Belgium Allows People Control Of Their Own Death
It's so amazing that we have laws against this. Sure, there are going to be abuses -- so there need to be safeguards.
Naftali Bendavid writes in the WSJ about how it works in Belgium:
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.
According to their doctor, the twins had developed a genetic disorder that was making them blind, and several years ago they began pressuring him to put them to death. Even in Belgium, with its decade-old euthanasia law, the request was striking, since the twins were relatively young and not terminally ill. But their doctor says that as their condition worsened and threatened their independence, they would hand him envelopes containing a blunt request for euthanasia--and, for good measure, a list of symptoms they said were making their lives unbearable.
The twins' ordeal wasn't publicly known at the time, but their request--and its fulfillment last December--highlights an emotional battle over expanding Belgium's euthanasia law, and is reverberating in the end-of-life debate in the U.S.On Dec. 14, Marc and Eddy, after a long legal and medical journey, met their doctors and family in a Brussels hospital, according to their doctor. They enjoyed a final cup of coffee and lay down in adjoining beds, where a chaplain said a prayer. Then they waved to their family, pointed up as if to say "see you on the other side," received their injections, and were gone.
Belgium adopted euthanasia in 2002, a year after neighboring Holland, with the goal of helping incurably ill patients escape "unbearable physical or mental suffering." It has become widely accepted; in 2011, the last year for which numbers are available, 1,133 Belgians had euthanasia requests approved, up about five fold from the first full year after the law was passed. Euthanasia accounts for about 1% of all deaths in Belgium.
The Belgian parliament is now considering expanding euthanasia in ways that many Americans might find startling. Under one proposal, gravely ill teenagers could seek euthanasia, if their parents agreed.
Another bill would let patients with early Alzheimer's sign a declaration asking to have their life ended when a doctor concludes they're no longer interacting with the outside world, even if they seem vigorous and happy at the time. Now, patients must be lucid to request euthanasia, which is generally carried out soon after.
The twins' case, along with those proposals, is playing into the end-of-life debate in the U.S., as American opponents of assisted suicide warn that America could end up like Belgium. Critics say Marc and Eddy's case shows how aid-in-dying laws invariably expand their reach.
"It's a deep worldview if you accept that life isn't necessarily a good and death isn't necessarily a bad," said John Brehany, executive director of the U.S. Catholic Medical Association, which advocates against assisted suicide. "A lot of people in the world aren't happy, and if death is one more option we lay out for them the world will look like a very different place."
Regarding U.S. Catholic Medical Association director advocating against assisted suicide, it's really none of his damn business or his organization's whether and when people choose to end their lives.
It is his right to campaign to try to stop individuals from doing this -- but it is not his right to prevent them, nor is it the state's.
We are humane to pets in a way we are not to humans.







In most states, the only way to kill the comatose or those in a permanent vegetative state is by withdrawing nutrition and liquids.
If you do that to a conscious person they will literally be screaming as they die.
How is that right?
Jim P. at June 14, 2013 10:21 PM
The problem with letting professionals do it is the scope for misuse which varies from place to place. In places like Belgium or Scandinavia where misuse is hardly heard of and corruption very non existent, it is okay as of now. But try putting it in some place in Africa or Asia or the middle east where there is so much corruption and you have a recipe for passing off countless murders as euthanasia. So it is pretty much dependent on the place and since it is not an ideal world, what works in one part of the world will not necessarily work in another part of the world since not all places are alike nor do all places work in the same manner. As they say 'one mans nectar is anothers poison'.
Redrajesh at June 15, 2013 1:31 AM
"But try putting it in some place in Africa or Asia or the middle east where there is so much corruption and you have a recipe for passing off countless murders as euthanasia"
Who cares? We don't influence law or society in those countries anyways.
In parts of Africa they rape babies to cure AIDS, euthanasia is too humane for barbarians.
Ppen at June 15, 2013 3:38 AM
"gravelly ill" teens. Note it doesn't say terminally. I remember being a teen, and thinking all SORTS of things made life unbearable. A willing and perhaps overeager Dr with a needle at my side would have been a recipe for ....death for no reason.
When a Dr decides they aren't interacting with the outside world, even if they seem vigorous and happy at the time? I can't fathom giving someone power over my life that way.
And I am pro euthanasia, for competent adults who choose it.
momof4 at June 15, 2013 6:15 AM
So, is anyone else fucking sick and tired of catholics weighing in on "moral" matters?
Child rape, child abduction, claiming condoms cause AIDS, all of these thing are perfectly fine. Letting someone dying escape a single moment of pain early unacceptable?
Seriously what the fuck is wrong with these people?
lujlp at June 15, 2013 7:21 AM
"We are humane to pets in a way we are not to humans."
Well said, Amy. My own personal opinion is that the decision to end one's own life should be included among the inalienable rights of mankind.
Robert at June 15, 2013 8:27 AM
Amy Alkon
http://www.advicegoddess.com/archives/2013/06/15/belgium_allows.html#comment-3750451">comment from RobertThank you, Robert -- and I absolutely agree.
Amy Alkon
at June 15, 2013 8:56 AM
Our policies are ridiculous. The last time I was in the hospital, I was asked to sign a DNR. I told them that if I had a chance for a good recovery, then yes, I want to be resuscitated. After all, I was resuscitated at the age of 12 and went back to school the next day. If I cannot be resuscitated quickly, then I want to be let go. The nurses told me that they had to follow orders. They had to follow the treatment that my papers indicated, no matter the circumstances and asked me to sign them because I have suffered several strokes. Btw, I am "fully functioning" and work full time.
I am all for putting people out of pain and misery. I have mixed feelings about some quality of life issues and worry about pressure to end a life. I also worry about doctors being unwilling to provide pain relief from both a quality of life standard and from the perspective that it might cause someone to take their own life unnecessarily.
