Contribution
Surprisingly, I will not try to persuade hon. Members how to vote today, because I think they know by now how they will vote and why. However, I feel I need to share my thoughts and views with my constituents, and to set out why I am voting the way I am. I say this because there is a significant change from how I voted previously. If hon. Members are influenced by my contribution, so be it.
I will get right to the point. I previously voted for assisted dying. I recognised then, as I do now, the deep turmoil that family members experience when they know that their loved ones are dying, or see them die. The agonising distress or pain that they experience is something that no one wants for themselves or their loved ones. However, I cannot shake from my mind a conversation I had with someone some time ago about assisted dying. They had been diagnosed with HIV/AIDS before the time of advanced medication for this illness. Their body was breaking down, and they had been informed that their prognosis was bleak. They said that had assisted dying been an option for them then, they would have taken it. However, it was not an option, and they have since been stabilised on medication and are in full-time work. Although they do have side effects and feel tired, they are living a meaningful life, and, as Members can imagine, they are no longer an advocate for assisted dying.
When I previously voted for assisted dying, the way I voted on the amendments to the Bill varied, as I was trying to navigate my way through this issue while ensuring that I was considered in my approach, but the question of inequality was always on my mind, and how this would impact poorer communities, isolated individuals, people with mental and physical disabilities, and those in controlling and coercive relationships; how this system would work in our society now, and how it would change in years to come; and, of course, how it would impact black and minority ethnic communities, who already experience deep inequalities in the health service, as shown by years of impact assessments and reports on the issue.
As chair of the APPG on sickle cell and thalassaemia, I am constantly reminded of the health inequalities and suffering that people with this disorder continue to experience. They are constantly undermined and ignored, and their disorder is grossly lacking in research funding. Among the new evidence is the Government’s own equality impact assessment on the effect of assisted dying on the health service. This recent report suggests that people from ethnic minority backgrounds may be more susceptible to coercion due to structural pressures such as poverty, lower-quality care and domestic abuse. The impact assessment states that as a result of those pressures, ethnic minority people could disproportionately choose
“to have an assisted death to avoid financial hardship or escape abuse.”
This relates to broader concerns regarding the availability and quality of social and palliative care, particularly for already disadvantaged communities. Earlier this year, up to 60% of hospices reported that they were having to make cuts to frontline services as a result of financial pressures. While the Government have increased funding for the sector, it is clear that far more work is needed before those in need of support at the end of life receive the dignified care and choice of treatment they deserve. Alongside that are the additional pressures on the broader health service and the legal sector resulting from this Bill; they reinforce my decision to vote against it. I implore the Government to invest in hospices and palliative care across the country, to make them the best they can be for all postcodes.
Following my vote in favour of assisted dying, I had nightmares about dying and death for two nights. I had to wrestle with the knowledge that I was not entirely comfortable with the decision I had made. My conscience was not at peace, and I cannot again in good conscience vote for the Bill. In fact, I wish there was a Bill before this Chamber that we could have all got behind, as there is so much that needs to be done in our society. I decided that if the opportunity arose again, I would vote against assisted dying. I do not judge the conclusions that other hon. Members and hon. Friends reach, but I ask that we respect each other and act in a respectful way.