TVNZ One News 10 April 2019 Family First Comment: Dr Hickey says the bill is not fit for purpose. “We’ve just done a massive fundraising campaign for Mike King’s campaign and here we are willing to bring in legal suicide basically…” Dr Hickey says the bill threatens vulnerable Māori already being failed by the health system. “In Oregon 63% of those that were euthanised were from poor backgrounds who were on state insurance and who refused treatments to have kept their lives going well. We do have a public health system that is rationing certain things like dialysis and who are the biggest recipients of dialysis? Māori and Pacific peoples.”
The group of lawyers who specialise in protecting vulnerable New Zealanders say the controversial euthanasia bill is fatally flawed.
Former legal academic Dr Huhana Hickey says the bill is a threat for Māori who are already have high rates of suicide, terminal illness, mental health issues and disabilities.
Speaking to Te Karere, Dr Hickey says the bill is not fit for purpose.
“We’ve just done a massive fundraising campaign for Mike King’s campaign and here we are willing to bring in legal suicide basically,” she says.
In its current form, according to Lawyers for Vulnerable New Zealanders, the End of Life Choice Bill has 35 flaws.
“There is a danger in this legislation and it comes with irreversible, irremediable and terminal. You cannot determine what irreversible, irremediable is,” says Dr Hickey.
“I qualify under that and I still got a lot of life left in me. Many of us will quality for that. Depression after your husband, wife dies will quality under that.”
Stuff co.nz 9 April 2019 Family First Comment: “The committee was given 16 months to study the bill, hear submissions, and try to fix it. They simply couldn’t, because it’s a flawed, dangerous bill.” – Family First NZ
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”.
“On the many substantial issues, we did not decide. However, we do agree that the bill is not workable in its present state,” the report said.
End of Life Choice Society president Maryan Street who, in 2012 as a Labour MP, introduced a similar Member’s Bill to Parliament, to allow terminally-ill people to choose when to die. She was among those left less-than-impressed with the committee’s conclusion.
She said the society was “disappointed” the report was not bolder, “given the overwhelming support for a law change New Zealanders have consistently shown in reputable opinion polls”.
However, she believed it was legitimate for the committee to pass the issue to the full Parliament where it would be decided on a conscience vote by MPs.
“It is encouraging that the committee has left the policy content of the bill largely intact, with only minor, technical, and consequential amendments.”
Family First national director Bob McCoskrie, who is on the opposing side, called the bill “a mess”.
He noted that a significant amount of MPs who voted in favour of the bill in its first reading did so in order to allow the select committee to analyse the proposed legislation and make appropriate changes.
Radio NZ News 9 April 2019 Family First Comment: “One of the speakers at the rally, Dr Luatupu Cleverley, said the legislation compounded poor health outcomes for the Pacific community. Pacific people already suffer the worst statistics in the New Zealand health system and the bill goes against their culture and traditions, Dr Cleverley said. It is traditional for Pacific families to look after their own and the government should focus on improving palliative care, she said.” www.protect.org.nz
People from New Zealand’s Pacific communities have rallied at parliament against a proposal to legalise euthanasia.
The End of Life Choice Bill would give terminally ill people the option of requesting help to die.
About 200 hundred people gathered in parliament grounds to protest against the bill.
One of the speakers at the rally, Dr Luatupu Cleverley, said the legislation compounded poor health outcomes for the Pacific community.
Pacific people already suffer the worst statistics in the New Zealand health system and the bill goes against their culture and traditions, Dr Cleverley said.
It is traditional for Pacific families to look after their own and the government should focus on improving palliative care, she said.
Media Release 9 April 2019
Family First NZ says that the Select Committee considering David Seymour’s assisted suicide bill have been unable to agree that the bill be passed, and warn that the bill is ‘not workable in its present state’.
“No real, substantive changes have been made to the bill – it’s still a mess. The Committee has made no judgement on the Bill, no indication of what substantive changes could make it better, but have simply left that up to the whole House, despite many MPs who voted for the bill in the 1st Reading saying that they would be waiting for the Committee to tell them how to make the bill better and safer before supporting it further. The message to these MPs is now clear – kill the bill,” says Bob McCoskrie, National Director of Family First NZ.
