Farewell to Lord Joffe

MDMD bids farewell to one of the pioneers in the battle to legalise assisted suicide in the UK.  Lord Joffe of Liddington, who died on 18 June 2017 at his home, age 85, fought for terminally ill people to be given the right to die.  He was a front runner in the House of Lords on the subject of dying with dignity, and presented four bills in the House but unfortunately, in his lifetime, his objective was not achieved.

Lord Joffe was appointed to the Lords in 2000.  Soon after his appointment he began pursuing the cause of the right to die.   He became a member of the Voluntary Euthanasia Society (which has since been renamed Dignity in Dying).  Whilst enjoying public support, he did not win over the religious and political authorities.

In 2002 he tabled a private member’s bill.  This was a proposal to enable a competent adult with unbearable sufferings to request and receive medical assistance to die.  The bill failed in June 2003.  Lord Joffe made several amendments to the bill and in 2006, and at his fourth attempt, he failed again.  He said that “it is a human right issue” and that “if patients are suffering, doctors should do something”.

Lord Joffe showed his dedication to good causes throughout the world and thought that passage of the bill to assist terminally ill patients to die was inevitable.  He said that “Most of those who oppose assisted dying opposed the decriminalisation of homosexuality, they opposed inter-faith marriage and abortions, all of these. Opponents [to assisted dying] don’t seem to recognise we are developing into a more and more compassionate and caring society. This doesn’t mean they themselves are not caring and compassionate people, it means they have a bit of a blind spot when it comes to the compassionate development of our law.”

We who remain must continue to fight for the cause of assisted suicide, so courageously undertaken by Lord Joffe.  MDMD believes that right-to-die legislation should not be restricted to those who are terminally ill (in the sense of having a life expectancy of six months or less) as this would exclude many deserving cases, and is a criterion which doctors say they would have difficulty implementing. We are actively working to define safeguards which will ensure that people who do not wish to have an assisted death are protected from possible coercion, but which can allow those who have a well-considered and persistent desire for medically assistance to die, when faced with incurable suffering, to have the good death they wish for.

Update 24th November 2017: Lord Joffe’s daughter, Deborah, writes about her father’s end of life.

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A Good (Assisted) Death in Canada

Canada legalised a limited form of assisted dying in 2016. A long article in the New York Times gives a detailed and inspiring account of John Shields who died by lethal injection in British Columbia. He suffered from an incurable condition, amyloidosis, which gave him increasing pain that he no longer wished to endure.

The article contains a video, (about two thirds of the way through), of a goodbye party which Mr Shields held for his friends and family. There is much laughter and emotion. Mr Shields seemed totally at ease with the fact that he would soon be dead.

Among many interesting aspects to the story is the fact that Mr Shields had been a Catholic priest at one stage in his life. Another is that in Canada, patients who are accepted for medical assistance to die have the choice between either taking a lethal medication themselves (assisted suicide), or for a doctor to give them a lethal injection, (euthanasia). Most patients prefer the latter. However, this puts additional responsibility on the doctor and some doctors find themselves unable to help their patients in this way. Dr Stefanie Green, who ended Mr Shields life by lethal injection, makes a significant contribution by explaining her reasoning, and why she doesn’t believe that offering lethal medication goes against medical training. The article quotes her saying “I think people go into medicine because they want to help people. … This is on the continuum of care of helping people.”

MDMD hopes that the example set by Mr Shields and Dr Green will inspire others to see how someone can have a dignified death in a safe and compassionate manner – what for them is a “good death“. Why should people in the UK be denied a death like this, if that is their wish, when the alternatives are, for them, far less acceptable?

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