SAVES is not affiliated with Exit International / Dr Philip Nitschke and opposes the public availability of a 'peaceful pill'.


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South Australian Voluntary Euthanasia Society

The following is from the SAVES Newsletter, The VE Bulletin, Vol 16 No 1, March 99

SAVES - 15 YEARS ON

The 25th November 1998 marked the fifteenth anniversary of the inaugural meeting in 1983 of the South Australian Voluntary Euthanasia Society; it is timely to reflect on the highlights of these years. SAVES is part of a growing number of international groups seeking law reform to permit a hastened death in certain clearly defined circumstances. It has its own unique history mirroring, in a South Australian context, the particular issues, successes and challenges which repeatedly arise around the world.

SAVES has strong links internationally. In November 1998, our President, Mary Gallnor, was appointed President of the World Federation of Right to Die Societies at the World Federation Conference held in Zurich. We have learnt from and contributed to international debate but not lost sight of our primary objective - law reform in South Australia.

There is no one approach to this end. A range of activities are employed to keep the issue on the "front burner" locally and raise community awareness. These efforts are time consuming and involve a long term commitment. They include interstate and overseas liaison, political lobbying, consultations with the AMA and church leaders, speaking engagements to community groups, as well as media interviews. There is ongoing dialogue with the Palliative Care Council and the SA Health Commission, aimed at promoting the implementation of SA's "Living Will" legislation, the Consent to Medical Treatment and Palliative Care Act 1995. This Act gives statutory authority to the common law right to refuse medical treatment and to make advance directives providing instructions for health care when no longer competent. It also provides legal protection for doctors operating within the Act.

Other areas of activities involve handling distress calls, compiling, maintaining and distributing comprehensive and up-to date information papers and publishing a newsletter, The VE Bulletin, three times a year. A site has been established on the Internet (http//www.on.net/clients/saves/) to present author- itative information on the VE debate where it may be readily accessed by students and others. A small library has been established for the benefit of members. Coordinating the mobile VE display, maintaining the library, organising public meetings, as well as managing the membership database and financial aspects complete the range of tasks handled.

Community Awareness
Since its inception in 1983 SAVES has been involved in a wide range of public engagements, both to increase publicity for the organisation and to facilitate education of the broader community. A highlight was the installation of a fourteen panel professionally designed display at Speakers' Corner, Old Parliament House, in April/May 1988. The Society's Patron, Sir Mark Oliphant, launched the display and information packs were available for purchase. A mobile version of the display was subsequently developed, which is regularly in use in libraries and shopping malls.

In 1986 following a SAVES initiative, the Federation of Australian VE Societies was established to improve networking within Australia and New Zealand. The Federation survived only three years but fortunately the advent of email communication has to some extent filled the gap.

Since 1986, SAVES has held regular meetings open to the public with speakers relevant to voluntary euthanasia. There have been numerous interviews with community leaders, talks to community groups, health care professionals, schools, church groups, and branches of all major political parties. SAVES has engaged in talks and debates on TV and Radio, provided letters to the press and articles for community organisation publications and professional journals. We have also provided input into ethics courses at medical schools, attended book launches, and distributed car bumper stickers.

A major recent achievement in SAVES publicity is undoubtedly the establishment of a presence on the Internet. The society's web pages present the case for voluntary euthanasia to whoever cares to access them and offer an alternative access to the information provided in our student information packs. The pages include the full set of SAVES one page Fact Sheets (currently 22 in number) on various aspects relevant to the VE debate. They can stand alone or act as a supplement to the SAVES handbook The Right to Choose. This handbook, now in its fourth edition, presents the essential features of the voluntary euthanasia debate including the arguments for and against, medical and legal aspects and a draft of the essential features to be included in legislation. The handbook is also available on the Internet.

