Leiden University Medical Center.
Am J Bioeth. 2022 Feb;22(2):51-58. doi: 10.1080/15265161.2020.1863510. Epub 2020 Dec 23.
In 2002, the Dutch Euthanasia Act was put in place to regulate the ending of one's life, permitting a physician to provide assistance in dying to a patient whose suffering the physician assesses as unbearable. Currently, a debate in the Netherlands concerns whether healthy (older) people who value their life as completed should have access to assistance in dying based on their autonomous decision making. Although in European law a right to self-determination ensues from everyone's right to private life, the Dutch Supreme Court recently adopted a position on whether the Dutch Euthanasia Act lacks adequate attention to a patient's autonomous decision making. Specifically, in the case, the Court ruled that the patient-physician relationship as understood in the Dutch Euthanasia Act limits this plea for more self-determination. This ethical analysis of the case examines how the Supreme Court's understanding of the Euthanasia Act defines patient autonomy within a reciprocal patient-physician relationship.
2002 年，荷兰实施了《安乐死法》，以规范结束生命的行为，允许医生为那些被医生评估为无法承受痛苦的患者提供协助自杀的服务。目前，荷兰正在讨论一个问题，即那些认为自己的生命已经完成、珍视生命的健康（年长）人是否应该根据自己的自主决策获得协助自杀的权利。尽管在欧洲法律中，每个人的隐私权都产生了自决权，但荷兰最高法院最近对荷兰《安乐死法》是否缺乏对患者自主决策的充分关注采取了立场。具体来说，在这起案件中，法院裁定，荷兰《安乐死法》中所理解的医患关系限制了这种对更多自决权的诉求。对这起案件的伦理分析考察了最高法院对《安乐死法》的理解如何在互惠的医患关系中定义患者的自主权。
