing home due to her dementia and that she wanted to determine the right time. But once she was in a nursing home, the woman gave mixed signals about her wish to die. In close consultation with the woman's family, and after two independent doctors determined that she was suffering unbearably, the nursing home doctor performed euthanasia.

The Public Prosecutor argued that the doctor had not met all due care requirements for euthanasia in this case. According to the Prosecutor, the doctor should have spoken further with the patient about the termination of her life. The Prosecutor demanded no punishment against the doctor, but wanted her convicted of murder.

But the court in The Hague disagreed and acquitted the doctor in a ruling earlier this month. The court considered it proven that the doctor ended the woman's life at her explicit and serious request by performing euthanasia.

"The OM does not agree with the judgment of the court, but also realize how burdensome the case is for the nursing home doctor", the Prosecutor said. The OM agrees that the facts have been established, but still wants clarity on a number of legal questions. Which is why the Prosecutor is taking this case directly to the Supreme Court. "This spares the doctor from facing appeal proceedings."

"With this case, the OM foremost wants to gain clarity on how doctors should deal with euthanasia on incapacitated patients. The OM wants legal certainty to be created for doctors and patients about this important issue in euthanasia legislation and medical practice. It is also important for the social and political debate to get as much clarity as possible about the interpretation of the law." the Prosecutor said.

Similar coverage:
Public prosecutor refers dementia euthanasia case to Supreme Court - DutchNews.nl

Sources in Dutch:
OM vraagt Hoge Raad opheldering over euthanasiezaak demente vrouw
OM zet ongebruikelijke stap in euthanasiezaak - in het belang van de arts
nd.nl/nieuws/nederland/openbaar-ministerie-slaat-hoger-beroep-over-in.3592784.lynkx
 

Palinurus

The Living Force
UPDATE on post #91 (March 1, 2017; the Fabio Antoniani, a.k.a DJ Fabio, case).

Source (Dutch only):
Hooggerechtshof Italië: euthanasie in bepaalde gevallen toegestaan

DeepL Translator said:
NOS News - Abroad - Wednesday 25 September, 22:57

Supreme Court Italy: euthanasia allowed in certain cases

Euthanasia is now permitted in Italy under certain conditions. This is the result of a ruling by the Italian Supreme Court in a groundbreaking case about the end of life of a music producer.

The Supreme Court was asked to pass judgment on the case of Fabiano Antoniani, also known as dj Fabo. Five years ago, he was completely paralyzed in a car accident and became blind as well. Human rights activist Marco Cappato, who strives for legal euthanasia, was saddened by his ordeal and drove Antoniani to Switzerland in 2017 where doctors performed euthanasia on him.

According to Cappato, there was no doubt that Antoniani wanted to die. A month before his death, the producer even had written down in a letter to President Mattarella: "It feels like I'm trapped in a cage. I choose to die without suffering."

Once back in Italy, Cappato reported himself to the police. He was facing a 12-year prison sentence, but he wanted to enforce a trial because he thought the law was flawed.

A judge in Milan, who had to judge incitement to or assistance in suicide, referred the case to the Constitutional Court to clarify the law. The court initially gave politicians time to come up with a new euthanasia position, but because of the political chaos in the country, that had not happened.

Irreparable injuries

The case was very controversial in Italy, and the Pope felt compelled to speak out against euthanasia again last week. "We can and must resist the temptation to use medication to satisfy a sick person's possible desire to die."

The Supreme Court now ruled that suicide assistance is allowed under certain circumstances. For example, there must be unacceptable suffering, the injury must be irreparable, and the patient must be able to make his own decisions. With regard to the death of Antoniani, the court said: "Whoever is in his condition is entitled to help".

New legislation

"We're all freer now," says Cappato right after the verdict. He calls on the parliament to come up with new legislation on euthanasia.

Correspondent Angelo van Schaik calls the court's ruling a breakthrough and says that the ball is now in Parliament's court. "This may well be the right time. The Social Democratic PD is in favor of euthanasia, and also within the Five Star Movement there are many supporters for the regulation of the end of life. Only the difficult cooperation between the two coalition parties can throw a spanner in the works."

Catholic organizations have also been stirred up, says Van Schaik. "A group of 4,000 Catholic anesthetists have indicated they will appeal to conscientious objections. The first step has been taken, but the battle is far from over."

Translated with www.DeepL.com/Translator
 

Mariama

The Living Force
FOTCM Member
According to Dutch media the majority of Dutch pediatricians now think young patients should have the right to euthanasia.:headbash:
So, IMO we are being primed to accept it, starting with people who are suffering and in pain and parents are buying into this vicious propaganda for whatever reason:

Eight out of ten doctors who have been treating young, unbearably suffering children under the age of twelve in recent years believe that active termination of life should be possible under certain circumstances, according to research carried out by three Dutch university hospitals.

It is estimated that 60 paediatricians treat such patients every year. The Beatrix Children's Hospital of the UMCG in Groningen, Erasmus MC and the Amsterdam UMC have interviewed 38 doctors on behalf of the Ministry of Health, Welfare and Sport who have treated more than 350 seriously ill young patients in recent years.

32 doctors stated that euthanasia should also be possible for young children. Out of a total of 359 cases, 46 intolerable suffering patients would have benefited from euthanasia, according to the doctors.

In many children, the process of dying can take weeks despite deteriorating health and they suffer a lot of pain during this period. "Parents also want to speed up or shorten the process," says professor and researcher Eduard Verhagen.

The research was handed over to the Lower House on Saturday. The researchers hope that there will be new regulations regarding active termination of life for children.

Grey area' in regulations for euthanasia in young children

At present, children between the ages of twelve and sixteen can decide for themselves about their treatment. In the case of children up to one year old, the decision lies with parents and doctors. For the group of children between both ages, the rules are "unclear", partly because they are not yet legally capable.

Euthanasia for young children has become a more discussable topic in recent years. In 2018, Belgium was the first country to implement the controversial idea.

Translated with www.DeepL.com/Translator
How about good palliative care or trying to find a cure a for their disease?

Maybe these prosecution cases mentioned above are just for show, while the authorities are busy promoting a certain mind-set for the gullible public?

A dear friend of mine was contemplating euthanasia and one of the reasons he gave me was that he didn't want to be a burden for the people around him (could be part of his personality, but it could also be him believing the useless eaters propaganda). He did tell me that he did have to go to a lot of trouble getting it sorted and he is of clear mind, so I think the authorities are just trying to muddy the waters.
 
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