Monday 17 June 2013

Belgium and the Netherlands escalate their children’s euthanasia programmes

In this last week both Belgium and the Netherlands have taken major steps towards euthanasia for children.

A consensus among members of the Belgian Federal Parliament has reportedly formed in support of legislation to allow children to choose to undergo euthanasia in certain dire cases, according to a report in the Belgian daily newspaper Der Morgen, as translated by the Paris-based news agency Presseurop.

If child euthanasia is legalized in Belgium, the country would become the first in the developed world to have a law on the books formally allowing the practice.

Belgium became the second country in the world after the Netherlands to legalize euthanasia in 2002, but the statute currently extends only to people 18 or older.

The bill, introduced by the Socialist party last December, lays out guidelines for doctors to decide on a case-by-case basis whether or not a child is mature enough to make the decision to end his or her own life, as well as whether a child's health is grave and hopeless enough to warrant euthanasia.

‘The idea is to update the law to take better account of dramatic situations and extremely harrowing cases we must find a response to,’ Socialist party leader Thierry Giet said shortly after the bill was introduced, according to Agence France-Presse.

‘On both sides of the linguistic border, liberals and socialists appear to agree on the fact that age should not be regarded as a decisive criterion in the event of a request for euthanasia,’ Der Morgen wrote last week.

The decision to consider the bill follows months of testimony by medical experts, doctors, clergy members and others, and it marks a turning point in the nation's approach to the rights of young people, some of whom would be able to choose to die if the law were to pass, even while still being legally barred from driving, marrying, voting or drinking liquor until they turned 18.

The bill would also likely allow euthanasia for patients suffering from Alzheimer's and other diseases leading to advanced dementia, who may otherwise be deemed incompetent to make the decision to die. There were 1,133 cases of euthanasia recorded in Belgium in 2011, accounting for about 1 percent of the country's deaths that year, according to AFP.

Peter Deconinck, president of the Belgian medical ethics organization Reflectiegroep Biomedische Ethiek, has come out in support of expanding the practice to minors, as has the head of the intensive care unit of Fabiola Hospital in Brussels, who testified before a Belgian Senate committee.

‘We all know that euthanasia is already practiced on children,’ he told the committee. ‘Yes, active euthanasia.’

A majority of members of the Belgian Parliament are reportedly ready to pass the child euthanasia bill.  

In a separate move the Royal Dutch Medical Association (KNMG), which represents doctors in the Netherlands, has said that distress felt by parents can justify euthanasia of a dying newborn.

The Netherlands has since 2005 not prosecuted doctors who perform euthanasia on some minors as long as the doctors act in accordance with a set of medical guidelines dubbed the Groningen Protocol, drafted by Dr Eduard Verhagen in 2004.

Verhagen reported in the New England Journal of Medicine (NEJM) in 2005 on 22 babies with spina bifida who were given lethal injections under the protocol over a seven year period.

However, in a new policy document, ‘Medical decisions about the lives of newborns with severe abnormalities’ (in Dutch only) the KNMG now explains why it is acceptable, and perhaps even necessary, to euthanase children.

What is new about this statement is that it says that the parents’ suffering may be a reason to kill the newborn.

Amongst other conditions, the policy states that a lethal injection of muscle relaxant is ethically possible when ‘the period of gasping and dying persists and the inevitable death is prolonged, in spite of good preparation, and it causes severe suffering for the parents.’

Dr Verhagen, who is also one of the authors of the recent KNMG report, explained to Volkskrant, a leading Dutch newspaper, why parental anguish is relevant.

Doctors should spare parents the ‘abomination’ of seeing their child die in distress, he argues.  It is part of good palliative care.

The criteria for euthanasing newborns are as follows (from page 54 of the report): if the child is suffering, if it cannot express its own wishes, if death is inevitable and if the dying process is prolonged, then the child may be euthanased and spare the parents further severe suffering.

Of the 175,000 babies born every year in The Netherlands, the KNMG suggests that about 650 might be cases which would be worthy of euthanasia.

‘These babies, despite very intensive treatment, will certainly die in the short term. They have a poor prognosis and a very bleak life perspective. They may not be dependent on intensive care but they face a life of serious and hopeless suffering. Doctors and parents face the exceedingly profound question of whether to start or continue treatment or even whether a good action may actually be a harm, in view of the suffering and disability that may result from the poor health of the child.’ 

These disturbing latest developments in the two countries which were the first to legalise euthanasia in Europe demonstrate graphically the incremental extension that takes place once the door is opened and the public conscience begins to change.

The acceptance of two key concepts is what makes this extension inevitable – first it is accepted that there is such a thing as a life not worth living and second that the active ending of a person’s life is justified in order to lessen the suffering of others.

