A bill to allow assisted dying in New Zealand has passed its first reading by a significant margin of 76 votes to 44.
Many MPs restricted their support to the first reading, saying future support would depend on public submissions and amendments made during the select committee process.
The NZ First MPs in particular want to include a binding referendum of the public before any law changes would come into effect. Act leader David Seymour, the bill's sponsor, has agreed to that but it would have to get majority support in Parliament as well.
The bill will be considered by the Justice Select Committee and Seymour sought an extended nine month period for that consideration, rather than the usual six months.
9:41pm: While most National MPs speaking on the bill had opposed it, Chris Bishop was supporting it, saying in a modern and compassionate society the law should provide for a decent death.
He said at the moment someone diagnosed with a terminal disease had two options – either trying to commit suicide "often by violent or dangerous means" or suffering until they died of natural causes.
"The choice is cruel. We have an opportunity tonight to create a more compassionate society."
He said legalising assisted dying was the morally right thing to do. "It upholds human dignity."
He said the status quo was inadequate given the suffering by some at the end of their lives, despite the best palliative care could offer.
He believed it was possible to design a system which stopped terrible suffering by a few while avoiding harm to others. He pointed to other jurisdictions which allowed, including Canada where the court found the risks of assisted dying could be mitigated by safeguards.
"Scores of countries and jurisdictions had legalised assisted dying.
It is time the New Zealand Parliament considered this issue substantively and in a rigorous way."
9:28pm: A staunch opponent of the bill, National MP Maggie Barry said it would allow people such as family members "to predate on the vulnerable."
She said as a former Minister for Seniors she had seen the "horrors" of elder abuse, including by other family members.
"The scourge where family members inflict physical, psychological and mental violence and neglect on their own family members. More than three quarters of abusers are family members.
A family is not a safe place to be. And the abuse of our elders with an ageing population is something we need to take into account with this particular bill.
This bill will allow more people to predate on the vulnerable with far too few protections and safeguards."
Barry said the issue had been raised by a few high profile cases, but she did not believe New Zealand should base laws on a few cases.
She said it was the worst bill on euthanasia she had seen and incapable of being fixed in a select committee.
Barry also raised the issue of doctors who were unwilling to assist in such cases being required to provide a patient with details of doctors who would perform it.
She said the answer was not to allow assisted dying, but to invest in palliative care.
9:20pm: Green MP Julie Anne Genter said she would support it to select committee, but should be amended to ensure people such as the disabled were protected.
She said there was passion and strongly held views on both sides of the debate, but the debate was not about what Maggie Barry had described as a "licence to kill."
She said it was unusual for the Green Party to cast conscience votes because it often voted on party policy.
While it had a policy on euthanasia, Seymour's bill went beyond that policy.
"I do think there is a very compelling case… this issue is not about suicide, it's about what happens when someone is very close to death."
She said modern medicine meant life could be extended to the point there was no quality of life left.
9:13pm: Aupito William Sio said he was also opposing the bill, but acknowledged there were strong views the other way.
"From a Pacific perspective, when we talk death there's a tendency for many of us to acknowledge death is only a pathway to another life. From a Samoan perspective, we have grown up to value life."
He said Parliament had voted against euthanasia before in the past and knocked it back and the Health Select Committee had also recently considered a petition on it which canvassed the many aspects – legal, medical, human rights, cultural and others.
Sio said that Select Committee report had provided enough scrutiny and public input not to refer it to select committee again.
9:07pm: National MP Nuk Korako spoke against the bill, saying there was no such concept as assisted dying in Maoridom.
"Euthanasia is foreign to Maori."
He said many people had sat as relatives suffered and died.
"Death has never been a final ending for our people .. the process of dying for us is a process for whanau. We hear of a terminal illness in the whanau and we know it is time to gather."
He said that process was an essential component of binding a family together, of grieving and reminiscing "and coming to that moment of peace when we can let them go."
"That process is as much about the living as the dying."
He said Maori voices on the issue were few and far between because of the fear it would be seen as superstition. However, there was a belief euthanasia would leave a soul in limbo rather than return them to the ancestral home.
9:04pm: NZ First MP Tracey Martin said the issue should go to a referendum for the people to decide so NZ First would vote for it at the first reading as a bloc based on a commitment to David Seymour to do so if Seymour also supported the referendum on it.
"Not a single one of us is smarter than the people who placed us here. Not a single one of us has more of a conscience or a right than those who placed us here."
Martin recalled her own father's history with dementia, waking in the night terrified and not knowing who she was or where he was.
"I remember him saying to me 'if I could push a button I would end it now.' Did he mean the dementia or his life? I don't know. For me, this is something I need to grapple with."
She said a wider public discussion was needed.
9:01pm: Labour MP Louisa Wall spoke of the unsuccessful court case taken by Lecretia Seales seeking the right for an assisted death.