Publications
The first VE Bulletin went to print in 1984 reporting on the passage of the Natural Death Act 1983. Since that time many SAVES' publications have been released. In 1984 an Advance Directive was drawn up in anticipation of future VE legislation. 1987 saw the publication of the first edition of The Right to Choose, followed in 1988 by the pamphlet Voluntary Euthanasia: A Christian Moral Perspective.

The second edition of The Right to Choose was published in 1990, as were the booklet Voluntary Euthanasia and the Medical Profession: an Invitation to Dialogue, and pamphlets Beginning and Ending with God and the SA Natural Death Act, Hospice and Voluntary Euthanasia and Patients' Rights. The first set of Facts Sheets was also published that year.

In 1992 SAVES issued leaflets on Public Opinion Polls and Medical Aid in Dying, Medical Aid in Dying in the Netherlands and a response to the SA Parliament Select Committee Report on Voluntary Euthanasia under the title None So Blind. The fourth edition of The Right to Choose appeared in 1998.

Political Activity
SAVES has taken a "pro-active" approach which has included lobbying politicians. Discussions were held with the Minister of Health in 1985 on the Natural Death Act 1983, and in 1996 on the Consent to Medical Treatment and Palliative Care Act 1995. SAVES strongly supported John Quirke's private member's VE Bill in 1995 and sent a submission to the NT Select Committee in support of Marshall Perron's VE Bill. We campaigned against Kevin Andrews' Euthanasia Laws Bill 1996, the passage of which overturned the NT Rights of the Terminally Ill Act 1996 and are actively supporting Anne Levy's Voluntary Euthanasia Bill 1996, currently under consideration by the Social Development Committee.

International Liaison
SAVES built up an international presence from its inception, when the then President Jim Richardson made a trip to the Netherlands to gain insights into its organisation and strategies in respect of VE. Since 1990 SAVES delegates have attended each international conference of the World Federation of Right to Die Societies, all at no expense to the membership. These included the 1990 conference in Maastricht, followed by later conferences in Kyoto and Bath. The 1996 conference in Melbourne was attended by the current President, Mary Gallnor, after her 1994 election to the board of the World Federation as Vice President. At the 1998 conference, held in Zurich, she was elected President for the ensuing two years and will be working to gain international recognition of the Federation.

SAVES Task Force
The Task Force was set up from SAVES committee members to formulate plans for introducing VE legislation into SA. It was thus possible to pursue the primary aim of SAVES - to achieve law reform - separately from the substantial task of the day to day running of the society. It had its inaugural meeting in May 1988 and soon identified the crucial role of the medical profession in vehemently opposing the legalising of VE. It drafted a discussion paper on alternative ways that the law might be changed; either by statute legislation or by changes to the common law through precedent set by court decisions. Self regulation within the medical profession was seen as crucial.

The Task Force has approached church leaders willing to become involved for their opinions, and has offered discussion papers to many organisations for comment. 1989 saw the publication of an Enduring Power of Attorney approach based on the common law and now largely superseded by provisions in the Consent to Medical Treatment and Palliative Care Act 1995.

In 1990 a medical member of the Task Force under- took a local survey of doctors' attitudes and practices. A substantial submission was also made in that year to the South Australian Parliamentary Select Committee on Death and Dying. Since 1993 SAVES vice-President Eric Gargett has been involved in a study group examining advance directives with the Health Commission and the Palliative Care Council. In 1995 submissions were made to the Select Committee by three members of the Task Force.

A comprehensive written submission on Anne Levy's Bill was made in 1997 followed by an oral presentation to the Social Development Committee in 1998. Three members of the Task Force have appeared before that Committee.

Are we getting anywhere?
Committee members are sometimes asked whether we are making progress in achieving law reform. There has been enormous progress. Fifteen years ago there was virtually no debate on VE in South Australia, whereas now it is high on the public agenda, following no less than two proposals for VE legislation reaching parliament. Entrenched opposition, mostly church based and backed with substantial financial resources, remains to be overcome. However, the VE movement taps a deep need of many in the community. It will not go away until satisfactory legislation is in place.

Julia Anaf