Care Not Killing poll: Assisted suicide would fundamentally change doctor-patient relationship

Feb 14 2019

Introducing physician-assisted suicide would fundamentally change the doctor-patient relationship, finds a major new poll for Care Not Killing.

The survey of over 2,000 members of the public found high levels of concern about vulnerable people feeling pressure to end their lives with four in 10 saying changing the law risks normalizing suicide.

The ComRes poll asked GB adults about their views on assisted suicide, the model used in Oregon, and how this would affect trust in doctors.

Asked “If GPs are given the power to help patients commit suicide it will fundamentally change the relationship between a doctor and patient, since GPs are currently under a duty to protect and preserve lives,” more than twice as many said it would (48 per cent to 23 per cent), while nearly 3 in ten (29 per cent) were not sure.

Dr Gordon MacDonald, a spokesman for Care Not Killing commented:

This poll shows a greater level of understanding of the difficulties with assisted suicide than most so-called experts think possible. Usually the public are only asked a simple rights based question that is heavily framed, but these questions reveal significant unease around the removing universal protections to allow doctors to kill their patients.”

The poll found that most (51 per cent) of those surveyed were concerned that some people might feel pressured into accepting help to take their own life “so as not to be a burden on others”, while half that proportion (25 per cent) disagreed. These figures reflect what is happening in the US states of Oregon and Washington where a majority of those ending their lives in 2017 said that not wanting to be a burden was a motivation for their decision. This compared to just one in five (21 per cent) in those states who were concerned about the possibility of inadequate pain control, or were experiencing discomfort.

The survey was commissioned in the wake of the decision by the Royal College of Physicians to survey their members about “assisted dying” and in a highly unusual move require a super-majority of 60 per cent to prevent the doctors group adopting a neutral position.  

Asked if cases such as Dr Harold Shipman and the Gosport Hospital scandal made people more concerned that changing the law to allow doctors to prescribe lethal doses of a substance to kill terminally ill patients would fundamentally change the relationship between doctors and patients, more than four in 10 (42 per cent) agreed, 28 per cent disagreed and three in 10 (30 per cent) did not know.

The poll found high levels of concern about whether overstretched doctors have the time or clinical ability to accurately assess a patient’s mental capacity if they requested help to end their life.  Alarmingly, more than a quarter of adults (27 per cent), equivalent to 13.5 million patients, said that if assisted suicide were legal, “they would not trust their own GP enough for them to make a decision about their mental capacity to decide whether or not to accept help to take their own life.

Dr MacDonald, continued:

It is clear that ripping up the longstanding agreement between doctors and society that their job is to save life not to end it would have a seriously damaging effect on how the profession is viewed. In places like Oregon and Washington there have been reports of the sick being denied the life-saving and life-extending drugs they need but offered the poison to end their life. While in Belgium one study found more than 1,000 assisted deaths were without the explicit request of the patient.”

The survey asked if legalizing assisted dying risks normalizing suicide and leading to an increase in deaths among the general population. The public were evenly split but almost four in ten (37 per cent) agreed, exactly the same proportion who disagreed – while a quarter were not sure. It concludes by asking if “as a society we ought to try to do everything we reasonably can to reduce the rate of suicides, especially among men who are three times as likely as women to take their own lives”. Eight in 10 agreed (78%), while perhaps surprisingly 6% disagree.

Dr MacDonald, concluded:

This poll puts a sword to the lie that changing the law on assisted suicide enjoys unremitting support. Abandoning universal protections and expecting doctors to dispense lethal drugs with the express purpose of killing their patients causes alarm. It would undermine the doctor-patient relationship and, as large numbers of the public recognize, risks normalizing suicide.”

Source: https://www.carenotkilling.org.uk/