Speeches by Kruger.

“I respect that. The hon. Gentleman is suggesting that there would be a new test, but it is for a new situation. I want to alert the Committee to the purpose behind this amendment. I understand that we are in a slightly polarised discussion. The hon. Member for Bradford West and I both voted against the Bill on Second R…”

“The hon. Member is making such an important speech, and I am very grateful to her. This is a crucial discussion. The hon. Member for Ipswich suggested that the amendment would make things worse because it would apply a new test.”

“The hon. Lady has expressed very well her whole purpose for the Bill. In a sense, all the debates we are having about safeguards, protections, process and eligibility are secondary to her purpose, which is to give autonomy to patients. One has to ask about the purpose of the safeguards, particularly the one on people h…”

“We are trying to avoid suffering, pain and bad deaths. We all share that view. Indeed, later amendments look explicitly at the purpose of an assisted death and the question of the avoidance of pain. I am simply making the important distinction between the decision to withdraw treatment and the decision to administer fa…”

“My right hon. Friend articulates the point well. I do not think it is a semantic decision: there is a real distinction. The fact is that unplugging the ventilator leads to death, but what kills the patient is not the administration of any treatment or drugs that have been provided. The patient dies naturally, whereas t…”

“I recognise that, and that the Bill makes a distinction in respect of euthanasia or physician-assisted suicide, which would be the doctor doing it to us. The Bill specifies that the drugs must be self-administered. I do not understand the logic of that distinction, but I recognise that there is an attempt to make the B…”

“Before the break, the hon. Member for Penistone and Stocksbridge gave a helpful account of the operation of the Mental Capacity Act 2005, with particular reference to the concept of “best interests” that applies in that Act. She explained that the best interests consideration kicks in only once the capacity test has be…”

“That is absolutely right. I do not think best interests can apply in this case. That is why the Mental Capacity Act is being abused. As the hon. Member for Penistone and Stocksbridge said, it is supposed to be cumulative. We are supposed to consider all aspects of the Mental Capacity Act, and best interests should be p…”

“That is excellent news. For the first time so far in the course of this debate, we have a strengthening of the Bill from the hon. Member. That is great news—we can chalk that up as a victory, and as good sense breaking out. I am grateful for that. Let’s see what more we can achieve. The point that I want to make is tha…”

“The simple answer is yes, I do. I think it is a causatively different decision. In fact, this whole Bill entails causative differences between those decisions. I will come to that point more in a moment. Professor Owen made an important point to us regarding capacity. He said: “You might be talking about a kind of cogn…”

“I think it is totally valid for us to have this argument about terminology periodically. I will repeat the point that we have made before, which is that we are actually amending the Suicide Act 1961—or rather, we are disapplying that Act—in the process set out in the hon. Lady’s Bill. There is no getting away from the …”

“The hon. Lady does not like my terminology.”

“The hon. Gentleman’s intervention helps me to explain my point more clearly, which is that the new clause tabled by the hon. Member for Richmond Park builds on the terms of the Mental Capacity Act. It recognises the value of the terms, which have been well established in case law through the MCA—the ability to understa…”

“My right hon. Friend replied, “No”, to the interviewer. We are not looking at means-testing the triple lock. She was talking more generally about the challenge of means-testing in our social security system, which is a legitimate question for us all to consider, as I shall go on to discuss. I did not want to get too pa…”

“My hon. Friend is absolutely right. That was a key part of the reforms brought in towards the last part of the last decade, enabled by universal credit—a much simpler system. I am glad to say that we managed to reduce that taper significantly and to incentivise work.”

“Will the hon. Lady give way?”

“Let me state at the outset that the Opposition support the measures to uprate pensions in line with earnings and benefits in line with inflation. I am honoured, personally, to take part in this important annual ritual, which is never well attended but is always a high-quality debate. The traditional star of this debate…”

“Clearly, there are questions about the long-term sustainability of our pensions system and our national insurance fund, but I think the shadow Chancellor was talking about the very long term, rather than the immediate situation that we are in. There is no intention, on the Conservative Benches anyway, to review the tri…”

“Will the hon. Lady give way?”

“The hon. Gentleman reflects the experience that many of us have had in our surgeries. Nevertheless, I do not think that health reform on its own will do the job. As I mentioned, the House of Lords Economic Affairs Committee has looked into the matter and reported last week, pointing out that the increase in welfare cla…”