Session Profile: Irja Lutsar

15th Riigikogu, 5th session, plenary session

2025-04-23

Political Position
The political position is one of strong support for the legalization of the patient’s end-of-life declaration (PET), which the party Eesti 200 views as a human-centric and liberal step toward respecting individual autonomy. It is emphasized that this does not constitute the legalization of euthanasia, but the indefinite validity period of the draft legislation is moderately criticized, with calls for its review or amendment after 25–30 years. The stance is value-based, focusing on ensuring human dignity at the end of life.

2 Speeches Analyzed
Topic Expertise
The speaker demonstrates profound medical expertise, drawing on over 45 years of personal experience and providing examples of the enormous progress made in treating malignant tumors. Specific terminology is employed (PET, palliative care, euthanasia), and the analysis is based on long-term forecasts regarding scientific development. This expertise is used convincingly to highlight the danger inherent in the indefinite validity of an advance directive.

2 Speeches Analyzed
Rhetorical Style
The style is formal, analytical, and persuasive, balancing logical arguments (the rapid pace of medical development) with ethical appeals (reducing the fear associated with the end of life). Personal medical experience (the example of childhood leukemia) is utilized to enhance emotional impact and illustrate scientific progress. The discourse is structured, encompassing both a clarification of the legislative bill's background and an emphasis on future-oriented investments.

2 Speeches Analyzed
Activity Patterns
The speaker is actively involved in the legislative process, having participated in the first reading of Draft Law No. 604. They have also presented the issue in question to the Social Affairs Committee, demonstrating active engagement at the committee level.

2 Speeches Analyzed
Opposition Stance
Direct political opponents are not criticized, but the notion that the draft bill legalizes euthanasia—for which society is not yet ready—is refuted. The criticism is directed at the state’s insufficient investment in palliative care and basic research in medical science, especially when compared to what is happening in the USA.

2 Speeches Analyzed
Collaboration Style
The speaker demonstrates a willingness to cooperate, noting with satisfaction that the minister also shares the concern regarding the indefinite duration of the declaration of intent. This suggests an opportunity to find consensus within the Social Affairs Committee for amending the draft legislation.

2 Speeches Analyzed
Regional Focus
The focus is clearly on national legislation (Bill No. 604) and the development of the national healthcare system (specifically, the availability of palliative care). The international context is also emphasized, calling for increased investment in medical science across Europe, including Estonia.

2 Speeches Analyzed
Economic Views
Economic perspectives focus on the need to significantly increase national investments in palliative care and fundamental medical research. This demonstrates support for strategic state funding aimed at solving future healthcare challenges and advancing scientific development.

2 Speeches Analyzed
Social Issues
The primary social issue revolves around personal autonomy and a dignified end of life, strongly upholding the individual's right to determine the extent of their medical treatment. It is stressed that this legislation alleviates people's fear of becoming imprisoned within their own bodies as life draws to a close.

2 Speeches Analyzed
Legislative Focus
The main legislative priority is supporting Bill No. 604 (Legalization of the Patient's Advance Directive) and ensuring it reaches its first reading. The speaker supports the bill but emphasizes the need to amend its indefinite validity period so that it remains current with advances in medicine.

2 Speeches Analyzed