{"id":646,"date":"2012-06-18T14:02:06","date_gmt":"2012-06-18T14:02:06","guid":{"rendered":"https:\/\/blogs.bmj.com\/spcare\/?p=646"},"modified":"2012-06-18T14:02:06","modified_gmt":"2012-06-18T14:02:06","slug":"the-bmjs-new-stance-on-assisted-dying","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/spcare\/2012\/06\/18\/the-bmjs-new-stance-on-assisted-dying\/","title":{"rendered":"The BMJ&#8217;s new stance on assisted dying"},"content":{"rendered":"<p>The BMJ recently expressed its support for the notion that the UK\u2019s leading medical bodies, including the BMA and Royal Colleges, abandon their opposition to assisted dying in favour of a neutral stance.<\/p>\n<p>The move comes as a recent poll undertaken by Dignity in Dying revealed that of 1000 GPs surveyed, <a href=\"http:\/\/www.hpad.org.uk\/events\/\">62% supported a shift to neutrality<\/a>. This, accompanied by the finding that over <a href=\"http:\/\/www.uk.sagepub.com\/books\/Book234304?seriesId=Series30&amp;fs=1\">80% of the general public<\/a> support the legalisation of assisted dying, means that the BMJ\u2019s stance had become increasingly untenable.<\/p>\n<p><a href=\"http:\/\/press.psprings.co.uk\/bmj\/june\/godlee.pdf\">Dr Fiona Godlee<\/a>, Editor-in-Chief of the BMJ, highlighted similarities with prior opposition to the legalisation of abortion and suggested that whilst doctors would have to carry out the procedure, the decision regarding the concept \u2018rests with society and its representatives in parliament.\u2019 In order for society\u2019s views to be expressed adequately, the Healthcare professionals for Assisted Dying (HPAD) ask for the BMA and certain opposing Royal Colleges to move their position to neutrality. At the BMA\u2019s annual conference later this month, a debate on whether to assume a neutral position will ensue.<\/p>\n<p>The proposition of neutrality is supported by HPAD\u2019s Chair and Emeritus Professor of Geriatric Medicine, <a href=\"http:\/\/press.psprings.co.uk\/bmj\/june\/tallis.pdf\">Raymond Tallis<\/a> who states that opposition to assisted dying hinders the principle of specific patient-centred care. This view is &#8211; at least in part &#8211; an acknowledgment of the fact that medical bodies\u2019 opposition to assisted dying is in conflict with the wishes of the general public, the overwhelming majority of whom seem to support it. Thus he states that \u2018the proper stance of healthcare professional bodies is one of neutrality\u2019.<\/p>\n<p>In response to the BMJ\u2019s new bearing, <a href=\"http:\/\/www.carenotkilling.org.uk\/articles\/bmj-adopts-campaigning-role\/\">Dr Peter Saunders<\/a>, director of the pro-life group Care Not Killing stated that the call \u201cis a carefully orchestrated move by a small minority of doctors with extreme views aimed at neutralising medical opposition and softening up public and parliamentary opinion in advance of new pressure to change the law.&#8221;<\/p>\n<p>He maintains that a change in the law on assisted dying &#8220;would place pressure on vulnerable sick, elderly and disabled people to end their lives for fear of being a financial or emotional burden on loved ones&#8221; which is &#8220;the very last thing we need&#8221; at a time when scores of families &#8220;are already under considerable financial pressure&#8221;.<\/p>\n<p>Whilst this shift towards neutrality may not actively support a case for legal reform on the matter, some have speculated that it may lay the foundations for the legalisation of assisted dying in the UK. However, <a href=\"http:\/\/www.bmj.com\/content\/336\/7649\/864.extract\">the case of Belgium<\/a> shows that in order for legal reform to occur, there must be overwhelming public, as well as institutional, support for it. The fundamental question is whether or not this is currently the case in the UK.<\/p>\n<p>&nbsp;<\/p>\n<p>__________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Medical bodies\u2019 stances on assisted dying<\/strong><\/p>\n<p><em>Opposed<\/em><\/p>\n<p>BMA<\/p>\n<p>Royal College of Physicians of London<\/p>\n<p>Royal College of Surgeons of England<\/p>\n<p>Royal College of General Practitioners<\/p>\n<p>Association of Palliative Medicine<\/p>\n<p><em>No position<\/em><\/p>\n<p>General Medical Council<\/p>\n<p>Royal College of Anaesthetists<\/p>\n<p>Royal College of Obstetricians and Gynaecologists<\/p>\n<p>Royal College of Paediatrics and Child Health<\/p>\n<p>Royal College of Physicians of Edinburgh<\/p>\n<p>Royal College of Surgeons Edinburgh<\/p>\n<p><em>Neutral<\/em><\/p>\n<p>Royal Society of Medicine<\/p>\n<p>Royal College of Nursing<\/p>\n<p>Royal College of Nursing Scotland<\/p>\n<p>Royal College of Psychiatrists<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The BMJ recently expressed its support for the notion that the UK\u2019s leading medical bodies, including the BMA and Royal Colleges, abandon their opposition to assisted dying in favour of a neutral stance. The move comes as a recent poll undertaken by Dignity in Dying revealed that of 1000 GPs surveyed, 62% supported a shift [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/spcare\/2012\/06\/18\/the-bmjs-new-stance-on-assisted-dying\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":157,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1141],"tags":[],"class_list":["post-646","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/646","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/users\/157"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/comments?post=646"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/646\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/media?parent=646"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/categories?post=646"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/tags?post=646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}