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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

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To think people with terminal illnesses should be allowed to choose assisted death?

108 replies

ByPoisedOliveMoose · 27/01/2025 18:07

If someone is suffering with no hope of recovery, shouldn’t they have the right to end their life on their own terms? AIBU to think assisted dying should be a legal option for those with terminal illnesses?

OP posts:
NutellaEllaElla · 27/01/2025 20:04

MereDintofPandiculation · 27/01/2025 18:50

Yes, so let's properly fund palliative care, then maybe talk about assisted suicide. And how are you going to maintain quality of life for someone with dementia? Someone whose life has revolved around their intellect and their ability to help others?

My dad has dementia, he was highly intelligent etc. People are more than their intellect and their memory. He has emotions, he can enjoy things, he can love, he is still human. I value him and he can be a happy forgetful. Yes, deterioration and death is painful. That is inevitable. He cannot consent to his own death, nor can anyone with severe dementia. That shouldn't really be part of your argument.

CatusFlatus · 27/01/2025 20:04

WrylyAmused · 27/01/2025 19:38

I believe you should be able to end it from the point of diagnosis if you wish, yes. Because it's your life, your body, and your autonomy.

I don't agree that it's a blanket statement of "that's a life not worth living" - it's an individual and personal statement of "this life is not worth living for me".

It's the same as abortion - some women are very happy to be pregnant, and some are not, and it is not usually argued that having an abortion means you must believe that having babies is a generally undesirable act, just that it is not something that would be positive in your own life at that particular time, for whatever personal reason it may be.

Where each person draws the line is different for them - some would want to attempt curative treatments at all costs, some would want palliative care and some would want to take an early opt out. All of those should be available to them, and they should be able to change their minds and switch between treatment options as well if they wish - because this is all part of having autonomy over our own bodies.

We do need to put sufficient safeguards in to minimise risks of people being coerced when it's not their own genuine desire, but I do think that is possible.

And it has already been proposed that medical staff will not be obliged to take part if they are ethically opposed, so anyone who chooses to participate in this kind of care would be someone who sees the value in it, as many people do.

Re. "We do need to put sufficient safeguards in..."

What do you propose?

DGPP · 27/01/2025 20:10

Having watched agonisingly slow deaths from painful cancer, I 100% agree. Let people choose

Cantbebotheredwithaname · 27/01/2025 20:20

Errors · 27/01/2025 19:13

I agree with you OP but some mumsnetters seem to think that assisted dying means mandatory dying. It’s really odd.
The individual should be given the choice IMO.

The issue and legitimate concerns are about coerced dying aka murder.

Guaranteed acress to sufficiently funded and well provided health and social care including palliative support, and properly meeting the financial needs of the elderly, ill, and disabled. Then yes, assisted suicide could be debated as an uncoerced option.

Currently things seem to be heading in the opposite direction, which is concerning. The safety net is being weakened rather than strengthened. That's not ok irrespective of the assisted suicide debate.

Address that. Then, and only then, might it be acceptable to consider legalising the option of assisted suicide.

Macrodatarefiner · 27/01/2025 20:23

https://www.bbc.co.uk/news/stories-45117163

In January a young Dutch woman drank poison supplied by a doctor and lay down to die. Euthanasia and doctor-assisted suicide are legal in the Netherlands, so hers was a death sanctioned by the state. But Aurelia Brouwers was not terminally ill - she was allowed to end her life on account of her psychiatric illness.

Aurelia Brouwers

The troubled 29-year-old helped to die by Dutch doctors

In January Aurelia Brouwers drank poison supplied by a doctor and lay down to die. She was 29.

https://www.bbc.co.uk/news/stories-45117163

gamerchick · 27/01/2025 20:25

Why are these threads being posted repeatedly? You know you can do a search and get everyones opinions then instead of the same one twice a week.

MrsSchrute · 27/01/2025 20:46

gamerchick · 27/01/2025 20:25

Why are these threads being posted repeatedly? You know you can do a search and get everyones opinions then instead of the same one twice a week.

Agreed. Here's how the thread will go:

#1: Everyone should have the right to die, bodily autonomy, wouldn't put a dog through it, my right to choose, not a compulsion to die, if you disagree you must love suffering.

#2: What about coercion, vulnerable people, too risky, will be used as a money saving tool, NHS is broken, look at Canada. If you disagree you want to murder the vulnerable.

