Dan Hitchens Profile picture
Sep 1 17 tweets 10 min read Read on X
“Let’s be very very clear,” Kim Leadbeater told the House of Commons on November 29 last year. “The model that is being proposed here…is nothing like what happens in Canada.”

Here are fifteen important ways in which the Leadbeater bill resembles Canada’s disastrous model:
(Canadian details taken from this extraordinary @TheAtlantic story: ) Image
1. Vague criteria.

Canadian AS advocates pledged “stringent” safeguards, but “the criteria themselves were vague when you looked closely.”

Here, the bill’s proponents have refused to tighten the definition to exclude eg anorexia, diabetes and disability. Image
Image
2. Autonomy at all costs.

In Canada, “the concept of autonomy…has become paramount, allowing…advocates to push for expansion in terms that brook no argument.”

Similar rhetoric here, eg this: “Ultimately, it does come down to a question of autonomy.” Image
3. Lack of responsibility.

“Canada’s leaders seem to regard MAID from a strange, almost anthropological remove: as if the future of euthanasia is no more within their control than the laws of physics.”

Here, too, nobody will say the buck stops with them: Image
4. Kicking the can down the road.

“Following the law’s passage, doctors, nurse practitioners, pharmacists, and lawyers scrambled to draw up the regulatory fine print.”

Here too, huge questions have been left for others to answer if the law is passed. Image
Image
5. Ignoring inequality.

Elaina Plott Calabro writes of doctors euthanizing people who were obviously isolated and vulnerable.

Here, AS advocates have refused to address this point—and have voted to allow AS if the sole motive is financial insecurity. Image
6. People choosing AS because of lack of support.

Plott tells the story of a man who changed his mind when his family started visiting him.

Under the UK bill, you can receive lethal drugs if your sole motive is loneliness or a failure of public services. Image
7. Systemic failure.

One applicant: “It was not a genetic disease that took me out, it was a system.”

Here, not only can you request AS because of public service failure, but applicants are not guaranteed eg a meeting with a palliative care specialist. Image
8. Feeling like a burden as a reason for requesting assisted suicide.

This is happening in Canada, and is common in all jurisdictions which record people’s reasons.

Proponents of the UK bill have repeatedly rejected attempts to prevent this: Image
9. Doctors can raise the subject of AS.

In Canada, this has become a common complaint: that healthcare professionals can bring up AS unprompted.

Here, amendments to prevent this have been rejected: Image
10. Lack of appeals process.

Plott says this is part of “the hollow oversight of MAID”.

No appeals process in the UK either, once the panel approves—even if, say, a family or a GP has crucial information that could help the panel reconsider. Image
11. Rejecting psychiatric expertise.

In Canada, there are plans to expand the law despite the objections of leading organisations.

Here, the Royal College of Psychiatrists have come out against the bill after their concerns were repeatedly ignored: Image
12. Dangers to the psychologically vulnerable.

In Canada, AS is open to those “largely motivated by their mental disorder”.

The UK bill is open in the same way, and psychiatrists say the bill doesn’t give room to “identify an unmet need like depression”.
Image
13. Anonymous, bureaucratic processes.

Plott Calabro points out that, under the Canadian model, doctors are unlikely to know the patients requesting AS.

Here the same is likely to be true, as assisted suicide may well be outsourced to private firms: Image
14. Complacent predictions from civil servants.

In Canada, estimates of uptake were far lower than the reality.

Here, the government impact assessment crudely transferred numbers from a completely different healthcare system: Image
15. Complacency about international comparisons.

Canadian judges said the Belgian experience was irrelevant because Canada was totally different.

The bill’s supporters say that, when it comes to legislating here, we can just ignore the Canadian disaster.

Should we trust them? Image

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More from @ddhitchens

Jul 20
A month on from the Commons vote on assisted suicide, it’s clear that quite a few MPs were confused about the bill or influenced by misinformation.

Here are 10 examples: Image
1. Janet Daby MP says she was reassured because there would be “further psychiatric assessment” in the event of concerns about a patient’s “mental health”.

This is completely untrue—the lack of such assessment is one reason the Royal College of Psychiatrists oppose the bill. Image
2. Jim Dickson MP told the Commons:

“In the words of the Impact Assessment on the bill now, it says we have the strongest safeguards in this bill of any jurisdiction in the world.”

No phrase anything like this appears anywhere in the Impact Assessment.
Read 11 tweets
Jun 25
Major unresolved problems with the Leadbeater bill: an A-Z guide.

A is for Anorexia.

Eating disorder charities and experts have warned that the bill leaves the door open for sufferers to qualify and receive an assisted death:
B is for Burden.

Under the bill, if someone meets the criteria and their sole motive is feeling like a burden, they qualify for an assisted death.

If unamended this could open the way for large numbers of people to receive lethal drugs out of mere guilt.
C is for Care.

The crisis in the care system creates some terrible incentives.

The Coalition for Frontline Care, representing leading health and social care organisations with a combined workforce of 3 million, calls the bill “unworkable...and naïve”.

Read 26 tweets
Jun 20
1. Fact check: Kevin McKenna MP says of the panel:

“This reflects the best practice…that we have a multidisciplinary team.”

But the experts invited by Kim Leadbeater have said the panel falls far short of good clinical practice, and is *not* a proper multidisciplinary team.
2. Palliative care specialist @doctor_oxford, who was invited to give evidence to the committee by Kim Leadbeater, has said the panel is not an MDT and in fact betrays “a gross misunderstanding” of what an MDT is.

3. Glyn Berry of the Association of Palliative Care Social Workers, who also gave evidence at the sponsor’s invitation, has also said the panel falls far short.
Read 5 tweets
Jun 18
1. What happens, under the assisted suicide bill, if someone requests lethal drugs *because* they feel like a burden? Image
2. The first thing to say is that—if they have a 6-month prognosis—they absolutely qualify.

Here Kim Leadbeater confirms the point: if your sole motive is altruistic—i.e. “others would be better off if I was dead”—the doctors/panel don’t have any freedom to refuse your request.
3. Leadbeater hopes there would be a “complex” conversation, the idea being presumably that people will have a chance to rethink if they really are a burden.

However, she rejected an amendment which would have required doctors to ask “why” someone is seeking assisted suicide… Image
Read 15 tweets
Jun 17
1. How do assisted suicide laws affect palliative care?

Big question this week, with Gordon Brown warning that the Leadbeater bill prioritises death over palliative care, and Leadbeater arguing “this is not an either-or”.

Where does the evidence point?
2. The most comprehensive recent study is by the bioethicist Professor David Albert Jones.

Prof Jones found “clear indications in several jurisdictions of palliative and end-of-life care deteriorating in quality and provision following the introduction of AD / AS.” Image
3. Some of his headline findings were as follows:

2012-2019: European countries without AS increased palliative care provision more than three times more than countries with AS.
Read 17 tweets
Jun 17
1. Who are @dignityindying? And—as campaign groups are an accepted part of politics—why does this particular group matter so much?

Thread prompted by coming across this (Dr Sam Ahmedzai): “Invited by Kim Leadbeater…travel and one night accommodation covered by Dignity in Dying” Image
2. Originally DID was the Voluntary Euthanasia Society—co-founded by Killick Millard, who lobbied for the release of an SS camp doctor he saw as a fellow-traveller.

Then EXIT, featuring the even more sinister Mark Lyons:

But that’s all a long time ago!
3. Today, DID is one of the slickest outfits in Westminster.

Their annual budget is enormous—£673k on “Campaign and media” alone—and their fundraising has been the source of some controversy: Image
Read 13 tweets

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