Terminally Ill Adults (End of Life) Bill Debate
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(2 weeks ago)
Lords Chamber
Baroness Gerada (CB)
I was not aware of that research. The evidence shows, and we heard it from the Australian group, that where voluntary assisted death is in place, the provision of palliative care is improved. In Australia, a great deal more resource was put in to providing palliative care. My point, however, is: please can we no longer conflate the language of assisted suicide with that of voluntary assisted death.
My Lords, I of course agree with the noble Baroness, Lady Gerada, that there are many different motives for killing yourself, but we are talking about making a law here. It is very important that the natural and ordinary meaning of words is established and preserved. Suicide means killing yourself, and what is proposed in the Bill is killing yourself with assistance. It is very important to keep explaining that to people, because otherwise they will be permanently misled about what is actually happening.
My Lords, the noble Lord says that we should understand the ordinary meaning of words, and I agree with him. I must say to him, however, that my own mother—who turned her face to the door and stopped eating and drinking—did not commit suicide. We did not feel that. She was at the end of her life, she was terminally ill and she decided that she had had enough. She did not want the next blood transfusion, and she did not want any more time. I find it really offensive to be told that she committed suicide.
Does the noble Baroness, Lady Gerada, agree that the cardinal difference between suicide and voluntary assisted death is that voluntary assisted death applies to people who are already dying? There is no way that they are going to survive, and that seems to make the whole difference. What we seek in this Bill—and I very much support the safeguard proposed by my noble and learned friend in Amendment 87—is that the process of dying should be free from terror, pain and humiliation. It will not stop the person dying. Therefore, it is not suicide.
Perhaps I may follow up on the very sad story from the noble Baroness, Lady Hayman, of her mother and how she died. This would not be considered to be suicide under the law, as I understand it. As has been discussed quite a lot during this Bill, refusing treatment is not suicide.
I understand that, and I understand that my mother would not have been considered to have committed suicide. What I am trying to say is that her desire for her life to end, and the method that she took to do that, was not assisted dying. That was not available to her and it did not come into the equation. On the categorisation of that as suicide, and this Bill is being called “assisted suicide”, I agree with the noble Baroness, Lady Fox, that we have to be clear. It is not that I am taking offence; I think that it is wrong to categorise people who wish their life to come to an end—and who therefore refuse treatment and food, or who choose assisted dying under the provisions of this Bill—as in some way committing suicide.