Medical end-of-life decisions are frequent in minors in Flanders, Belgium. Whereas parents were involved in most end-of-life decisions, the patients themselves were involved much less frequently, even when the ending of their lives was intended. At the time of decision making, patients were often comatose or the physicians deemed them incompetent or too young to be involved.
To investigate attitudes towards physician-assisted death in minors among all physicians involved in the treatment of children dying in Flanders, Belgium over an 18-month period, and how these are related to actual medical end-of-life practices.
A majority of surveyed Flemish physicians appear to accept physician-assisted dying in children under certain circumstances and favour an amendment to the euthanasia law to include minors. The approach favoured is one of assessing decision-making capacity rather than setting arbitrary age limits. These stances, and their connection with actual end-of-life practices, may encourage policy-makers to develop guidelines for medical end-of-life practices in minors that address specific challenges arising in this patient group.
AFP - Belgium is considering a significant change to its decade-old euthanasia law that would allow minors and Alzheimer's sufferers to seek permission to die. The proposed changes to the law were submitted to parliament Tuesday by the Socialist party and are likely to be approved by other parties, although no date has yet been put forward for a parliamentary debate. "The idea is to update the law to take better account of dramatic situations and extremely harrowing cases we must find a response to," party leader Thierry Giet said. The draft legislation calls for "the law to be extended to minors if they are capable of discernment or affected by an incurable illness or suffering that we cannot alleviate." Belgium was the second country in the world after the Netherlands to legalise euthanasia in 2002 but it applies only to people over the age of 18.
The Dutch system designed to protect from prosecution doctors who are involved in the mercy killing of severely ill newborn babies who are judged to be suffering unbearably and hopelessly seems to be struggling to gain professional acceptance. The first case is only now being considered, more than two years after the system’s introduction. Research had estimated there should be 15 to 20 such cases a year (New England Journal of Medicine 2005;352:959-62). MPs learnt through parliamentary questions on 18 November that the first report of the decision to end the life of a severely ill baby had been filed in the Netherlands. No more details have been released. The expert committee set up to monitor the system has 12 weeks to decide if the doctor involved followed the correct protocol and whether it should recommend that he or she is not prosecuted.
PUTTE, Belgium—In this small village amid an array of Flemish farms, they were an unusual but seemingly happy pair, two 43-year-olds who were identical, deaf twins. Townspeople recalled seeing Marc and Eddy Verbessem around town frequently, talking animatedly in sign language together, tooling around in a small blue car, and regularly buying two copies of a popular gossip magazine. No one expected them to decide to die on purpose.
The right-to-die debate has gone a step futher in Belgium. Charlotte McDonald-Gibson speaks to a mother who wants others to avoid her baby’s slow, painful death.