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First do no harm: intentionally shortening lives of patients without their explicit request in Belgium
  1. Raphael Cohen-Almagor
  1. Correspondence to Professor Raphael Cohen-Almagor, School of Politics, Philosophy and International Studies, The University of Hull, Cottingham Road, Hull HU6 7RX, UK; R.Cohen-Almagor{at}


The aim of this article is to provide a critical review of one of the most worrying aspects of the euthanasia policy and practice in Belgium—the deliberate shortening of lives of some patients without their explicit voluntary request. Some suggestions designed to improve the situation and prevent abuse are offered.

  • Autonomy
  • Bills, Laws and Cases
  • Care of the Dying Patient
  • End-of-life
  • Euthanasia

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