In 2017, international outrage erupted after a doctor in the Netherlands forcibly euthanized a patient with dementia. After being drugged with a sedative, the doctor urged the woman’s family to hold her down as she fought for her life — and then killed her. The doctor, Marinou Arends, eventually faced charges, though she was acquitted — to great applause in the courtroom. Nevertheless, the case made clear that euthanasia laws in the Netherlands needed to be changed, and ultimately, they were; unfortunately, the changes only made it easier for doctors to kill their patients.
Arends eventually came forward in an interview, in which she explained why she killed her patient. The elderly woman did have an advance directive, saying she wanted to be euthanized if she was admitted to a nursing home due to dementia, and if she thought the time was right. Arends said the woman constantly complained that she wanted to die, but said it was “going a bit far” when Arends repeatedly asked her if she wanted to actively be killed. But instead of respecting what the woman said, Arends decided she was incompetent, and took action to kill her anyway.
The court declared that Arends acted in “good faith,” while Jacob Kohnstamm, chairman of the Regional Review Committee, agreed with the court case so there would be “more clarity on how such cases are handled in the future.”
That clarification has evidently come, as KNMG, the Royal Dutch Medical Association, has decided doctors should be able to more easily kill their patients with dementia. The Association amended its official position on euthanasia, to include euthanizing patients with an advance directive requesting euthanasia, but who are deemed “unable” to make their wishes clearly anymore. Doctors can now use their own “personal and professional assessment,” essentially allowing them to decide on their own whether or not to kill a patient with dementia — even if, as Arends’ victim did, the patient repeatedly says they do not want to be killed.
This is yet another example of how dangerous legalized euthanasia truly is. Once we begin to decide that some lives simply aren’t worth living, it doesn’t take long to decide that a life isn’t worth protecting and saving, either. Persons with dementia are still living persons, whether or not they can express their wishes clearly or require round-the-clock care. Their lives have value and meaning and dignity regardless of whether or not a doctor assigns meaning to their lives.
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