‘Defensible Case’ for 16 Being Old Enough to Choose Assisted Suicide, Says Scottish MSP

Liam McArthur said that arguments for raising the minimum age to 18 were ‘persuasive,’ and would be considered if his bill progressed through Parliament.
‘Defensible Case’ for 16 Being Old Enough to Choose Assisted Suicide, Says Scottish MSP
Scottish Liberal Democrat MSP Liam McArthur during a media event at the Scottish Parliament after publishing his Assisted Dying for Terminally Ill Adults (Scotland) Bill, in Edinburgh, Scotland, on March 28, 2024. Jane Barlow/PA Wire
Victoria Friedman
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There is a “defensible case” for 16-year-olds being able to choose assisted suicide, said the member of the Scottish Parliament (MSP) who introduced the Assisted Dying for Terminally Ill Adults (Scotland) Bill.

Scottish Liberal Democrat MSP Liam McArthur introduced the bill in March 2024, which, similar to the one put forward in Westminster covering England and Wales, would give the terminally ill access to medically-assisted suicide.

Unlike the Westminster bill, which sets the minimum age of eligibility at 18, McArthur’s proposed law would allow terminally ill minors aged as young as 16 to access assisted suicide, as 16 is the legal age of capacity in Scotland.

Taking questions at the Health, Social Care, and Sport Committee at the Scottish Parliament on Tuesday, McArthur defended opting for 16, “on the basis that being the age of adult capacity for making medical decisions.”

“Those who are 16 are deemed to have that capacity in terms of decisions around their treatment. So I think there is a logic for 16. I think there is a very defensible case,” the Scottish Liberal Democrat said.

Persuasive Argument for Raising Limit

McArthur continued that he has also heard evidence during other committee sittings in relation to raising the age to 18, citing other jurisdictions like Australia and states in the United States, as well as the bill going through the Westminster Parliament.

The minimum age “is probably an area where I am keen to reflect further,” should the bill progress, McArthur said.

The MSP said: “I think the arguments for setting the age level at 18 are persuasive. But, as I said, I think the reason for opting for 16 is that it is the age at which individuals are deemed to have capacity to make a range of decisions in relation to their care and treatment.”

McArthur then tried to alleviate concerns over children being able to access assisted suicide, saying that the “numbers at that end of the age spectrum are going to be exceptionally low, and possibly even zero figures over a given year.”

Bill Fails to Address Dangers

To be eligible under the proposed Scottish law, a person must be terminally ill, be over the age of 16, and have lived in Scotland for at least 12 months. The process would have to be signed off by two doctors.

McArthur put forward the bill because he believes those who meet the criteria should be able to access “safe and compassionate assisted dying,” and does not believe the terminally ill should have a prolonged and painful death.

However, campaigners have said that McArthur’s bill, like the one in Westminster put forward by Labour MP Kim Leadbeater, “fails to address very serious dangers associated with assisted suicide.”

Miro Griffiths, an expert adviser on disability and the spokesman for the Better Way campaign, said after the committee session that there was evidence from palliative care doctors, psychiatrists, specialists in the care of older people, and disabled people’s organisations that a change in the law “would inevitably lead to abuses against the most vulnerable.”

Griffiths said in a statement: “Nothing in Liam McArthur’s Bill would rule out coercion of patients through subtle pressure applied behind closed doors, people feeling pressure to die because of the inequalities they face, or legislative mission creep in years to come.

“These dangers are unsolvable, regardless of the assurances ‘assisted dying’ supporters offer to the Scottish public.”

“Demands for personal autonomy must be weighed against legislators’ duty to uphold protections for the most vulnerable. We believe assisted suicide would wrongly prioritise the former over the latter,” he said.

Campaigners protest outside Parliament ahead of a debate in the House of Commons on assisted dying in Westminster, London, on April 29, 2024. (Jordan Pettitt/PA Wire)
Campaigners protest outside Parliament ahead of a debate in the House of Commons on assisted dying in Westminster, London, on April 29, 2024. Jordan Pettitt/PA Wire

Other Laws Being Considered

The Scottish bill is currently at stage one, where it is being scrutinised by a committee, after which the bill will be debated and voted on by all MSPs.
Last week in Westminster, the committee for the Terminally Ill Adults (End of Life) Bill heard from dozens of witnesses, including specialists in mental health care, disabilities, and palliative care who expressed their reservations of Leadbeater’s bill.

The bill will return to the Commons for further debate by all MPs in the spring.

These laws on assisted suicide are not the only ones being considered in the British Islands.

In May 2024, members of the States Assembly in Jersey, a British Crown Dependency, backed drafting a law to establish assisted suicide on the Channel Island for terminally ill adults.

The State Assembly will debate the draft document at the end of 2025.

The Isle of Man, a British Crown Dependency, is also considering a law on assisted suicide for the terminally ill. In January, the Legislative Council, the Tynwald’s upper house, passed the Assisted Dying Bill and it will head back to the House of Keys—the lower house—for consideration.