Blair McDougall MP: speeches

Speeches

• 13 Jun 2025 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  I rise to speak in support of amendment 15, which is tabled in my name. I will minimise my comments to maximise the time available to other hon. Members. Owing to the widespread unease among NHS practitioners and the growing number of concerned voices about the Bill’s shortcomings, if it is passed by the House—I still hope that it will not be—it is likely that assisted deaths will take place away from the public sector. Indeed, the Bill does not prevent assisted deaths from being outsourced to private companies, and there is no definition of what “reasonable remuneration” means in return for helping to end someone’s life. My amendment seeks to ensure that providers publish annually the number of people to whom they have provided those services, the costs of doing so, and the revenues received in return. Many hon. Members will be guided by their religion when they vote on these issues. Although I deeply respect that, I am not a person of faith. If there is a booming baritone voice appealing to my conscience, it is not that of God, but that of Nye Bevan, who was concerned about the commodification of care. In his time, the worry was about the role of the market in extending life. Today, my concern is about the potential role of the market in ending it. Throughout the Bill’s passage, we have discussed different kinds of coercion by individuals on the lives of people whose protection is entrusted to us. As a Labour MP, I do not think that we can have this debate without addressing the economic coercion experienced by the vulnerable in our society. As someone who has sat beside a bed and prayed for mercy, I genuinely understand the attraction of arguments around freedom of choice, but arguing for that as a fundamental principle in isolation, without also acknowledging the economic, social and cultural context in which people make such choices, is not a Labour approach to the issue.

• 13 Jun 2025 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  I will come to that point shortly. We have a duty to ask whether the poorest and most vulnerable will be coerced into choosing assisted dying over palliative care because of economic disadvantage. Will they be exploited by those with a financial interest in their choosing to end their life? Will their death become a commodity? If we are really going to pass legislation that allows someone’s death to become a matter of business, we must have full transparency on those financial motivations, and my amendment 15 would require that. If we are really going to pass legislation that allows someone’s death to become a matter of business, we must have full transparency on those financial motivations, and my amendment 15 would require that. Carers in the private sector are not bad people any more than people working directly in the NHS, but private healthcare operates in a context. The evidence that profit influences the moral choices made in the care and treatment that is already provided in this country is overwhelming; this is not a hypothetical concern. For example, a systematic review published by The BMJ found that private equity ownership of healthcare is associated with lower standards of care. Around the wonderful miracle of IVF there is an industry profiting from people’s desperation as they start life rather than end it. Already, at the end of life—this relates to the point made by my hon. Friend the Member for Stroud (Dr Opher)—choice in palliative care is limited by economic status, with the wealthy more likely to die a good death than the poor. My amendment seeks to address the fundamental question of whether free choice really is free by bringing into daylight the financial motivations of those involved in individuals’ decisions.

• 13 Jun 2025 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  The hon. Member makes an important point that we have to consider. We must recognise that, as he says, people’s choices are limited by the unfair distribution of wealth, the injustices that disabled people face throughout their life, or the attitudes of the powerful in society towards those who are less fortunate.

• 13 Jun 2025 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  I do not wish to exacerbate your bronchitis, Madam Deputy Speaker, so I will continue. Amendment 15 touches on a fundamental point at the heart of the debate. Disabled people and the sick, in every aspect of their lives, have to fight every day for resources from a state, a market and a society that view them as a drain on finances. Do we honestly believe that at the moment when the most vulnerable are least able to argue for themselves, under the most intense societal and cultural pressure, and at their most expensive, those same public and private sector institutions will succeed in making choice real for them when they have failed to do so throughout the rest of their lives? Even if we stretch credulity and convince ourselves that that will be true in the state sector, can we say that it will be true in the market? I do not believe that the Bill should be passed, but if it is, let us not make it worse by allowing unscrutinised profit from the loss of human beings.

• 13 Jun 2025 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  My hon. Friend makes an important point. Amendment 15 seeks to recognise that there is a difference in where private providers’ income stream comes from and that that raises moral issues.

• 29 Nov 2024 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  I join the right hon. Member for The Wrekin (Mark Pritchard) in commending my hon. Friend for the way she has made sure that this binary debate has not been a polarising one. I started the debate where she is now, but I have moved to opposing the Bill by the stories I have heard of disabled people who have had “do not resuscitate” put on their medical records without their permission, or who have been stopped by strangers in the street and been told, “You would be better off dead.” I know she will say that we are voting on the specifics of her Bill, but we are also voting on a principle. Does she agree that there should be a precautionary approach, and does she honestly believe the legislative process gives us the time to be sure that we are making the right decision?

• 26 Nov 2024 · “Get Britain Working” White Paper · Hansard source

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  If we search the record of this place, we see the phrase “no child left behind” mentioned over and over again, but during the pandemic, children were left behind. They have been washing up on the shores of social work, of the police sometimes, and of childhood mental health services, and I know from visiting my jobcentre in Barrhead that they are now washing up on its shores as well. What will this White Paper do to help that covid generation who were left behind?

• 30 Oct 2024 · Employment Rights: Scotland · Hansard source

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  I am sure the whole House will join me in congratulating my hon. Friend the Member for High Peak (Jon Pearce) on the birth of his daughter Connie. [Hon. Members: “Hear, hear!”] As my hon. Friend enjoys his paternity leave, I am sure the Minister will be familiar with the Dad Shift campaign, which seeks to increase paternity leave for more fathers. Will he support that campaign so that more fathers can enjoy paternity leave, in addition to the tens of thousands the Government have already opened it up to, and does he agree that that is a huge contrast with the Conservative party’s spending its time talking about getting rid of maternity leave?

• 23 Oct 2024 · Paternity Leave and Pay · Hansard source

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  Thank you, Mr Pritchard, for calling me to speak in this debate. I want to talk about the vision for the role of fathers in society, which other hon. Members have spoken about, and about how achieving that takes not only personal choice by fathers, but cultural and economic change. I feel that point about personal choice very acutely: at a very young age, my father chose not to be part of my life, and I am determined that that should not be repeated in my own family’s upbringing. I am not unusual: for example, nine out of 10 dads will now go to antenatal scans and the birth. Fathers want to be part of their children’s life and they want to be better fathers, but the culture and the economics make that difficult. On the cultural point, when I was established in my own business, I made the choice to be a stay-at-home father for a period. However, such fathers are excluded from the coffee with the mothers after nursery pick-up and are not part of the “mum bus” WhatsApp chat. That culture continues, however, because of the economics behind it. The gap between average pay and statutory paternity leave is about £1,000, which is something that parents cannot afford. There is a class element as well, with nine out of 10 households earning more than £60,000 a year able to take their paternity leave, while only two thirds of those earning under £25,000 a year can do so. If we want the cultural change, and that personal choice, to be taken advantage of, we need to deal with the economics and create more generous arrangements for paternity pay. In particular, I agree with the suggestion of the hon. Member for Stoke-on-Trent Central (Gareth Snell) that, as well as looking at paternity leave, we also have to give people the ability to take crisis leave. This does not end with those first couple of weeks of changing nappies and going to the pharmacy; we need to have that ability as fathers throughout childhood.