The Citizen (KZN)

‘Let us die on our own terms’

- Bernade e Wicks

Motor neurone disease (MND) sufferer Dieter Harck has gone to court to fight for the right to end his life on his own terms. But, says the Health Profession­s Council of South Africa (HPCSA), it doesn’t have to be one or the other.

Harck and his former palliative care specialist Dr Suzanne Walter have launched a bold new legal challenge to laws around assisted dying.

They want the law changed to give effect to their rights to self-determinat­ion and allow for both physician-assisted suicide (PAS) – in which a doctor gives a patient a lethal dose of medication to administer him or herself – and physician-administer­ed euthanasia (PAE) in which the doctor administer­s the medication to his or her patient.

In the interim, they also want the courts to declare that any sound-minded, terminally ill person can approach them for an order allowing them for assisted death. And they want such an order for themselves.

The case has yet to be set down for hearing but Harck and Walter – who herself has multiple myeloma – fear they might not live long enough to testify at trial.

As a result, a special commission has been set up to hear their evidence this week.

During his evidence in chief, Harck on Monday told the commission he had seen firsthand what death as a result of MND looked like and he didn’t want that for himself.

But under cross-examinatio­n yesterday, advocate Andre D’Oliviera, for the HPCSA, put it to Harck that with appropriat­e palliative care, doctors could ensure he experience­d no pain or suffering.

He said it was possible to sedate patients, likening it to putting him or her under general anaestheti­c.

“My instructio­ns are that an experience­d medical doctor has the ability to make a person unconsciou­s like that in the context of palliative care,” he said,

“Medical doctors at the moment can make you unconsciou­s so you don’t have to experience anything. You will feel no pain.”

Harck was, however, adamant, the choice should be his. “In my opinion the human right to life is tied down with the right to die.”

Earlier in the day, advocate Vas Soni, for the state, called into question Harck’s diagnosis.

He pointed to the 2013 diagnosis as having been one of “presumptiv­e MND” and highlighte­d that the neurologis­t who provided it had recommende­d further tests, which had not been done.

He said the state would be calling palliative care specialist Baroness Ilora Findlay to give evidence and that she would testify to the importance of an accurate diagnosis.

The City of Joburg has urged residents to refrain from stealing electricit­y after a man was electrocut­ed.

The man, who was killed in Lenasia Extension 11 on Sunday, was allegedly stealing electricit­y and supplying it to the Thembelihl­e informal settlement.

Member of the mayoral committee for environmen­t and infrastruc­ture services Mpho Moerane said the body of the man, believed to be from Mozambique, was found in the open field.

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