“This Bill is just as much of a mess coming out of Committee as it was going in. The Committee was given 16 months to study the bill, hear submissions, and try to fix it. They simply couldn’t, because it’s a flawed, dangerous bill,” says Mr McCoskrie.
The Care Allianceanalysis of the almost-39,000 submissions found that 91.8% were opposed to the Bill, but most importantly, 93.5% of submissions received from doctors, nurses and other health care staff were opposed.
“Assisted suicide is not a simple yes / no answer. Those who have taken time to consider the consequences and implications of assisted suicide – and especially those in the health sector – have quickly realised its major dangers, especially to the vulnerable, elderly and disabled. This nuance is difficult to capture with a simple yes / no phone survey, sometimes with leading questions.” ENDS
Stuff co.nz 8 April 2019 Family First Comment: “Now understanding it was the depression that is a natural bedfellow for terminal illness that made her ever think it was a good idea to hasten her death, she is making a last-ditch plea to stop the End of Life Choice Bill progressing.” www.Protect.org.nz
Tokomaru woman Vicki Walsh has well and truly out-lived her life insurance payout.
Diagnosed with the brain cancer glioblastoma multiforme nearly eight years ago, the prognosis was that she would be dead in 12 to 148 months.
She nearly was.
Not from the cancer, but by her own hand.
She had the pills laid out on the kitchen bench, ready to end the suffering, but changed her mind over a cup of tea.
Now understanding it was the depression that is a natural bedfellow for terminal illness that made her ever think it was a good idea to hasten her death, she is making a last-ditch plea to stop the End of Life Choice Bill progressing.
On Tuesday, the day Parliament’s Justice Committee is due to report back ahead of a likely vote on May 1, the DefendNZ lobby group’s documentary about her remarkable survival will be released.
NZ Herald 7 April 2019 Family First Comment: “The Canadian law has created confusion about what patient’s lives are worth living and what lives aren’t. This is directly, negatively affecting medical care. Canada has abandoned one of the most important aspects of patient-centred care.”
• Dr Sinead Donnelly is a palliative medicine specialist in Wellington. COMMENT: As the time approaches for Parliament’s Justice Committee to report back on David Seymour’s euthanasia and assisted suicide bill, it is timely to carefully review the impact of legalisation in countries like Canada, often cited by Seymour as exemplary.
Seven Canadian doctors published a 2018 World Medical Journal article, “Euthanasia in Canada: a cautionary tale”, endorsed by 57 other Canadian doctors. They wrote, “As Canadians, we are saddened by this situation, but we hope that our experience and observations will serve as a warning for our colleagues in other countries, and their patients”.
The Canadian Supreme Court ruled in Carter v. Canada (2015) that physicians may provide euthanasia or assisted suicide (EAS) to competent adults who clearly consent, who have a grievous and irremediable medical condition (including illness, disease, or disability) that causes enduring and intolerable physical or psychological suffering, and that cannot be relieved by means acceptable to the individual.
The Canadian law’s sponsor claimed that EAS would remain “very exceptional”. However, the law also said “qualified patients had a right to euthanasia, and the exercise of a right cannot be exceptional”.
Within a year of the ruling, pressure for “Carter Plus” became so great that the federal Government legally committed to considering EAS for adolescents and children, for mental illness alone, and by advance directive (for those who lack capacity, like dementia patients). Two and a half years after legalisation, strong lobbies are intensifying their push towards expanding euthanasia as a response to those cases.
As Seymour states often in support of his own Bill, the Canadian Supreme Court believed “a carefully designed and monitored system of safeguards” would limit risks associated with allowing physicians to kill patients or help them commit suicide. Canada’s EAS death rate in the first year, about 0.9 per cent of all deaths (1,982), was not reached by Belgium for seven to eight years.
Even supplemented by provincial and professional guidelines, current criteria are so broad it permitted lethal injection of an elderly couple who preferred to die together rather than at different times by natural causes.
Other disturbing stories emerge. A 25-year-old disabled woman in acute crisis in an emergency ward was pressured to consider assisted suicide by an attending physician, who called her mother “selfish” for protecting her. Hospital authorities denied a chronically ill, severely disabled patient the care he needed, suggesting euthanasia or assisted suicide instead.
When the Quebec euthanasia law was being instituted, some Quebec emergency physicians, for a time, were letting suicide victims die even though they could have saved their lives. The president of the Association of Quebec Emergency Physicians stated that the law and accompanying publicity may have “confused” the physicians about their role.