It was these two principles that were used to justify the killing an infant with limb abnormalities and congenital blindness (named Knauer) with parental consent by Dr Karl Brandt in neighbouring Germany in 1939.

This 'test-case' paved the way for the registration of all children under three years of age with 'serious hereditary diseases'. This information was then used by a panel of 'experts', including three medical professors (who never saw the patients), to authorise death by injection or starvation of some 6,000 children by the end of the Second World War.

The euthanasia programme in Nazi Germany, later headed by the same Karl Brandt, did not begin in prison camps like Auschwitz and Treblinka. It began far more subtly with doctors in hospitals and its very first victims were children who were killed on supposedly compassionate grounds.

It is bitterly ironic that child euthanasia is happening again seventy years later on the very same grounds in two countries that share a common border with Germany. 

This post has been republished on Life News and LifeSite News 

For ten year report on Euthanasia in Belgium see here.


  1. Euthanasia is far more compassionate than terminal sedation. Your "brilliant scheme" of keeping people in comas until they die is ludicrous.

    It's also unfeasible, since the morphine drip must be steadily increased to avoid excruciating suffering.

    This is the "choice" you advocate:

    1. This is the argument of Dr Helga Kuhse, then President of the World Federation of Societies for the Right to Die, at their 5th Biennial Congress on the Right to Die held in Nice, France, September 1984:

      'If we can get people to accept the removal of all treatment and care – especially the removal of all food and fluids – they will see what a painful way this is to die and then, in the patient’s best interests, they will accept the lethal injection.'

    2. You already accept the right of patients to refuse food and fluids, Peter. At least the Nazis did not torture their patients and families for weeks until they died.

  2. We know in these last days, that signs and wonders will happen when we pray in faith and with power. Satan knows this, and each sign and wonder, will lead more and more people to Christ. So, it looks like Satan has influenced these nations to kill off the 'hopeless' cases, in order there will be no one left who needs to witness a visible miracle in order for them to believe in God.

    It is also clear that these nations no longer have any concept of God. If they did, they would see that these children are anything but hopeless and helpless. They are an opportunity for God to reveal His touch in their lives. You see many spina bifida victims, and they are the happiest people on earth. What about Nick Vujicec? Would he have been ministered euthanasia if he was born today? He is one of the most inspiring people in the world today. Who on earth do these so called bright politicians, doctors, even clergy think they are to determine who or who isn't a lost cause? Are they God? No! They don't even have the mind of God.

    1. The Nazi rank-and-file soldiers were required to swear an oath before god.

      Nick Vujicec is one of the lucky ones. He has come to terms with his disability and is living a fortunate and happy life. That is his right, of course.

      What should not happen is for governments to decide that people must be forced to live against their will.

    2. No one is forced to live Winston. This is about giving doctors the power to kill. I can tell you, as a doctor, that that is a very dangerous thing to do.

    3. Doctors already have the power to kill, Peter. Harold Shipman got away with murder for years (under a legislature that prohibited assisted dying,mind you).

      Why do you loathe end-of-life compassion so much? Are you unaware that patients live longer when assisted dying is legal?

    4. Yes doctors have the power to kill which, like Shipman, they can abuse. But you wish also to give them the legal authority to kill. Power plus authority. Very dangerous. True compassion does not kill. It cares without killing.

    5. They would only have the authority after obtaining informed consent.

      Perhaps you might change your mind after seeing the 5% of palliative care cases that utterly fail.

  3. Would Helen Keller have been better murdered at birth? I don't think so!!

    1. Helen Keller was not born blind and deaf, it was the result of an illness when she was 19 months old...

      (I still don't agree with euthanasia except as a means to end extreme suffering, and I am concerned that individual prejudices might hasten the end of life for people who are deemed 'unworthy')

  4. My opinion of euthanasia is divided. In an ideal world, no-one would feel that euthanasia should be an option. However, we do not live in a perfect world. And people face many challenges- some cope, others face hardships I can't even imagine, and choose euthanasia. If governments allow euthanasia, it is of the utmost importance that it is carried out correctly, case by case, with respect for everyone involved.

  5. Humanity hasn't solved problems like war, starvation and environmental destruction and it's delusional to think we have the maturity and insight required to mess around with ideologies like this one. We should have learned this 70 years ago!
    If someone under 18 has the right to die, do they also have the right to do things like drive a car or vote?

  6. I am against euthanasia. I am old enough to be worried that I would be disposed of rather than cared for if I were seriously ill. More importantly, I would doubt whether my own GP was acting in my best interests if I knew he had the option. I hope I die peacefully: I do not want to die because someone thinks I am too much bother to care for.


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