Else "Els" Borst-Eilers (; 22 March 1932 – 8 February 2014) was a Dutch politician of the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
(D66) party and physician. She was granted the honorary title of
Minister of State
Minister of state is a designation for a government minister, with varying meanings in different jurisdictions. In a number of European countries, the title is given as an honorific conferring a higher rank, often bestowed upon senior minister ...
on 21 December 2012.
Borst worked as a medical researcher at the
Academic Medical Center
The Academic Medical Center (Dutch: ''Academisch Medisch Centrum''), or AMC, was the university hospital affiliated with the University of Amsterdam. After merging with the VU University Medical Center, it now operates as the Amsterdam Universi ...
from 1958 until 1962 and as a physician from 1962 until 1976. Borst also worked as director of the
blood bank
A blood bank is a center where blood gathered as a result of blood donation is stored and preserved for later use in blood transfusion. The term "blood bank" typically refers to a department of a hospital usually within a clinical pathology labora ...
at the
University Medical Center Utrecht
The University Medical Center Utrecht (UMCU; Dutch: ''Universitair Medisch Centrum Utrecht'') is the University hospital of the city of Utrecht, Netherlands. It is affiliated with the Utrecht University. Since the foundation of the university in 16 ...
from 1969 until 1976. She served as the
University Medical Center Utrecht
The University Medical Center Utrecht (UMCU; Dutch: ''Universitair Medisch Centrum Utrecht'') is the University hospital of the city of Utrecht, Netherlands. It is affiliated with the Utrecht University. Since the foundation of the university in 16 ...
hospital administrator from 1976 until 1985. Borst was selected as Vice Chairwoman of the Health Council, serving from 1 January 1986 until 22 August 1994. Borst also served as a professor of medical ethics at the
University of Amsterdam
The University of Amsterdam (abbreviated as UvA, ) is a public university, public research university located in Amsterdam, Netherlands. Established in 1632 by municipal authorities, it is the fourth-oldest academic institution in the Netherlan ...
Lijsttrekker
In politics, a lead candidate (; , ) is the candidate placed first on a party list. In parliamentary systems, it is often the party's nominee for the position of head of government, and the party chair or party leader.
Usage by country
Net ...
'' (top candidate) of the Democrats 66 for the election of 1998. The Democrats 66 suffered a small big loss, losing 10 seats and now had 14 seats in the
House of Representatives
House of Representatives is the name of legislative bodies in many countries and sub-national entities. In many countries, the House of Representatives is the lower house of a bicameral legislature, with the corresponding upper house often ...
Parliamentary leader
A parliamentary leader is a political title or a descriptive term used in various countries to designate the person leading a parliamentary group or caucus in a legislature, legislative body, whether it be a national or sub-national legislature. ...
of the Democrats 66 in the House of Representatives on 19 May 1998. Borst stepped down as Leader of the Democrats 66 and Parliamentary leader in the House of Representatives in favor of Thom de Graaf on 30 May 1998. The following cabinet formation resulted in a continuing coalition agreement between the Labour Party (PvdA) and the
People's Party for Freedom and Democracy
The People's Party for Freedom and Democracy ( , VVD) is a Conservative liberalism, conservative-liberal List of political parties in the Netherlands, political party in the Netherlands. The VVD, whose forerunner was the Freedom Party (Netherl ...
(VVD) to form a Cabinet Kok II with Borst continuing as Minister of Health, Welfare and Sport and also becoming
Deputy Prime Minister
A deputy prime minister or vice prime minister is, in some countries, a Minister (government), government minister who can take the position of acting prime minister when the prime minister is temporarily absent. The position is often likened to th ...
, taking office on 3 August 1998. In 2001 Borst announced her retirement from national politics and that she would not stand for the election of 2002.
Following her retirement Borst occupied numerous seats as a nonprofit director for supervisory boards for non-governmental organizations ( Dutch Cancer Society,
Netherlands Cancer Institute
The Netherlands Cancer Institute (NKI) in Amsterdam was founded in 1913 by, among others, the surgeon Jacob Rotgans.
