Briefing papers

"MERCY" (a) AND CONSENSUAL KILLINGS (b)

A Response by ALERT to the proposals set out by The Law Commission in their Consultation Paper No. 177 (Overview) entitled:

A New Homicide Act for England and Wales - An Overview

INTRODUCTION

5.87

A "mercy" killing is a killing where the killer genuinely believes that it is in the best interests of the victim to die, for example, because the victim is terminally ill and in great pain. A "mercy" killing is a consensual killing only if the victim consents to being killed. Under the current law, a "mercy" killing that that is not a consensual killing is always murder, unless the defendant can prove diminished responsibility in which case he or she is guilty of manslaughter.

5.88

Under the current law, a consensual killing, whether or not a "mercy" killing, is always murder unless the killing is committed after entering into a suicide pact in which case it is manslaughter.

ALERT Response

There is no direct issue taken with the above definitions except that by way of observation, to what extent does the victim intend such consequences as set out above? It is necessary for the courts to be acutely aware of what is happening in this scenario - pain should be separated from the element of suffering. Pain is organic, physical. Suffering is emotional, loneliness, despair, worry etc. It is important for the courts to know that pain can be relieved. If the doctor / carer cannot relieve the pain, the principle is - don't kill the patient, kill the pain.

In the Dutch experience, of those who have requested assisted death or assistance in suicide, pain was the major reason in only five per cent of the cases. With only rare exceptions, people who previously asked for assisted suicide completely changed their minds when their pain was controlled.

In submission, this must bear upon the victim's intention to proceed with an assisted death and for this reason any judicial assessment must be unfettered when considering sentence in relation to the individual cases that come before the Courts.

5.89

Our proposals will not affect the fundamental principle that it is always a serious offence to kill another person intentionally even if the killer believes that it is in the best interests of the victim ("mercy" killing) and even if the victim consents ("consensual killing").

ALERT Response

It is agreed that intentional killing is always a serious matter and that it is all the more reason why there should not be graded categories of murder but rather, continue to allow the courts to apply the current law on an individual case-by-case basis and the jury (in a trial by jury) to make their own assessment when called upon to do so. They see the defendants and can decide whether the individual who presents before them at court is a depressed "mercy" killer. It is far safer to keep the idea that to kill is murder than to put the offence into codified categories. The English Common Law Tradition has enshrined principles that the courts must be allowed to continue to apply in a practical manner.

5.90

We believe that in the majority of cases of "mercy" killings and consensual killings committed after entering into a suicide pact, the person carrying out the killing is likely to be suffering from severe depression.

ALERT Response

Why do you believe that the killer is likely to be suffering from severe depression?
On what basis do you make that statement? The existence of depression does not follow automatically. Why should it do so? The killer may be craven to a range of behavioural traits and motives - everything from anxiety and greed to an entrenched obsession with a humanist political agenda.

To make a wide assumption of the kind enunciated in paragraph 5.90 is extremely dangerous insofar as on the one hand, the indication is given that intentional killing remains a serious matter but on the other hand, there is a category in law that allows for a conviction to be applied that is something less than murder.

An analogy can be drawn in the above instance with a bank robber who finds himself in court after having been caught robbing a bank. It is akin to allowing the robber to plead to the lesser charge of Theft on the basis that he was acting under an honest belief (and he is allowed to plead this honest belief in his defence) that robbing banks was not wrong.

FOCUSING ON DEPRESSION AND NOT CONSENT

5.91

Under the current law, the depressed killer who kills pursuant to a suicide pact is at an advantage. The law assumes that he or she is severely depressed. By contrast, the severely depressed killer who is not a party to a suicide pact has to prove diminished responsibility. This, at least, in theory, should be difficult because reactive depression does not arise from a condition of "arrested or retarded development of mind or any inherent causes or induced by disease or injury". The problem has to some extent been overcome by pretending that the problem does not exist.

[4:19]:

A particular problem relates to long term carers who accede to the request of their terminally ill partners to kill them. If a carer kills a terminally ill partner in pursuance of a suicide pact, the carer is able to secure a conviction of manslaughter by virtue of the defence of killing after entering into a suicide pact.
Where there is no suicide pact, what in practice happens is that the carer pleads diminished responsibility on the basis of reactive depression arising from the strain of looking after their partner. The difficulty is that reactive depression does not easily fit with the requirement that an abnormality of mind must stem from one of the stipulated causes. However, that problem is frequently "swept under the carpet" in order to ensure that the carer is convicted of manslaughter and not murder.

ALERT Response

Just because reactive depression does not fit within the category of "arrested or retarded development of mind or any inherent causes or induced by disease or injury" is not a reason that justifies a weakening of the legal threshold for what remains effectively, an intentional killing, unless it comes within the explicit defence threshold of diminished responsibility.

On what basis does the Law Commission assert that the problem is frequently "swept under the carpet" in order to obtain a particular result in court? Are there instances of this happening that have been brought to the Law Commission's attention? Has this been done to illustrate what may be a wider social problem that has not been previously subject to public debate?

Although there may be some difficulties in deciding where to draw the line in individual court matters, it can never be a reason to fetter the court's discretion in assessing what penalty should reasonably be applied on a case-by-case basis.

