MSP Margo MacDonald launches new assisted suicide bill

 
Margo MacDonald Margo MacDonald said public awareness of assisted suicide had improved in the past few years

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Proposals to give terminally ill people in Scotland the legal right to assisted suicide have been relaunched by the independent MSP Margo MacDonald.

Her previous attempt to change the law was defeated in parliament but she said the public now had better awareness of the issue.

The Lothians MSP, who has Parkinson's disease, outlined her Assisted Suicide Bill in Edinburgh.

The Scottish government has said it does not support a change in the law.

And it is still unclear whether there is majority backing for the measure among MSPs.

The bill's strongest critics have said it could see Scotland becoming a "suicide tourism" destination, along with other countries where the practice is legal, such as Switzerland.

There have also been concerns it could fail to safeguard frail, elderly people.

Ms MacDonald told the BBC she had learned lessons from her previous attempt to get a bill passed and had brought forward a clearer and more straightforward process.

Her bill would allow people whose lives became intolerable through a progressive degenerative condition or terminal illness to seek a doctor's help in dying.

There are also a series of safeguards which aim to prevent abuse of the legislation.

The main measures in the bill include:

  • Only those who are terminally ill or who are suffering from deteriorating progressive conditions which make life intolerable can seek assisted suicide.
  • An "early warning" aspect, whereby anyone over the age of 16 can inform their GP of their support in principle for assisted suicide.
  • The indication can be noted in the person's medical records, but must be stated at least seven days before they can formally request help to end their life.
  • Any requests to GPs must be backed up by a second professional opinion, and followed by a 14-day "cooling off" period.
  • The process is then repeated again with a second request, after which one of the doctors concerned supplies a licensed facilitator with a prescription to enable assisted suicide to take place.
  • The facilitator, or "friend at the end", has no relationship with the patient and is given the task of collecting the prescription and agreeing the process of assisted suicide.
  • If the prescription is not used within 14 days, it must be returned to the chemist.

Ms MacDonald said: "I decided as soon as we lost the last one that I had to get a better one and reintroduce it, because so many people think this is the right thing to do for people who have a progressive, degenerative condition who are facing a less than dignified end.

Start Quote

Scotland can learn from the damaging effects legalising euthanasia and assisted suicide in other parts of Europe and North America”

End Quote Gordon Macdonald Care Not Killing

"And people who are terminally ill, if they want to go just a bit sooner, they should be able to choose to do so without making anyone subject to prosecution."

In 2010, Ms MacDonald's End of Life Assistance Bill was defeated by 85 votes to 16, with two abstentions, by MSPs who were allowed a free vote on the legislation, rather than on party lines.

But Ms MacDonald said she hoped high-profile cases such as that of Tony Nicklinson in England, who had locked-in syndrome and battled for years for a legal right to end his life, had increased awareness.

And she pointed to last year's report from the Commission on Assisted Dying - set up and funded by campaigners who want to see a change in the law in England and Wales - which said the current system was "inadequate".

Ms MacDonald said she was "pretty certain" support for her bill among MSPs had grown since 2010.

Her new bill is launched a day after opponents of assisted dying from across Europe met to speak out against the move.

The Euthanasia Prevention Coalition Europe, convened in Brussels, included the Scottish group Care Not Killing, an alliance of 50 groups, including faith-based organisations, which is strongly opposed to Ms MacDonald's proposals.

Assisted suicide - the legal position

Debbie Purdy

It is not illegal to attempt suicide in Scotland, but helping someone take their own life could lead to prosecution.

In England and Wales, the Suicide Act 1961 makes it an offence to encourage or assist a suicide or a suicide attempt, which is almost identical to the situation in Northern Ireland.

The Director of Public Prosecutions has to approve any assisted suicide court action in England, Wales and Northern Ireland.

In 2010, Keir Starmer, then the DPP, issued guidance that made it clear that family or friends who travelled with a loved one to the Swiss suicide group Dignitas would not risk prosecution.

The guidelines were the result of a case brought by Debbie Purdy, a terminally ill woman, who in 2009 won a legal ruling requiring the DPP to set out whether her husband would be committing an offence if he accompanied her to Dignitas to end her life.

Scotland's prosecution service, the Crown Office, has issued no such guidance.

Assisted suicide is legal in Luxembourg, the Netherlands and Belgium as well as Switzerland.

Care Not Killing convener Dr Gordon Macdonald said: "The Scottish Parliament overwhelmingly rejected an attempt by Margo MacDonald to legalise euthanasia and assisted suicide in 2010.

"MSPs concluded that vulnerable people would be put at risk from such legislation.

"Scotland can learn from the damaging effects of legalising euthanasia and assisted suicide in other parts of Europe and North America.

"Europe can learn from Scotland's example as a country which has rejected the view that some people's lives are not worth living. We believe that society has a responsibility to protect the most vulnerable."

It is not illegal to attempt suicide in Scotland, but helping someone take their own life could lead to prosecution.

The Suicide Act 1961 makes it an offence to encourage or assist a suicide or a suicide attempt in England and Wales, which is almost identical to the law in Northern Ireland.

