On Monday, in response to a public petition, the Commons will debate ‘Assisted Dying’ once again.
We won’t vote on it -which will frustrate those who have written to me demanding a vote-, but we’ll talk about it. Hopefully, we’ll think carefully about it beforehand, during, and after the debate too.
By co-incidence, Dr Trudo Lemmens, Professor of Health Law and Policy at the University of Toronto, visited Westminster last week. The Professor, who enthusiastically supported the introduction of MaiD (Medical Assistance in Dying) in Canada, shared with MPs his concerns and misgivings about the way that the law quickly evolved, post implementation.
Canada’s 2021 MAiD law has a two-track system: Track One, for those approaching a reasonably foreseeable death, and Track Two for those who are not. Patients in group One require no waiting period and the procedure, once approved, will be carried out even if they subsequently lose mental capacity. Those in the Track Two group however, require a 90-day assessment alongside an assessor with expertise in the applicant’s medical condition.
Professor Lemmens told us that Canadian policy prioritises ‘access to death over protection against it’. It is now an obligation in Canada for clinicians to offer MAiD to all who qualify, including most disabled people who, by the very nature of their disability, qualify under Track Two.
(I had heard this previously from a Canadian practitioner who described how a disabled patient was told that the budget would not extend to adapting his dwelling to further accommodate the development of his disability, nevertheless, the Track Two process to medical assisted death was available instead!)
The Professor stated his concern that disabled persons and the elderly are often ignored, or are addressed by measures which will always be incomplete, more expensive, or easily de-prioritised in times of cost constraints.
He told us that standards of medical care are no longer upheld so that death is prioritised over ensuring the ‘most basic professional standards of care’.
He said that many of those on Track Two engineer their health circumstances to move to Track One in order to bypass a waiting period and the thoroughly safeguarded assessment. And that this process is not solely driven by the MAiD applicants themselves, rather it is actively endorsed by the Canadian Association of MAiD Assessors and Providers, who provide recommendations on how to transfer a patient eligible under Track two to Track One
He Concluded that death is now regarded as a legitimate therapy for suffering, regardless of other available therapy options or the actual source of the suffering. And that this has had effect of shifting MAiD from being a tool to avoid ‘suffering in death’, to now one of avoiding ‘suffering in life’.
I’m Glad we’ll only be debating on Monday and not voting. We need time to thoroughly think through the implications of what is being contemplated
See also:
Death in Oregon (desmondswaynemp.com)
Esther Rantzen (desmondswaynemp.com)