I work as a renal(肾脏的) physician, including on a transplant(移植) ward, so I will have had many of the same experiences as Zubir Ahmed, but I do not share his opinion(不同意他的观点) about assisted dying(辅助死亡) (As a doctor, I say this: before we even consider assisted dying, fix how we care for the most vulnerable, 26 August).
我是一名肾脏科医生，在移植病房工作，因此我与祖比尔·艾哈迈德有许多相同的经历，但我不同意他关于辅助死亡的观点（作为一名医生，我要说：在我们考虑辅助死亡之前，先改善我们对待最脆弱群体的方式，8月26日）。
It is universally agreed that patients with capacity(行为能力) should be able to make decisions about their treatment. Their decision is the one that matters if they have the ability to use and understand the relevant information and can communicate any decision they make.(如果他们有能力使用和理解相关信息，并能传达自己做出的任何决定，那么他们的决定才是最重要的。) The doctor needs to explain possible options and their likely outcomes in as fair and balanced a manner as possible(以尽可能公平平衡的方式).
人们普遍认为，有行为能力的患者应该能够就自己的治疗做出决定。如果他们有能力使用和理解相关信息，并能传达自己做出的任何决定，那么他们的决定才是最重要的。医生需要尽可能公平、平衡地解释可能的选择及其可能的结果。
My daily reality, like that of just about everyone working in the NHS (and in other healthcare systems), involves doing the best I can within constrained(受限的) resources. Palliative care provision(提供，供应) and social services are not unique in being limited by the funding and staffing available. To say that patients should not be allowed to choose an assisted death until these reach some arbitrary standard defined as acceptable by Mr Ahmed or others begs many questions, and denies patients the ability to control their destiny now.(如果说患者在这些服务达到艾哈迈德先生或其他人定义的任意标准之前不应被允许选择辅助死亡，这既回避了许多问题，也剥夺了患者现在掌控自己命运的能力。)
我的日常现实，与几乎所有在国民健康服务体系（以及其他医疗体系）工作的人一样，都是在资源受限的情况下尽力而为。姑息治疗服务和社会服务并非唯一受资金和人员配备限制的领域。如果说患者在这些服务达到艾哈迈德先生或其他一些人定义的某种任意标准之前，不应被允许选择辅助死亡，这既回避了许多问题，也剥夺了患者现在掌控自己命运的能力。