Spain is now the fourth European country to adopt an assisted dying law which permits a medically
assisted death to those who are terminally ill or incurably suffering, after Switzerland, Netherlands,
Belgium, and Luxembourg. The Spanish parliament passed the bill on 18 th March 2021 with 202 votes
in favour, 141 against and two abstentions. Like the UK, Spain has strong public support for the

To be eligible under the new law someone must ‘suffer a serious or incurable disease or a serious or
chronic condition’ which causes them ‘intolerable suffering’. The drugs used to cause the assisted
death can be administered either by the patient themselves, or by their doctor. This is in line with
legislation in Canada, Netherlands, and Belgium.

There are strong safeguards built into the legislation. The process is initiated by a written request by
the patient, expressing their clear wish to end their life. The patient must be a Spanish national or a legal resident and must be ‘fully aware and conscious’ when making the request. The request must be re-submitted 15 days later. The patient must have been supplied with information about their medical condition and the alternatives that are available to them.

Once the second request has been made, the application is passed to a regional commission. They
will appoint two professionals who have no connection with the case to review the application. On the basis of their conclusions the commission will then approve or reject case. The decision must be reached within 19 days. The overall process could therefore take over a month. The regional commissions will consist of at least seven people, including medical, legal and nursing experts. The patient may change their mind at any time. Once authorisation is granted, the patient can delay their assisted death as long as they want.

MDMD’s Lead Campaign Commentator, Phil Cheatle commented:

‘The Spanish Assisted Dying law brings the option of a peaceful assisted death to another 47 million
people. The Spanish law applies to those who are incurably suffering, regardless of their life
expectancy. MDMD welcomes this as it will apply to many people whose long term incurable
suffering would be ignored by a more restrictive law, like that in Oregon, which limits an assisted
death to those with a life expectancy of six months or less.’

‘Simply knowing that they have the option of an assisted death if they need it will enable many to have a better death, even if they find they don’t need to take up the option. Knowing that the option is there will enable others to delay their assisted death as long as they wish, as opposed to travelling to Switzerland for a medically assisted death, or ending their life themselves while they still can. In the UK we urgently need an inquiry into how to make the UK law more compassionate. MPs need to look carefully at the example of countries like Spain and Canada.’


For any more information or comment please contact Keiron McCabe, My Death, My Decision’s Campaigns and Communications Manager at or phone 07396694470

My Death, My Decision is a grassroots non-profit organisation that campaigns for a balanced and compassionate approach to assisted dying in England and Wales. As a growing movement, we are at the forefront of social change: nearly 90% of the public now favours a change in the law to allow adults of sound mind, who are either terminally ill or facing incurable suffering, the option of a peaceful, painless, and dignified death.

Read more about My Death, My Decision’s campaign for an inclusive change in the law: