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

Rónán Mullen: I give the example of older people being more likely not to value their lives or to feel they are a burden because the law allows them to legally have their lives ended. Is that a change of attitude Dr. McKeown O'Donovan would welcome in our society?

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

Rónán Mullen: Where is the solidarity? If you make choice the supreme idea, how is the impact individuals' choices might have on other people's sense of worth, ability to cope with illness or sense of entitlement to State-funded healthcare considered? If all of those things are impacted negatively by somebody's individual choice, do you not have a social problem?

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

Rónán Mullen: Is it Dr. McKeown O'Donovan's philosophical view that euthanasia or assisted suicide should be legalised only in cases of terminal illness? Is she philosophically opposed to euthanasia or assisted suicide on wider grounds?

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

Rónán Mullen: Dr. McKeown O'Donovan would not support euthanasia or assisted suicide on grounds other than those of terminal illness.

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

Rónán Mullen: On a point of order, we can do better. We have all been in a situation where we were not in a position but could forward details later. I think we can do better than attacking our witnesses simply because we do not like something of what they propose.

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...

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