"Lecretia's response was 'isn't this my body, my life'? And then she died."
Wall said the judge in that case had said the status quo was not ideal and people were at risk of trying to end their lives themselves – but it was up to Parliament to take any such step.
"A citizen of our country went to the courts for a right and the courts have said she didn't have that right and it was for Parliament to create a mechanism [to deliver that.]"
O'Connor had attacked Labour leader Jacinda Ardern during the election campaign for speaking out against youth suicide while supporting euthanasia. He raised that again in his speech in Parliament, although he did not name Ardern.
"You cannot stand in this House and decry the suicide of one group of people, say the youth, and then encourage the suicide of another group – say the sick."
8:49pm: National leader Bill English was the first opponent to take the stand, saying the bill contained a "cold, bureaucratic process of death" but the price of personal autonomy was not worth the cost to the community.
He said there was a blanket prohibition against taking the life of another in the criminal law but the bill created an exemption to that prohibition which could be decided by "box ticking."
"In removing that prohibition which has been in our law as long as this country has existed, this bill is taking a huge step."
He said many, including himself, had known the suffering and fear of a dying person and those around them.
"Alongside that personal connection, we have to weigh up in our role as lawmakers, not just siblings or children or friends, but as lawmakers.
Our role is to make sure society has a set of laws that protect those that most need protection."
"We don't want people encouraging a depressed or disabled person that their life is not worth something … you are not always the best judge of the value of your life."
He said it would make the disabled and elderly more vulnerable.
He said the price the community would pay was people would be more subject to the pressure to make the judgement that their lives were of less value.
"This bill, with its cold bureaucratic process of death tries to look like it's safe." He said it was not.
8:47pm: Beginning the debate, Seymour said anyone in Parliament could find themselves in the position of having a terminal illness and wishing they had the option to decide when to end their lives.
He said there was a risk of "amateur, violent suicide" and said five per cent of suicides were by people who were dying who wanted to end their life.
"They knew what was coming and wanted to take control."
He mentioned one case of a staffer in Parliament who had unsuccessfully tried to commit suicide after he was diagnosed with Huntington's.
He said the tragedy of that was that that man had tried it years before he would have liked to because he knew he would not have the capacity to do so later.
"That is the moral case for this bill, it is wrong we suffer the status quo when people suffer needlessly."
He said it was an "absurdity" that people did not have that choice at the end of their days.
Seymour also referred to the Supreme Court of Canada, saying it was a conservative court yet the Court had agreed the risks associated with assisted death could be controlled through appropriate safeguards.
He defended the his bill against claims by some MPs that it did not have enough safeguards to prevent the vulnerable being exploited, saying there were numerous thresholds which had to be met before the option became available. Those included age, a requirement to be of sound mind, and suffering from a condition that was terminal or unable to be treated with medical treatment.
They also had to in pain or suffering to a degree that it could not be controlled.
One of the prompts for Seymour to introduce the bill was the campaign of the late Lecretia Seales who died in 2015 after suffering from a brain tumour. Seales had fought for the right for assisted dying, including taking it to the High Court. Her husband Matt Vickers now lives in New York but was back in New Zealand for the first reading, sitting in the public gallery.
It is a conscience vote for all MPs other than NZ First's and Seymour was hopeful he had the support to pass it.
MPs were flooded with emails about the End of Life Choice bill in the past two days, mostly urging them to vote against a law change.
Some of that was driven by anti-euthanasia groups in New Zealand calling on help from their Australian counterparts.
Right to Life Australia had sent out a message to its supporters urging them to make contact with New Zealand MPs.
"Please email MPs in New Zealand urgently today," the email to supporters reads.
It quotes Renee Joubert, executive officer of Euthanasia Free NZ, saying it was crucial that MPs receive thousands of messages in opposition today.
Seymour's bill moved forward on the agenda after Labour withdrew two of its MP's bills because they were no longer required under the new Government and adopted a third as a government bill.
The End of Life Choice Bill is based on an earlier piece of legislation drafted by former Labour MP Maryan Street.
It would allow mentally competent New Zealand adults with a terminal illness likely to end their life within six months, or a grievous degenerative medical condition which cannot be treated the choice to ask a doctor to help end their life at the time of their choosing. In both cases, the pain or suffering must be unable to be managed through medical care.
The Director-General of Health would establish a group of medical practitioners who would maintain a register of health professionals willing to participate in assisted dying.
A new process would require two medical practitioners to be satisfied a person meets the required criteria. The second would be independent of the patient and initial doctor.
HOW DID YOUR MP VOTE?
Of the MPs in Parliament, 37 Labour MPs supported the first reading of the End of Life Choice Bill while nine voted against it. In National, 21 supported it and 35 opposed it. All nine NZ First MPs and eight Green Party MPs voted in favour, as did the bill's sponsor Act leader David Seymour.
