Dear Reverend Mellish,
Thank
you for contacting me about Rob Marris’ Assisted Dying Bill. I
appreciate that this difficult issue raises strong and genuinely held
opinions on both sides of the debate, and I wanted to read through the
Bill in its entirety, which
has only recently been published, before responding to you.
I
approach this dilemma with an open mind. Anyone who has had a family
member or loved one with a terminal illness knows how distressing and
difficult it can be, both for the patient, their family and friends.
Highly emotive cases increasingly
appear on the news, and our palliative care must be as sensitive and
flexible as possible to these peoples’ needs. This should not, however,
distract us from the essential question this Bill poses: should doctors
be licensed to supply lethal drugs to terminally
ill patients who ask for them and meet certain conditions?
Having
read through the Bill, I feel, regardless of whether in principal you
support or oppose assisted suicide, there are insufficient safeguards in
place to protect some of the most vulnerable people in our society. At
this point it is
also worth stressing that this is the conclusion all the Royal
Colleges, the British Medical Association (BMA) and the major disability
charities have come to.
Although
the Bill does include provisions to ensure those wishing to end their
life have met certain qualifying criteria, there is no guarantee that
these will translate into concrete safeguards. This is particularly the
case in deciding
whether a request for assisted suicide derives from a settled wish or
whether it is being influenced by pressure of one sort or another. That
pressure may come from a family member, or, unfortunately, an internal
belief from the patient themself that they
are a burden on their loved ones.
On
this point, careful consideration must be given to the doctors whose
responsibility it will be to ultimately make the final decision. A
decision of this magnitude must, of course, take into account factors
that lie outside the field
of medicine, something research indicates only one out of seven GPs
would be prepared to do. Drawing on my experience as a lawyer, it is
also difficult to see how this fundamental problem can be mitigated by
the arbitration of a High Court judge, whose duty,
as envisaged by the Bill, would be to little more than rubber stamp the
doctors’ decision.
Where
similar legislation has been enacted overseas, there has often been a
demand for changes to the laws governing other forms of euthanasia. In
Belgium, for example, a law was passed in 2014 to enable children to be
euthanized, whilst
in Oregon – on whose assisted suicide law this Bill is based – the
extension of euthanasia is currently being considered. I am concerned
that, if assisted suicide were to be legalised in Britain, in may prove
difficult to avoid a similar trend.
I
believe more safeguards need to be put in place, and a clear plan of
how these would actually work in practice, before assisted suicide could
ever be legalised here. For that reason I will not be supporting Rob
Marris’ Private Members’
Bill when it comes before Parliament in September.
Thank you again for taking the trouble to contact me.
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