Saved you all some time there!

GoingPotty39 · 27/01/2025 21:06

Macrodatarefiner · 27/01/2025 20:23

https://www.bbc.co.uk/news/stories-45117163

In January a young Dutch woman drank poison supplied by a doctor and lay down to die. Euthanasia and doctor-assisted suicide are legal in the Netherlands, so hers was a death sanctioned by the state. But Aurelia Brouwers was not terminally ill - she was allowed to end her life on account of her psychiatric illness.

What do people think about this then? Sounds like the young woman was getting medical attention and support but was suffering horribly. What else could/should have been done?

Namechangd4this · 27/01/2025 21:10

Of course, YANBU. People should have choice over their own bodies.

I have been diagnosed with MS. This is an incurable degenerative disease. It gets worse. It gets worse. Nobody should have the right to tell me I can’t end my life, if I want to end my life. I detest people who have the temerity to think they know best.

They should walk a mile in my shoes; but actually I can barely walk.

Macrodatarefiner · 27/01/2025 21:10

GoingPotty39 · 27/01/2025 21:06

What do people think about this then? Sounds like the young woman was getting medical attention and support but was suffering horribly. What else could/should have been done?

I don't think the state has any business killing people.

Stickytreacle · 27/01/2025 21:10

ThejoyofNC · 27/01/2025 20:01

How do you work that out?

If I inject you with a lethal injection and you die, I have killed you. I'm pretty sure even those in favour of AD do not deny that in order to have your life ended this way, another person will need to to the physical act of ending it. Or would you prefer to use euphemisms?

Ibelieve the proposal is for the meds to be self administered, the doctors would simply supply it.

MrsSchrute · 27/01/2025 21:13

Namechangd4this · 27/01/2025 21:10

Of course, YANBU. People should have choice over their own bodies.

I have been diagnosed with MS. This is an incurable degenerative disease. It gets worse. It gets worse. Nobody should have the right to tell me I can’t end my life, if I want to end my life. I detest people who have the temerity to think they know best.

They should walk a mile in my shoes; but actually I can barely walk.

No one is telling you that you can't end your own life.

Namechangd4this · 27/01/2025 21:13

MrsSchrute · 27/01/2025 21:13

No one is telling you that you can't end your own life.

I’m not interested in playing semantics.

Mingenious · 27/01/2025 21:14

ThejoyofNC · 27/01/2025 20:01

How do you work that out?

If I inject you with a lethal injection and you die, I have killed you. I'm pretty sure even those in favour of AD do not deny that in order to have your life ended this way, another person will need to to the physical act of ending it. Or would you prefer to use euphemisms?

As far as I’m aware it’s an either something you drink or you press a button to administer a drug to yourself. I’m obviously taking about people with capacity to act in their own best interests.

There are no euphemisms involved in what I said.

Any living being, being forced to endure unnecessary pain is inhumane.

yeriknow · 27/01/2025 21:15

ThejoyofNC · 27/01/2025 18:15

So because someone is terminal, they should just die straight away? How about actually providing quality end of life care?

As soon as you allow AD for one group of people, you have begun the slippery slope. Take a look at the likes of Canada to see where that slope leads.

But nobody is saying that?

They are saying they should have the choice.

I have been there at end of life.

There comes a point, be it a few days, weeks, or months when the quality of life is just gone. The person has had enough and just wants to go. Often they get to the point where they can't move, can't toilet themselves, are in pain, can't eat, often need thickened liquids as they cannot cope with water without choking.

They just have to wait for their systems to shut down. Usually once one goes, the rest follow fairly quickly afterwards, but even this final stage can still take a few days.

I don't know anybody who wouldn't have wanted to bow out of all that before it got to that stage, by just being able to drift off to sleep.

MrsSchrute · 27/01/2025 21:16

yeriknow · 27/01/2025 21:15

But nobody is saying that?

They are saying they should have the choice.

I have been there at end of life.

There comes a point, be it a few days, weeks, or months when the quality of life is just gone. The person has had enough and just wants to go. Often they get to the point where they can't move, can't toilet themselves, are in pain, can't eat, often need thickened liquids as they cannot cope with water without choking.

They just have to wait for their systems to shut down. Usually once one goes, the rest follow fairly quickly afterwards, but even this final stage can still take a few days.

