1 00:00:00,080 --> 00:00:03,000 Speaker 1: Right, let's focus on that issue that I highlighted a 2 00:00:03,040 --> 00:00:07,040 Speaker 1: few moments ago. The organization Dignity Essay is going to 3 00:00:07,400 --> 00:00:09,799 Speaker 1: the High Court in Pretori. In fact, they filed an 4 00:00:09,840 --> 00:00:13,600 Speaker 1: application on Wednesday. They are looking to have laws that 5 00:00:13,760 --> 00:00:20,680 Speaker 1: currently criminalize medically assisted dying declared unconstitutional and invalid. Let's 6 00:00:20,680 --> 00:00:23,639 Speaker 1: find out their arguments then. In support of the application, 7 00:00:23,720 --> 00:00:27,440 Speaker 1: we're joined by Professor William Lundmann, who is chairperson and 8 00:00:27,560 --> 00:00:31,840 Speaker 1: co founder of Dignity Essay. Welcome and thanks very much 9 00:00:31,880 --> 00:00:36,239 Speaker 1: for giving us your time. What is the problem the 10 00:00:36,280 --> 00:00:39,960 Speaker 1: reality that you're looking to address with this High court application? 11 00:00:40,080 --> 00:00:43,680 Speaker 2: Good day to you, Good day John, and thank you 12 00:00:43,720 --> 00:00:47,360 Speaker 2: for the opportunity. It's very simply boiled on to this 13 00:00:47,520 --> 00:00:53,400 Speaker 2: that they are individuals in our society who are either 14 00:00:53,520 --> 00:01:00,240 Speaker 2: terminally your or have an irremediable condition that come with 15 00:01:00,400 --> 00:01:05,319 Speaker 2: suffering that is intractable and unbearable, and none of the 16 00:01:05,360 --> 00:01:08,760 Speaker 2: options available to them, none of the medical options available 17 00:01:08,800 --> 00:01:13,320 Speaker 2: to them can really satisfy their needs. In other words, 18 00:01:13,680 --> 00:01:18,160 Speaker 2: what has happened is that the equation that life is 19 00:01:18,200 --> 00:01:21,559 Speaker 2: good and death is bad has been inverted. For them, 20 00:01:22,120 --> 00:01:25,680 Speaker 2: life is no longer good and it's irreversibly sold and 21 00:01:25,800 --> 00:01:29,039 Speaker 2: death is the only option, is the only solution, is 22 00:01:29,040 --> 00:01:34,000 Speaker 2: the only way out. Valiative care no longer helps. If 23 00:01:34,000 --> 00:01:39,040 Speaker 2: they refuse life sustaining treatment, they linger on, they continue 24 00:01:39,080 --> 00:01:44,240 Speaker 2: to live. Pain management is insufficient, does not work. Stopping 25 00:01:44,319 --> 00:01:48,400 Speaker 2: eating and drinking is also not an option, is a 26 00:01:48,440 --> 00:01:52,080 Speaker 2: cruel option. So we believe that there are people who 27 00:01:52,360 --> 00:01:58,360 Speaker 2: die in dire circumstances and that the laws blanket prohibition 28 00:01:58,640 --> 00:02:02,040 Speaker 2: of medical assistance in dying is unconstitutional. 29 00:02:02,760 --> 00:02:06,440 Speaker 1: One of the concerns, because we've had this conversation before, 30 00:02:06,480 --> 00:02:09,600 Speaker 1: it came up in twenty fifteen, it got to the 31 00:02:09,880 --> 00:02:13,239 Speaker 1: High Court, went to the Supreme Court of Appeal, so 32 00:02:13,480 --> 00:02:17,400 Speaker 1: the discussion is out. Then. One of the issues of 33 00:02:17,440 --> 00:02:20,880 Speaker 1: your raised by your opponents is that often people in 34 00:02:20,919 --> 00:02:25,440 Speaker 1: that situation may not have either the mental clarity or 35 00:02:25,520 --> 00:02:29,200 Speaker 1: the physical strengths to reach a decision, and there are 36 00:02:29,320 --> 00:02:33,119 Speaker 1: concerns that, for example, family members or people with ill 37 00:02:33,200 --> 00:02:38,000 Speaker 1: intent might manipulate a decision like that. What's your answer 38 00:02:38,080 --> 00:02:40,400 Speaker 1: to that concern, because I think it's there. 39 00:02:41,120 --> 00:02:44,960 Speaker 2: Yeah, No, it's the number of issues. The first is 40 00:02:45,000 --> 00:02:50,840 Speaker 2: that in any jurisdiction where medical assistance in dying is legal, 41 00:02:51,639 --> 00:02:54,720 Speaker 2: there are first of all, eligibility criteria you have to 42 00:02:54,800 --> 00:03:01,320 Speaker 2: qualify to receive medical assistance in dying, and there issues 43 00:03:01,360 --> 00:03:06,639 Speaker 2: of the mental capacity of freedom of action, et cetera. 44 00:03:06,880 --> 00:03:10,000 Speaker 2: And having the condition and suffering, et cetera. So they're 45 00:03:10,480 --> 00:03:14,280 Speaker 2: eligibility criteria. And then there are safeguards put in place 46 00:03:14,360 --> 00:03:17,240 Speaker 2: to make sure that there is no abuse of the system. 47 00:03:17,720 --> 00:03:21,799 Speaker 2: So all of this would have to be covered by legislation. 