Spain is following the footsteps of Iberian Peninsula neighbour Portugal, whose parliament approved similar bills to legalise physician-assisted suicide and euthanasia in February. Those bills have yet to become law and could yet face resistance from Portugal’s president.

Euthanasia — when a doctor directly administers fatal drugs to a patient — is legal in Belgium, Canada, Colombia, Luxembourg, the Netherlands and Switzerland. In some US states, medically-assisted suicide — where patients administer the lethal drug themselves, under medical supervision — is permitted.

An anti-euthanasia protester in front of the Spanish Parliament in Madrid.

An anti-euthanasia protester in front of the Spanish Parliament in Madrid.Credit:AP

A small group of people gathered outside Madrid’s lower house of Parliament waving black flags with skulls and crossbones to protest the bill. Groups that support legislation to legalise medically assisted suicide planned rallies in cities across the country to celebrate the passing of the bill.

The law will allow health professionals, both public and private, to assist patients who express their wish to die rather than continue suffering “a serious and incurable disease” or from a “debilitating and chronic condition” the person considers “unbearable.“


Patients must ask to die on four different occasions during the process, which can last over a month. The first two requests must be in writing and submitted over two weeks apart. The patient must reaffirm that request a third time after consulting with a doctor and a fourth time just before undergoing the procedure to end his or her life.

The process must be overseen by a medical team led by a physician and another doctor who acts as an external supervisor. An oversight board in each region must approve requests. The person asking to exercise his or her right to die must be a Spanish citizen or resident, of adult age, and able to make rational decisions.

The law will also allow any medical worker to refuse to participate on grounds of belief.


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