Mapping the End-of-Life: do actors delivering euthanasia and assisted suicide in Benelux interact?
In countries like Benelux, euthanasia is complex to deliver, involving a diverse spread of actors - legislators, advocates, doctors, and more. Most research on them is siloed by country or actor. We wanted to know if actors ever interacted with each other, intra- or internationally.
This summer, 5 of us tried to answer these questions: to what extent do interactions occur between actors involved in campaigning for, regulating, or delivering EAS in Benelux? What is the nature of these interactions, and what factors shape them?
We took a mixed-method approach, using social network analysis to get the macro-perspective by identifying all possible documented interactions between actors. We then used interviews with key actors including physicians, academics, and legislators across all 3 countries, to identify the factors shaping which interactions occurred, and why.
What did we find? Read our poster to find out!
In short:
- There are connections between actors, but only 5.9% of possible connections between the 52 actors we identified took place.
- 2/3rds of connections occurred within rather than between nations, though there was some transfer of knowledge and legislation
- Significant differences in healtchare systems, language, and culture made international collaborations less feasible, especially for Belgium and the Netherlands, but less so for Luxembourg
- However, across the network there were frequent ionformal exchanges of support and trainThing between physicians, necessitated by the complexity of delivering EAS - medically, legally, and morally.
- Though questions around who should have access to EAS are contested in all 3 countries, and this shapes how actors perceived one other, only some people felt that this strained interactions, and this was primarily in Luxembourg, where there is a degree of stigma around EAS as a whole