Quebec physicians and health care practitioners now work in environments characterised by an emphasis on euthanasia as a purported “right”. The onus is increasingly on physicians to show why euthanasia should be refused, with health care administrators more anxious about being accused of “obstructing access” than about “killing people who really ought not to be killed”. This is the reality of a supposedly carefully designed system.
The Canadian law has created confusion about what patient’s lives are worth living and what lives aren’t. This is directly, negatively affecting medical care. Canada has abandoned one of the most important aspects of patient-centred care.
As Professor Margaret Somerville explains: “The informing philosophies of euthanasia and palliative care are in conflict. Palliative care is based on a commitment to help people to live as fully as possible until they die a natural death. The informing principle of euthanasia is that it is ethical to intentionally inflict death to relieve suffering or even the fear of future suffering.”
Peer-reviewed, published evidence shows most euthanasia requests are motivated by existential issues, including fear of loss of control, of what comes after death, of being a burden on others, demoralisation, and questioning the meaning, purpose and value of life. None of these can be properly addressed by euthanasia. This is hardly “patient-centred” care.
So what can we learn? “The introduction of euthanasia in Canada has caused doubt, conflict and crisis”. The authors suggest an alternative that new disciplines, new professions and new methods may arise to satisfy new social goals but not in the name of medicine. https://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=12219801
Stuff co.nz 4 April 2019 Family First Comment: “As someone who works with people in pain every day, I can’t support the End of Life Choice Bill. It takes a vulnerable population, one that experiences depression and anxiety and already worries that their lives hold no value to society, and offers them suicide as a solution to their pain and suffering. It would destroy the trust that some of my patients have in me, as their pain doctor, to be a safe space where they can discuss the causes of their suffering.” #rejectassistedsuicide www.protect.org.nz
Dr Conrad Engelbrecht is a doctor in anaesthesia and pain medicine for Waikato DHB and co-head of the Braemar Pain Clinic in Hamilton. OPINION: In debate around the End of Life Choice Bill, there is a lot of talk about pain and suffering. Is it possible to stop all pain and suffering? Can pain and suffering make a life no longer valuable, and make death a better option than life? What should a doctor’s role be when a patient is experiencing intense pain and suffering?
As an anaesthetist and pain physician working at a pain clinic, it’s my job to help people who are in pain. On a day-to-day basis, I see patients who are suffering, and my job is provide them with an avenue to alleviate their suffering.
I can tell you that pain and suffering are complex experiences. Of course pain can be physical, but it can also be emotional, existential, spiritual or psychological. It can be caused by medical and physical conditions, as well as by emotions and issues held deeply inside a person. Pain often affects people on multiple levels. It affects their moods, their ability to function, their physical activity, how they sleep, their mental well-being, and their social interactions and engagements.
When people experience pain over long periods of time, and when that pain is relentless, people can suffer from low moods and even develop depression and anxiety. They lose things that are important to them: jobs, hobbies, the ability to work, and a sense of self-worth. I have met many patients with chronic or intense pain who feel like they are no longer valuable to their families, their community, or to society – that they’re more of a burden than a blessing.
NZ Herald 2 April 2019 Family First Comment: Superb words from Dame Tariana “It’s a really important time in all of our lives when we are farewelling somebody we love and care for. It is the responsibility of all of us to be at one with one another. The End of Life Choice Bill would invade this sacred space. The bill would allow a person to request a euthanasia death without talking to their family, and a person could be killed without the family knowing. In treating the dying person only as an individual and not as a whānau member, the bill misunderstands what it means to live and to die.” Protect.org.nz
Life and death are not individual events. There are very few people who are on the Earth by themselves. We exist as part of our families, our whānau and our communities. For many Māori, death is a process the whole whānau goes through together because the whānau is farewelling a part of itself.
It’s a really important time in all of our lives when we are farewelling somebody we love and care for. It is the responsibility of all of us to be at one with one another.
The End of Life Choice Bill would invade this sacred space. The bill would allow a person to request a euthanasia death without talking to their family, and a person could be killed without the family knowing. In treating the dying person only as an individual and not as a whānau member, the bill misunderstands what it means to live and to die.
I feel quite sad about this bill because it undermines the essential things we believe in as tangata whenua, saying that that’s of no consequence. People, whether they be terminally ill, disabled, or old, are still members of families. It doesn’t matter what their circumstances are.
