Ms Diane Abbott

There has been a lot of talk about there being no evidence of coercion, but within the family, the most powerful coercion is silence: it is the failure to answer when a question is put. If police cannot spot coercion in domestic violence, how can they be expected to spot coercion in assisted dying? The Royal College of Pathologists and the former chief coroner have pointed out that without a role for a coroner, the Bill raises the possibility of foul play. When an amendment was tabled in Committee to deal with that, however, it was opposed. The Bill would allow private for-profit contractors to run an assisted dying service with no profit cap and no transparency, but when an amendment was tabled in Committee to deal with that point, it was opposed. We have heard—and we will hear over and over again in this debate—about choice. This Bill may produce choice for those of us, like almost everybody in this House, who have for the entirety of their adult life been confident in dealing with authority and institutions, but even then, the Bill would need amendments. But what choice does the Bill hold for someone who, all their life, has lacked agency, particularly in a family context, which may be particularly the case in certain cultures and communities? And what choice does the Bill offer to those who lack access to good palliative care? As the former Prime Minister Gordon Brown has put it, our law should not “focus on the few who wish for assisted dying and do too little to support the majority of those facing their final days who want—and deserve—access to the best of palliative care.” What choice is it for those who think that, because their doctor raises it with them at all, they are being guided in that direction? An amendment that might have addressed that issue was rejected in Committee. It is a possibility that proponents of the Bill do not take seriously at all, but anyone who knows how institutions work should be watchful of it. I came to this House to be a voice for the voiceless—that has not always been favoured by my own leadership, but that is why I came to the House. Who could be more voiceless than somebody who is in their sick bed and believes that they are dying? I ask Members in this debate to speak up for the voiceless one more time. There is no doubt that if the Bill is passed in its current form, there will be people among the most vulnerable and marginalised in our society who lose their lives unnecessarily. I therefore implore the House to reject this Bill—not because I am opposed to assisted dying in principle, but because my concern is for vulnerable and marginalised persons and communities.