A PARLIAMENTARY report recommending that voluntary euthanasia be legalised in Western Australia observes that the Great Southern has the best palliative care in regional WA but the level of hands-on care drops away as the distance from Albany increases.
The cross-party My Life, My Choice report tabled on Thursday by South West MLC Colin Holt and Morley MLA Amber-Jade Sanderson took a year and $454,294 to complete.
“There were a couple of different aspects to the inquiry – one was around palliative care and there was clear evidence to us that we need to invest more there,” Mr Holt told The Weekender in Albany on Monday.
“We’ve got an ageing population and it’s going to become more important as the years go on, and Albany is a really good lesson in that.
“Albany itself has got relatively good access to palliative care, with the specialist team working out of Albany Regional Hospital and the hospice attached to the hospital being a really great advantage to Albany and the Great Southern, but you don’t have to go too far to realise that the service level drops off pretty rapidly.”
While taking evidence in the Great Southern (‘Albany’s say on end of life’, 15 March), the Parliamentary Joint Select Committee on End of Life Choices visited the hospice, Albany Health Campus, a residential aged care complex, and Denmark’s health facilities.
“Within Albany, patients have access to 24 hour palliative care services,” the report notes.
“Denmark Hospital offers eight hours per day Monday to Friday, with a specialist palliative care registered nurse onsite two days per week.
“In Mount Barker, dedicated palliative care services are only available seven hours per week.”
Mr Holt said if somebody wanted to die in their own home in say, Borden or Gnowangerup, getting specialist care would be difficult and the responsibility would likely fall back on a local GP.
Albany Hospital’s palliative care team told the committee how patients were helped to place legally binding advance health directives on the hospital record and how such directives were promoted in the community.
The hospital now has several hundred such directives on file, which the report notes is “a relatively high number given the generally low uptake figure across the [statewide] population”.
The report recommends that the State push for the introduction of Medicare rebates for the preparation of directives.
“In complex cases the specialist palliative care available in remote and regional Western Australia does not compare to that available in Perth or even other large regional centres like Albany,” the report notes.
Also during hearings in Albany, former civil servant Patricia Marshall called for access to assisted suicide for elderly people.
“The questions of loss of self autonomy and human dignity, conscious awareness of physical or mental deterioration and the realisation that meaningful participation in life has come to an end are very important considerations for the elderly and should be included in any discussion of end of life choices,” she said.
“It is only when this process is directly experienced that it can be fully understood; therefore, it is necessary for those making decisions to change the law to take some advice from those who may choose a voluntary and dignified end to their life when they perceive it to be complete.”
The report finds that about 10 per cent of suicides in WA are carried out by people suffering a terminal or debilitating chronic illness.
“The prohibition of a peaceful, assisted death has driven some terminally or chronically ill individuals to suicide using violent means,” the report further finds.
“All deaths under these circumstances are tragic and very often traumatic and distressing to family, friends and first responders.”
The report attracted more than 700 submissions and recommends that the State introduce legislation for voluntary assisted dying for people suffering a terminal condition.
But in a 245-page minority report that is longer than the full committee report, Liberal MLC for South Metropolitan Region Nick Goiran says the risks of legalising assisted suicide are too great “as the consequences are final”.
He asserts there is no doubt WA’s palliative care providers can offer world-class care.
“They simply need to be given the opportunity to provide it,” he argues.
“Assisted suicide is bad public policy.
“Our best public policy option is always care, not killing.”
Mr Holt said the committee clearly found the WA community was ready to investigate laws allowing assisted dying.
He said a Government response to the committee report was likely before the end of the year.
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CAPTION: Colin Holt in Albany this week. Photo: Chris Thomson