Dutch Right-to-Die Group Confirms Elder Abuse Risk But Doesn’t Seem to Care

 There have already been some murders

Dutch Supreme Court Judge Huib Drion

By Paul Russell

National Right to Life

The Netherlands legalised both euthanasia and assisted suicide in 2002. The data shows an overwhelming preference for euthanasia. In 2015, there were 6672 euthanasia deaths and only 150 assisted suicide deaths. The total comprising at least 4.5% of all deaths.

In recent years the discussion about ‘life ending actions’ has turned to assisted suicide for ‘completed life,’ where a person over a certain age may declare that they wish to end their lives even though they may have no serious medical issues.

Debate has raged back and forth on this new development for some years. An expert committee recommended that changes to the law not proceed, but there remains support from within government and some of the minor parties.

Reports in 2016 suggested that the government had drafted legislation. Health Minister, Edith Schippers, has said that “because the wish for a self-chosen end of life primarily occurs in the elderly, the new system will be limited to them.” The lower age limit is rather arbitrary with debate ranging from 60 to 70 years of age.

Legislation is expected to be introduced in late 2017. It is expected to take the form of a new law rather than an amendment. This seems to be because the existing provisions require medical opinion and support whereas this new form of assisted suicide may have more in common with the mail or online order system made notorious by the Australian activist Dr. Philip Nitschke and his organisation, Exit International.

But this is not the first time that such a move has been put forward. As with all of these debates, there’s a long lead-in time while the discussion of the agenda looks to forge a beachhead of public opinion.

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Elder Abuse is a Clear and Present Danger in the Euthanasia Debate

“Even if a few grannies get bullied into [assisted suicide], isn’t that the price worth paying for all the people who could die with dignity?”

  Henry Marsh, British Neurosurgeon

By Paul Russell, HOPE Director
National Right to Life

June 15 was World Elder Abuse Awareness Day. Timed to coincide with this international day, the Australian Law Reform Commission released its final report into a long-running inquiry on Elder Abuse and the Law.

Running to 432 pages, the report takes a comprehensive look at the legal landscape across Australia and argues for a comprehensive nation-wide approach to tackling Elder Abuse. While looking mainly at the law, it also looks at abuse in Aged Care settings and argues for an overhaul of staffing, staff training, recruitment and mandatory reporting type structures to protect people.
The report also looks at training for lawyers and medical professionals.

What is elder abuse?
The World Health Organization describes Elder Abuse as: ‘a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person’

It is recognized to ‘take various forms, such as physical abuse, psychological or emotional abuse, financial abuse, sexual abuse, and neglect. The World Health Organization has estimated that the prevalence rate of elder abuse in high-or middle-income countries ranges from 2% to 14% of people usually defined as ‘over the age of 60 or 65 years’.

The WHO also noted that research in other predominantly high-income countries has found ‘wide variation in rates of abuse in the preceding 12 months among adults aged over 60 years, ranging from 0.8% in Spain and 2.6% in the United Kingdom to upwards of 18% in Israel, 23.8% in Austria and 32% in Belgium.’

Whether there is a connection between the extremely high rate of Elder Abuse in Belgium and the existence of their euthanasia regime can only be guessed at, though intuitively one could easily develop a ‘best guess’ argument based on culture alone.

The report notes that ‘vulnerability’ to such abuse is not necessarily related to the age of the person. However, the effects of aging, broadly understood, can make our elders vulnerable to such abuse. There is also a connection to disability as noted in the report:

“While older people should not be considered vulnerable merely because of their age, some factors commonly associated with age can make certain older people more vulnerable to abuse. Disability, for example, is more common among older people. More than 80% of people aged 85 years or over have some disability."

While fewer than one in 20 Australians under 55 years have ‘severe or profound core activity limitations’, almost one-third of people aged 75 years or over have such limitations.” The authors go on to add:

“Vulnerability does not only stem from intrinsic factors such as health, but also from social or structural factors, like isolation and community attitudes such as ageism. All of these factors contribute to elder abuse.”

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