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Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Doctors prescribe and that is-------

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Doctors prescribe the drugs and, therefore, they are involved.

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: I agree it is a serious risk. Disability Action in Northern Ireland is opposed to the legalisation of assisted suicide. It said that although people should have a right to control in their lives, changing the law to benefit a small number of people would have a much wider repercussion on how society values people with disabilities. How would the witnesses respond to its serious concerns...

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: I ask Mr. Nugent to respond to the statement by Disability Action.

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Disability Action made that statement.

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: The concern of Disability Action is that there could be a conflict with the rights of those with disabilities because they fear the potential consequences for those rights should a particular regime is introduced. I thank-------

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: The courts have said that safeguards and potential consequences are too speculative and distant and they would find it difficult to create such a regime because it would be impossible to tailor adequate safeguards. My colleague, Deputy O'Callaghan, wants to come in.

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: I thank Professor Lewis for appearing before the committee. I have a number of questions following on from our interaction with the previous witnesses. We discussed many of the regimes that exist elsewhere. How would someone with dementia be triaged in the Netherlands?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: How are psychiatric conditions assessed?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Would Professor Lewis agree that there is a contradiction or conflict in the ethical considerations for the doctor in that instance?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Under the framework of ethical principles, if a psychiatrist authorises euthanasia for a psychiatric disorder under a particular regime, would it run contrary to his or her training to act in the patient's best interests, to do no harm and work within the treatment algorithms? Is assisted suicide within the treatment algorithms of psychiatric care?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: What about under international guidelines? I do not believe there is. Is there evidence-based under treatment algorithms for assisted suicide underpinned in psychiatry?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Okay, but Professor Lewis is referring to how psychiatrists have a role in this matter under this regime. Having discussed the Netherlands, I will move to Belgium. It has been extended to children in Belgium. How do children have the capacity and are there ethical considerations there?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Sorry, I know, it has been extended to Belgium recently.

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Can Professor Lewis give examples about the ages?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: There is obviously parental involvement. Is there a conflict between what some have characterised as a right to die and a duty to die, where parental or familial involvement, whether at a young or old age? What is Professor Lewis's ethical view on that?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: Some of the previous witnesses mentioned that doctors could be excluded from the process. Is there a regime where doctors are excluded?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: In the previous session it was mentioned that doctors could and should be excluded. Is Professor Lewis saying there is no regime where doctors are excluded?

Joint Oireachtas Committee on Justice, Defence and Equality: Right to Die with Dignity: Discussion (22 Nov 2017)

Jack Chambers: That is right. The issue was discussed during the previous session. I will go back to what the disability groups have said in Northern Ireland. Earlier I quoted Disability Action and I will do so again: Disability Action is opposed to the legalisation of assisted suicide. Whilst we believe that people should have a right to control in their lives, we believe that changing the law to...

Select Committee on Justice and Equality: Estimates for Public Services 2017
Vote 24 - Justice and Equality (Revised)
(22 Nov 2017)

Jack Chambers: I thank the Minister for attending. What was the rationale for the transfer? Surely the oversight function of the Charities Regulatory Authority is better placed in the Department of Justice and Equality. I find it hard to understand the logic apart from giving a Minister who has little funding in his own Department something to do.

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