MONTREAL, Dec. 8, 2013 /CNW Telbec/ - At a press conference, Prof. Dr.
Etienne Montero, Dean of the Faculty of Law, University of Namur,
Belgium, gave an overview of 11 years of euthanasia in Belgium. http://coalitionmd.wordpress.com/2013/12/08/all-citizens-at-risk-of-excesses-and-abuse-bill52-quebec/ The proponents of euthanasia in Belgium recognize that most requests
for euthanasia are not rooted in physical pain, which can be
controlled, but in psychological suffering. Examples include loss of
meaning, loneliness, weariness of life, and need to master one's death.
In situations of suffering, a euthanasia request is understandable, but
courts cannot give the right to euthanasia without endangering the
lives and security of its citizens. All citizens are at risk of
excesses and abuse.
The Belgian experience of euthanasia teaches us that it is an illusion
to believe that people can have the right to euthanasia as a
well-defined and well-controlled practice.
Once euthanasia is permitted, it becomes very difficult to maintain a
strict interpretation of legal requirements. Quickly, restrictions fall
away, one after the other, and boundaries become wider and larger. Such
an expansion is inevitable due to the intrinsic dynamics of law.
Indeed, law is part of a legal system that has its own dynamics, driven
by higher principles such as equality and non-discrimination. First,
euthanasia, initially reserved for adults, will open to minors. Second,
the law initially requires a serious and incurable disease with
physical or mental suffering. Applying these same principles, how can a
person be denied euthanasia with only psychological suffering, without
a serious and incurable disease?
The Belgian experience illustrates the difficulty of adhering to
original statements and intentions of the legislator and of ensuring
compliance to the original strict legal requirements. It was originally
stated that psychiatric, demented or depressed patients would not be
targeted by the Belgian law. However, the Belgian Control Commission
(BCC) approves euthanasia in such cases today.
Conditions of severe and incurable disease and suffering are also
interpreted very loosely. The BCC approves euthanasia at the request of
people who suffer from various diseases related to old age, none of
which, taken alone, is severe (arthritis or decreasing sight and
hearing). It also recognizes the possibility of future anticipated
suffering as a condition for euthanasia.
Moreover, how can anyone make sure that the patient is given free and
informed consent, without external pressure? How can anyone ensure that
the prognostic information (predicting chances of survival) and
therapeutic options are correct as well as sufficiently explained and
given in an empathetic manner? How reliable is the verification process
a posteriori (after the fact) based on a document completed and submitted by the
same doctor who euthanized the person (self-reporting)?
Today, the emphasis is on patient autonomy. However, there is a real
danger that vulnerable people, faced with declining health, will feel
pressured and compelled to be euthanized so as not to be a burden to
family or society. There is also a risk that people will be euthanized
due to incompetence (i.e. inadequate pain control). Finally, society
may be more willing to offer euthanasia as a solution to suffering than
to alleviate the suffering.
If Quebec decides to partially open the door to euthanasia, Dr Montero
warned that the door will automatically open wider and wider regardless
of initial intentions. This is not pure conjecture, but reality based
on the Belgian experience.
Image with caption: "Professor Dr. Etienne Montero, Dean of the Faculty of Law, University of Namur, Belgium (CNW Group/Coalition of Physicians for Social Justice)". Image available at: http://photos.newswire.ca/images/download/20131208_C8792_PHOTO_EN_34660.jpg
SOURCE: Coalition of Physicians for Social Justice
For further information:
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