Full text of Dr Rodney Syme’s speech on the right to physician-assisted death – as prepared for the RACP Conference – May 2015. “Quite long, but well worth reading,” says Ian Wood
http://www.brisbanetimes.com.au/comment/full-text-of-dr-rodney-symes-speech-on-the-right-to-physicianassisted-death-20150526-gh9vh0.html
Although I am nearly 80 years old and retired from surgery, I am still practising medicine. For over 25 years I have been counselling people about their end of life concerns. Those conversations are prolonged and open ended. At all times, I endeavour to help people to go as far with their lives as possible. From that experience I have learnt one invaluable lesson – my first self-evident truth – that giving people control over the end of their lives is one of the most valuable palliative tools we have at our disposal.
Today I am going to address the gap between the rhetoric and the reality of palliative care.
From humble beginnings, due to the compassion and energy of Cicely Saunders, palliative care has grown from a single London hospice to a world-wide specialty with strong government support. It is one of the most important developments in modern medicine. It aims to provide compassionate and holistic care for the terminally ill.
Examination of the at least 27 journals devoted to research into palliative care reveals an intuitively obvious conclusion – that ethical research in this area is fraught by a constantly moving target making accurate statistical analysis virtually impossible. Despite the subjective impression that most patients benefit from their hospice care, it has been exceedingly difficult to demonstrate any objective benefits for such care. Continue reading
