Prof Theo Boer, one of the early architects of Dutch euthanasia practice, has since become its most outspoken critic.
“It is well known that British advocates of assisted dying argue for a more restricted law than is found in the Low Countries. Here is my prediction: any law that allows assisted dying will come to be experienced as an injustice and will be challenged in the courts,” he wrote. “Why exclude psychiatric patients, many of whom are suffering most heartbreakingly of all?”
The Netherlands has taken this argument to its logical conclusion. While the law there hasn’t changed in the 20-plus years since it was introduced, over time the interpretation of its criteria has, to include people with mental illness who are suffering unbearably – even those aged under 18.
“I think everyone in psychiatry accepts euthanasia based on inhumane suffering, but it is still a last option,” says Damiaan Denys, professor of psychiatry at the University of Amsterdam and former chairman of the Dutch Psychiatry Association. “There is a worry it is getting too fast, too loose.”
Others argue the law does not go far enough – one Dutch campaign group, Coöperatie Laatste Wil, or Last Wish Cooperative, founded in 2013, is pushing for “last will drugs” or suicide kits to be widely available for people who choose to end their lives rather than continue to suffer.
Denys published a research paper on the EE in July last year and drew some troubling conclusions. “The waiting list is two years. And interestingly … when we analysed the data, we noticed that that waiting list resulted in a lot of people changing their mind,” he says. “But it is possible in some cases, if the patient finds a psychiatrist, and a second one, that it can be done in six weeks – it can go very, very fast. It depends … on how skilled you are at convincing people you want to die.”
In total, 65 per cent of those who had a euthanasia request granted were women. While most euthanasia deaths for physical illness are carried out for those aged 60 and above, 60 per cent of this cohort were under 60; 18 per cent were younger than 40. One patient was under 20.
Menno Oosterhoff, 68, a retired child and adolescent psychiatrist, has been providing second opinions for patients who request euthanasia since 2016. He has been carrying out the procedure himself since last year, and has since euthanised nine patients, one as young as 16.
Oosterhoff admits to having doubts. “Sometimes I think, did we open Pandora’s box? How many people will ask for euthanasia? I have no idea."
https://www.telegraph.co.uk/news/2024/06/08/dutch-euthanasia-healthy-children/
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