Vicky Phelan rejects claim that dying with dignity bill threatens palliative care

Vicky Phelan Photo: Oisin McHugh True Media
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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 โ€œgravely concernedโ€ at the proposed Bill, which will be voted on in the Dail tomorrow, Wednesday.

Ms Phelan said the proposed Bill would โ€œeaseโ€ a โ€œhuge fearโ€ that she and others have about dying in pain, and in a place they do not wish to end their days, such as โ€œa hospital or a hospiceโ€.

The โ€œDying with Dignityโ€ Bill was introduced in the Dail by Solidarity-People for Profit TD Gino Kenny.

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Calling on TDs to support the Bill, Ms Phelan revealed she suffers โ€œnightmaresโ€ about dying and having no control over how, where, and when her final moment will be.

โ€œWhen anybody gets to a (terminal) stage, like I am, you’re terrified. I have nightmares about this, itโ€™s something that plays on your mind constantly, you know you are going to die,โ€ she said.

โ€œThereโ€™s a big difference in somebody dying of a heart attack, and my situation. If you die of a heart attack, you don’t know itโ€™s coming, you’re dead, thatโ€™s 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 itโ€™s 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€

โ€œI 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 Iโ€™ve 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 letterโ€™s signatories, led by Feargal Twomey, a Limerick consultant physician in palliative medicine and chair of the Irish Palliative Medicine Consultantโ€™s Association Palliative Medicine (IPMCA), stated they were โ€œgravely concerned by any proposal to legislate for assisted suicide and euthanasia in Irelandโ€.

Ms Phelan, who is supporting the Bill, said: โ€œI thought it was telling that they used โ€˜assisted suicideโ€™ rather than โ€˜assisted dyingโ€™, because โ€˜assisted 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 โ€œa collective experience over many decades of providing specialist care to thousands of individuals, and their familiesโ€ and โ€œclosely observed the experiences of people who have lived and are living with serious illnessโ€.

However, Ms Phelan said: โ€œHow 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 โ€œmany threats, to healthcare in Irelandโ€, including the โ€œtrue meaning of the doctor-patient relationshipโ€ and โ€œthe future of what we know compassionate and supportive specialist palliative careโ€.

Ms Phelan said palliative care professionals do โ€œfantasticโ€ work and she argued the proposed Bill should โ€œnotโ€ be seen as a โ€œUs versus Themโ€.

โ€œItโ€™s about giving people like me the choice. I have made all of my choices in my life about everything Iโ€™ve 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 Iโ€™ll have had control over how Iโ€™ve lived my life.โ€

Ms Phelan and Deputy Kenny both said โ€œpatients voicesโ€ must be heard.

They both disagreed that โ€œdying 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 โ€œworry about the impactโ€ the proposed Bill would have on vulnerable people as well as โ€œthose 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.

โ€œI donโ€™t think they speak for every person that works in palliative care, Iโ€™m sure there is a variety of opinions in relation to the issue,โ€ Mr Kenny said.

โ€œWe 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.