The UK is on a “slippery slope towards death on demand”, according to the justice secretary ahead of a historic Commons vote on assisted dying.
In a letter to her constituents, Shabana Mahmood said she was “profoundly concerned” about the legislation.
“Sadly, recent scandals – such as Hillsborough, infected blood and the Post Office Horizon – have reminded us that the state and those acting on its behalf are not always benign,” she wrote.
“I have always held the view that, for this reason, the state should serve a clear role. It should protect and preserve life, not take it away.
“The state should never offer death as a service.”
On 29 November, MPs will be asked to consider whether to legalise assisted dying, through Kim Leadbeater’s Terminally Ill Adults (End of Life) Bill.
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Minister ‘leans’ to assisted dying bill
Details of the legislation were published last week, including confirmation the medicine that will end a patient’s life will need to be self-administered and people must be terminally ill and expected to die within six months.
Ms Mahmood, however, said “predictions about life expectancy are often inaccurate”.
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“Doctors can only predict a date of death, with any real certainty, in the final days of life,” she said. “The judgment as to who can and cannot be considered for assisted suicide will therefore be subjective and imprecise.”
Under the Labour MP’s proposals, two independent doctors must confirm a patient is eligible for assisted dying and a High Court judge must give their approval.
The bill will also include punishments of up to 14 years in prison for those who break the law, including coercing someone into ending their own life.
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However, Ms Mahmood said she was concerned the legislation could “pressure” some into ending their lives.
“It cannot be overstated what a profound shift in our culture assisted suicide will herald,” she wrote.
“In my view, the greatest risk of all is the pressure the elderly, vulnerable, sick or disabled may place upon themselves.”
Labour MP Kim Leadbeater, who put forward the bill, said some of the points Ms Mahmood raised have been answered “in the the thorough drafting and presentation of the bill”.
“The strict eligibility criteria make it very clear that we are only talking about people who are already dying,” she said.
“That is why the bill is called the ‘Terminally Ill Adults (End of Life) Bill’; its scope cannot be changed and clearly does not include any other group of people.
“The bill would give dying people the autonomy, dignity and choice to shorten their death if they wish.”
In response to concerns Ms Mahmood raised about patients being coerced into choosing assisted death, Ms Leadbeater said she has consulted widely with doctors and judges.
“Those I have spoken to tell me that they are well equipped to ask the right questions to detect coercion and to ascertain a person’s genuine wishes. It is an integral part of their work,” she said.
In an increasingly fractious debate around the topic, multiple Labour MPs have voiced their concerns.
In a letter to ministers on 3 October, the Cabinet Secretary Simon Case confirmed “the Prime Minister has decided to set aside collective responsibility on the merits of this bill” and that the government would “therefore remain neutral on the passage of the Bill and on the matter of assisted dying”.
Sir Keir Starmer has said he will be “looking towards a better, brighter future” in his first Christmas message as prime minister.
It comes almost six months into the Labour leader’s time in Downing Street, with the prime minister currently having to battle criticisms of his party’s management of the economy and the direction he is taking the country.
His message takes an optimistic tone, while also encouraging people to “look after those around us” and wishing for peace in the Middle East.
Sir Keir said: “This Christmas, people will be travelling up and down the country. Heading home, visiting relatives and loved ones to celebrate together the hope and joy of this special season.
“It’s a time to remind ourselves what’s really important. Family. Friendship. And fellowship between all people.
“Being there for one another – in these celebrations, as well as the more difficult times.”
The prime minister went on: “I’d like especially to thank those who will spend their Christmas serving others this year. In our NHS and emergency services, our Armed Forces and the churches and charities that will welcome every person this Christmas.
“Because I know that this is not an easy time for everyone, and my thoughts are with all those who are lonely this Christmas. Having a tough time, missing a loved one. You are not alone.
“Because as Christians celebrate the birth of Jesus Christ, the Christmas story reminds all of us to reach out to one another. To care for one another. And to look after those around us.
“This Christmas, I will be hoping for peace, particularly in the Middle East as the birthplace of the Christmas story.
“I’ll be looking towards a better, brighter future for every person and celebrating the joy and wonder that Christmas brings.
“So, from my family to yours, I hope you have a very merry Christmas.”
Kemi Badenoch, the leader of the Opposition, has also shared a Christmas message.
It strikes a similar tone to Sir Keir’s, although shares more personal anecdotes.
For example, the Tory leader says Christmas is her “very favourite time of year” due to “having lots of family around, seeing my friends, eating, drinking, having fun, making merry”.
She goes on to thank everyone in the country for “supporting each other”, and encouraging people to “support all of those people who need our assistance”.
Sir Ed Davey, the leader of the Liberal Democrats, paid tribute to young carers in his Christmas message.
He looked after his sick mother as he was growing up, and tried to get a Christmas number one with a song raising awareness of young carers.
Sir Ed said: “Carers embody the Christmas spirit of love, selflessness and generosity.
“So I hope we can all take some time to think of them, and keep them in our hearts.”