Assisted Dying

Jeff Smith Excerpts

Thursday 4th July 2019 Commons Chamber

[Jeff Smith (Manchester, Withington) (Lab)]

I do not plan to take the full six minutes, not least because we have heard so many really eloquent and brilliant speeches today. I pay particular tribute to the hon. Member for Grantham and Stamford (Nick Boles) and to my hon. Friend the Member for Sheffield Central (Paul Blomfield) for their incredibly moving and powerful contributions.

I supported changing the law in 2015, and I would do so again. I pay tribute to the Members who came to this debate with an open mind and said that they have changed their minds for having the bravery and open-mindedness to do so. I still support changing the law because I believe that it is not working. I want to emphasise three areas where is not. First, there is the unfairness of the current situation. We have already heard that roughly one person a week goes to Switzerland. However, people go to Switzerland if they have the financial resource, practical resource, and, very often, emotional support to do so. We should not be condemning those without the financial resources to an end that is not of their choosing while other people can afford to go abroad. Even that, I would argue, would not be their first choice and is not the ideal situation, but at least they have the financial means and support to be able to make a choice of some kind. We should be giving that choice to everybody who needs it.

Secondly, the current law results in perverse outcomes. My hon. Friend the Member for Sheffield Central and the hon. Member for Eddisbury (Antoinette Sandbach) pointed out that it results in people dying sooner than they should. I am not going to repeat those remarks because they put it far better than I could. I pay tribute to them for their speeches.

Thirdly, I want to touch on the issue of palliative care. This debate is often framed as a choice between good palliative care and the right to choose how to die, but that should not be the case. Of course we need to invest in good palliative care—we need the best that we can get—but even with the best palliative care, we cannot stop all suffering at the end of life. A person should have the opportunity to choose their way of dying in addition to the availability of great palliative care.

I also want to respond briefly to three points from the debate. First, I agree very strongly with the hon. Member for Grantham and Stamford in his request for a call for evidence to study the experience of Oregon and Canada. I do not share the pessimism of others that we cannot frame legislation that works for the people who need it to work, and gathering that evidence and learning from those examples will, I believe, allow us to do so.

I strongly disagree with the hon. Member for Cleethorpes (Martin Vickers), who said that introducing assisted dying will lessen the value we put on human life. If we value human life and if we value people, we should allow them to live the life they choose, and that includes the death they choose.

My hon. Friend the Member for West Ham (Lyn Brown) quoted a statistic about the number of people in Oregon who gave being a burden as their reason for choosing assisted dying. That only tells part of the story, because people who request assisted dying in Oregon give several reasons—

[Lyn Brown]

It is Washington.

[Jeff Smith]

People in Oregon and Washington give several reasons. In both those states, the most frequently given reason for requesting to die—by over 90% of people—is a loss of autonomy. Being less able to enjoy life is chosen by around 88%, and a loss of dignity is chosen by around 74%. It is important to tell the whole story with the statistics.

[Lyn Brown]

I really regret not putting myself down to speak in the debate, because I think there is an absence of understanding about just how difficult it is for many people in this country and elsewhere to withstand the pressures of family who might feel that they are a burden. We are tripping gently into a hellish nightmare for many people. I urge my hon. Friend to listen properly to what people say.

[Jeff Smith]

I hear what my hon. Friend says, and I accept that there is real concern, but I think we can create a legislative framework that takes account of those concerns and allows safeguards to be put in place to ameliorate those concerns.

In the end, it comes down to one key question: if faced with a terminal illness and a painful end, would we want the death of our choosing for ourselves and for our family? If the answer is yes, as I believe it would be, we should allow that choice for everyone.