title: Egg cell preservation and the right to die in the Netherlands: citizens' choices and the limits of medicine.
abstract: It is a funny thing with the Dutch. On one hand, they seem preoccupied with death and adamant that patients be allowed to decide for themselves in what way they want to die. On the other, contrary to popular belief, the Dutch physician is allotted a very influential role in treatment decisions, far more prominent than in many other Western countries. From an American perspective Dutch professional ethics may seem quite paternalistic: a patient's freedom to decide to have a particular medical treatment is limited by the physician's professional assessment of the medical need of this treatment. The question arises: What is the relationship between the professional responsibility of Dutch physicians and the right of Dutch patients to decide for themselves? This question is illustrated by the ongoing national debate in The Netherlands on euthanasia and the growing demand for a further reaching right to self-determination concerning ending one's life. However, contrary to popular belief, not all Dutch ethical debate concerns end-of-life questions.
authors.affiliation: Department of Medical Ethics and Health Law of the Leiden University Medical Center, The Netherlands.
authors.forename: Dorothea P
authors.initials: DP
authors.lastname: Touwen
mesh_terms: D002755:Choice Behavior / Q000941:ethics*; D003256:Community Participation / Q000639:trends*; D015925:Cryopreservation; D003657:Decision Making / Q000941:ethics; D005065:Euthanasia / Q000941:ethics*; D005260:Female; D005298:Fertility; D006801:Humans; D008297:Male; D009035:Mothers; D009426:Netherlands; D009865:Oocytes; D026706:Paternalism; D010358:Patient Participation / Q000639:trends; D026684:Personal Autonomy; D010819:Physician's Role; D012297:Right to Die / Q000941:ethics / Q000331:legislation & jurisprudence; D012959:Socioeconomic Factors; D013997:Time Factors; D035502:Trust