Belgian Senate Votes To Allow Euthanasia For Children

 רשב"ל אומר כל מי שנעשה רחמן במקום אכזרי סוף  שנעשה אכזרי במקום רחמן קהלת רבה

 Can this new law be used to "silence" children who know too much?  How much money will a "terminal illness" cost?  (Robert Adler) (read last piece on the bottom for an example by an adult)

  As we already saw recent studies about Belgium's euthanasia found that: 32% of the assisted deaths are done without request and 47% of the assisted deaths go unreported in the Flanders region of Belgium

The study that found that 32% of the assisted deaths are done without request, indicated that the people who died by euthanasia without request were usually: incompetent, did not have cancer, were over the age of 80, and living in a hospital. The same study indicated that these deaths represented “a vulnerable patient group.”

Further to that doctors who admit to not reporting assisted deaths usually do not follow the guidelines of the Belgian law. A recent study found that 73.1 % of the reported assisted deaths followed the guidelines while only 12.3% of the unreported assisted deaths followed the euthanasia guidelines in the Belgian law.

(to read what we posted when this law was first proposed)

from a Aug 2009 Time (very liberal) magazine article about euthanasia

 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

"We mark out opposition to this extension and express our trepidation in the face of the risk of a growing trivialization of such a grave reality," leaders of Belgium's Christian, Muslim and Jewish communities.

"A child cannot buy a house in Belgium. A child cannot buy alcohol in Belgium. And this law would allow a child to ask to be killed. And that is a real problem," Carine Brochier of the European Institute of Bioethics in Brussels told DW earlier.

From Alex Schadenberg of the Euthanasia Prevention Coalition

•  The number of euthanasia deaths in Belgium is skyrocketing with an increase of 25% in 2012. Recent studies indicate that up to 47% of all assisted deaths are not being reported, 32% of all assisted deaths are being done without request and nurses are killing their patients, even though the law restricts euthanasia to doctors.
• Some Belgian experts are supporting the extension of euthanasia to children with disabilities because they say that it is being done already. The same medical experts suggest that the extension of euthanasia will result in an increase of 10 to 100 euthanasia deaths each year.
• The Belgian euthanasia law appears out-of-control. The Belgian Euthanasia Control and Evaluation Commission appear to be in a conflict of interest. The Commission supported the euthanasia deaths of: Nathan Verhelst (44) who was born as Nancy, Ann G who had Anorexia Nervosa and was sexually exploited by her psychiatrist, Mark & Eddy Verbessem, and at least one depressed woman. These are only the cases that we know about.
• Dr Wim Distelmans, who is the leading euthanasia doctor in Belgium has also been the chairman of the Belgium euthanasia commission for more than 10 years, and the commission has been stacked with supporters of the euthanasia lobby.

 from a recent study in the Journal of Medical Ethics showing that a strong minority of Dutch are in favor of euthanasia even if the person is healthy

BRUSSELS — Belgium took a big step on Thursday to becoming the first country to allow euthanasia for incurably ill children, after the upper house of Parliament voted by a large majority to extend to minors a 2002 law legalizing the practice for adults.

Under the amended law, euthanasia would become legal for children afflicted with “constant and unbearable physical suffering” and "equipped" “with a capacity of discernment.” During a sometimes heated public debate in the run-up to the vote, religious leaders condemned the move as entering “a logic that leads to the destruction of society’s foundations.” 

Philippe Mahoux, a Socialist Party senator and sponsor of the legislation, described giving terminally ill children the right to “die in dignity” as the “ultimate gesture of humanity.” He dismissed the religious leaders’ criticism, saying it was unrepresentative of the views of many ordinary believers, who he said supported the legal change. 

He said the legislation did not seek to define death — “that is for theologians and philosophers” — but to allow young people, with the assent of their parents, to choose the manner of their dying in the event of terminal illness and "intolerable" physical pain. 

Although Europe is generally far more accepting of euthanasia or assisted suicide than the United States, only a handful of countries have formally legalized medical interventions to cause death. Luxembourg permits euthanasia for adults, and Switzerland allows doctors to help patients die but not to actively kill them. The Netherlands allows euthanasia in special cases for gravely ill patients 12 or older. 