I don't know anybody who wouldn't have wanted to bow out of all that before it got to that stage, by just being able to drift off to sleep.

In this case, in the time that it takes to get the sign off of two doctors and a judge the person in question would have died anyway.

EmmaMaria · 27/01/2025 21:17

MajorCarolDanvers · 27/01/2025 18:21

I’d rather we focussed on a better end of life. Good palliative care.

too many things can go wrong with assisted death.

My friend had good palliative care. Really good palliative care. She spent the last three weeks dying from cancer when she didn't want to be here any more. It was inhumane. No amount of good palliative care replaces being listened to. If people want to die with dignity, they should be allowed to. My dogs have better end of life care than many humans.

Guest100 · 27/01/2025 21:18

Yes assisted dying should be available to anyone terminally ill. I went through this with a family member and was with them as it happened. It’s such a kind way to go on your own terms.

yeriknow · 27/01/2025 21:19

MajorCarolDanvers · 27/01/2025 18:21

I’d rather we focussed on a better end of life. Good palliative care.

too many things can go wrong with assisted death.

Even great palliative care can be harrowing.

I think there should be a point at palliative care where an injection can be given to send them off to the big sleep.

Why wait until they are shitting themselves and choking on their own saliva and dying of starvation, all whilst getting increasingly confused and terrified?

Circumferences · 27/01/2025 21:23

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

MayaPinion · 27/01/2025 21:24

I strongly agree with assisted dying in cases of terminal illness and would want it for myself.

MrsSchrute · 27/01/2025 21:26

And I strongly disagree with assisted dying.

This thread is pointless. Everyone is entrenched in their position, convinced they are right, and no one will change their mind.

yeriknow · 27/01/2025 21:28

NotOneOfTheInCrowd · 27/01/2025 18:43

Assisted dying is the road to eugenics.

At the moment people say “you wouldn’t put a dog through that,” once terminal illness becomes legal it will be “you wouldn’t put a cancer patient through that,”. Then they’ll fight for mental illness, (there are already people on other threads who say things like “when assisted dying for mental illness becomes legal,” and then it will be disability.

Anyone who thinks it won’t be open to coercion is naive.

And really, why do you need the state to end your life? Everyone has the ability to commit suicide don’t they?

From what I gather, the bill is going to make it possible to have the drugs, but you’re going to have to be able to take them independently. So why not just take an overdose of something rather than put that burden on the state?

Oh for goodness sake.

I've been with a relative at EOD.

It was traumatic. He wanted to die, I wanted him to die.

I had the JUST IN CASE meds from the district nurses in the house.

So you think I could and should have just given him then?

I'm not medical. No way could I play this hard and fast with those drugs.

District nurses wouldn't give them him because he's "wasn't at that point", ie he wasn't in huge amounts of pain, the pain he was in was manageable with the morphine which I was giving him.

But you reckon I should have ignored them and just dished out the JIC meds and hoped for the best?

Additionally, don't call it suicide. You're just getting into semantics calling it that.

If I what you are suggesting, and it was labelled as suicide, there are insurances that would not pay out for his dependents. Which would be grossly unfair.

Assisted dying, to speed up end of life deterioration, is not suicide.

Ladamesansmerci · 27/01/2025 21:29

I think it should be allowed for the end stage of terminal/severe/progressive illness. I'm thinking of things like MND, which tends to decline acutely and suddenly and has a truly horrific ending. And things like end stage dementia, which leaves people bed bound and unable to function at all (though most people with dementia die of other causes before this). If I had MND, I personally would not want to see out the entire illness. I also work with older adults with dementia, and whilst some people with dementia do live happy, meaningful existences, I'm too scared of living through the opposite end of the spectrum where I have frightening hallucinations/smear poo/remove my clothes, etc. It couldn't really be implemented for dementia though due to capacity. By the point of diagnosis, unfortunately a lot of people no longer have capacity.

Palliative care however needs to be improved. And it's important to remember that people on end of life care can live for years.

I think the issue is we can't implement it safely in the NHS. There is also the risk of pressure and coercion. Disabled people/people with intellectual disabilities I feel would be at high risk of this.

I'm not against it at all in principle, but I think it's very difficult to implement safely in reality.

Thelnebriati · 27/01/2025 21:30

I was in hospital recently with a woman who had end stage cancer and her pain could no longer be managed; people need to realise that a natural death isn't always the best outcome.