18/04/2026
Dr Peter Roos sent us a brave letter this week...
Dear Dignity SA,
I took the Hippocratic Oath in 1972. This was a solemn moment when all the graduating class embraced the concept of “Do no harm”. Hopefully over the years we have, to the best of our knowledge and ability, not performed acts which have been harmful, not relieving suffering but making it worse. Nobody recognized the concept that withholding a patients request to relieve there intolerable physical suffering could also be doing harm.
It is in the nature of all practitioners (surgeons, oncologists and palliative care practitioners etc.) not to want to surrender in the face of some diseases that have a relentless and cruel passage towards death.
We hate admitting defeat in our failure to cure a disease or to adequately manage the intolerable painful and undignified consequences of these diseases.
In the 53 years since I took the Hippocratic Oath I have seen the extreme suffering of people with ovarian cancer, metastatic breast cancer including my mother, a devout Christian whose only concern about assisted dying was the possible criminal implication for the person assisting her and people suffering the indignity of degenerative illnesses, where they were unable to attend to any bodily function including swallowing.
I have the greatest respect for Palliative Care practitioners. They are dedicated, kind, empathetic and hard working supporters of those suffering from terminal illness using the best available science. They provide important emotional support to the dying and their families.
Unfortunately, if you had listened to the interview with a palliative care doctor on a local radio station this week you will have heard many responses saying that her opinion that pain can adequately be controlled in order to relieve intolerable suffering is certainly not correct in many cases. In these cases the medical profession needs to admit defeat and say, ’‘We have failed to cure this disease and we are failing to relieve the suffering associated with it. We now need to listen to the patient who may want to continue living or may be asking us to help them in escaping their suffering and assist them in dying.”
At no stage should one consider administering a lethal dose of a drug unless the patient has requested it. Furthermore, I would only consider it after consultation with another specialist in the field and we confirmed that every effort, using the best scientific methods, had been made to cure the disease and relieve the suffering associated with it.
In summary I give my full support to changing the law in South Africa to allow Medical Assistance in Dying for those who request it in order to escape the intolerable physical suffering associated with incurable terminal illness.
Kind regards and thank you for initiating the court action,
Dr Peter Roos
MB.ChB. FRCOG.