Euthanasia in Belgium: Legal, Historical and Political Review Toni C. Saad, M.A.* ABSTRACT: This article describes and evaluates the Belgian euthanasia experience by considering its practice and policy, both before and after the formal decriminalisation of euthanasia in 2002. The pre-legal practice of eu- thanasia, the evolution of euthanasia legislation, criticism of this legislation, the influence of politics, and later changes to the 2002 Act on Euthanasia are discussed, as well as the subject of euthanasia of minors and the matter of organ procurement. It is argued that the Belgian euthanasia experience is characterised by political expedition, and that the 2002 Act and its later amendments suffer from practical and conceptual flaws. Illegal euthanasia practices remain a live concern in Belgium, something which nations who are seeking to decriminalise euthanasia should consider. Keywords: Belgium, euthanasia, medical ethics, physician-assisted suicide In 2002 Belgium became the second nation in the world to legislatively decrim- inalise euthanasia,* 1 with the Netherlands preceding it by mere months.2 The Belgian euthanasia experience (BEE), which began before euthanasia was formally decriminal- ised, and its legal, historical, and political context, is the subject of this article. It aims to provide a broad overview of the law and its evolution, and elucidate the uniquely rapid and politically-motivated development of the BEE from its pre-legal origins to its most recent developments, in five main sections. The first is a survey of euthanasia practices before formal decriminalisation in 2002. The second sets the scene for the passing of the 2002 Act on Euthanasia by considering the political forces which influenced its coming into law. The third is a detailed discus- * Medical Student, Cardiff University (UK), Tonisaadl@hotmail.com. 1Physician-assisted suicide, however, was decriminalised in Australia and Oregon, USA, in 1996 and _997 respectively. See Gorsuch NM, 2006, The Future of Assisted Suicide and Euthanasia. Princeton Univer- sity Press. Pp. 2-7. 2 Euthanasia was de facto legalised in the Netherlands long before this date following a court ruling in concerning the 1973 “Postma case.” See Gevers S in British Medical Bulletin. 1996;22: pp. 326-33. 183