The NKI, together with the Antoni van Leeuwenhoekziekenhuis, is formed into the NKI-AVL, which combines a scientific research inst ...
, , ,
National Committee for 4 and 5 May
The National Committee for 4 and 5 May () is a Dutch authority for war monuments and memorials since 1987.
The committee is best known for its annual organization of the Remembrance of the Dead observances on May 4, and also its organization of ...
and the Brain Foundation) and as an advocate for cancer research. Borst continued to comment on political affairs as a stateswoman until her death on 8 February 2014 when she was murdered by a mentally unstable man in her home.
Early life and education
Borst attended the
Barlaeus Gymnasium
The Barlaeus Gymnasium is a secondary school in Amsterdam in the Netherlands. It is one of the five categorial gymnasia in Amsterdam, the other four being Vossius Gymnasium, Ignatius Gymnasium, Het 4e Gymnasium and Cygnus Gymnasium. It offers ...
of
Amsterdam
Amsterdam ( , ; ; ) is the capital of the Netherlands, capital and Municipalities of the Netherlands, largest city of the Kingdom of the Netherlands. It has a population of 933,680 in June 2024 within the city proper, 1,457,018 in the City Re ...
graduating in 1950. The same school was attended by
People's Party for Freedom and Democracy
The People's Party for Freedom and Democracy ( , VVD) is a Conservative liberalism, conservative-liberal List of political parties in the Netherlands, political party in the Netherlands. The VVD, whose forerunner was the Freedom Party (Netherl ...
(VVD) leader
Frits Bolkestein
Frederik "Frits" Bolkestein (; 4 April 1933 – 17 February 2025) was a Dutch politician and energy executive who served as Leader of the People's Party for Freedom and Democracy (VVD) from 1990 to 1998 and List of European Commissioners by nati ...
, who was one class below her. Between 1950 and 1958, she followed a
medical education
Medical education is vocational education, education related to the practice of being a medical practitioner, including the initial training to become a physician (i.e., medical school and internship (medical), internship) and additional trainin ...
at the
University of Amsterdam
The University of Amsterdam (abbreviated as UvA, ) is a public university, public research university located in Amsterdam, Netherlands. Established in 1632 by municipal authorities, it is the fourth-oldest academic institution in the Netherlan ...
where she obtained her
medical degree
A medical degree is a professional degree admitted to those who have passed coursework in the fields of medicine and/or surgery from an accredited medical school. Obtaining a degree in medicine allows for the recipient to continue on into special ...
in 1958. Subsequently, Borst worked as a
resident physician
Residency or postgraduate training is a stage of graduate medical education. It refers to a qualified physician (one who holds the degree of MD, DO, MBBS/MBChB), veterinarian ( DVM/VMD, BVSc/BVMS), dentist ( DDS or DMD), podiatrist ( DPM), o ...
at the hospital ''Onze Lieve Vrouwe Gasthuis'' in
Amsterdam
Amsterdam ( , ; ; ) is the capital of the Netherlands, capital and Municipalities of the Netherlands, largest city of the Kingdom of the Netherlands. It has a population of 933,680 in June 2024 within the city proper, 1,457,018 in the City Re ...
immunohaematology
Immunohematology is a branch of hematology and transfusion medicine which studies antigen-antibody reactions and analogous phenomena as they relate to the pathogenesis and clinical manifestations of blood disorders. A person employed in this field ...
. In 1965 Borst started writing her doctoral thesis, while working as a medical scientist at
Utrecht University
Utrecht University (UU; , formerly ''Rijksuniversiteit Utrecht'') is a public university, public research university in Utrecht, Netherlands. Established , it is one of the oldest universities in the Netherlands. In 2023, it had an enrollment of ...
, researching immunohaematology. In 1972, she received her
Doctor of Philosophy
A Doctor of Philosophy (PhD, DPhil; or ) is a terminal degree that usually denotes the highest level of academic achievement in a given discipline and is awarded following a course of Postgraduate education, graduate study and original resear ...
degree at the
University of Amsterdam
The University of Amsterdam (abbreviated as UvA, ) is a public university, public research university located in Amsterdam, Netherlands. Established in 1632 by municipal authorities, it is the fourth-oldest academic institution in the Netherlan ...
following research on the development and prevention of rhesus
immunisation
Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent (known as the immunogen). When this system is exposed to molecules that are foreign to the body, called ''non-sel ...