Jen at June 15, 2013 9:17 AM
My old client, comedian David Feldman, has a joke (paraphrasing)...
"We treat our animals better than people. We need a human society for human beings. And when they get lost we should round them up, and if they haven't been claimed in 7 days....."
amy at June 15, 2013 11:12 AM
Amy Alkon
http://www.advicegoddess.com/archives/2013/06/15/belgium_allows.html#comment-3750607">comment from amyAlso, more people should be spayed and neutered.
Amy Alkon
at June 15, 2013 12:18 PM
Safeguards? with the NSA on the job, after pouring over you banking, phone, internet and health history, will be well equipped to make the determination.
No safeguards needed.
I R A Darth Aggie at June 15, 2013 1:04 PM
One reason the case for Euthanasia is so compelling is due to our War on Drugs. Thanks to that wrinkle, a terminal patient cannot use heroin or cocaine for relief, for example, if conventional painkillers fail to do the job. But perhaps the right to die is inalienable and should be a personal choice, no matter what drugs are eventually legalized.
But be forewarned: combining Obamacare and euthanasia could be hazardous to your health. For example, a few years ago, a patient in Oregon's state-run system had a grievous case of cancer. Oregon, which allows assisted suicide, offered to pay for the suicide, but not for cancer treatment. Thanks, big nanny government!
mpetrie98 at June 15, 2013 2:29 PM
I think you are looking at this backwards.
The more human-like a life, the more humans value that life and, consequently, the higher the barriers are to death.
Dogs suffer more at the end of their lives than goldfish. Are we humane to goldfish in a way we aren't to dogs, or is it that we value the lives of dogs more than goldfish?
Jeff Guinn at June 15, 2013 6:22 PM
Amy Alkon
http://www.advicegoddess.com/archives/2013/06/15/belgium_allows.html#comment-3750824">comment from Jeff GuinnWe are humane to pets we put to sleep because we don't let them suffer like we let humans suffer, even when they beg to be put out of their misery.
I don't think we're aware of a goldfish's suffering, and thus cannot do it in to help it before it just goes floating to the top.
Amy Alkon
at June 15, 2013 7:14 PM
I think are misusing the concept "humane" by restricting it solely to the alleviation of suffering.
To be humane requires being human, with all that entails, which is far more than just pain.
People will put an elderly dog down rather than pay for a knee replacement. Yet we would not make that calculation for a human, because the valuation on human life is far higher than for dogs.
Presuming you agree with that, then you end up contradicting yourself.
Turning around and arguing that it we are more humane to pets by willfully ending their suffering is having it both ways: on the one hand, we value human life more highly than pets, but on the other we shouldn't.
Jeff Guinn at June 15, 2013 7:27 PM
I'd still rather have an injection and leave some type of small fortune to my relatives than wear a diaper for five years and suck up money that is wasted because I'm not there.
Jim P. at June 15, 2013 7:27 PM
Jim, I'm not disagreeing with that.
Rather, my point is that laws are general, not specific. Since societies value human life more highly than animals (and some animals more highly than others) the price we will pay in suffering to exit life will be much higher.
That is not inhumane. To the contrary, devaluing end of life decisions to the point where they are the same as those for pets would be.
Jeff Guinn at June 15, 2013 8:31 PM
"But be forewarned: combining Obamacare and euthanasia could be hazardous to your health. For example, a few years ago, a patient in Oregon's state-run system had a grievous case of cancer. Oregon, which allows assisted suicide, offered to pay for the suicide, but not for cancer treatment. Thanks, big nanny government!"
DO NOT MISS THIS.
Look what you got when someone wished for "Affordable Health Care".
SOMEONE ELSE, NOT YOU will determine when to flip that switch.
Radwaste at June 16, 2013 2:06 AM
People put goldish "to sleep" all the time. You just add clove oil to their tank. If they have something incurable or have received a terrible injury (broken back) and you just wait, the other fish eat them alive.
Ana at June 16, 2013 2:09 AM
"I'd still rather have an injection and leave some type of small fortune to my relatives than wear a diaper for five years and suck up money that is wasted because I'm not there."
You might feel differently when the diaper becomes reality but yet you find that living with it wasn't quite as hard to take as you imagined.
I think it is easy to talk about euthanasia and the reasons it should be available. It is also something that would extraordinarily open to abuse and I am not sure that the benefits would outweigh the abuses.
causticf at June 16, 2013 11:09 AM
Amy Alkon
http://www.advicegoddess.com/archives/2013/06/15/belgium_allows.html#comment-3751520">comment from causticfcausticf, you seemed to have missed this part:
because I'm not there."
I am of value as a person because I have a mind and intent and do things that reflect what I value. I don't want to live as a lump of flesh.
Amy Alkon
at June 16, 2013 11:16 AM
I am of value as a person because I have a mind and intent and do things that reflect what I value. I don't want to live as a lump of flesh.
Posted by: Amy Alkon at June 16, 2013 11:16 AM
Good luck calculating that exact point in time, and planning accordingly. Those of us, who lack prescience, are usually way past it, when we finally realize we are way past it.
Maybe you will get lucky, and get hit by a bus, or die suddenly of a cerebral hemorrhage before you are faced with a decision, since I am sure the government bureaucracy in place to make sure, you want what you want, will ninety percent of the time, schedule your demise, about four to six weeks after you are past caring about it.
Isab at June 16, 2013 12:31 PM
That is why you have someone you trust that has a medical power of attorney. My sister is mine. She knows that if I end up comatose with no expectation of recovery after 30 day or perm vegetative -- pull the plug.
And I won't blame her if I'm wrong and there is an after life. But if the brain waves are essentially flat, I'm already gone.
Jim P. at June 16, 2013 6:41 PM
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