This article discusses recent developments in Dutch law with respect to the legitimacy of medical behavior that shortens life, in particular as reflected in a number of reports of authoritative medical bodies and in a recent decision of the Dutch Supreme Court. The direction of legal development seems to be toward ever more effective and comprehensive control, while both the autonomy of the patient and doubts concerning the benificence of medical treatment are increasingly important in the legitimation of such behavior.
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References
1.
AnspachR.R.1993Deciding Who Lives: Fateful Choices in the Intensive-Care Nursery. Berkeley CA: University of California Press.
2.
CAL [Commission on the Acceptability of Termination of Life of the Royal Dutch Medical Association]Discussion papers on termination of life in the case of non-competent patients: 1990Part 1, Zwaar-defecte pasgeborenen[Severly defective newborn babies] (CAL 1).
3.
CAL [Commission on the Acceptability of Termination of Life of the Royal Dutch Medical Association]Discussion papers on termination of life in the case of non-competent patients: 1991Part 2, Landurig comateuze patiënten[Long-term comatose patients] (CAL2).
4.
CAL [Commission on the Acceptability of Termination of Life of the Royal Dutch Medical Association]Discussion papers on termination of life in the case of non-competent patients: 1993Part 3, Ernstig demente patiënten[Seriously demented patients] (CAL 3).
5.
CAL [Commission on the Acceptability of Termination of Life of the Royal Dutch Medical Association]Discussion papers on termination of life in the case of non-competent patients: 1993Part 4, Hulp bij zelfdoding bij psychiatrische patinten[Assistance with suicide in the case of psychiatric patients] (CAL 4).
6.
ChabotB.E.1992 ‘Klaar met leven’. Medisch Contact47: 1536–1540.
7.
DrionH.1992Het zelfgewilde einde van oude mensen. Amsterdam: Balans.
8.
DworkinR.1993Life's Dominion: An Argument about Abortion and Euthanasia. London: Harper Collins.
9.
Gezondheidsraad [Health Council of the Netherlands]1986Advies inzake suïcide[Advice concerning suicide]. The Hague: Gezondheidsraad.
10.
Gezondheidsraad [Health Council of the Netherlands]1994Patiënten in een vegetatieve toestand[Patients in a vegetative state]. The Hague: Gezondheidsraad.
11.
GriffithsJ.1987 ‘Een toeschouwers perspectief op de euthanasie discussie’. Nederlands Juristenblad30.5.87, 22, 681–693.
12.
GriffithsJ.1994 ‘The regulation of euthanasia and related medical procedures that shorten life in the Netherlands’. Medical Law International1: 137–158.
13.
GriffithsJ.1995a ‘The recent decision of the Dutch Supreme Court on assistance with suicide in a case of non-somatic suffering’. Forthcoming inModern Law Review.
14.
GriffithsJ.1995b ‘Balans van de recente rechtsontwikkeling rondom euthanasie’. Forthcoming inRechtsgeleerd Magazijn Themis.
15.
HartH.L.A.1988 ‘Acts of will and responsibility’. Pp. 90–112 in HartH.L.A., Punishment and Responsibility. Oxford: Clarendon Press.
16.
KNMG [Royal Dutch Medical Association]1992 ‘Richtlijnen KNMG en Nieuwe Unie '91’. Medisch Contact47: 29–32.
17.
LeenenH.J.J.1988Handboek gezondheidsrecht I. Rechten van mensen in de gezondheidszorg. Alphen a/d Rijn: Samsom.
18.
LegemaateJ.1993 ‘Hulp bij zelfdoding in de psychiatrie: regels en opvattingen’. Maandblad Geestelijke Volksgezondheid48: 750–769.
19.
MaasP.J. van derDeldenJ.J.M. vanPijnenborgL.1991Medische beslissingen rond het levenseinde[Medical decisions in connection with the end of life: report of research carried out under auspices of the Remmelink-Commission]. The Hague: Sdu Uitgeverij Plantijnstraat. English translation: Euthanasia andother Medical Decisions Concerning the End of Life. Amsterdam: Elseviers (also published as a special supplement of Health Policy22 (1+2): 1–262).
20.
NVK [Dutch Association for Pediatrics]1992Doen of laten? Grenzen van het medisch handelen in de neonatologie[To act or to abstain: the limits of medical practice in neonatology]. Utrecht: NVK.
21.
NVK [Dutch Association for Pediatrics]1992 ‘Mededelingen bestuur’. Nieuws en Mededelingen86/2: 2–3.
22.
Remmelink-Commission1991Medische beslissingen rond het levenseinde[Medical decisions in connection with the end of life: advice of the Commission appointed to carry out research concerning medical practice with respect to euthanasia]. The Hague: Sdu Uitgeverij Plantijnstraat.
23.
State Commission On Euthanasia1985Rapport van de Staatscommissie Euthanasie(deel 1: Advies). The Hague: Staatsuitgeverij.
24.
VeatchR.M.1981A Theory of Medical Ethics. New York: Basic Books.
25.
WalG. van derSiemonsG.H.A.VerhoeffJ.1994 ‘Weigeren van euthanasie. Zijn artsen verplicht om te verwijzen?’ [Refusal to perform euthanasia. Is a doctor required to refer the patient to another doctor?]Medisch Contact49: 1240–1242.
26.
WeiszF.H.1994 ‘Hulp bij zelfdoding. Verslag van een huisarts’. Medisch Contact49: 700–720.