.
Career
In 1969, she was the head of the Bloodbank of the University Hospital of Utrecht, and in 1976, she became medical director of that hospital. In 1986, she left this position to become vice-chair of the Health Council, which she combined from 1992 with a position as professor in "evaluating medical actions" at the University of Amsterdam. In the Health Council, she chaired the committees on immunisation,
genetics
Genetics is the study of genes, genetic variation, and heredity in organisms.Hartl D, Jones E (2005) It is an important branch in biology because heredity is vital to organisms' evolution. Gregor Mendel, a Moravian Augustinians, Augustinian ...
and
medical ethics
Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. T ...
. Borst held several other positions in the medical world: she was chairperson of the College for Blood Transfusion as well as of the Committee on Research in Medical Ethics.
In 1968, she joined the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
, and was active as a rank-and-file member. In 1976, for instance, when the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
had lost nearly all its members and performed particularly bad in the polls, Borst was a volunteer in the promotion and revitalization campaign of the party, led by Jan Terlouw.
Political career
In 1994, Borst became minister of Health for the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
in the First cabinet of Wim Kok. As a minister, Borst was known for two things, for introducing progressive legislation in medical ethics and for her attempts to reform the medical system to better cope with the aging population.
In 2001, she implemented a law legalizing Euthanasia in the Netherlands under certain extraordinary conditions, and only when extensive protocols had been followed by the physician, and subject to an obligation of full reporting to a governing body. The law (, law on the legal review of
euthanasia
Euthanasia (from : + ) is the practice of intentionally ending life to eliminate pain and suffering.
Different countries have different Legality of euthanasia, euthanasia laws. The British House of Lords Select committee (United Kingdom), se ...
and assisted suicide) is considered her most important contribution in politics.
Other progressive decisions she is responsible for include:
* In 1994, she strengthened the rights of patients, giving them the right to information and privacy, and the explicit right to refuse treatment.
* In 1996, she implemented the law on
organ donation
Organ donation is the process when a person authorizes an organ (anatomy), organ of their own to be removed and organ transplantation, transplanted to another person, #Legislation and global perspectives, legally, either by consent while the d ...
. As a result of the law, all Dutch citizens are asked when whether they wanted to become organ donor when they are 18 years old.
* In 2001, the law on
foetal
A fetus or foetus (; : fetuses, foetuses, rarely feti or foeti) is the unborn offspring of a viviparous animal that develops from an embryo. Following the embryonic development, embryonic stage, the fetal stage of development takes place. Pren ...
tissue was passed, which legalized the scientific use of foetal tissue for medical research applications, if the parents agreed and if the foetal tissue was the result of an
abortion
Abortion is the early termination of a pregnancy by removal or expulsion of an embryo or fetus. Abortions that occur without intervention are known as miscarriages or "spontaneous abortions", and occur in roughly 30–40% of all pregnan ...
or
miscarriage
Miscarriage, also known in medical terms as a spontaneous abortion, is an end to pregnancy resulting in the loss and expulsion of an embryo or fetus from the womb before it can fetal viability, survive independently. Miscarriage before 6 weeks ...
.
* In 2002, she prevented
xenotransplantation
Xenotransplantation (''xenos-'' from the Greek meaning "foreign" or strange), or heterologous transplant, is the transplantation of living cells, tissues or organs from one species to another.Women on Waves
Women on Waves (WoW) is a Dutch nongovernmental organization ( NGO) created in 1999 by Dutch physician Rebecca Gomperts, in order to bring reproductive health services, particularly non-surgical abortion services and education, to women in coun ...
group to offer pregnant women the abortion pill on board their boat, ''Aurora''.
* She also defended the Dutch system of soft drugs.
