In 2023, 33 couples died in the Netherlands by “duo euthanasia.” The previous year, 29 couples had received duo euthanasia; in 2021, sixteen, and in 2020, thirteen. There have been previous high-profile examples as well—in 2017, Dutch couple Nic and Trees Elderhorst, both 91, died by double euthanasia holding hands after 65 years of marriage. Their daughter said that “dying together was their deepest wish.” 

When a Brussels couple revealed that they were planning to die together in the world’s first “couple” euthanasia in 2014 despite not being terminally ill, the announcement was met with shock. 89-year-old Francis and 86-year-old Anne said their decision was driven by a fear of loneliness—all three of their adult children stated that they would be unable to care for their parents and supported their decision to be euthanized. 

The couple’s doctor refused to do it; their 55-year-old son tracked down a willing physician in Flanders. As the Daily Mail put it at the time, “John Paul said the double euthanasia of his parents was the ‘best solution.’” He might have more accurately called it a “final solution.”

Since then, the phenomenon of couples dying together by euthanasia or assisted suicide has rapidly grown. On November 17, the German twin sisters Alice and Ellen Kessler, famous for their singing and dancing across the continent in the 1950s and ‘60s, died by double assisted suicide. The pair were born in Nazi Germany in 1936 and rose to fame after their family fled from East Germany to West Germany in the early 1950s. They were 89. The German ban on assisted suicide was overturned in 2020. 

In September, it was renowned Holocaust survivor, dancer, and memoirist Ruth Posner and her husband Michael. The two Brits died by double suicide at the Pegasos clinic in Basel, Switzerland; their friends found out via posthumous email. “So sorry not to have mentioned it, but when you receive this email, we will have shuffled off this mortal coil,” the 96-year-old Treblinka survivor wrote. “The decision was mutual and without any outside pressure.”

Michael was 97; neither was terminally ill, and friends recalled that both were healthy for their age (although the letter referenced slight loss of sight, hearing, and an understandable “lack of energy”) and remained sharp-witted. They had simply decided that it was time to die, and that they wanted to die together.

In another headline-making double euthanasia, former Dutch Prime Minister Dries van Agt and his wife were killed by simultaneously administered lethal injections on February 5, 2024. Van Agt’s organization, the Rights Forum, portrayed it as a romantic end: “He died together and hand in hand with his beloved wife Eugenie van Agt-Krekelberg … with whom he was together for more than seventy years, and whom he always continued to refer to as ‘my girl.’” Neither was terminally ill.

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