Terminally Ill Adults (End of Life) Bill

Lord Farmer Excerpts

Friday 12th September 2025 Lords Chamber

[Lord Farmer (Con)]

My Lords, I want to stand back from this Bill and call out the dangers of the wider cultural drift towards hyper-individualism it epitomises. Freedom to end life on our terms—making death accessible as a personal convenience—desacralizes and cheapens death, life and humanity itself.

Professor Louis Appleby, advisory group chair of our national suicide prevention strategy, warns that our socially remarkable consensus that it is right to try to prevent all suicides will be radically altered. He also said the phrase “assisted suicide” should not be considered offensive.

At the time of Second Reading in the Commons, two of my friends who were suffering terminal conditions—one has since died—both followed the debate and news coverage and told me that the subject’s very airing made them feel that they were a burden to their loved ones.

Assisted dying is the latest blatant promotion of personal autonomy over any obligations we owe to each other as members of a shared society, and over reverence for life itself. It flouts the important “do no harm” principle underlying classical liberalism. As well as immediate harms to the disabled, those who fear becoming a burden and those vulnerable to coercion, there are long-term harms to the Bill typical of what pollster James Kanagasooriam calls “shrouded attributes” of policies: costs and liabilities, hidden at point of sale to the public, which inflict a later tail of pain.

First, there is the inevitable extension to other groups beyond those catered for in the Bill. International examples abound of legal creep, whereby mental illness, non-terminal conditions and ever-younger sufferers become eligible. Secondly, Canada has shown how palliative care withers, yet two-thirds of the public agree that Labour should prioritise sorting out palliative, social and end-of-life care before even thinking about assisted dying; less than a fifth disagree. Two-thirds of assisted dying supporters agree that our threadbare, charitably sustained hospice movement needs strengthening first, otherwise there is no genuine choice, as we have heard already in this debate.

Hospice movement founder Dame Cicely Saunders’ philosophy of palliative care was:

“You matter because you are you, and you matter to the last moment of your life. We will do all we can not only to help you die peacefully, but also to live until you die”.


Helping patients live until they die is what very many doctors want to keep offering, or to offer more reliably. Fear of missing out drives calls for assisted dying: supporters are significantly more likely than opponents to believe they will be unable to fund their own end-of-life care, and that the Government will not pay for it.

Thirdly, the cheapening of life and disregard for relationships flow from outlawing physical and mental suffering, despite these being part of our universal human condition. Although those should of course be alleviated whenever possible, actively taking the escape route of death is intensely painful for many years for close family members and friends when they have had no say in the matter. When personal autonomy trumps everything, we end up, dare I say it, deifying selfishness.

A former Chief Rabbi, the late Lord Sacks—we have heard his name already today—wrote this in his last book, Morality:

“Western society has all too often been insensitive to the dimension of time. Thinking through the long-term, unintended consequences of policy changes is imperative. Beware short-term fixes to individuals’ pain which will inflict life-long pain on those near to them—and sow seeds of destruction into our society”.