I truly think this could be a matter of individual case by case in many active EOL scenarios, like my mother, who died roughly 36 hours after being catheterised and given a syringe driver, having spent the last week phasing in and out and having expressed a desire to die several times whem her legs started leaking fluid and nothing more could be done. A week of that and hallucinations could have been prevented with proper conversation with medics about giving a couple of doses of pain meds that would likely have been fatal far quicker than the " we have to careful not to overdose on morphine via the syringe driver" scenario etc.
From my perspective and experience if someone is going to die ANYWAY the tinkering around with drugs etc on the last stages is the bureaucratic equivalent of rearranging the deck chairs on the Titanic.
People are currently being denied autonomy and dignified death with capacity, or without, even in their last days or hours, due to bureaucracy. The proposed Assisted Dying Bill, needing the safeguards it does due to being legislation, will possibly help very few terminally ill people because of the required safeguards. The people wanting assisted dying should have it in such circumstances, IMO. But, I don't trust government nor legislation in many cases. As others have pointed out, the bureaucracy may mean many applying for it will die beforehand anyway.
When my DP had his second brain bleed, and I was told he wasn't going to recover, I sat by his bed side listening to agonal breathing, and knowing he'd been gone for several days. Life support was withdrawn as a medical decision for comfort and dignity, I had no say in it other than the remote prospect of him coming back as a vegetable would have been against his wishes. Still I had close friends of his praying for a miracle, and urging me to "not give up". A swift upping of narcotics would have spared me three fucking days of watching him die.
I don't think we need an Assisted Dying Bill, I think we need something along the lines of death management. And maybe a comprehensive "access to suitable drugs" pathway for those with six months to live without so many of the hoops, like any treatment discussion with your primary HCP.
Why dies there always have to be a law, or legislation, leading to the inevitable to and fro of lawyers etc ? And the likelihood of misuse through pure tortology?
Like abortion, it should be between the sufferer and their HCPs IMHO.
I've thought about it alot.