She faced political problems preparing the Dutch medical system for the aging of the population. An important part of her reforms of the medical system was to integrate the
health insurance
Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among ma ...
system (which had a public and private part), achieving that all citizens would pay the same amount for the same coverage. Although her ministry's budget was drastically increased during this period, she still had to limit the budgets of the hospitals. This led to a problem of long waiting lists for simple medical procedures. From both the political left and the political right she was criticized for what was seen as her mismanagement of the medical system.
In the 1998 elections, Borst succeeded Hans van Mierlo as
Lijsttrekker
In politics, a lead candidate (; , ) is the candidate placed first on a party list. In parliamentary systems, it is often the party's nominee for the position of head of government, and the party chair or party leader.
Usage by country
Net ...
(top candidate) for the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
. She was parachuted by the party's leadership in a press-conference where Van Mierlo announced her candidacy with the words: "It's a girl, and we call her Els." Words which were similar to those that parents use to announce the birth of their new born child. Although Borst lost the elections – her party lost ten of its twenty-four seats – she remained the minister of Health, and became deputy-prime-minister. During the formation talks Borst served as
Parliamentary leader
A parliamentary leader is a political title or a descriptive term used in various countries to designate the person leading a parliamentary group or caucus in a legislature, legislative body, whether it be a national or sub-national legislature. ...
of the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
in the
House of Representatives of the Netherlands
The House of Representatives ( , literally "Second Chamber of the States General", or simply ) is the lower house of the Bicameralism, bicameral parliament of the Netherlands, the States General of the Netherlands, States General, the other one ...
from 19 May 1998 until 30 May 1998 and was the Informateur for the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
.
After the parliamentary inquiry in the El Al Flight 1862 ( Bijlmer Plane Crash), Borst faced a
motion of no confidence
A motion or vote of no confidence (or the inverse, a motion or vote of confidence) is a motion and corresponding vote thereon in a deliberative assembly (usually a legislative body) as to whether an officer (typically an executive) is deemed fi ...
in June 1999. The inquiry committee had concluded that Borst and her ministry of Health did not react well to the health problems of survivors of the disaster. The motion was rejected by parliament after an eighteen-hour-long debate.
After a 2001 interview in the
NRC Handelsblad
''NRC'', previously called ' (), is a daily morning newspaper published in the Netherlands by Mediahuis NRC. It is widely regarded as a newspaper of record in the country.
History
was first published on 1 October 1970 after a merger of the Amst ...
, Borst also faced another motion of no-confidence. In the interview she had said "It has been done" (Dutch: "Het is volbracht") on completing the law on euthanasia. Which according to the
Bible
The Bible is a collection of religious texts that are central to Christianity and Judaism, and esteemed in other Abrahamic religions such as Islam. The Bible is an anthology (a compilation of texts of a variety of forms) originally writt ...
are the last words of
Jesus
Jesus (AD 30 or 33), also referred to as Jesus Christ, Jesus of Nazareth, and many Names and titles of Jesus in the New Testament, other names and titles, was a 1st-century Jewish preacher and religious leader. He is the Jesus in Chris ...
, on the cross. The orthodox Protestant parties
ChristianUnion
The Christian Union ( ; CU) is a Christian democratic political party in the Netherlands. The CU is a centrist party, maintaining more progressive stances on economic, immigration and environmental issues while holding more socially conservative ...
(ChristenUnie or CU) and
Reformed Political Party
The Reformed Political Party ( , SGP) is a conservative Reformed ChristianThese sources describe the SGP as a Calvinist (Reformed Christian) political party:
*
*
*
* political party in the Netherlands. The SGP is the oldest political party in the ...
(SGP), who had opposed euthanasia were insulted by this. Although the motion was not carried by parliament, Borst made her apologies for those words to parliament.
During her ministry, she became a member of the
Institute of Medicine
The National Academy of Medicine (NAM), known as the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, Engineerin ...
in
Washington, D.C.
Washington, D.C., formally the District of Columbia and commonly known as Washington or D.C., is the capital city and federal district of the United States. The city is on the Potomac River, across from Virginia, and shares land borders with ...