But Belgium — where adult euthanasia cases already number around 1,000 a year and rising every year — is the first country to propose lifting all age restrictions. 

Fifty of the 71 members of the Belgian Senate voted for the measure on Thursday. Just 17, mostly from the conservative, and traditionally Catholic, Christian Democrats, voted against. Four did not vote. 

Before becoming law, the changes must be voted on by the Parliament’s lower house, which is expected to take up the matter before elections in May. The measure seems likely to pass, and would put Belgium in a separate category from almost any other nation when it comes to allowing the terminally ill to choose to die.

The idea of euthanasia for children has been taboo in most countries, not only for religious reasons but also because of the horrors of Nazi Germany, which killed thousands of mentally and physically handicapped children under a program known as Kinder Euthanasie. 

Mr. Mahoux said in an interview before the vote that euthanasia for terminally ill children was already practiced on occasion in some Belgian hospitals and that the law would not lead to a surge in medically accelerated death among sick children but would save doctors from potential criminal prosecution.

The amended law extending the “right to die” to children mandates that euthanasia can be carried out only at the "demand" of a patient and that such a request be “voluntary, considered and repeated and not the result of external pressure.” 

Unlike adults, children would not be allowed to choose death on the grounds of “psychological suffering” but only when there was no hope of recovery from an illness that involves extreme physical pain. Parents must give their approval in writing. 

Religious groups, however, view Belgium’s efforts to extend its already contentious 2002 law to children as a dangerous erosion of moral barriers protecting the sanctity of life. “We mark out opposition to this extension and express our trepidation in the face of the risk of a growing trivialization of such a grave reality,” the leaders of Belgium’s Christian, Muslim and Jewish communities said in a statement. 

During a debate in the Senate on Thursday that included some angry exchanges, members of the Christian Democrats denounced the changes as open to abuse and fraught with peril. read the top and look at the links

Els Van Hoof, a Christian Democrat from Belgium’s Dutch-speaking community, argued that paying more attention to relieving the pain of patients instead of allowing doctors to legally kill them would “allow both old and young to die with dignity.” A 10-year-old, she said, is not in a position to make a life-or-death decision “in an autonomous manner” and will invariably be vulnerable to pressure.

Mr. Mahoux, who is a former surgeon, said “it is particularly painful to touch on the issue of death” for children, “but what is scandalous, in the primary meaning of the term, is first of all the illness of minors, incurable illness, their unappeasable suffering, and not their will to want and to be able to put an end to it.” 

Although often bitterly divided by language, senators from both French- and Dutch-speaking communities voted strongly in favor of the amended law. 

Belgium, which is mostly Roman Catholic by tradition but now largely secular in practice, has been far more open to the idea of euthanasia than similarly secular countries like Britain, where Parliament has rejected efforts to legalize assisted suicide. Belgium’s 2002 law gave adults the right to die in the event of “unbearable psychological or physical suffering,” a provision that widened the scope beyond just those suffering from painful terminal illnesses. 

This year, a 44-year-old Belgian requested and received a lethal injection after a botched sex change operation to become a man. The procedure was carried out by a Brussels doctor who had earlier overseen the euthanasia of congenitally deaf twins who feared they were going blind. 

Despite the occasional scandal, however, the public backs extending euthanasia to gravely ill minors, according to a study conducted for La Libre, a Belgian paper, and RTBF (Radio Television Belge Francophone). About three-quarters of those questioned said they supported the move. 

A group of pediatricians also issued an open letter championing the rights of children to choose their own fate. 

“Experience has taught us that in cases of serious illness and imminent death, minors develop a great maturity very rapidly, to the point where they are sometimes more able to reflect on life and express themselves than adults in good health,” said the letter. 

(NY Times) highlights our additions

The pending law will inevitably add fuel to the Quebec euthanasia debate, where government-led efforts to legalized assisted dying have been closely influenced by the Belgian example.

The bill first obtained approval from a Senate committee in November, then passed the Senate with the backing of the country’s socialists, liberals, greens and Flemish separatists. Only two Christian Democrat parties and the far-right Vlaams Belang opposed it.

