Euthanasia: David Seymour’s End of Life Choice Bill passes final reading

Newshub

Zane Small

ACT leader David Seymour’s End of Life Choice Bill has passed its final reading in Parliament four years after it was first put in the ballot box.

The Bill – which will let terminally ill adults with less than six months left to live access assisted dying or ‘euthanasia’ – passed its final reading on Wednesday in a conscience vote, with 69 votes for it and 51 against.

But just because the legislation passed its final reading, it won’t actually become law unless the public vote to pass it at the 2020 general election. . . .[Full text] [End of Life Choice Act (2017): Protection of Conscience Provisions]

Medical professionals concerned their ethical rights may be eroded by health reforms

1newsnow

Nicole Bremner

The New Zealand Medical Council says it’s ‘up to the challenge’ of three controversial law changes currently before Parliament.

A new law enabling the terminally ill to access assisted dying, along with reform to cannabis and abortion laws, has sparked widespread and sometimes heated public debate.

“I think these (proposals) represent a potential challenge to the medical profession,” says Dr Curtis Walker, Chair of the NZ Medical Council. “But I know the medical profession is up to it.” [Full text]

Otago psychiatrists call on colleagues to say no to euthanasia

Voxy.co.nz

The impact of legalising euthanasia will be devastating on older people, the poor and disabled, according to two University of Otago psychiatrists who are calling on their colleagues both in New Zealand and internationally to oppose the move.

Consultant psychogeriatrician Associate Professor Yoram Barak and Senior Lecturer Chris Gale, from the Department of Psychological Medicine, have reviewed the laws and practices in every country with legal euthanasia and how they have been modified.

They found the most vulnerable – the elderly, the poor and the disabled – are disproportionate in their use of euthanasia. . . [Full text]

David Seymour hits back at National MP seeking ‘protections’ for institutions over euthanasia

News Hub

Zane Small

David Seymour, whose proposed assisted dying law is going through Parliament, has hit back at a National MP asking for institutions like hospices to have the right to conscientiously object. 

Seymour, leader of the ACT Party, responded by saying his End of Life Choice Bill “doesn’t require any organisation to do anything other than the Ministry of Health”. 

“You can’t really be exempted from something you’re not required to do in the first place, but that seems to be what they’re asking for,” he told Newshub. . . [Full text]

Abortion debate: Woman told she’s ‘immoral and risking hellfire’

New Zealand Herald

Emma Russell

A woman left her general practice in tears after a doctor told her she was “immoral and risking hellfire” for seeking an abortion. Discreetly, the female receptionist rushed after the woman and slipped her a card for a doctor who could help her.

Another woman visited three different doctors for an abortion – and each time was shown the door. . . [Full text]

Doctors sign letter against ‘assisted suicide’ Bill

Newsie

More than 1000 doctors have signed an open letter saying they want no part in what they call assisted suicide.

The Care Alliance, a charity which opposes physician-assisted euthanasia, has taken out a full-page ad in the New Zealand Herald.

The signatories endorse the views of the World Medical Association and New Zealand Medical Association, that euthanasia is unethical, even if made legal. . . [Full text]

No agreement and disappointment after lengthy End of Life Choice bill hearing

Stuff

Ruby Macandrew and Thomas Manch

It took 16 months, almost 40,000 submissions, and a nationwide tour of 14 cities.

The result was a report that found no agreement on whether the End of Life Choice Bill should be passed, made no substantive recommendations, drew few conclusions and disappointed those on both sides of a hard-fought debate.

Both advocates and opponents of the bill – which seeks to legalise voluntary euthanasia – have resumed their default positions for a familiar battle that will span months to come.

The report, tabled in Parliament on Tuesday, did not address any contentious aspects of the prospective law, with the eight Justice Select Committee MPs declining to “consider substantive policy issues on a conscience bill”. . . [Full text]

Doctors to fight new abortion law

Hawthorn Caller

Mike Billings

A group of doctors opposed to abortion say they will fight any moves in looming reforms to erode their rights to refuse to deal with patients wanting abortions. The issue of referring patients seeking abortions to another doctor has drawn opposition from the group.

Justice Minister Andrew Little says he agrees with a Law Commission proposal for doctors who are “conscientious objectors” to abortion to be made to directly refer a patient on to another doctor who they know will provide the service.

Currently, such doctors only have to advise the patient they can get the service elsewhere without specifying where. . . [Full text]

New Zealand College of GPs does not endorse euthanasia: opposes coerced referral

College of GPs does not endorse euthanasia or physician-assisted suicide: response to call for submissions on End of Life Choice Bill

News Release

For immediate release

Royal New Zealand College of General Practitioners

The Royal New Zealand College of General Practitioners has submitted its response to the Justice Committee of Parliament today (6 March 2018). The submission is clear that the College does not endorse euthanasia or physician-assisted suicide, which it considers a matter for individual members’ consciences, within the law.

