Belgium is what the culture of death looks like, behind the veneer of โ€œcompassionโ€ and โ€œchoice.โ€

A study in the Journal of Medical Ethics found that nearly 25% of patients denied tube-supplied food and water were dehydrated to death without consent of themselves or family. From the abstract:

Response rate was 58.4%. A decision to forgo ANH occurred in 6.6% of all deaths (4.2% withheld, 3.0% withdrawn). Being female, dying in a care home or hospital and suffering from nervous system diseases (including dementia) or malignancies were the most important patient-related factors positively associated with a decision to forgo ANH.
Physicians indicated that the decision to forgo ANH had had some life-shortening effects in 77% of cases. There had been no consultation with the patient in 81%, mostly due to incapacity (coma or dementia). The family, colleague physicians and nurses were involved in decision making in 76%, 41% and 62%, respectively.

Also note that the study was based on deaths in 2007. The culture of death has permeated all the way into the Belgian bone marrow since then, so I would not be surprised if things were even worse now.

And donโ€™t think this isnโ€™t widespread in active euthanasia. As we have seen in the Netherlandsโ€“where termination without request or consent is common and unpunishedโ€“once killing is accepted as an acceptable answer to human suffering, โ€œchoiceโ€ has increasingly less to do with it.