“They sometimes say that age limits are arbitrary, but trying to judge whether a minor is able to make such a decision is even more arbitrary,” Els Van Hoof, a Flemish Christian Democratic senator, said in November.

 

Assisted suicide — where the doctor prescribes lethal medication, instead of administering it himself — is still illegal.


In January, deaf twins Marc and Eddy Verbessem, 25, successfully obtained doctor-administered euthanization after learning they were about to go blind, although they were not suffering from a terminal medical condition.


The Quebec National Assembly is conducting a committee study of Bill 52, which would legalize “medical aid in dying.”

The Netherlands allows euthanasia for children as young as 12. Supporters of the Belgian bill say only one Dutch child under age 13 has successfully obtained a legal euthanization.

The Belgian bill is expected to pass easily and become law, although proponents are urging deputies to rush the legislation through before Belgium’s spring legislative elections.

“We want this law to be definitively voted on before the dissolution of parliament,” socialist deputy Karine Lalieux told Agence France-Presse.
(National Post)

Dr. Kenneth Chambarae, who is part of the end-of-life research group at Brussels' Free University, specializing in the impact of legalized euthanasia, said the bill explicitly states that it would be possible only for competent minors suffering unbearable physical pain from a serious physical illness without prospect of improvement to request euthanasia. This is different from adults, who can also request it if they are suffering psychologically.

Chambarae argues the debate in Belgium is more one of principle than anything else -- that very few children would ever choose euthanasia but that the law now "discriminates" against them.

(CNN)

As many as half of the euthinizations in Belgium may not even be reported.

There are also accusations of psychiatrists abusing patients and pushing them to euthanasia to cover their malpractice. At least one case has surfaced where the psychiatrist was sexually abusing a patient who resorted to euthanasia. In another case, a pair of deaf, but otherwise healthy twins chose to commit suicide because one of them was possibly going blind and neither wanted to be blind or separated.
(catholic.org)

Gay Terrorists Sue Cake Store For Refusing To Do A Same Gender "Wedding"

A same-sex "couple" who requested a cake for their "wedding" in January but were refused service by a Gresham bakery have filed a complaint with the state, alleging Sweet Cakes by Melissa "discriminated" against them based on their sexual orientation.

Oregon's Bureau of Labor and Industries' civil rights division will investigate to determine if the business violated the Oregon Equality Act of 2007, which protects the rights of gays, lesbians, bisexual and transgender people in employment, housing and public accommodations.

It's the 10th complaint to the state in the last five years involving allegations of discrimination in a public place based on sexual orientation or gender identity, according to the bureau.
Rachel N. Cryer, 30, said she had gone to the Gresham bakery on Jan. 17 for a scheduled appointment to order a wedding cake. She met with the owner, Aaron Klein. Klein asked for the date of the wedding and names of the bride and groom, Cryer said.

"I told him, 'There are two "brides" and our names are Rachel and Laurel,' " according to her complaint.
Klein responded that his business does not provide its services for same-sex "weddings", she said.
"Respondent cited a religious belief for its refusal to make cakes for same-sex couples planning to marry," the complaint says.

Klein earlier this year told The Oregonian that he and his wife, Melissa, turn down requests to bake cakes for same-sex "marriages" because that goes against their Christian faith and cited their freedom of religious opinion. He has denied disparaging the "couple".

Melissa Klein said the complaint was delivered to the bakery Tuesday. She said she and her husband had expected it because the same-sex couple had initially made an inquiry to the state attorney general's office.

"It's definitely not discrimination at all. We don't have anything against lesbians or homosexuals," she said. "It has to do with our morals and beliefs. It's so frustrating because we went through all of this in January, when it all came out."

The complaint will be assigned to an investigator. If substantial evidence of discrimination is found, the inquiry could lead to a settlement or to prosecution before an administrative law judge. A proposed order would be made to the labor commissioner, who serves as the final arbiter and decides if violations are warranted.

"We are committed to a fair and thorough investigation to determine whether there's substantial evidence of unlawful discrimination," said Labor Commissioner Brad Avakian. He advocated for the 2007 law when he was a state senator.

