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Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Is there not a courteous way to ask for further and better particulars at a later date?

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: I think that is the point.

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: I understand that Dr. McKeown O'Donovan says she supports euthanasia, or assisted suicide specifically, in cases of terminal illness only. In that case only, among other things, there is no prospect that things will get better. I know many people might sympathise with a person's desire to express their autonomy in favour of ending their own life in those circumstances. My friend and...

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Dr. McKeown O'Donovan said she opposes euthanasia.

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Dr. McKeown O'Donovan said she opposes euthanasia.

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Dr. McKeown O'Donovan is now presenting it as something that is seen as good.

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Is that not part of the twisting of language where someone is told it is a good thing that their life no longer has value and that it is a good thing to choose to end their life? Is Dr. McKeown O'Donovan not making the point that language gets corrupted there?

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Does it only refer to being good for the person who dies? Is it possible that the word, since it means a good death, is the problem that society comes to see death as a good. For example, if society does not want to pay for complex healthcare for people, what is actually bad is presented as being good. Is there a contradiction in Dr. McKeown O'Donovan's argument that if she says we should...

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Is there not a contradiction in Dr. McKeown O'Donovan's view if she takes autonomy as the key value?

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: And going to get better.

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Supposing they determine that it is imminent and suddenly say that they will commit suicide if they are not allowed to access assisted dying.

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Dr. McKeown O'Donovan is effectively saying-----

Joint Oireachtas Committee on Assisted Dying: Ethics of End-of-Life Care: Discussion (3 Oct 2023)

Rónán Mullen: Dr. McKeown O'Donovan is going beyond terminal illness then.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in the United States: Discussion (3 Oct 2023)

Rónán Mullen: I thank those presenting to us. I also thank SinĂ©ad Fitzpatrick, our legal adviser, for her work in this area and her very helpful documentation. Oregon, to a great degree, is presented as kind of the limited model that one might safely aim for. The background in the United States is that the Supreme Court ruled unanimously in two cases that there is no constitutional right to...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in the United States: Discussion (3 Oct 2023)

Rónán Mullen: The question of how this might impact our efforts at suicide prevention is a recurring theme here. I have seen a pre-published report on doctor-assisted deaths in Oregon. The report or study is shortly to be published in BMJ Supportive & Palliative Care. I am operating from an understanding that deaths from assisted suicide have increased tenfold since its introduction in Oregon...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in the United States: Discussion (3 Oct 2023)

Rónán Mullen: Does that suggest any greater recourse among those who cannot afford private health insurance?

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in the United States: Discussion (3 Oct 2023)

Rónán Mullen: What about the rise to almost half of those availing of assisted suicide reporting concern about feeling a burden? It is a significant rise over time. What is that telling us about the way those with terminal illness feel about themselves and how that has changed in the light of the assisted suicide regime?

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in the United States: Discussion (3 Oct 2023)

Rónán Mullen: I have a well-founded hope that this is the last session we will have where a guest is denigrated on grounds of style by one of the members and a fellow witness. We should allow people to have whatever style they have as long as they are backing up their statements with facts. I do not mind how trenchant they are as long as they are speaking in a bona fide manner. The last place we should...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in the United States: Discussion (3 Oct 2023)

Rónán Mullen: I will clarify my question because I did not express it properly. The rise to 46% in 2022 was in the number of people qualifying on grounds of terminal illness for whom feeling like a burden was a factor. Behind the apparent limiting of grounds, there is still perhaps a change occurring in society and in how we see people who qualify under those grounds.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in the United States: Discussion (3 Oct 2023)

Rónán Mullen: Does Dr. Jeanne have any sense as to why the number of people who qualify in Oregon and feel like they are a burden has increased to 46%? What does this tell him about shifts in attitude or vulnerability among people who qualify? If I am not mistaken, there are quite a few cases where people have actually outlived the six-month predicted period. We do not know exactly how many of those...

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