The Commons has not considered a bill on assisted dying since 2015 (when it was defeated by a decisive margin of almost three to one: 330 to 118), the subject has been debated several times since then, though without a vote. I have no doubt that it is time to test parliamentary opinion once again.
My own opinion, however, is unchanged.
I accept that it is very difficult to stand out against the appeal of Esther Rantzen and others with terminal illnesses who wish to end their suffering on their own terms and at a time of their choosing. It is hard to prolong their suffering, or the suffering of others that surround and give support to them.
Nevertheless, hard cases can make bad law.
I fear that what may begin as a choice, will swiftly become an expectation. There will be an ever so subtle pressure on the elderly and infirm to end the effort and expense of carrying on living.
One can see the attraction from the economic point of view of the healthcare providers: it will be much more cost effective to make available a service that despatches terminally ill patients, than to continue to manage complex nursing requirements. Canadian clinicians visiting Westminster have warned us of this. And that the provision of the new life ending service there has been at the expense of palliative care.
No patient should live in fear that their end will be grizzly, undignified and painful. Terminal conditions, properly managed and with the right palliative care can make for a good and peaceful death.
I debated this subject last year at the University of Durham. I was up against Baroness Meacher who was then sponsoring an assisted dying bill in the House of Lords. She was determined to keep the terms of reference as narrow as possible: there had to be a terminal prognosis of death within six months, with brace of safeguards including certainty that the patient was of sound mind.
She was rather undermined however, by her seconder, a psychiatrist who argued, on the contrary, that the service should be available to absolutely anyone who wanted it, indeed that one shouldn’t need to be ill at all.
There is a significant danger here. Those jurisdictions that have embraced assisted dying have all begun with tightly defined criteria and strong safeguards. Very swiftly however, the criteria have been extended including even, in some cases, to children.
In 2016 a teenager survived, physically unharmed, a bombing at Brussels Airport, which killed thirty-two others. She suffered post traumatic stress disorder and at the age of 23 in 2022 had her life ended by doctors at her request. I think we need to consider very carefully the direction of travel of assisted dying, and where that road will end.
For certain, the creation of a ’dying service’ would profoundly change the nature of the medical profession.
Parliamentary opinion has hitherto been very different from public opinion polling on this question, possibly because we argue in detail, rather than give an instantaneous opinion to a pollster, nevertheless I have great respect for parliamentary colleagues – and for Esther Rantzen too -who argue in favour of change, though I disagree with them profoundly.