News from the Assisted Suicide Bill Committee room - an eight hour session, which began with a warning we might have to sit through the night in future to make the deadline the Bill’s backers have set. I regret the haste we’re going at. Anyway, here’s what happened today.
(I’ll be careful because it’s been suggested my tweets are stirring up a hate mob against colleagues on the committee. To be clear: I like and respect the backers of the Bill; their intentions are as good (or bad) as mine, and they don’t deserve any personal abuse.)
Amendments to help stop ‘doctor shopping’ - i.e. re-applying for AS till you find a doc who’ll approve - were voted down. The committee removed the requirement for docs to examine ‘all’ medical records, in favour of just those the doc ‘considers relevant’.
The committee rejected an amendment requiring the doctor to ask the simple question: why do you want an Assisted Death? As one MP put it, ‘it’s none of their business’.
The committee accepted a useful amendment to require the doctor to explain how the drugs would work.
But amendments requiring discussion of what docs should do if the ‘assisted death’ goes wrong were rejected. As I said here, it’s not clear whether the patient should be revived (against the purpose of the exercise), left alone to suffer (inhumane), or killed (illegal, for now).
We’re now onto the big debate about scrapping the High Court stage of the process - which over 60 MPs cited as a reason for supporting the Bill at Second Reading - and replacing it with an ‘expert panel’ which has judicial powers without judicial safeguards.
Today the Assisted Suicide Bill committee voted to REMOVE the key safeguard in the Bill that MPs approved at Second Reading in November: the High Court judge who was to decide each application for an assisted death. 1/
At 2R I said the Bill would not be substantially improved (i.e. made safer) in committee, & I was right: we've had a few minor improvements accepted & a lot of major ones rejected. What I didn't anticipate was a very major change in the other direction, to REDUCE a safeguard. 2/
Instead of a neutral, independent judge we'll have a panel of pro-Assisted Suicide experts. They won't be required to ask 'why' the patient wants AS ('none of their business', said an MP on the committee). They won't hear arguments against the application. They can proceed with as little evidence as a phone call from a doctor - no requirement to meet the patient or hear from their family. 3/
Another day in the Assisted Suicide bill committee. A series of amendments to make it safer were rejected.
The committee voted down amendments to ensure doctors can’t suggest AS to patients - even to children. 1/
There will be no requirement of support for those with learning disabilities or autism to ensure they understand what they are agreeing to and are making a free choice. 2/
The sponsor agreed to involve Down Syndrome people and reps in ‘consultation’ on ‘guidance’ - but the committee refused to put statutory protections for this group into the Bill. 3/
Thread. Final day of evidence at the Assisted Suicide bill committee. It was by turns personal and philosophical. We heard from relatives of 3 people who had had - or whose families wish they'd had - AS. This was powerful testimony of the suffering we're trying to prevent...
though it added nothing to the consideration of the detail of the Bill. For the third day running we heard from foreign enthusiasts of AS (still no opponents called to give evidence).
One doc said there's no problem with coercion or capacity or complications at the end in Australia... I wondered if this is because they don't collect any data. She said it's 'informal' evidence... and anyway the real problem is people 'coerced' into taking lifesaving treatment!
Thread👇. Second day's evidence in the Assisted Suicide bill committee. Today's witnesses blew apart the idea this bill is safe for vulnerable people. As Dr Jamilla Hussain explained it won't just be a new option for a few, but a new reality for everyone - and a very scary one
(By the way, Dr Hussain contradicted Chris Whitty who told us yesterday that mental capacity assessments are excellent and 6 different docs would all give the same assessment to the same case. The system is not nearly good enough to be relied on, as this Bill does)
On capacity - Chelsea Roff cited evidence of 60 young women with eating disorders being euthanised around the world; all were assessed as having mental capacity.
Fascinating first day in the Terminally Ill Adults (End of Life) Bill committee, hearing evidence from experts (most of them pro assisted dying). Main takeaway: it really isn't clear what shape this Bill will be in when it comes back to the Commons. Issues that arose:
Chris Whitty admitted '6 months to live' isn't a precise science (no kidding: a majority of these prognoses turn out to be wrong). His main advice was not to tie doctors' hands with excessive safeguards; docs can judge capacity, and we shd not define 'terminally ill' too tightly.
But we heard powerful testimony from Dr Rachel Clark that capacity assessments are often very badly done.
Thread/
I've quickly digested the Leadbeater Bill, which was published this evening; I hope what follows reflects it accurately. The good news is we can stop this nonsense about 'assisted dying', 'shortening death' etc.
Thanks, I presume, to the Parliamentary drafters who don't like euphemisms in statute, the Bill is explicit we're talking about assisted suicide - 'assistance to end their own life' - and the legislation it amends is the Suicide Act 1961. So that's clear.
The bad news is it's just as bad as all the other efforts to license doctors to kill patients.