5.92

We believe that the current partial defence of killing after entering into a suicide pact is unsatisfactory for the reasons [outlined by paragraph 4:19]:
We are provisionally proposing that it should be abolished.

5.93

Instead, we envisage that deserving cases that currently come within the suicide pact defence, and also deserving cases that the defence does not currently cater for, should be accommodated by the partial defence of diminished responsibility.

ALERT Response

There appear to be apparent difficulties arising out of paragraphs 5.92 - 5.93 in respect of a definition required for 'deserving cases'. What other cases does the Law Commission anticipate catering for? Do they not have current provisions?
Does the Law Commission anticipate making a more detailed provision for its proposal at some future date?

Are the above provisions anticipated under paragraphs 5.94 - 5.95?

5.94

Under our proposals, the defendant pleading diminished responsibility will no longer have to prove that his or her abnormality of mental functioning arose from a particular condition. Instead, the defendant will have to prove that it arose from an "underlying condition". An "underlying condition" does not have to be one that exists independently of the external circumstances that give rise to the killing. Consequently, the partial defence of diminished responsibility will be able to cater legitimately for cases of consensual or "mercy" killing where the abnormality of mental functioning, normally severe depression, was a significant cause of the killing.

5.95

It follows that under our provisional proposals, a professional carer, for example, a doctor or nurse who carries out a consensual or "mercy" killing is guilty of "first degree murder" since it is highly unlikely that either will satisfy the requirements of the diminished responsibility defence.

ALERT Response

What is meant by an underlying condition? Does it mean that the defendant does not have to have a pre-existing psychiatric diagnosis? If so, does this mean that the court can accept the defence of a defendant who found the circumstances of caring for a patient so upsetting that it unhinged them?

This is a dangerous legal road to travel down.

Since doctors and nurses are, in many cases, often the primary carers and apart from the professional compromise that would result from becoming too personally involved with their patient's health management, contrary to what is said in paragraph 5.95, the said proposal would allow even a doctor or nurse involved in the assisted death of a patient to plead to a lesser offence on the basis that their "underlying condition" was their distress at the patient's predicament.

Just as the saying "Patriotism is the last refuge of a scoundrel" suggests a position of last resort, so this proposal provides the killer with a legal safety net that will enable him /her to avoid a charge of murder should s/he have to face allegations in court at a later date.

Again, there is an analogy with the man who comes home and finds another man in bed with his wife. In a jealous rage, the husband shoots and kills the wife's lover. It is an open question as to the severity of the penalty he will receive from the court. It is likely that he may receive a light punishment. In so doing, Society sends out a message that this matter is not going to be accorded the degree of severity that say, killing a policeman will have whilst the killer is performing a terrorist act. In other words, the situation in which he finds himself may generate a popular (but misplaced) sympathy for his predicament. The fact remains that he has killed a man.

The current legal position carries far more certainty and allows the judges to exercise their discretion in individual cases. To weaken the law and then to allow a defence to be run that I, as a carer, whether professional or domestic, killed my charge because I was suffering from depression (as distinct from a psychiatric condition existing separately and distinctly from the stress that I am experiencing as a result of caring for my sick and disabled charge) cannot be right and allows too great an opportunity for abuse.

The legal position must therefore remain on the issue of determining whether someone (especially a carer) is suffering from a psychiatric diagnosis or otherwise and allow the courts to interpret the law as it now stands.

PROVISIONAL PROPOSAL

5.96

We provisionally propose that the partial defence of killing after entering into a suicide pact should be abolished.

5.97

Under our provisional proposals, the severely depressed "mercy" killer will be guilty of "second degree murder" if he or she successfully pleads diminished responsibility. We emphasise that whether or not the victim consented is irrelevant to the defence of diminished responsibility. However, in some cases where the plea of diminished responsibility is successful, the victim will have consented to being killed. We invite views as to whether in cases where the plea of diminished responsibility is successful and the victim consented to being killed, the defendant ought to be convicted of manslaughter rather than "second degree murder."

ALERT Response

No. For the reasons set out above, we would oppose any changes that put the English Law on Murder into categories. Neither is manslaughter an alternative in this instance.

(A) In this paper, we use the term "mercy" killing with caution. Any "mercy" being shown is perceived as being shown as much by the victim to the carer, in relieving the carer of his or her caring duties and hence the cause of the continuing stress, as by the carer to the victim in killing him or her.

(B) For more detailed discussion, see Part 8 of our full Consultation Paper.

"MERCY"AND CONSENSUAL KILLINGS Provisional Proposal

6.13

We provisionally propose that the partial defence of killing after entering into a suicide pact should be abolished. (Paragraph 5.96)
See 6.14 (1):-
Questions

6.14

We ask whether consultees agree that:

(1) The partial defence of killing after entering into a suicide pact should be abolished.

ALERT Response

Yes.

(2) All cases of "mercy" and consensual killing should be "first degree murder" unless the defendant can prove diminished responsibility.

ALERT Response

Yes.

6.15

We invite views on whether, if the defendant establishes the partial defence of diminished responsibility and the victim consented to being killed, the conviction should be one of manslaughter rather than "second degree murder"?

ALERT Response

No to manslaughter - and murder should not be put into categories.

ALERT
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Website: www.donoharm.org.uk/alert

ALERT against Euthanasia Co. Ltd No.05680744