, and a fellow of the
Royal College of Physicians
The Royal College of Physicians of London, commonly referred to simply as the Royal College of Physicians (RCP), is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of ph ...
in
Edinburgh
Edinburgh is the capital city of Scotland and one of its 32 Council areas of Scotland, council areas. The city is located in southeast Scotland and is bounded to the north by the Firth of Forth and to the south by the Pentland Hills. Edinburgh ...
.
Later life
Before the 2002 elections, she retired from political life. On 8 February 2003 she became honorary member of the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
. Borst held many positions in public life, serving as member of the
Remembrance of the Dead
Remembrance of the Dead () is held annually on 4 May in the Netherlands. It commemorates all civilians and members of the armed forces of the Kingdom of the Netherlands who have died in wars or peacekeeping missions since the beginning of the ...
and
Liberation Day
Liberation Day is a day, often a public holiday, that marks the liberation of a place, similar to an independence day, but differing from it because it does not involve the original creation of statehood. It commemorates the end of an occupation ...
Committees. She also held many positions in the medical world: she was chairperson of the board of NIVEL (National Institute for Scientific Research in Medicine), chairperson of the Federation of Dutch Cancer Patients Organizations and chair of the advisory board of the Brain Foundation of the Netherlands.
Murder and trial
Borst was found dead on the evening of 10 February 2014 in the garage at her home in
Bilthoven
Bilthoven is a village in the Netherlands, Dutch province of Utrecht (province), Utrecht. It is a part of the municipality of De Bilt. It has a railway station with connections to Utrecht (city), Utrecht, Amersfoort and Baarn. It is home to the Ne ...
by two close friends. The eighty-one-year-old former politician was reported to be in good health after recovering from
breast cancer
Breast cancer is a cancer that develops from breast tissue. Signs of breast cancer may include a Breast lump, lump in the breast, a change in breast shape, dimpling of the skin, Milk-rejection sign, milk rejection, fluid coming from the nipp ...
a few years before. Dutch police concluded that Borst died on 8 February, just hours after attending a party congress of the
Democrats 66
Democrats 66 (; D66) is a social liberal and progressive political party in the Netherlands, which is positioned on the centre to centre-left of the political spectrum. It is a member of the Liberal International (LI) and the Alliance of Li ...
in
Amsterdam
Amsterdam ( , ; ; ) is the capital of the Netherlands, capital and Municipalities of the Netherlands, largest city of the Kingdom of the Netherlands. It has a population of 933,680 in June 2024 within the city proper, 1,457,018 in the City Re ...
, where she was reported to be visibly active and upbeat and left the party congress on her own and walked to the
Amsterdam Centraal railway station
Amsterdam Centraal station ( ; Railway stations in the Netherlands, abbreviation: Asd) is the largest railway station in Amsterdam, North Holland, the Netherlands. A major international Rail transport, railway hub, it is used by 192,000 passeng ...
nearby.
On 1 September 2015 the Public Prosecution Service released a statement that Borst died from forty-one stab wounds to her head, neck and hands. On 26 January 2015 police announced that a man with a criminal record had been arrested based on a DNA match; this man was arrested two weeks earlier on suspicion of involvement in the murder of his sister. Early in 2016 he confessed to the murder of his sister (almost a year after the murder of Borst). He said he killed his sister because they had different opinions on abortion and euthanasia. In February 2016 he confessed to having killed Borst because divine inspiration told him to do so, holding her responsible for the Dutch policy on euthanasia. Later he stated he had no intention to kill Mrs Borst, but wanted to ask her the address of former prime minister
Wim Kok
Willem Kok (; 29 September 1938 – 20 October 2018) was a Dutch politician and trade union leader who served as Prime Minister of the Netherlands from 22 August 1994 until 22 July 2002. On 13 April 2016 Van U. was convicted of the two murders and sentenced to TBS (
Involuntary commitment
Involuntary commitment, civil commitment, or involuntary hospitalization/hospitalisation, or informally in Britain sectioning, being sectioned, commitment, or being committed, is a legal process through which an individual who is deemed by a qual ...
) on the grounds of a diagnosis of chronic paranoid psychosis in the context of schizophrenia.
On 16 March 2017 the Court of Appeal of The Hague declared Van U. only partially unaccountable for the murders and sentenced him to eight years in prison and TBS.