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I spoke with STV News today about the Assisted Dying Bill in Holyrood. Obviously, I had a lot more to say than they could fit in, so let me say it here.
(I have limited replies because, of everything I’m involved in, this is the topic I hate the most. I love so many people on both sides and it absolutely shatters me. I am laying out my position, not debating in public with other people who are suffering)
First, I used to be on the other side of this. I know what’s at stake and why people want it. But I have experiences, both my own and those of disabled people I’ve worked with, loved or supported, which most people don’t. I know the systems we’re all relying on to ‘safeguard’ vulnerable people. I know them intimately. I know they cannot.
The medical, legal and social systems which are meant to safeguard people from abuse do not work.
At the beginning of the pandemic, we warned about the risk to the lives of disabled in care and were told we were hysterical. Only months later the stories about DNRs applied to disabled people without knowledge or consent – something that ‘can’t’ happen – came out. Nobody has ever been held accountable.
We know from bitter experience how many doctors devalue the lives of people with severe disabilities or major long term conditions. We know how many of them consider death a ‘kindness’ for people living lives they don’t understand. We have heard how they speak about us.
When we talk about the risk of coercion, there are three major threads:
1 – disabled people, especially disabled women, are significantly more likely to be in abusive relationships, often with their primary carer. As support and care are cut and shelter services remain inaccessible, escape becomes harder. We are supposed to try to save people in these situations.
2 – linked to this, abusive partners tired of the work of care are given an out ‘everyone’ would understand.
3 – but the real coercion we’re talking about is society-wide and can’t be easily accounted for in vetting. As care and funds and access to treatment are cut, the fallout doesn’t just affect us. We watch our loved ones give up careers to provide care, watch our lives shrink as the cost of disability takes more and more from our families, see the weight of worry and work.
It’s easy to say ‘you’re not a burden’ but we’ve built a world where that’s hard to believe.
People in full control of their capacities, with no-one standing over their shoulder (in fact, often with people begging them to see they want their presence more than an imagined ‘easier life’), will ask for this because they want their families to be ok. In Oregon, now more than half of assisted deaths cite ‘being a burden’ as a core reason, doubled over the last ten years.
People familiar with suicidality may recognise this feeling. Normally, we understand the most dangerous thing you can do is legitimise a person’s feeling that their reason for suicide is sound. Except when you’re disabled. Then everyone goes out of their way to understand. I can’t tell you how many people have told me they’d have killed themselves in my situation.
And yes, I understand this bill is restricted to people with a six month terminal diagnosis. So were many other places’ laws. Once it’s implemented, the push to expand eligibility is relentless and in most places successful. You cannot bind future parliaments, so it can’t be written in stone. We’ve seen it happen over and again.
I wish we lived in a society where we could do this knowing people had received the support and treatment they needed so the choice would only be made when necessary.
Instead we live in this one, where access to the basics of housing, food and treatment are increasingly precarious and a constant battle with the same systems people are entrusting this Bill’s safeguarding to.
It isn’t safe.