IN FAVOUR Amy Adams, National, Selwyn Kiri Allan, Labour, List Virginia Andersen, Labour, List Jacinda Ardern, Labour, Mt Albert Darroch Ball, NZ First, List Paula Bennett, National, Upper Harbour Chris Bishop, National, Hutt South Tamati Coffey, Labour, Waiariki Jonathan Coleman, National, North Shore Liz Craig, Labour, List Clare Curran, Labour, Dunedin South Marama Davidson, Green, List Kelvin Davis, Labour, Te Tai Tokerau Matt Doocey, National, Waimakariri Ruth Dyson, Labour, Banks Peninsula Paul Eagle, Labour, Rongotai Kris Faafoi, Labour, Mana Andrew Falloon, National, Rangitata Julie Anne Genter, Green, List Golriz Ghahraman, Green, List Nathan Guy, National, Otaki Peeni Henare, Labour, Tamaki Makaurau Harete Hipango, National, Whanganui Chris Hipkins, Labour, Rimutaka Brett Hudson, National, List Gareth Hughes, Green, List Raymond Huo, Labour, List Willie Jackson, Labour, List Shane Jones, NZ First, List Nikki Kaye, National, Auckland Central Matt King, National, Northland Barbara Kuriger, National, Taranaki – King Country Iain Lees-Galloway, Labour, Palmerston North Andrew Little, Labour, List Jan Logie, Green, List Marja Lubeck, Labour, List Jo Luxton, Labour, List Nanaia Mahuta, Labour, Hauraki-Waikato Trevor Mallard, Labour, List Jenny Marcroft, NZ First, list Ron Mark, NZ First, list Tracey martin, NZ First, list Kieran McAnulty, Labour, list Clayton Mitchell, NZ First, list Mark Mitchell, National, Rodney Stuart Nash, Labour, Napier Greg O'Connor, Labour, Ohariu David Parker, Labour, list Mark Patterson, NZ First, list Winston Peters, NZ First, list Willow-Jean Prime, Labour, list Priyanca Radhakrishnan, Labour, list Grant Robertson, Labour, Wellington Central Jami-Lee Ross, National, Botany Adrian Rurawhe, Labour, Te Tai Hauauru Deborah Russell, Labour, New Lynn Eugenie Sage, Green, List Carmel Sepuloni, Labour, Kelston David Seymour, Act, Epsom James Shaw, Greens, List Scott Simpson, National, Coromandel Stuart Smith, National, Kaikoura Erica Stanford, National, East Coast Bays Chloe Swarbrick, Greens, list Fletcher Tabuteau, NZ First, list Jan Tinetti, Labour, list Anne Tolley, National, East Coast Tim van de Molen, National, Waikato Hamish Walker, National, Southland Louisa Wall, Labour, Manurewa Angie Warren-Clark, Labour, list Duncan Webb, Labour, Christchurch Central Meka Whaitiri, Labour, Ikaroa Rawhiti, Michael Wood, Labour, Mt Roskill Megan Woods, Labour, Wigram Jian Yang, National, list
Voted Against: Voted against
Kanwaljit Singh Bakshi, National, list Maggie Barry National, North Shore Andrew Bayly, National, Hunua David Bennett, National, Hamilton East Simon Bridges, National, Tauranga Simeon Brown, National, Pakuranga Gerry Brownlee, National, Ilam David Carter, National, list David Clark, Labour, Dunedin North Judith Collins, National, Papakura Jacqui Dean, National, Waitaki Sarah Dowie, National, Invercargill Bill English, National, list Chris Finlayson, National, list Paul Goldsmith, National, list Jo Hayes, National, list Steven Joyce, National, list Anahila Kanongata'a, Labour, list Nuk Korako, National, list Denise Lee, National, Maungakiekie Melissa Lee, National, list Tim Macindoe, National, Hamilton West Todd McClay, National, Rotorua Ian McKelvie, National, Rangitikei Todd Muller, National, Bay of Plenty Alfred Ngaro, National, list Damien O'Connor, Labour, West Coast Tasman Simon O'Connor, National, Tamaki Parmjeet Parmar, National, list Chris Penk, National, Helensville Shane Reti, National, Whangarei Jenny Salesa, Labour, Manukau East Alastair Scott, National, Wairarapa Aupito William Sio, Labour, Mangere Nick Smith, National, Nelson Jamie Strange, Labour, list Rino Tirikatene, Labour, Te Tai Tonga Phil Twyford, Labour, Te Atatu Louise Upston, National, Taupo Nicky Wagner, National, Christchurch Central Poto Williams, Labour, Christchurch East Michael Woodhouse, National, list Jonathan Young, National, New Plymouth Lawrence Yule, National, Tukituki