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Seanad: An tOrd Gnó - Order of Business (28 Nov 2023)

Lynn Ruane: It clashes somewhat with the session.

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

Lynn Ruane: I thank the witnesses for their presentations. Last night, I researched this issue and tried to read wider than the submissions that were provided in order to understand or, as a person with zero medical experience, try to understand some of the implications and complications associated with this. I am finding it difficult to come up with questions because I am more in a process of thinking...

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

Lynn Ruane: I thank Dr. Collins for clarifying that should we end up with a system whereby we legislate for assisted dying that safeguards should be in place whereby somebody with a conscientious objection would be required to ensure whoever is seeking information has access to information. Perhaps other people would like to speak on this. We have reasonable people who will conscientiously object....

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

Lynn Ruane: Perhaps there are comments on this.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: My questions are mostly to Mr. Seymour and Dr. Donnelly. I will ask all of my questions at once. In his contribution, Mr. Seymour mentioned that people can choose assisted dying either by self-administration or administration by a medical practitioner. We have been having this discussion here as to whether it would be assisted dying or practitioner-led. This brings in the rights of...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: Yes.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: I wonder if I could repeat my questions? The answer to the questions is being used, maybe, to talk about a different topic. I wonder is it better to repeat my question?

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: I will repeat the question, which was around whether palliative care can substantively address the needs of the person, whether they regard someone's existential fears, or anything like that. Obviously, there will be a group of people whose existential dread and fear is associated with the idea of not being able to die within their own decision-making, and under assisted dying. How does...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: We talk about the idea of existential fear of death but somebody may have an existential fear of life. Existential dread is not necessarily that one can overcome one's fear of death, suffering or dying but one's existential fear or dread is associated with the idea that somebody will forcibly keep one alive at a certain stage of one's life, when one's wish is to die.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: Within parameters, suicide and assisted dying are different subjects. I do not agree with the conflation but fair enough. I think I have had my time.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: I do not know if this is a question or just something for us to think about based on the contributions. It is something I have been thinking about for months now, namely, the idea of burden. In some cases, there might be a person who has lived a completely independent life and becomes terminally ill or develops some sort of progressive disease. It is that very transition existing that...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: I thank the witnesses for their contributions. I have a couple of questions. In Dr. Nitschke’s contribution, he said that in the 1990s, he was working as a doctor in Darwin and he was one of the very few members of the medical profession who supported the introduction of the law. Considering the decades of experience Dr. Nitschke has in that space, has he seen that drastically...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: There is a line in regard to the Swiss human rights approach. We have spoken about "self-administered" or "physician-administered" but we have not ever spoken about what exactly is administered and what that process is. Dr. Nitschke goes into it in a number of parts of his opening statement. He stated: ...the prescription of the pentobarbital remains the task of [the] medical [profession]....

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: When we spoke with hospices, the hospices named the drugs that are administered.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: We will start that aul clock again, right? Basically, my question was around how to navigate this system. Is that sentence saying that under a legal model, physicians are able to use drugs that are not licensed under the medical council?

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: I wanted to understand how that could operate. I just wanted to understand that sentence from Dr. Nitschke’s opening statement and now I do. I have a question for Dr. Mewett. There was an interesting sentence in his opening statement and I wish to tease it out. Only a very small minority were what some people have labelled (pejoratively) as "control freaks". However, they were,...

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: I wish to put this on the record. When we went into private session Senator Mullen asked if there was agreement by the committee that we would not mention certain drugs. When we came back into public session, we did not confirm that that was not the actual case. The transcript should be consistent in terms of the conversation to reflect the break in the committee.

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: I have two questions. It was stated that some people lost capacity to make a decision while going through the application process. Obviously, I am not a doctor, but it appears like losing capacity very quickly. Even if it is three, four, five or six weeks, in what scenario would somebody have capacity in week 1 and have lost capacity by week 3?

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: Dr. Mewett may have already answered this. For people who may have medication on their person, if they do not use it or there is leftover medication, is there a system in place whereby that medication is retrieved or disposed of?

Joint Oireachtas Committee on Assisted Dying: Assisted Dying in New Zealand and Australia: Discussion (28 Nov 2023)

Lynn Ruane: However, there is no way for it to be proactive at the other end. The physician knows who has been granted a permit and a licence. In terms of data collection, is it the case that nobody goes back to check whether somebody has used it or not?

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