The submission makes 17 recommendations to the Justice Committee, in light of the state of palliative care in New Zealand, the effect legislation may have on vulnerable people, and the effect euthanasia and physician-assisted suicide has on the doctor-patient relationship. The submission also goes into detail to recommend changes to specific challenges the Bill, as drafted, poses. That includes criteria for assisted dying, conscientious objection, and the role of the medical practitioner.

Dr Tim Malloy, President of the Royal New Zealand College of General Practitioners, said:

“Whether for or against euthanasia, the College’s members are motivated by compassion – this is a key tenet of the profession. We believe that each general practitioner in New Zealand will have their own ethical view on whether euthanasia or physician-assisted suicide is right.

“However, whether or not this Bill goes ahead, there are significant challenges that must be addressed. Fundamentally, New Zealanders need accessible, good quality palliative care. The Government should strengthen these services, so we can all experience a dignified, comfortable death.

“The College has made several recommendations to the Justice Committee for its consideration on the Bill itself. The Bill, currently, has poorly defined criteria for assisted dying. Diagnosis is difficult, we sometimes get a diagnosis wrong. And knowing if a patient is able to make a rational decision, during their end of life care, can be incredibly difficult.

“Parliament should consider our 17 recommendations carefully, given the strong apprehension from general practitioners about legalising euthanasia and physician-assisted suicide.”


Background

General practice is a medical speciality, and general practitioners (GPs) treat patients of all ages, from neonates to elderly, across the course of their lives. GPs make up 40 percent of the medical workforce.

The Royal New Zealand College of General Practitioners is the professional body for GPs, and is the largest medical college in the country. The College’s mission is improving the health of all New Zealanders.

The College’s submission to the Justice Committee can be read on its website. The College has also submitted a compilation of members’ submissions.

The recommendations are:

1. The Government improves and strengthens palliative care services for all New Zealanders.

2. The Government provides more financial support for families caring for a family member at the end of their life.

3. The Government invests in ensuring Māori have access to culturally appropriate palliative care.

4. The Government implements a public information campaign to ensure New Zealanders understand what euthanasia and physician-assisted suicide are, who would be eligible for it, and the wider implications of any legalisation before the Bill progresses further through Parliament. This would be of particular importance if the Government holds a referendum on this issue.

5. The Government invests more money in mental health services.

The following recommendations apply if the law is changed:

6. The Bill specifically prevents people with mental health conditions from qualifying for euthanasia or physician-assisted suicide.

7. The Select Committee carefully considers the scope of medical practitioners and minimum practice experience of the practitioners who would offer euthanasia or physician-assisted suicide services.

8. The Bill requires that medical practitioners receive appropriate training and support to enable them to provide quality advice and care to patients and their families.

9. The minimum age of eligibility for euthanasia be set at 25 years.

10. The Bill’s eligibility criteria are reconsidered to tighten the definition of who is eligible for euthanasia and for physician-assisted suicide.

11. The Bill’s introduction be amended to remove the requirement for medical practitioners who do not wish to participate in euthanasia to refer patients to the SCENZ Group.

12. Patients seeking euthanasia or physician-assisted suicide be obliged to self-refer to the SCENZ register in the first instance to consult with a registered medical professional who is trained and willing to provide physician-assisted suicide and euthanasia services.

13. Clause 8 be amended to recognise the difficulties of making accurate prognoses and to clarify whether medical practitioners’ advice to patients is limited to medical impacts.

14. The Select Committee considers how to deal with situations where a patient with reduced decision-making capacity wishes to forgo the Advanced Care Plan made when they were mentally competent.

15. Clause 15 be amended to make it explicitly clear if the Bill refers to euthanasia or physician-assisted suicide, and if both, when the legislation applies to either option.

16. The Select Committee considers the complexities of euthanasia and/or physician-assisted suicide if something goes wrong.

17. Clause 19 be amended to ensure the privacy and confidentiality of the medical professionals who elect to perform euthanasia or provide physician-assisted suicide.

Spare parts child or saviour sibling?

Sunday Star Times

Michelle Duff

A woman is pregnant with New Zealand’s first “made-to-order baby,” chosen for its genetic makeup to save its sibling’s life.

The baby was selected from other IVF embryos as a genetic match for its sick older sibling and will donate stem cells at birth.

Critics say the process is a slippery slope towards treating children as commodities.

The cells will be harvested from the baby’s umbilical cord blood and used as a transplant for the older child, which might save it from life-threatening sickle cell anaemia. The parents already have several children, and the sick child is the oldest.

The creation of Baby X comes as outgoing Health Minister Tony Ryall approves the expansion of genetic testing, which will open the door for doctors to select “saviour siblings” to help save existing children sick with certain diseases. . . [Full text]