End of life: Emmanuel Macron in face of a delicate societal reform

The head of state launched a citizen convention in October, for six months. In an opinion published on Tuesday, the National Ethical Advisory Committee opens the way to active help in strictly supervised.

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Sincere dilemma or tactical prudence to better achieve its ends? “I have the conviction that you have to move because there are inhuman situations that exist” but “it’s anything but an easy and simple subject,” said Emmanuel Macron, Monday September 12, announcing the launch of A “citizen convention” on the end of life – commitment made during the presidential campaign – “from October” for a “approximately six months”. “I need an honest citizen convention so that it is illuminating and proposing.” And “if necessary”, he insisted, to “change the legal framework”, that of The 2016 Claeys-Leonetti law.

The Head of State was expressed before the Association of the Presidential Press after having read the opinion of the National Ethics Advisory Committee (CCNE), before it was made public, Tuesday morning September 13 . The CCNE wrote two opposite opinions on the end of life. The committee has “a dissident opinion,” said Macron, “for the first time in a long time”. “What shows that this is not a simple subject,” he added.

In its majority opinion, the CCNE half opened the way with a very great sparingly to “an evolution towards an active aid to die”, without deciding on the advisability of a law. “If the legislator decides to legislate”, it should authorize help to die in certain situations only. The ethics committee thus suggests “the possibility of legal access to suicide assistance” for “adults with serious and incurable diseases causing refractory physical or mental suffering whose prognosis is engaged in the medium term”.

Implicitly, he therefore does not recommend the possibility of legalizing the right to die for people considered to be at the end of life – in the short term -, or even loss of autonomy. With regard to “legal access to euthanasia”, in clear the possibility of the medical act to kill, he believes that it could be open only for “people who are not physically able to a Such a gesture “but he also affirms that the medical decision of this gesture could be” left to the assessment of the judge “.

” prerequisites “

Before any possible law, “it takes a major citizen consultation”, insisted Jean-François Delfraissy, the president of the CCNE, during a press conference. The opinion voted by majority includes “a reserve” supported by eight members of the committee, who fear that a legislative opening even for exceptional cases does not harm the development of palliative care. These members condition “a legislative evolution” to “prerequisites” such as access to palliative care.

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/Media reports.