The Public Prosecution Service said by instituting "cassation in the interest of the law" proceedings they aim to clarify how doctors deal with euthanasia on "incapacitated patients" without subjecting a doctor acquitted at a trial to a new legal battle.
Prosecutors said in a statement they want "legal certainty to be created for doctors and patients about this important issue in euthanasia legislation and medical practice." The retired nursing home doctor was cleared earlier this month by judges in The Hague who ruled that she adhered to all criteria for carrying out legal euthanasia when she administered a fatal dose of drugs to a 74-year-old woman with severe dementia.
The cassation proceedings mean that the doctor's acquittal will not be called into question. The doctor carried out euthanasia on the woman in 2016, acting on a written directive the patient had drawn up earlier. The woman later gave mixed signals about her desire to die, but the doctor, in close consultation with the woman's family, decided to go ahead with the mercy killing.
The Hague District Court ruled that in rare cases of euthanasia on patients with severe dementia — and who had earlier made a written request for euthanasia — the doctor "did not have to verify the current desire to die."
Prosecutors said they disagreed with the Hague court and want the Supreme Court to rule on legal issues in the case. Pending the outcome of the Supreme Court case, prosecutors said they are suspending consideration of other euthanasia cases that deal with the same issues.
Under Dutch law, people are eligible for euthanasia if they make a considered, voluntary request and if their suffering is hopelessly "unbearable." Patients can draw up a written request for euthanasia to be performed sometime in the future, in an advance directive, which should specify the conditions determining when they want to be euthanized. Doctors must also seek the advice of at least one other independent physician before killing the patient.
Euthanasia cases among people with advanced dementia are extremely rare in the Netherlands. There have been fewer than 20 cases since the procedure was legalized in 2002. The Netherlands is one of five countries that allow doctors to kill patients at their request, and one of two, along with Belgium, that grant the procedure for people with mental illness.