End of life (Belgium)

Hearings are continuing in the Federal Parliament on the proposed law to extend euthanasia to people who have become incapable of expressing their wishes, on the basis of an advance declaration. On Wednesday 22 January, two experts from the Netherlands presented the implications of such an extension, based on the Dutch experience. Their informed and critical experience provided food for thought about the social and ethical implications of extending euthanasia to patients who are no longer...

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In its latest report on palliative care in Belgium, published on 16 January 2025, the KCE recommends setting up a palliative middle care service to complement existing provision. This intermediate care would be situated between routine and non-urgent care on the one hand, and the hospital on the other, particularly for patients who do not require care in a hospital or palliative care unit and who cannot be cared for at home or in a nursing home. The KCE stresses the importance of diversifying...

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An Open Vld bill, co-signed by the PS, was tabled in the House last September. It aims to ‘extend the advance declaration of euthanasia to people who have become incapable of expressing their wishes’. Experts are currently being heard to consider the medical, social and ethical implications of such an extension. What is the medical definition of unconsciousness and incapacity, and how do we know if the situation is irreversible? The experts interviewed and the Members of Parliament are faced w...

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The 10th ‘Sympadot’ symposium, organised on 21 November by the Transplantation Department of Brussels University Hospital (Erasme), focused on organ donation and transplantation. Among the topics discussed was the deliberately provocative question: ‘Euthanasia, a pathway to the futur? According to the speakers, the aim is to promote an ‘end-of-life project’ that would include organ donation. Is this an attempt to promote an altruistic gesture to divert...

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Every year in Belgium, tens of thousands of people and their families could benefit from such care, according to the Palliative Care Indicators Tool (PICT). This tool identifies patients in need of palliative care, based on criteria of frailty, incurability and severity of illness. Palliative care is not reserved solely for patients with a vital prognosis of less than 3 months, or for cancer sufferers. On the contrary, anyone suffering from a serious, progressive illness with no possible cure...

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The figures for 2023 also confirm the increase in euthanasia for polypathologies (+3% compared with 2022), the second most common type of illness mentioned, after cancer. Euthanasia for multiple diseases thus accounts for 23.2% of all euthanasia, almost half of which (47%) were carried out when death was not expected in the short term. As the Commission points out, polypathologies refer to "a combination of suffering caused by several chronic conditions that are progressing towards a final...

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To develop this proposal, the Amfora association organises training courses for palliative care networks, care for the elderly and institutions for the disabled, to help them conduct and develop end-of-life interviews. Amfora also works with the Samana association, to train their volunteers to work with people at the end of their lives. These interviews are an original and creative way of developing the fourth pillar of palliative care, which aims to meet patients' spiritual and existential...

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This case of Mortier v. Belgium, named after the applicant, the son of the euthanized person, was the first case in which the European Court of Human Rights (ECtHR) was called upon to assess the compatibility of euthanasiaalready practiced with the European Convention on Human Rights (ECHR). Tom Mortier alleged a violation of his mother's right to life, protected by Article 2 of the Convention, and of his right to respect for his private and family life, protected by Article 8 of the...

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As a reminder, the law passed in 2020 first provides that 'no written or unwritten clause can prevent a doctor from performing euthanasia'. This provision aims to de facto prohibit retirement homes or hospitals whose care project excludes the fact of ending the life of their residents or patients by euthanasia, and which favor accompaniment through palliative care. The applicant citizens, as well as the European Institute of Bioethics, the intervener in the action, considered that such a...

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In terms of the physician's intentions, the study distinguishes three situations. In the first scenario, the physician does not intend to cause or hasten the baby's death, but considers the potential effect of hastening death (e.g., decision not to administer antibiotics, administration of morphine or sedatives). The second scenario consists in the situation where the potential effect of hastening death is not the primary goal but is partly aimed at by the physician. The third scenario is that...

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