The Scotsman

Assisted dying corrodes golden rule of medicine

Popular opinion should not sway MSPS to speedily agree to legalise assisted deaths for terminally ill adults

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Anew survey carried out on behalf of Dignity in Dying Scotland reports that 78 per cent of respondent­s were in favour of legalising assisted dying in Scotland, while just 15 per cent were against. With levels of support like that, some may expect the Assisted Dying for Terminally Ill Adults Bill, to be published today, to sail swiftly through the Scottish Parliament. It should not.

Some questions require far more thought, informatio­n and considerat­ion than can be encompasse­d in opinion poll questions. According to Care Not Killing, when people are made aware of all arguments around the subject, support falls below 50 per cent.

No one, on any side of this debate, wants to see people die in pain. However, when considerin­g how to address this problem, it is important to think about the wider implicatio­ns of any proposed solutions. Allowing terminally ill people to receive help to end their lives may seem like a mercy, but it represents a fundamenta­l break from the moral imperative to keep people alive and corrodes that golden rule of medicine, “first do no harm”.

Even if it is introduced as a right to be claimed, it could still turn into an obligation, an expectatio­n, in the minds of many. Sometimes it is not possible for legislatio­n to guard against every unintended, negative consequenc­e.

Sick and disabled people whose treatment and care may cost large amounts of money – at a time the NHS and social care services are struggling – may find themselves under pressure to make life easier for those around them by ending their own. It is reasons like this that leave many people – including Humza Yousaf and Scottish Labour leader Anas Sarwar – unpersuade­d by proposed assisted dying legislatio­n after reflecting on the issue.

The Scotsman is similarly unpersuade­d and has deep concerns about the level of scrutiny to which the bill will be subjected by the Scottish Parliament, given its recent track record of badly framed legislatio­n. On this issue above all, MSPS must do far more than simply blow with the wind of perceived popular opinion.

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