Thursday 5 January 2012

Assisted Suicide - CofE get it right

Today's Statement on the report of the Commission for Assisted Dying from the Church of England from the Bishop of Carlisle is an excellent offering and shows the integrity that I expect (hope or long for) from within our denomination.

The 'Commission on Assisted Dying' is a self-appointed group that excluded from its membership anyone with a known objection to assisted suicide. In contrast, the majority of commissioners, appointed personally by Lord Falconer, were already in favour of changing the law to legitimise assisted suicide. Lord Falconer has, himself, been a leading proponent for legitimising assisted suicide, for some years.

The commission undertook a quest to find effective safeguards that could be put in place to avoid abuse of any new law legitimising assisted suicide. Unsurprisingly, given the commission's composition, it has claimed to have found such safeguards.

Unlike the commissioners, we are unconvinced that the commission has been successful in its quest. It has singularly failed to demonstrate that vulnerable people are not placed at greater risk under its proposals than is currently the case under present legislation. In spite of the findings of research that it commissioned, it has failed adequately to take into account the fact that in all jurisdictions where assisted suicide or euthanasia is permitted, there are breaches of safeguards as well as notable failures in monitoring and reporting.

The present law strikes an excellent balance between safeguarding hundreds of thousands of vulnerable people and treating with fairness and compassion those few people who, acting out of selfless motives, have assisted a loved one to die.

Put simply, the most effective safeguard against abuse is to leave the law as it is. What Lord Falconer has done is to argue that it is morally acceptable to put many vulnerable people at increased risk so that the aspirations of a small number of individuals, to control the time, place and means of their deaths, might be met. Such a calculus of risk is unnecessary and wholly unacceptable.


I include also the CofE's 'Opposing suicide':

"The Church of England is opposed to any change in the law, or medical practice, to make assisted suicide permissible or acceptable.

Suffering, the Church maintains, must be met with compassion, commitment to high-quality services and effective medication; meeting it by assisted suicide is merely removing it in the crudest way possible.

In its March 2009 paper Assisted Dying/Suicide and Voluntary Euthanasia, the Church acknowledged the complexity of the issues while explaining its position, noting that the compassion that motivates those who seek change equally motivates the Church's opposition to change.

In January 2012, the Church reitterated its views by responding to a report from the Commission on Assisted Dying with a statement from the Bishop of Carlisle.

Principles behind the Church's position

• Personal autonomy and the protection of life are both important principles that are often complementary but sometimes compete.

• Personal autonomy must be principled and not without regard to others.

• Protection of life should take priority when there is a conflict between the two.

• When protection of life is impossible that does not undermine these principles.

• Every human being is uniquely and equally valuable, hence human rights are built on the foundation of the 'right to life', as is much of the criminal code.

• An obligation on society, doctors and nurses, to take life or to assist in the taking of life would create a new and unwelcome role for society.

Assisted suicide in practice
There would be problems ensuring that any law permitting assisted suicide would be sufficiently safe-guarded against abuse.

Elastic interpretations of the law: any law, however tightly formulated, would have to be 'interpreted'; doctors would vary in their approach and consistency would be impossible to achieve with 'wider' interpretations of the law becoming acceptable.

Hidden pressures on patients and staff: even with safeguards, it would be impossible to ensure that no vulnerable, terminally ill patient would feel under moral, economic or social pressure to accept assisted suicide.

A redefinition of healthcare: trust in the health service is crucial to the health and well-being of individuals and of the population; to introduce assisted suicide into the NHS (the only way the 'right' would be universally accessible) would be to change fundamentally the nature of that trust.

The doctor and nurse/patient relationship would change: the nature of this relationship would change fundamentally and irrevocably if assisted suicide or voluntary euthanasia were to become part of the 'treatment' that health professionals were to be able to offer their patients.

The effects on palliative care: assisted suicide would require large resources, with no guarantee it would be safely and fairly administered, putting further pressure on the already under-resourced psychological, social, family and spiritual support services needed to address all of the needs of terminally-ill people in a full palliative care-package.


Hallelujah!

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