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Withdrawal of Life-sustaining Treatment outside Courts’ Compulsory Jurisdiction

On 30 July 2018, the UK Supreme Court ruled, in the case of NHS Trust v Y (by his litigation friend, the Official Solicitor) [2018] UKSC 46, that not all decisions concerning a withdrawal of life-sustaining treatment require the Courts’ approval. Unlike euthanasia or assisted dying, neither of which is legal in the United Kingdom (Suicide Act 1961,s 2), a withdrawal of life-sustaining treatment from a patient in a vegetative state is treated as an omission (as opposed to an ‘act’) conducted in the best interest of the patient and therefore does not incur any criminal liability (Airedale NHS Trust v Bland [1993] 1 All ER 821 HL). Up until now, however, any such decision was believed to require a declaration from a Court, usually the Court of Protection, that the withdrawal of treatment resulting in death would be lawful. In its opinion, the UK Supreme Court concludes now that such a procedure is only required where there is no agreement between the doctors and the family as to the withdrawal of treatment but where such an agreement has already been reached, no separate approval from any Court is needed.

In the recent years, there have been several attempts to legalise assisted dying in the United Kingdom, both through legislation and various Courts’ cases. However, in the 2014 case of R (Nicklinson) v Ministry of Justice [2014] UKSC 38), the UK Supreme Court refused to recognise the right to assisted dying under Article 8 of the European Convention on Human Rights basing its decision on the 2002 ruling by the European Court of Human Rights in the case of Pretty v. United Kingdom (App. No.: 2346/02) and Lord Falconer’s Assisted Dying Bill was defeated in Parliament in 2015 (BBC). The decision in NHS Trust v Y does not change the status of assisted dying in the United Kingdom but it does remove most of life-death decisions from the immediate supervision of the Courts, at least where both the patient’s doctors and family members agree to withdraw the treatment. This decision should relieve the Courts from a considerable chunk of their workload in the area of medical treatment applications while at the same time reinforce the rights of family members of patients in a vegetative state by allowing them to make those critical decisions in the privacy of hospital rooms, without any state interference.

The Most Powerful Man in America Retires

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The most powerful man in America has finally retired. There was no one in the country’s past 30 years who had a bigger impact on the law of the United States than Justice Kennedy. No President, no Majority  Leader, no State Governor had power coming even close to that of Justice Kennedy, aka the Swing Vote. The number of cases Justice Kennedy single-handedly decided is breathtaking. He is the man who allowed gay people to marry (Obergefell v. Hodges 2015) and buy firearms (District of Columbia v Heller 2008) at the same time. It seems that President Trump is now likely to appoint another young judge in the vein of Justice Gorsuch, his first pick. Whoever President Trump chooses to replace Justice Kennedy will be subjected to the most vicious confirmation process this country has ever seen. Probably even more vicious than the confirmation hearings of Robert Bork or Clarence Thomas. The President is set to announce his pick on Monday, 9 July.