48 00:03:22,360 --> 00:03:26,080 Speaker 2: If the Court instructs Parliament to write a law, this 49 00:03:26,240 --> 00:03:29,040 Speaker 2: will have to be addressed in a way that is appropriate, 50 00:03:29,480 --> 00:03:33,079 Speaker 2: appropriate for South Africa. On the question of abuse, you 51 00:03:33,400 --> 00:03:36,920 Speaker 2: you would appreciate that we you know, we submitted supporting 52 00:03:36,960 --> 00:03:39,840 Speaker 2: material of almost one thousand pages to the thought and 53 00:03:39,920 --> 00:03:45,920 Speaker 2: we solicited the opinions of experts in several jurisdictions on 54 00:03:46,000 --> 00:03:49,240 Speaker 2: four different continents where they have implemented this, and we 55 00:03:49,280 --> 00:03:52,920 Speaker 2: ask them about their experiences and the reports that they 56 00:03:52,960 --> 00:03:57,280 Speaker 2: that they issued. What about abuse? Is it true? This 57 00:03:57,480 --> 00:04:00,760 Speaker 2: is the factual question. Do people abuse it want to 58 00:04:00,760 --> 00:04:05,720 Speaker 2: inherit money or for whatever reason? And there's no systematic 59 00:04:05,840 --> 00:04:07,080 Speaker 2: evidence of that. 60 00:04:08,280 --> 00:04:11,320 Speaker 1: And just just a final question, and let's bring in 61 00:04:11,360 --> 00:04:15,920 Speaker 1: now the fact that you are raising this as being unconstitutional. 62 00:04:16,200 --> 00:04:18,120 Speaker 1: One of our listeners said, in the Bill of Rights 63 00:04:18,279 --> 00:04:20,840 Speaker 1: is the right to life. I get that there are 64 00:04:20,839 --> 00:04:24,960 Speaker 1: other sections that look at security and control over one's body, dignity, 65 00:04:25,800 --> 00:04:29,919 Speaker 1: equality and so on. These rights are not, as I 66 00:04:30,000 --> 00:04:34,680 Speaker 1: understand it, hierarchical. They get contested in the process of 67 00:04:35,200 --> 00:04:39,280 Speaker 1: the law and and the courts. But does this could 68 00:04:39,320 --> 00:04:41,919 Speaker 1: somebody use the right to life as some sort of 69 00:04:42,240 --> 00:04:45,640 Speaker 1: trump card. Always ultimately, the right to life something that you, 70 00:04:45,680 --> 00:04:48,640 Speaker 1: as an individual also get to exercise. 71 00:04:49,640 --> 00:04:52,839 Speaker 2: That's an excellent question because we actually list the right 72 00:04:52,880 --> 00:04:55,080 Speaker 2: to life as one of the rights to support. We 73 00:04:55,160 --> 00:04:58,919 Speaker 2: believe support the right to medical assistance with dying. The 74 00:04:59,040 --> 00:05:02,560 Speaker 2: right issue is not a biological right or a writer 75 00:05:02,720 --> 00:05:07,120 Speaker 2: biological life. It is a right to have a life 76 00:05:07,800 --> 00:05:10,560 Speaker 2: that that's typically human. And this has been confirmed by 77 00:05:10,560 --> 00:05:13,680 Speaker 2: the Constitutional Court where Judge Kat o' reagan made the 78 00:05:13,720 --> 00:05:17,680 Speaker 2: point that the right to life is entangled with is 79 00:05:17,800 --> 00:05:21,240 Speaker 2: the flip side of the right to dignity, and it's 80 00:05:21,279 --> 00:05:24,760 Speaker 2: only life, physical life that comes up to a certain 81 00:05:24,800 --> 00:05:27,840 Speaker 2: standard that is a you know, a life of dignity. 82 00:05:28,240 --> 00:05:31,240 Speaker 2: So we it's an involved argument, John, But one of 83 00:05:31,320 --> 00:05:33,359 Speaker 2: the arguments we put forward is that the right to 84 00:05:33,400 --> 00:05:37,240 Speaker 2: life actually supports our claim together with and you talk 85 00:05:37,279 --> 00:05:40,719 Speaker 2: about a hierarchy. The interesting thing is judged very accamon 86 00:05:40,800 --> 00:05:44,080 Speaker 2: in a a in a seminal book on the Constitution 87 00:05:44,520 --> 00:05:47,320 Speaker 2: said that the right to dignity. Dignity is actually the 88 00:05:47,800 --> 00:05:51,800 Speaker 2: load star of the Constitution, that it actually gives meaning 89 00:05:51,880 --> 00:05:54,240 Speaker 2: to all the other rights that flow from it. And 90 00:05:54,279 --> 00:05:56,320 Speaker 2: the right to life is not the fundamental but the 91 00:05:56,400 --> 00:05:58,680 Speaker 2: right right dignity is the fundamental right. 92 00:05:59,200 --> 00:06:02,200 Speaker 1: Thank you so much, Professor Villain Landmann, chairperson and co 93 00:06:02,320 --> 00:06:05,560 Speaker 1: founder of Dignity essay papers filed in the Pretoria High 94 00:06:05,560 --> 00:06:09,080 Speaker 1: Court yesterday. The debate, well, I was going to say, 95 00:06:09,120 --> 00:06:11,880 Speaker 1: has begun. The debate has always been there, but this 96 00:06:12,080 --> 00:06:15,279 Speaker 1: gives us a framework for a really important and I 97 00:06:15,320 --> 00:06:19,440 Speaker 1: think profound conversations. Get it going yourself on oh seven 98 00:06:19,480 --> 00:06:21,719 Speaker 1: two seven oh two one seven oh two