The National Assembly in France has approved a bill permitting assisted dying for individuals suffering from severe, incurable illnesses. The decision highlights a shift towards greater options for patients but has raised ethical concerns about vulnerability and the definitions within the law.
French National Assembly Advances Controversial Assisted Dying Legislation

French National Assembly Advances Controversial Assisted Dying Legislation
The French Parliament votes to allow assisted dying for terminally ill patients, stirring intense debate about ethics and patient rights.
The French National Assembly has made a significant stride in palliative care legislation by voting in favor of a bill that permits assisted dying for patients in the terminal stages of severe illnesses. This vote, which saw support from President Emmanuel Macron, concluded with 305 members in favor and 199 against, subsequently advancing to the Senate for further deliberation before returning for a second reading in the Assembly. If passed, it would mark France as the eighth EU country to adopt a version of assisted dying.
The proposed legislation reflects a more cautious approach compared to nations like the Netherlands and Belgium, which were pioneers in this domain. A contrasting bill aimed at ensuring the right to palliative care was also unanimous in its support, addressing the alarmingly low estimate where approximately 48% of French citizens in need of such care go unassisted.
The crux of the two-week parliamentary discussion centered on the eligibility criteria for assisted dying. Under the new legislative framework, individuals suffering from "serious and incurable diseases" in advanced stages, experiencing "constant physical or psychological suffering," can express their intent to undergo the procedure. This process mandates a cooling-off period where patients must confirm their decision after 48 hours. Importantly, patients will self-administer the lethal dose or, in cases of incapacity, receive assistance from healthcare professionals.
The assembly approached the debate with a "free vote" format, reflecting the deep division of opinions across party lines. The proposed law garners greater endorsement from the center and left-leaning segments while encountering substantial opposition from conservative factions, which raise concerns over the potential for broad interpretations that could endanger vulnerable populations. Critics, including religious organizations, fear that elderly patients might feel pressured to choose assisted dying to relieve their families' burdens.
Public displays against the bill surfaced, exemplified by a protest involving a woman suffering from Parkinson's disease, who metaphorically described the proposed law as a "loaded pistol left on my bedside table." Left-wing advocates have pushed for broader access, advocating for minors and non-citizens to potentially access assisted dying.
While healthcare personnel who oppose assisted dying are not mandated to facilitate it, obstructing such acts could incur two years of imprisonment, a stance that some conservatives sought to counter by proposing a law against incitement to assisted dying—an amendment that was ultimately dismissed. Prime Minister François Bayrou, a practicing Catholic, indicated that he would abstain from voting on the measure if given the opportunity, illustrating the complex interplay of personal belief and legislative action in this contentious debate.