In the Netherlands, a female doctor knew that a patient with dementia had previously said she would want euthanasia "when the time was right." Then she developed dementia and wasn't able to tell anybody that the "time was right."
So the doctor went ahead and decided on her own that the "time was right." The patient, over 80, was "exhibit[ing] signs of fear and anger" and sometimes wandered around her nursing home at night. So the doctor deemed that she was "suffering intolerably."
The doctor didn't want to distress the patient (remember, she was already exhibiting signs of fear!) by telling her, "Okay, I'm going to give you a lethal injection now." So instead she drugged her without her knowledge in her coffee, then started to give her the lethal injection.
That's when things got messy.
The patient started struggling against the injection despite the drugged coffee, so the doctor had her family members forcibly restrain her while she finished the lethal injection.
Oh, one other thing: According to the paperwork, the patient said, "I don't want to die" several times in the preceding days.
This is open murder of the vulnerable, with no disguises. The "compassion" consists in forcibly putting the person out of a supposed "misery" which the patient herself apparently doesn't deem worse than death.
So what did the Dutch do? Well, a review committee said that there were "irregularities" that merit a "reprimand" of the doctor, but that she "acted in good faith." What in the world does that mean? Does it mean she thought the patient currently wanted to die? It couldn't mean that, unless the doctor was truly delusional. Does it mean the doctor thought death was in the patient's best interests? But that has nothing to do with the law, which supposedly requires request and consent. Does it mean that the doctor pitted the patient's earlier self against her current self and acted "in good faith" to enact the wishes of the earlier self, reasoning that the earlier self "would have wanted" to die at this point even though the current self didn't want to die? Maybe, but that just shows precisely how choice devours itself. If that's good faith, give me instead a doctor who in "bad faith" refrains from murdering me, thanks very much.
The review committee actually wants a trial. The trial, it's pretty clear, is supposed to exonerate the doctor or give her at most a slap on the wrist. The reasoning used for this will then give greater peace of mind to other doctors who want to have their patients held down while giving them lethal injection. Do you think that's a cynical take? Well, make what you will of this:
The paperwork and the recommendations of the committee are now being considered by prosecutors and health officials.
Kohnstamm said he was in favour of a trial: 'Not to punish the doctor, who acted in good faith and did what she had to do, but to get judicial clarity over what powers a doctor has when it comes to the euthanasia of patients suffering from severe dementia.'
This is also the pattern for infanticide in the Netherlands, where doctors technically violating the law by committing infanticide have been let off with no punishment at trial, thus emboldening further infanticide.
At this very moment the Dutch are considering a new law that would allow anyone over 75, whether ill or not, to request assisted suicide. Of course the new law comes with all manner of requirements for request and consent and repeated interviews. Of course. But to the unbiased eye it looks like that sort of thing applies (at most) to a request by an earlier version of "you." If the later version of you fights for life, too bad.
I have said it before and I will say it again: The "choice" of death devours choice. When actively killing the patient is considered a solution to problems, it is inevitable that the theorist will decide that the rational or earlier version of the self should have chosen death or did choose death or would have chosen death and hence, in some sense, did choose death. Even if the person doesn't, in the perfectly ordinary sense, want to die now. Death is a jealous god and will have his sacrifices. Holding people down while administering lethal injection is just the current method of sacrifice in one country in the West.