San Francisco Chronicle

Bill to legalize euthanasia wins parliament’s OK

- ASSOCIATED PRESS

MADRID — Spain’s parliament voted Thursday to approve a bill that will allow physiciana­ssisted suicide and euthanasia for longsuffer­ing patients of incurable diseases or unbearable permanent conditions.

The bill, which was backed by Spain’s leftwing coalition government and several other parties, passed in a 198138 vote. The conservati­ve Popular Party and the farright Vox party voted “No.“

The bill will now continue its legislativ­e journey, facing a vote in the Senate where it is also expected to pass. According to the draft of the law approved by the lower house, it won’t go into effect until three months after being published in the government gazette.

“As a society, we cannot remain impassive when faced with the intolerabl­e pain that many people suffer,” Spanish Health Minister Salvador Illa told lawmakers.

Spain is following the footsteps of Iberian Peninsula neighbor Portugal, whose parliament approved similar bills to legalize physiciana­ssisted suicide and euthanasia in February. Those bills have yet to become law and could yet face resistance from Portugal’s president.

Euthanasia — when a doctor directly administer­s fatal drugs to a patient — is legal in Belgium, Canada, Colombia, Luxembourg, the Netherland­s and Switzerlan­d. In some U. S. states, medically assisted suicide — where patients administer the lethal drug themselves, under medical supervisio­n — is permitted.

In California, the End of Life Option Act enacted in 2016 allows terminally ill adults to access medical aid in dying by selfadmini­stering lethal drugs. By the end of 2016, 250 people had exercised the right to begin the process, 191 received a prescripti­on for the medication, of whom it is known 111 took their own lives, 21 dying of natural causes, according to the Washington Post. In 2018, the law was affirmed by the California Supreme Court.

A small group of people gathered outside Madrid’s lower house of parliament waving black flags with skulls and crossbones to protest the bill. Groups that support legislatio­n to legalize medically assisted suicide planned rallies in cities across the country to celebrate the passing of the bill.

The law will allow health profession­als, both public and private, to assist patients who express their wish to die rather than continue suffering “a serious and incurable disease” or from a “debilitati­ng and chronic condition” the person considers “unbearable.”

Patients must ask to die on four different occasions during the process, which can last over a month. The first two requests must be in writing and submitted over two weeks apart. The patient must reaffirm that request a third time after consulting with a doctor and a fourth time just before undergoing the procedure to end his or her life.

The process must be overseen by a medical team led by a physician and another doctor who acts as an external supervisor. An oversight board in each region must approve requests. The person asking to exercise his or her right to die must be a Spanish citizen or resident, of adult age, and able to make rational decisions.

The law will also allow any medical worker to refuse to participat­e on grounds of belief.

 ?? Manu Fernandez / Associated Press ?? Protesters hold a banner saying “Death” against legalizing euthanasia in Madrid. Euthanasia is legal in Belgium, Canada, Colombia, Luxembourg, the Netherland­s, Portugal and Switzerlan­d.
Manu Fernandez / Associated Press Protesters hold a banner saying “Death” against legalizing euthanasia in Madrid. Euthanasia is legal in Belgium, Canada, Colombia, Luxembourg, the Netherland­s, Portugal and Switzerlan­d.

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