Belgian euthanatist notes some reluctance among physicians, advocates more euthanasia

Dr. Wim Distelmans is a Belgian physician who is a leading practitioner and advocate of euthanasia.  He has provided euthanasia in high-profile cases, like that of the woman who was dissatisfied with the results of sex change surgery, and of deaf twins who did not want to continue to live because they were going blind.  He acknowledges having provided euthanasia in “a lot more borderline cases,” but declines to discuss them because of the publicity might have adverse effects on legalization of the procedure elsewhere.  He is also co-chairman of the federal commission that reviews reports of euthanasia.  In an interview with a National Post reporter, he said that Belgium had “a good law on euthanasia,” but indicated that many physicians, hospitals and nursing homes  are reluctant to provide the service.  He described them as “still very prudent,” adding, “There are still a lot of people suffering unbearably because they ask for euthanasia and they don’t get it.”

It is not clear to what extent the “prudence” Dr. Distelmans attributes to his reluctant colleagues reflects conscientious objection; it could be simply the result of a more cautious interpretation of the law.  In any case, Dr. Distelmans wants the law expanded to permit euthanasia for those suffering from dementia who have made advance directives to that effect before becoming incompetent.  He also wants the law extended to allow euthanasia for minors.

Dr. Distelmans implies that a physician has “a medical responsibility” to provide euthanasia in appropriate cases. [National Post]

Freedom of conscience continues to generate discussion in abortion debate

Provisions in a bill to legalize abortion that threaten draconian fines to force objecting physicians and counsellors to facilitate the procedure are getting special attention in the Tasmanian Legislative Council.  Some members of the Council may be willing to support the bill if the measures aimed at suppressing freedom of conscience are substantially changed.  [The Advocate]

 

Amendment proposed to new Irish abortion law

Independent Deputy Clare Daly has introduced Bill Number 115 of 2013 (Protection of Life in Pregnancy (Amendment) (Fatal Foetal Abnormalities) 2013 in the Irish parliament (Oireachtas) to expand the reasons for abortion to include cases in which the foetus is diagnosed as having “a medical condition . . .such that it is incompatible with life outside the womb.”  The government will not oppose the bill.  [Irish Times]

Family goes to court to stop spoon-feeding of elderly mother in nursing home

82 year old Margot Bentley is living in a nursing home in Abbotsford, British Columbia, Canada, administered by the Maplewood Seniors Care Society, Fraser Health Authority and the government of British Columbia.  She has Alzheimer’s disease and is being spoon-fed because she can still swallow.  She is not force-fed if she does not open her mouth.  Her family has launched a civil suit to compel the nursing home to stop feeding her, citing her “living will” signed in 1991, about ten years before she was diagnosed with Alzheimer’s.  The document states that she did not want “nourishment or liquids” if she is suffering from an incurable disease.  The defendant nursing home has filed another “living will” that states that she would accept “basic care.”  The authenticity of the document is disputed by the family.  The nursing home argues that spoon-feeding is basic care, not “medical” care or treatment, and is legally obligatory.  The family insists that spoon-feeding must be discontinued, since patients are entitled to refuse medical treatment or care, and Margot Bentley had stated that refusal in her “living will.”   [Vancouver Sun]

 

Some Tasmanian legislators concerned about freedom of conscience

Some Tasmanian legislators concerned about freedom of conscienceA bill to legalize abortion is before the Tasmanian Legislative Council.  It proposes severe penalties on physicians and counsellors who are unwilling to facilitate the procedure by referral.  The Tasmanian chapter of the Australian Medical Association is opposed to the provision, and the state regulator, in supporting it,  misrepresented the physicians’ ethical obligations.  MLC Paul Harriss, though generally supportive of the bill, has described its treatment of conscientious objection as “heavy handed.”  Another MLC, Tony Mulder, also appears to have some concerns regarding conscientious objection. [The Examiner]