Outside Scotland, the Director of Public Prosecutions (DPP) has to approve any assisted suicide court action in England, Wales and Northern Ireland.

In 2010, Keir Starmer, then the DPP, issued guidance that made it clear that family or friends who travelled with a loved one to the Swiss suicide group Dignitas would not risk prosecution.

Ms MacDonald is pressing ahead with her fresh bill after getting the necessary 18 signatures from other MSPs to bring it to parliament.

She is officially launching the legislation at an event in Edinburgh, along with MSPs representing all the political parties and Silvan Luley, of Dignitas.

Assisted suicide is legal in Luxembourg, the Netherlands and Belgium as well as Switzerland.

In the House of Lords, the Labour peer and former UK Lord Chancellor, Lord Falconer, has proposed a bill on legalising assisted suicide.

 

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  • rate this
    +8

    Comment number 17.

    Margo MacDonald is one of the few politicians of this country with absolute credibility and integrity.

    I don't always agree with her. I do believe that her thoughts are her own, her opinions deeply held and entrenched with copious evidence

    I wish there were more politicans of her calibre, both in Wastemonster and Holyrood

    I hope this bill succeeds because it is Margo that introduced it.

  • rate this
    +1

    Comment number 16.

    Peter T,
    I was not asked for my opinion by any elected MSP who supposedly represents me. The matter should have been discussed by Holyrood, but as we all know those elected to represent us do not do so.

  • rate this
    +53

    Comment number 15.

    Most of the arguments against this stem from us being a "Christian" society . It is wrong for any religion to force its views upon those who do not practice it . That is true be it Taliban extremists stopping women getting educated or Christian extremists forcing people to endure months of suffering to appease there god .
    People should have the freedom of choice free of religious doctrine .

  • rate this
    +24

    Comment number 14.

    @ PeterT #8

    I'll tell you why it has to come around again; because it is MY right to decide when and how to go and not yours nor any MP's. *I* want to decide when and how I go - I'd take an injection any day rather than choking to death on my own spit due to a degenerative neurological condition.

  • rate this
    +52

    Comment number 13.

    Good for her. I'm glad to see someone tackle the issue. The right to die should be a constitutional right for the citizens of any forwarding thinking country.

  • Comment number 12.

    This comment was removed because the moderators found it broke the house rules. Explain.

  • rate this
    -15

    Comment number 11.

    I totally get where Margo is coming from about choices to relieve suffering or future suffering. However I am convinced in time this will lead to some people being encouraged that this is the best option, whether directly or via society attitudes.
    Investment in high quality palliative care is the safest way forward, definitely not the cheapest option but I think the better option.

  • rate this
    +31

    Comment number 10.

    Let's hope that our Scottish parliament will at least give this a decent hearing this time. The last time Margo rose to speak on the issue, virtually all of them walked out. They should remember they are there to represent the people, and this is an issue which many of their constituents want discussed.

  • rate this
    +18

    Comment number 9.

    It's 2013 and we're still dependent, but only legally, on the horrific, hideous deaths mother nature / your god has penciled in for us.

    Nature does not have provision for a dignified death for any creature. Any creature getting a sudden painless death is a lucky exception.

    We seek to dominate nature at every opportunity, except this one, why?
    Because we think we're too special for death?

  • rate this
    -35

    Comment number 8.

    Does this have to come round again? The majority have already said no to this (defeated by a huge majority in the Scottish Parliament in 2010) so why do we have to go through this debate yet again?
    Waste of time for the Scottish Parliament.
    Nothing new here. Time to move on to something else Margo?

  • rate this
    +25

    Comment number 7.

    I guess it's not easy to give a true comment on this unless you are the one who is constantly in pain and only getting worse with no chance of recovery.

    I feel as long as people are assessed by a professional that their standard of live won't improve who am I or anyone else to keep that person living a life of pain.

  • rate this
    +9

    Comment number 6.

    We're all going to die, it's a reality we don't like to talk about. Bills like this put people in touch with their mortality, which is uncomfortable for some.

    Society will see many things in this bill from morality to immorality, & ungodliness to humanity.

    For me I don't see how forcing people to live when their live is intolerable, can be considered compassionate or humane.

  • rate this
    +26

    Comment number 5.

    I completely agree that if a person who no real quality of life wishes to end their life for irrevbersible medical reasons they should be allowed to do so. It is degrading for many who become dependant on others for their every need and an individuals wishes should be respected.

  • rate this
    -48

    Comment number 4.

    Great, just another thing in a very long list that us Scots can be ashamed of! Why does everyone insist on ruining my country? Next thing you know, they'll flatten all the mountains and leave us with literally no reason to live here any more.

  • rate this
    +1

    Comment number 3.

    In the past, people used to flock to Gretna to get married without parental permission.
    Will we now see a similar influx from those who want to die?

  • Comment number 2.

    This comment was removed because the moderators found it broke the house rules. Explain.

  • Comment number 1.

    This comment was removed because the moderators found it broke the house rules. Explain.

 

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