(The Critic) Cajetan Skowronski–The real scrutiny of assisted dying is only just beginning

Its advocates cannot be allowed to act as if the Leadbeater Bill is a done deal

“In extreme cases I would be willing to kill a patient to help them escape unbearable suffering, if they had come to that decision after serious consideration,” says a colleague of mine, in the windowless, unventilated cupboard that serves as a doctors’ office, “But there is no way in hell that the NHS can be trusted with such a role.”

Those who deal with life and death each day recognise that giving patients lethal drugs to end their life is active killing, not passive dying. I happen to think that we should not kill ourselves or others. My colleague takes a different view on the principle. But we don’t shy away from what it is we are actually discussing, so our conversation benefits from a lot more clarity than when politicians emotionalised and euphemised to limp Kim Leadbeater’s assisted suicide bill through the Commons.

We discuss the systemic chaos that we see affecting patients every day, and imagine what the effects of introducing a new therapeutic option of being killed would be. US-style privatised medicine has a perverse incentive to keep the patient alive with increasingly extreme and expensive (but ultimately futile) interventions — a quarter of all Americans die in intensive care. 

UK-style socialised medicine has an equal and opposite perverse incentive to reduce the number of patients, especially in times of crisis. And the NHS is broken, as everyone from government to general practice states openly.

Facilitating the suicide of privileged elites who are used to having things their way and see their mode of death as a final opportunity for exercising autonomy is one matter, but if that requires suicide to be offered to all of our patients, including the vulnerable, the lonely, and the abused, the real cost appears to outweigh any idealised benefits. How do we tell a homeless patient with a new metastatic cancer diagnosis that they could wait months for a nursing home placement, or they could be scheduled for an assisted suicide in as little as nine days, without it sounding like a tacit recommendation?

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Advocates of assisted dying cannot be allowed to act as if the Leadbeater Bill is a done deal, argues @TradSkowronski https://t.co/YPaIjSA0TL

— The Critic (@TheCriticMag) January 21, 2026