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Ethical Expertise Before and After Medically Assisted Dying

The Informal and Formal Role of the Ethicist in the Netherlands

Bibliographic Data

ID21504261
AuthorsEva Asscher (Department of Ethics, Humanities & Law Amsterdam University Medical Centers Amsterdam the Netherlands), Eva CA Asscher (0000-0001-8471-370X, Amsterdam University Medical Centers), Suzanne Metselaar (0000-0002-8655-7082, Department of Ethics, Humanities & Law Amsterdam University Medical Centers Amsterdam the Netherlands, corresponding author)
Year2026
Volume40
Issue3
Pages276-283
Publication date2026-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.13437
PMID40583307
OpenAlexW4411841308
LanguageEN
Citations received1
References cited21

Although we have a long‐standing and well‐institutionalized practice of medical aid in dying (MAID) in the Netherlands, it is insufficiently clarified which goals ethicists should pursue in the context of assisted dying, and which competencies they need to fulfil their role(s). We sought to contribute to this clarification. We argue that both in anticipation and in evaluation of MAID, ethicists fulfil a role that is highly valuable to good MAID practice, and complementary to that of other professionals. Whereas the involvement of the ethicist preceding MAID, for instance, to provide ethics support in the case of complex decision‐making, is elective in the Netherlands, the participation of ethicists in evaluating performed MAID cases is obligatory , as they are required members of the interdisciplinary regional review committees that judge every case of MAID. We discuss some misconceptions and less‐than‐optimal performances of both these roles of the ethicist, then focus on how these roles should be perceived, and which kinds of ethics expertise are necessary for ethicists to make a valuable contribution to good MAID practice

Bioethics · Engineering ethics · Ethical issues · Political science · Sociology · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Law · Palliative Care and End-of-Life Issues · Psychology

  • The Role of Medical Ethics in Voluntary Assisted Dying

    Open Access•Ben White, Casey M Haining et al.•Bioethics•2026

  • What is ‘moral distress’? A narrative synthesis of the literature

    Open Access•Georgina Morley, Jonathan Ives et al.•Nursing Ethics•2019

  • The Nature of Suffering and the Goals of Medicine

    Eric J Cassel•New England Journal of Medicine•1982

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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