lunes, 2 de mayo de 2016

MercatorNet: Dutch paediatricians seek child euthanasia

MercatorNet: Dutch paediatricians seek child euthanasia





Dutch paediatricians seek child euthanasia

Government to fund study
Michael Cook | May 2 2016 | comment 1 
The Dutch Health Minister, Edith Schippers, has earmarked almost 400,000 Euros for a study of whether to expand eligibility for euthanasia to children between 1 and 12. At the moment, children under 1 may be killed with the consent of their parents following criteria set out in the Groningen Protocols. Children older than 12 are already eligible.
After neighbouring Belgium passed legislation in 2014 enabling child euthanasia, doctors and activists in the Netherlands are keen to catch up.
The Dutch Paediatric Association (NVK) kicked off a debate on the topic last year. It strongly supports a change. At the moment euthanasia of a child between 2 and 12 is only possible by invoking the doctrine of “force majeure” in the Dutch criminal code, which means that the doctor feels compelled to do it as an emergency measure. But this still leaves him open to prosecution. The NVK believes that age is an arbitrary criterion and that euthanasia should be available for anyone with mental competence. Some children, even if they are under and 12 and desperately ill, are astonishingly rational.
roundtable discussion at the Dutch Parliament amongst experts in medical care for children in January showed that there is a range of opinions on the topic, although most of the participants were broadly in favour of a change. The Royal Dutch Medical Association (KNMG) is in favour of studying the issue further.
Not all organisations at the roundtable wanted to amend the law. A Christian group, the NPV, pointed out that “the suffering of the parents should not be a justification for a request for termination of life of the child”. Their position was that “A society that does not protect its children loses its dignity. Let us commit to good palliative care and guidance to children - and their parents - in the last phase of life”.
A spokeswoman for the Dutch Association of Educationalists (NRC), Dr Miriam Vos, raised questions about what “hopeless and unendurable suffering”, the main criteria for euthanasia in the Netherlands, means for children. “Children younger than 12 rarely or never speak in terms of hopeless and unbearable suffering. Their verbal and nonverbal expressions may suggest this, but this is always interpreted by their doctor, parents and other health care workers.” 
Michael Cook is editor of MercatorNet. This article has been republished from BioEdge, which he also edits.
- See more at: http://www.mercatornet.com/careful/view/dutch-paediatricians-seek-child-euthanasia/17994#sthash.yKGYZN5G.dpuf







MercatorNet: Must everything be perfect before one has a baby?



Must everything be perfect before one has a baby?

It might be time to move on from this idea.
Shannon Roberts | May 2 2016 | comment 

Fertility rates have remained low despite economic recovery from the Global Financial Crisis and even in countries that were never hit badly by the GFC at all, puzzling demographers. Last week The Economist questioned whether couples might need to forget about creating the perfect home and lifestyle before they start a family. 
You often hear stories of couples in Auckland (the city where I live) saving furiously to buy a house before they are willing to consider having a baby. House prices have increased hugely in Auckland over the past few years, making it really tough for first home buyers. Many other cities around the world are experiencing the same thing. Is it time to move on from the idea that one needs to own one in order to have a family in cities where this has traditionally been the case? Do couples need to think about investing in shares or other forms of investment instead?
Especially given the awful stories acquaintances have related to me of mortgaging themselves to the hilt to buy a house and then only being able to afford three months off work when they do have a baby. I think I would rather rent if that was the trade-off I faced, although do understand the desire for family security through house ownership. However, it isn't so uncommon to plan to rent for even your whole life in countries like Germany, Switzerland and Spain, and rental laws can better accommodate security for families if they are made more strigent.
The Economist comments:
The crunch was unsurprising: anxiety about jobs and money puts people off children. But a rich-world baby bust that began predictably turned into a puzzle.
Fertility rates have fallen in countries with woeful economies, such as Greece and Italy. But they have also fallen in countries that sailed through the financial crisis, such as Australia and Norway...
Ann Berrington of Southampton University points to housing. Young and even not-so-young couples find it hard to buy property in England and Wales: 46% of 25- to 34-year-olds lived in private rented accommodation in 2014-15, up from 24% a decade earlier. Four in ten 24-year-olds still live with their parents. Home-ownership rates have fallen in America and Australia, too. The rate is rising in France, where fertility has held steady—though that might be thanks to strong pro-natalist policies.
You can have a baby in a rented flat, of course. But in a country like Britain, where earlier generations found it easy to buy homes, that seems to flout a psychological rule for some. In the 1960s Richard Easterlin, an American economist, suggested that people would avoid having children if they felt unable to bring them up in a style that at least matched the way they were raised. It might be time to dust off that idea.
Other explanations for the stubbornly low fertility rates are: that immigrants are no longer propping up rates given a drop in fertility rates among this group; and that some couples are delaying having babies not because they cannot afford them, but because of a vague feeling that family life is harder than it used to be. Whatever the cause, the trend is worrying economists because of the dire economic consequences in the long run. It is also sad for couples who miss out on the joy of having a family because they wait too long or avoid trying altogether.
At some point in my teens my dad commented to me that people could wait forever to have children if they’re waiting for a perfect situation. For some reason, his comment stuck in my mind. It now seems very apt.
- See more at: http://www.mercatornet.com/demography/view/must-everything-be-perfect-before-one-has-a-baby/17986#sthash.2qxI7Op4.dpuf





MercatorNet

Here's a prediction for you: commercial surrogacy will become one of the biggest ethical issues affecting the family within the next 20 years. It's inevitable after the legalization of same-sex marriages in many countries. Even if two "married" men want a baby, they cannot produce one. So they will have to hire a woman to gestate the child. And since the woman is disposable, the "married" couple will probably hire one in an impoverished country with few legal safeguards. This is already happening in countries like Guatemala, Ukraine, Cambodia and Cyprus. In India and Thailand, booming surrogate industries have been closed down because there were too many scandals involving foreign clients.
In today's newsletter New Zealand lawyer Rachael Wong argues that Australia should not give in to pressure to legalise surrogacy. It's a fascinating read. She concludes:
Australian law should have at its heart respect for the dignity of every human being. It should not be an instrument for legally exploiting women and children. The European Parliament and the Council of Europe recently rejected the legalisation of surrogacy on these grounds. Australia should follow suit.

Michael Cook
Editor
MERCATORNET

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