Listening to the House of
Lords debating a bill passing through the House regarding helping or
assisting terminally ill patients to die.
The
House is doing what we expect it to do which is to take the bill,
sentence by sentence and examine it for its full meaning. The House is
full of learned people, legal, medical, and people who have spent their
lives in high responsible positions.
Given
this forensic background there is a tendency to loose sight of the
general purpose of a bill because of their quest to uncover blemishes,
if there are any blemishes in the wording or intent of the bill.
They
were questioning the use of the words "assisted dying"and were
suggesting the word assisted suicide be used. One argument was that
because the bill would amend the legal status on suicide, it should be
called so. A counter argument contended that 'assisted dying' was not
the same as suicide and we were reminded that there was a wide variance
between a person who wishes to take their life, because they are
depressed, and a person who is terminally ill and in distress due to
pain and wished to end their life.
We
have also seen the terrible condition of patients who have for
instance, motor neurone disease or the locked in syndrome but in so far
as I read the position, their terrible condition would not be covered by
the phrase "terminally ill" which this bill is designed to cover.
When
life becomes 'unbearable' is the condition attached and the bill states
there has to be two doctors plus the agreement of the next of kin.
Finally the drug administered has to be administered by the patient
themselves.
The
question of having two doctors to attend the final act brings into
focus the anomaly we have today that few people can say they know their
doctor. When I was growing up our doctor knew the family and did when
required house calls. A far cry from today when you are nothing more
than a statistic on the doctors list, in no way do they know you, you
have your allotted time in front of them 8/9 minutes and then it's "next
please". The concept of the doctor knowing your history, other than
what is on the computer screen is facetious and the 'cautionary over
site we would expect from "our" doctor is misplaced.
As
in abortion there are a body of doctors who wouldn't take part in
abortion, other than if the life of the mother was at risk so there are
doctors willing for hire to assist in abortion. Would we not run into
the same dilemma and that doctors who would assist in the process of
assisting someone to die would assist on the basis as they would see it
of fulfilling a medical necessity and see it all as part of a 'process'.
When
it becomes 'a process' we must all worry since excruciating pain will
be only one of many reasons to assist the person out of this life.
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