
LIMERICK CervicalCheck campaigner Vicky Phelan, has said a proposed Bill seeking to allow terminally ill people, like herself, have the choice of ending their own lives, is not a threat to palliative care.
Ms Phelan, who was diagnosed with terminal cancer, arising out of the CervicalCheck scandal, commented after 17 eminent palliative consultant physicians and professors said they were โgravely concernedโ at the proposed Bill, which will be voted on in the Dail tomorrow, Wednesday.
Ms Phelan said the proposed Bill would โeaseโ a โhuge fearโ that she and others have about dying in pain, and in a place they do not wish to end their days, such as โa hospital or a hospiceโ.
The โDying with Dignityโ Bill was introduced in the Dail by Solidarity-People for Profit TD Gino Kenny.
Calling on TDs to support the Bill, Ms Phelan revealed she suffers โnightmaresโ about dying and having no control over how, where, and when her final moment will be.
โWhen anybody gets to a (terminal) stage, like I am, you’re terrified. I have nightmares about this, itโs something that plays on your mind constantly, you know you are going to die,โ she said.
โThereโs a big difference in somebody dying of a heart attack, and my situation. If you die of a heart attack, you don’t know itโs coming, you’re dead, thatโs it, you don’t have time to think about it. Whereas I have had two and half years to think about this, and I have got young children, so itโs a very real fear for people when they’re in the situation with an illness where they know they’re going to die, probably in a lot of pain.โ
โI am (terrified), yes, why wouldn’t I be? I am only human, and unfortunately I have seen quite a number of people die, particularly over the last two and half years, and Iโve visited quiet a number of hospitals and hospices.โ
A group of consultant physicians and clinical professors in palliative medicine voiced strong opposition to the proposed Bill in a letter sent to The Irish Times Monday.
The letterโs signatories, led by Feargal Twomey, a Limerick consultant physician in palliative medicine and chair of the Irish Palliative Medicine Consultantโs Association Palliative Medicine (IPMCA), stated they were โgravely concerned by any proposal to legislate for assisted suicide and euthanasia in Irelandโ.
Ms Phelan, who is supporting the Bill, said: โI thought it was telling that they used โassisted suicideโ rather than โassisted dyingโ, because โassisted dyingโ is what this Bill is proposing. Assisted suicide or euthanasia is far more broad, which is not what this Bill is proposing whatsoeverโ.
The physicians argued they have โa collective experience over many decades of providing specialist care to thousands of individuals, and their familiesโ and โclosely observed the experiences of people who have lived and are living with serious illnessโ.
However, Ms Phelan said: โHow can they have grave concerns if they haven’t got feedback or tested the waters or consulted with a group of patents? This is all about their views on dying, not about patients views or what patients fears are.โ
The physicians claimed the proposed Bill posed โmany threats, to healthcare in Irelandโ, including the โtrue meaning of the doctor-patient relationshipโ and โthe future of what we know compassionate and supportive specialist palliative careโ.
Ms Phelan said palliative care professionals do โfantasticโ work and she argued the proposed Bill should โnotโ be seen as a โUs versus Themโ.
โItโs about giving people like me the choice. I have made all of my choices in my life about everything Iโve done, between getting married, having babies, and then obviously the more difficult thing about taking a court case, so why should this be any different – why should I not have that little bit of control over how I die, the same way Iโll have had control over how Iโve lived my life.โ
Ms Phelan and Deputy Kenny both said โpatients voicesโ must be heard.
They both disagreed that โdying with dignity is already present within healthcare in Ireland, no change to our current laws is requiredโ as stated by the physicians.
The IPMCA group expressed โworry about the impactโ the proposed Bill would have on vulnerable people as well as โthose who may be made to feel a burden to their families and come under pressure to end their lives prematurelyโ.
Mr Kenny said the proposed Bill included safeguards to prevent abuse.
โI donโt think they speak for every person that works in palliative care, Iโm sure there is a variety of opinions in relation to the issue,โ Mr Kenny said.
โWe are going to have to tackle this issue rather than sticking our heads in the sand,โ he added.
A vote on whether the proposed Bill will progress to committee stage or be subject to further scrutiny by an Oireachtas committee is due to take place Wednesday.