In the other nine discrimination complaints based on sexual orientation, four were unsubstantiated, three resulted in a negotiated settlement before a finding, one was privately settled and withdrawn, and one is pending -- a Portland case involving a bar called the P Club.

The law provides an exemption for religious organizations and parochial schools, but does not allow private business owners to discriminate based on sexual orientation, just as they cannot legally deny service based on race, age, veteran status, disability or religion.

"Everybody is entitled to their own beliefs notice he doesn't say religious actions based on those held beliefs, but that doesn't mean that folks have the right to discriminate," Avakian said, speaking generally.

An administrative law judge could assess civil penalties.

"The goal is never to shut down a business. The goal is to rehabilitate," Avakian said. "For those who do violate the law, we want them to learn from that experience and have a good, successful business in Oregon."

The bureau's civil rights division conducts about 2,200 investigations a year on all types of discrimination, Avakian said.

This summer, the bureau expects a ruling on the P Club complaint: Transgender customers complained that the North Portland bar told them not to return. In that case, Avakian himself filed the complaint against the club, accusing it of refusing service to patrons based on their gender identity. A deputy commissioner will serve as arbiter in that case.

The labor bureau previously obtained negotiated settlements in the past on allegations by lesbian "partners" that they were denied a hotel room in Sutherlin, that a Eugene market and gas station subjected a gay man to homophobic jokes and that a Umatilla County event facility would not host a lesbian couple's "wedding".

The bureau provides training to businesses to help them avoid potential violations of the relatively new law.

 "I think you're going to see numbers (of complaints) increase with additional training and awareness," Avakian said.
(oregonlive) highlights mine

Vermont To Allow Euthanasia In July

Last Month Vermont became the fourth U.S. state to end legal penalties for doctors who prescribe medication to terminally ill patients seeking to end their own lives.

The law, which includes a number of safeguards over the next three years as the state adapts, marked the first time a U.S. state has used the legislative process to make assisted suicide legal. Oregon and Washington have similar laws passed through ballot measures and a Montana court authorized the practice in 2009.

"Vermonters who face terminal illness and are in excruciating pain at the end of their lives now have control over their destinies. This is the right thing to do," said Governor Peter Shumlin, a Democrat, who signed the law on Monday.

Supporters of the practice are hoping Vermont's law will lend momentum in other states, such as Connecticut and New Jersey, that have considered similar legislation. A bill legalizing the practice failed in Massachusetts last year.

The law allows physicians to prescribe death-inducing medications, which terminally ill patients wishing to commit suicide could then administer to themselves. It limits the prescriptions to residents of the state.

"Vermont's law reflects another normalization of the practice of aid in dying in the practice of medicine," said Kathryn Tucker, director of legal affairs at Compassion and Choices, a group that backed the Vermont law. "Support for patients to be empowered and choose aid and dying is growing. So I think this is an important step in moving that forward."

The Vermont bill is more sweeping than the initiatives passed in Oregon or Washington. As in those two states, it provides a number of safeguards - though the Vermont bill calls for these to expire in 2016.
During the first three years, the law requires ailing patients to make three requests for death-inducing drugs. Both the patient's primary physician and a consulting doctor must agree the patient is suffering from a terminal illness and is capable of making an informed decision to request death-inducing drugs.

After July 1, 2016, the practice of prescribing life-ending medication will be overseen by professional practice standards that govern physician conduct in other aspects of medicine.

The two-tiered approach was instituted as a compromise between legislators who preferred Oregon's model of legal safeguards and others who objected to what they saw as government interference in end-of-life decisions.

Advocates of assisted suicide say the practice can save years of suffering for patients of painful terminal illnesses, such as bone cancer. Opponents warn that measures allowing it may encourage people to take their own lives at the behest of potential heirs or because they fear they are imposing a burden on family.

True Dignity Vermont, a group that opposed the Vermont law, said it would work with a network of health care providers to help support alternatives to the terminally ill.

"We now have state-sanctioned suicide in Vermont," said Edward Mahoney, president of the group, in a statement. "If the state won't protect Vermonters, we will try."
(Reuters)