About three years ago my husband George had a heart attack and a stroke. He was in intensive care, and a doctor said to me that she would hope I wouldn’t expect them to resuscitate him. And I thought , “Wow.”
So I said to her, “I don’t think I would expect you to do anything for my husband. In fact, as soon as he is well enough, we will go home, and we will decide what treatment he will receive.”
So we took George home, and right through that first year, we’re being told he could go at any time.
But, you know, he’s still alive. We all care for him. A grandson gave his job up in Wellington and came to Whanganui to help me look after his grandfather. People need to live in a safe, happy environment, to be loved within their family, to have the family there to help them do what they need to do.
READ MORE: https://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=12218130
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NewsHub 1 April 2019 Family First Comment: “This law will make New Zealand a dangerous place for people who are young and suicidal or old and think they’re a burden, or people with disabilities. If they have a bad day, where they wish they weren’t alive, we should be offering them kindness – but what we’re going to offer is to kill them.” Protect.org.nz
Sir Bill English has warned against making euthanasia legal in New Zealand, saying descriptions of the End of Life Choice Bill as a “slippery slope” don’t go far enough.
The former Prime Minister says the Bill, initially tabled by ACT leader David Seymour, will make New Zealand a “dangerous place”.
“This is a serious issue that could change the nature of our country,” he told The Project on Monday.
“This law will make New Zealand a dangerous place for people who are young and suicidal or old and think they’re a burden, or people with disabilities.
“If they have a bad day, where they wish they weren’t alive, we should be offering them kindness – but what we’re going to offer is to kill them.”
But Seymour says while it’s easy to “speculate and fearmonger”, data shows countries haven’t seen a rise in youth suicide or back-flipped on their decision to legalise euthanasia. He says the law change won’t put anyone at unnecessary risk.
“What this End of Life Choice Bill will do is put in a regime of safeguards… that will be sufficiently safe and give better protection to people.”
But Sir Bill says any law change on euthanasia sets a dangerous precedent that could give rise to worrying developments – particularly in regards to mental health.
NewsHub 1 April 2019 Family First Comment: Disturbing “The largest children’s hospital in Canada – the Toronto Hospital for Sick Children – has already published their guidelines on how euthanasia will occur for mature minors. It includes if the child says they don’t want the parent to know, the parent will be informed the child has died after they’ve received euthanasia.” #slipperyslope
A visiting Canadian doctor claims if New Zealand introduces euthanasia, it could result in children choosing to end their own lives without their parents’ input.
Canadian palliative care physician Leonie Herx is in New Zealand to take part in a debate hosted by North Shore MP Maggie Barry on ACT MP David Seymour’s End of Life Choice Bill, which would legalise euthanasia under strict circumstances.
Euthanasia has been legal in Canada since 2016, where it’s known as medical aid in dying, or MAID. Since then about 8000 have chosen to end their lives this way, Dr Herx says, making up around 1.5 percent of all deaths.
She told The AM Show on Monday it took Belgium 16 years to reach that level, after legalising the practise in 2002.
“How did we get to this place in two years, so rapidly?”
Like Seymour’s Bill, Canada has strict rules around who is eligible for euthanasia, including age, mental state, how much notice must be given, number of witnesses required, approval from medical professionals and their prognosis. There’s a 10-day waiting period, applicants must be informed of other palliative options and consent can be withdrawn at any time – even as the fatal drugs are being readied for injection.
Majority of submissions on euthanasia bill are against legalising NewsTalk ZB 1 April 2019
A series of public debates start tonight to discuss moves to legalise euthanasia, as new figures show a huge majority of people are against the idea.
The justice select committee will report back to parliament on end of life legislation next week and the law’s second reading’s likely to go ahead next month.
Figures released yesterday showed more than 90 per cent of Kiwis who made submissions on the euthanasia bill want the proposed law change scrapped.
Canadian palliative care expert doctor, Leonie Herx, told Mike Hosking assisted dying has been “rife with problems”.
She said the eligibility criteria has changed expanded since the law was introduced.
“Our statistics have been consistent with international statistics [and show] that it’s actually not people who have poorly controlled physical symptoms, it’s people who have a fear of loss of control.”
“They are worried about dying and being a burden on others.”
