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Belgium legalised the right to euthanasia for adults in 2002. Now the Senate has voted to extend the law to children who are terminally ill, and suffering unbearable physical pain. Supporters believe this would be a logical move. Opponents say it is insanity.
An incurably sick child, a request to die, a lethal injection. For many people this is an unimaginable, nightmare scenario.
Most of us will not experience the cruel reality of seeing a child's health deteriorate as a result of a terminal illness. But some Belgian paediatricians who have say children should be allowed to ask to end their lives, if they cannot be relieved of their physical symptoms.
Under the draft bill, passed in the Senate last month by 50 votes to 17, children must understand what euthanasia is, and their parents and medical teams have to approve the child's request to die.
In the Netherlands, Belgium's northern neighbour, euthanasia is legal for children over the age of 12, if they have the consent of their parents. But if the Belgian bill is passed in the lower house of parliament, Belgium will be the first nation in the world to lift all age restrictions.
Dr Marleen Renard, an oncologist responsible for paediatric palliative care at the University Hospital of Leuven, believes there is no need to legislate for child euthanasia, as there are already ways to end the suffering of a dying child.
"If we can't treat the pain, then we can sedate children. And if we see that the situation is really inhumane, we can go to our Ethics Committee and ask for permission to end life. But we have to have the consensus of a lot of people to do that."
For Renard, the critical point is that in her experience, children do not ask to die.
"I've seen a lot of young adolescents with very severe pain and symptoms. They always had some hope for the next day. I've never had one who told me, 'I can't do it any more, please stop it.' They don't want to die. They want to live."
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